Core IM | Internal Medicine Podcast

Latest Episodes:

#77 Complimentary and Alternative Medicine (CAM): At the Bedside Segment Oct 15, 2020

Show notes

What leads patients to search for alternative treatments than those offered in Western Medicine? How can we provide patients with safer complimentary interventions? How do we prioritize what is important in our patients health?

Show notes, Transcript and References: https://www.coreimpodcast.com/2020/10/15/approach-to-patients-with-cam-beliefs/

Time stamps:

01:49 Intro
04:54 What is CAM
06:29 Prevalence of CAM
08:01 Holistic approach to patient care
11:09 Patient empowerment
14:38 Integrating CAM
18:34 Risks and Benefits
19:50 Caution patients
22:29 Indirect Risk
23:45 Big Picture
26:04 Therapeutic Alliance
27:27 Conclusion

Tags: IM Core, CoreIM, supplements, homeopathic, naturopathic, Ayurvedic medicine, mind-body interventions, massage, acupuncture, and chiropractic manipulation, qi gong and Reiki

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#76 COVID Management Update Sep 30, 2020

Show notes

How can we feel more comfortable in treating these patients? What treatment options do we now have in our toolbox to fight COVID-19? How has the landscape changed in what we can offer patients?

Show notes, Transcript and References: https://www.coreimpodcast.com/2020/09/30/covid-management/

Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Time stamps

04:16 Supportive Care
07:48 Step-up approach to oxygenation
13:44 Data Points
15:30 Clots
19:13 Steroid use

Tags: IM Core, CoreIM, oxygenation, proning, anticoagulation

#75 Stories during Challenging Times Sep 16, 2020

Show notes

How do we respond to challenging times? Are you a driver of change? How can we forge ahead during times of adversity? What lessons can we learn from the stories of our peers and colleagues?

Show notes, Transcript and References: https://www.coreimpodcast.com/2020/09/16/transitions-episode/

Time Stamps:

02:48 Minneapolis 2020 with Dr. Uloko
06:44 Early HIV/AIDS with Dr. Kalet
12:07 Hurricane Sandy with Dr. Hwang
17:20 Aftermath of the Syrian Civil War
20:23 Transitions with Dr. Arora

Tags: Core IM, IM Core, change, inspiration, narrative medicine

#74 Nephrotic Syndrome: 5 Pearls Segment Sep 02, 2020

Show notes

What are common mistakes with protein on the UA? What questions should you ask while obtaining a history that could clue you into nephrotic syndrome? Are kidney biopsies risky business? Is there an associated clot risk in patients with nephrotic syndrome?

Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Show note, Transcript and References: https://www.coreimpodcast.com/2020/09/02/5-pearls-on-nephrotic-syndrome/

Amboss Article on Nephrotic Syndrome: https://www.amboss.com/us/knowledge/Nephrotic_syndrome?utm_source=affiliate&utm_medium=link&utm_campaign=coreim-01

Time Stamps:

03:22 Evaluating Proteinuria
09:37 Nephrotic Syndrome specifics
22:31 Who to biopsy
31:39 Diuretics
37:16 Thrombosis Risk

Tags - CoreIM, IM Core, edema, proteinuria, kidneys, thrombosis, urinalysis, diuresis

# 73 Research Paths: Careers Series Aug 19, 2020

Show notes

How tough is it to forge your career in clinical research? What struggles do physicians face in finding protected time? Are there setbacks and frequent rejections? How can you follow your passion and find success?

Show note, Transcript and References: https://www.coreimpodcast.com/2020/08/19/research-careers…rs-in-gim-series/

Time Stamps:

1:28 Origins

6:57 Mentorship

14:30 Reality, Roadbumps, and Failures

18:17 The path of many fellowships

Tags - CoreIM, IM Core, clinical investigator, general internal medicine

#72 Physical Therapists: Interprofessional Education Series Aug 05, 2020

Show notes

Are fall prevention programs helping our patients? Should patients receive outpatient PT based on clinical diagnosis? How has the landscape changed because of insurance reimbursement?

Show note, Transcript and References: https://www.coreimpodcast.com/2020/08/05/physical-therapi…education-series/ Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imTime Stamps:

01:47 Functional Assessment
07:47 Documentation
14:35 Outpatient PT
18:14 Durable Medical Equipment
22:55 Reimbursement

Tags: Core IM, IM Core, physical therapy, durable medical equipment, IPE, multidisciplinary team, interdisciplinary

#71 Capacity Part 2, Voluntarism & Difficult Scenarios: At the Bedside Segment Jul 22, 2020

Show notes

What goes into decision making? What are the invisible tugs that may keep patients from acting in line with their values? Why isn't it part of the formal capacity assessment?

Show notes, Transcript and References: https://www.coreimpodcast.com/2020/07/22/capacity-2-0-and-voluntarism/

Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Time Stamps:

2:57 Defining voluntarism
5:36 Four elements that influence voluntarism
10:26 How do you incorporate voluntarism into the capacity assessment?
16:11 Discussions with uncooperative patients
19:14 Protecting unrepresented patients
21:30 Clinician perspective
25:06 Moral distress

Tags: medical humanities, ethics, psychiatry, IM Core, CoreIM

#70 A 40M with Fever and Confusion from the 19th Century: Hoofbeats Segment Jul 08, 2020

Show notes

Unpack a famous historical legend's medical dilemma on a special "Historical CPC" episode!

Show notes, transcript and references: https://www.coreimpodcast.com/2020/07/08/22729/

Time Stamps:

02:55 HPI
07:33 Past Medical History
04:25 Physician Exam findings
24:22 Historical Figure Revealed
26:30 Reflections on top 3 diagnosis

Tags: cognitive and neuropsychiatric disturbances, rabies, mercury poisoning, cholera, delirium, COREIM, IMCORE, clinical reasoning case

#69 Inpatient Heart Failure: 5 Pearls Segment Jun 24, 2020

Show notes

Packed with so many clinically relevant points taking care of a patient with decompensated heart failure on general medicine floors!

Time Stamps:

03:17 What are the key initial clinical variables in evaluating heart failure admissions?
10:09 What are key lab findings for patients with heart failure exacerbation?
17:14 Which guideline-directed medical therapy, and in what circumstances?
22:12 What are diuretics dosing strategies and monitoring tips to help guide initial volume removal?
28:43 What role do thiazides and ultrafiltration play in diuresis, why does diuretic-induced metabolic alkalosis happen and what should you do about it?
38:09 Expert Recap

Show notes, transcript and references: https://www.coreimpodcast.com/2020/06/24/5-pearls-on-inpatient-heart-failure/

ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Tag: Cardiology, BNP, cardiorenal syndrome, beta-blockers, CoreIM, IMCore

#68 SNF, SAR, NH, ALF, and More Discharge Options: Interprofessional Education Series Jun 10, 2020

Show notes

SNF vs. NH? SAR vs. SNF? What are the differences in resources, nursing and clinician oversight and who pays for what?!

Show notes, transcript and references: https://www.coreimpodcast.com/2020/06/10/snf-sar-nh-alf-and-more-discharge-options-interprofessional-education-series/

ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im

Time stamps:

04:07 SAR vs SNF
13:35 Long term Nursing Home Care
18:30 Assisted Living Facility
24:40 Acute rehab
26:11 LTACH
27:49 Home

Tags: Subacute rehab, skilled nursing facility, long-term acute care hospital, CoreIM, Core_IM, hospital medicine, family medicine, emergency medicine, physician assistant, nurse practitioner, interprofessional education

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