Core IM | Internal Medicine Podcast

What is the difference between semaglutide (ozempic) and tirzepatide (mounjaro) in outcomes and mechanism? How did we find out diabetes medications can help with weight loss? Sponsors: Post Investment: Real Estate Syndications ||  Hellofresh    Show Notes & Transcript 02:08 Framework for thinking about obesity 03:42 History of obesity treatment 06:29 Gila monsters and GLP and GIP mechanisms 08...

With progressing CKD & HFrEF, what GDMT medications can you start, continue or stop? What does the data on hydralazine/isosorbide tell us and what does it NOT tell us? What are the pros and cons of starting GDMT inpatient versus outpatient? Do you still keep patients on GDMT once their EF recovers?  Sponsors: Hellofresh | Pranay's Effective Living Formula Course Pranay's Free Mastercla...

What does medical education research say about improving diagnostic errors? What habits help in getting to diagnostic excellence? Timestamps 01:00 System 1 vs. System 2 07:46 Cognitive Biases 13:46 Case for Knowledge 18:29 Other Practices to Decrease Error 28:26 Conclusion   CME:  http://bit.ly/CIMCME  ||  Show Notes & Transcript This episode is made in part of ACP’s Diagnostic Excellence curr...

What are side effects of tacrolimus and mycophenolate? And what are common medication interactions? What causes of acute kidney injury are unique to renal transplant recipients When a patient has a fever, what are the viral syndromes we should work up? What are signs and symptoms of rejection? Behind The Scenes YouTube Interview Timestamps 02:41 Types of Immunosuppression 14:31 Medication Reconcil...

In patients with heart failure with low ejection fraction and chronic coronary disease without unstable symptoms, does stenting open blocked coronary arteries extend life or reduce hospitalizations? There is some literature to suggest those with low EF may benefit from revascularization with surgery. How does the REVIVED trial change how we think about these patients? Tune in to the first episode...

Laugh and be humbled along some of Dr. Maria Rosasco's most memorable July stories ! Listen to the original July Stories: https://bit.ly/3Y4n8jG Behind The Scenes videos on YouTube Subscribe to our  new Youtube Channel  ! Tags: medical humanities, internal medicine, residency, medical school, interprofessional education, rotation, imposter syndrome, feedback Find the best disability insurance...

BONUS on Cosyntropin stimulation tests! What exactly is it? How do you interpret them? What is the difference between adrenal insufficiency and steroid withdrawal syndrome? Use promo code COREIM for 1 month of free access to  Glass Pro  at  https://glass.health/coreim   Behind The Scenes video on YouTube Show notes & Transcript Subscribe to our new Youtube Channel ! Tags: IMCore, CoreIM, endoc...

How do you choose between the different steroids? At what dose and duration do you get concerned about worrisome complications? What types of prophylaxis should be started in patients on steroids and when? In which patients should we wean steroids vs. stop abruptly, and how should we do so? What factors limit steroid weaning? Use promo code COREIM for 1 month of free access to  Glass Pro  at  http...

In cirrhosis, what actually contributes to the bleeding vs. clotting risk? Does the INR capture it? What is in FFP? Do you have to give FFP prior to a paracentesis and a thoracentesis? How much of FFP stays in the intravascular space? Does indwelling pleural catheters increase risk of malnutrition or infection? Show notes & Transcript Time Stamps 02:36 Deep Dive 1: Bleeding risk of paracentesi...

How long can fatigue last for after radiation? Are all patient post radiation immunocompromised?  What are the potential acute and long-term side effects after lung, breast, prostate and brain radiation? Use promo code COREIM for 1 month of free access to  Glass Pro  at  https://glass.health/coreim   Use this  link for CME-MOC credit  with ACP Show notes & Transcript Whiteboard Animation Video...

What are the different types of radiation? What should we and shouldn’t we put in our one-liners? What makes palliative radiation different from curative radiation? And when to refer to for palliative radiation? Show notes & Transcript Whiteboard Animation Video of Radiation Physiology Time Stamps 02:04 What is radiation? 03:17 How does radiation therapy work? 04:50 How is today’s radiation di...

What did you have to "unlearn" in your learning journey? How do you organize your time? Organize how you keep up with medical evidence? What is your calendar management system? How can you use your leadership skills to improve the well-being of your team members? Show notes & Transcript Time Stamps 01:12  Learning Journey 05:58  Lifelong Learning 11:14  Time Management 16:38  Role Mode...

What does the HbA1c really measure? What are its limitations? How does fructosamine and glycated albumin work? What will falsely elevate or decrease it? What are the benefits of continuous glucose monitoring? What are the limitations of a glucose-centric view and should we be more insulinocentric? Show notes, Transcript and References Time stamps 00:35 Random Glucose, Fasting Glucose, Glucose Tole...

When do you have a device interrogated? Do you know what kind of device your patient has? Do you know how to manage patients with a device who develop bacteremia? How do you discuss end of life care in patients with devices such as a pacemaker or ICD? Visit  www.medmastery.com/coreim  for 15% off Medmastery Pro subscription. Discount code : “COREIM15” Use this  link for CME-MOC credit  with ACP Sh...

How does transplant compare to dialysis? Who is a good candidate for a kidney transplant? How long do patients have to wait for a deceased donor kidney transplant? What can increase or decrease the waiting time for your patient? Who is a good living donor candidate? What are the risks of living donors? Use promo code COREIM for 1 month of free access to Glass Pro at https://glass.health/coreim   U...

What is your approach to trach complications? What do all the words in the one liner of a trach patient mean? What are best practices for airway clearance? When is a patient ready for a speaking valve? What is the process for decannulation? Behind the Scenes YouTube Interview Get CME-MOC credit with ACP:  https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im  Use the code “COREI...

Why are safety net hospitals barely surviving? What makes a hospital a safety net hospital? How essential are safety net hospitals in caring for low income Americans? How do we pay for that care? Show notes, Transcript and References : https://www.coreimpodcast.com/2023/03/02/safety-net-hospitals/ Timestamps : 0:00 Hahnemann University Hospital 4:36 What is a Safety Net Hospital? 11:11 The Origins...

How does your problem representation change as we get more history in this episode? How can we use Oxaam's razor & Hickman's dictum as powerful diagnostic tools IF used properly? Show notes, Transcript and References:  https://www.coreimpodcast.com/2023/02/15/25438/ Use promo code COREIM for 1 month of free access to Glass Pro at https://glass.health/coreim   Time stamps 01:51 Intro 07...

How do you approach requests for 'futile' care? What do we mean by futility? What kind of recovery do we think is meaningful? How do we evaluate potentially inappropriate care? Where can we go for guidance on this? Show notes, Transcript and References:   https://www.coreimpodcast.com/2023/02/01/futility-at-the-bedside-segment/ Time stamps 04:45 What do we mean by “futility”? 11:20 Definit...

Check out original interviews on our Youtube channel! What does the duration of afib tell you about the thromboembolic risk? When do you start anticoagulation for post-op afib? What do the most recent guidelines recommend for perioperative anticoagulation management? How many devices do you know that can be useful in post-discharge cardiac monitoring in new atrial fibrillation? How can we improve...

Is it enough to look at LDL-C? What is Apo-B? How do you use TG/HDL ratio to understand your patients cardiovascular risk? Do you need to get a fasting lipid panel? How does it affect the triglycerides and LDL? Show notes, Transcript and References:   https://www.coreimpodcast.com/2022/12/15/reimagining-the-…-the-gap-segment/ Use the code “COREIM-AMBOSS” to get a free month of access on https://go...

What are some ways you address unrealistic hopes with your patients? How can you build a portfolio of hope with your patients? Can you learn to guide your patients hope? Show notes, Transcript and References:   https://www.coreimpodcast.com/2022/11/23/hope/ Sponsor: Use the code “ COREIM-AMBOSS ” to get a free month of access on https://go.amboss.com/CoreIM-E7 Time stamps 01:20 Intro  04:37 What a...

What tests and history points help with the diagnosis of alcohol-associated hepatitis? What other etiologies should be ruled out? To steroid or not to steroid? What are the medications for alcohol use disorder? Do you make sure your patients have a late night snack? How do you prognosticate?  Show notes, Transcript and References:   https://www.coreimpodcast.com/2022/11/09/alcoholic-hepati…5-pearl...

How do you educate your patients on aspirin use? For what reasons do you start, continue or stop aspirin? What does trial data tell us? How does aspirin exerts its effect? Sponsor: Use the code “ COREIM-AMBOSS ” to get a free month of access on https://go.amboss.com/CoreIM-E6 ACP CME: http://bit.ly/CIMCME Show notes, Transcript and References:   https://www.coreimpodcast.com/2022/10/19/mind-the-ga...

Is a positive ANA always significant? What does the titer mean? Is the pattern of the ANA helpful? What patient histories should you not get an ANA for and which aspects of the history would raise suspicion for autoimmunity? How can you use the physical exam to assess likelihood of autoimmune disease? What is the ddx for a positive ANA? Whiteboard animation video on YouTube Show notes, Transcript...