Core IM | Internal Medicine Podcast

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...

Let's dive deeper into the dogma of salt restriction in heart failure! Show notes, transcript and references:  https://www.coreimpodcast.com/2020/05/20/salt-restriction-in-heart-failure-mind-the-gap-segment/ Get  CME-MOC credit with ACP! Time Stamp 01:37 Sodium restriction guidelines 07:13 Current data in outpatient data 11:32 Do inpatient studies show signal? 13:44 Physiology behind sodium ba...

How do you navigate new challenges with goals of care with your patients in clinics? Show Notes, Transcript, References: https://www.coreimpodcast.com/2020/05/06/outpatient-advanced-care-planning-during-covid-19/ Time Stamps 01:32 COVID Crisis as an Outpatient and Advance Care Planning (ACP) 08:06 The virtual visit 12:44 Vital Talk Mnemonic: “CALMER” 22:03 Challenges to Outpatient COVID Care 26:03...

Episode Outline Disconnection/connection: Patients Disconnection/connection: Family/friends Disconnection: Security, Certainty Connection: Other clinicians Sharing fears, supporting each other) Shared ethos in healthcare (one workforce, no division of specialty or hierarchy) Conclusion: Post-traumatic growth / Peri-Traumatic Growth Thank you to everyone we interviewed, particularly to the voices y...

What is your approach to goals of care conversations, particularly during COVID-19? How do you navigate some of the new challenges with COVID19? Show notes, transcript and references:  https://www.coreimpodcast.com/2020/04/22/goc-on-inpatient-service-during-covid-19/ Time stamps: 05:54 Laying the groundwork 08:56 Asking permission, eliciting values and making a recommendation 15:55 When a patient...

How do you organize your day? How do you minimize exposure of yourself and your colleagues? What are the new things to keep in mind with discharging patients? Show notes, transcripts and references: CME Credit with ACP:  https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time Stamps 02:37 Entrance and Exit strategy 04:25 Prioritizing patient acuity 08:14 PPE uses 11:11 Respir...

Practical tips on starting estrogen or testosterone on patients who are transgender and approach to primary care with cancer screening. CME Credit with ACP;  https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Show notes, transcripts, and references:  https://www.coreimpodcast.com/2020/04/01/5-pearls-on-transgender-health-hormone-therapy-and-preventive-screening/ Time Stamps:...

Practical tips on Gender Affirming Care! Show notes, transcript and references Time Stamps: 02:43 The Gender Unicorn and how it helps us better understand gender identity, expression, and sex assigned at birth 11:15 Gender dysphoria 14:16 The organ or anatomical inventory 16:46 The inevitability of mistakes 18:39 Ways to ensure gender-affirming care in clinic   Find the best disability insurance f...

What goes into a capacity assessments? Is it just reciting risks, benefits and alternatives? Explore this and more on this At the Bedside Episode! Show notes, Transcript and References:  https://www.coreimpodcast.com/?p=22310 Time Stamps : 2:04 Introduction to decision making 4:12 Choice 8:24 Understanding 11:22 Appreciation 13:58 Reasoning 21:55 Common myths and misconceptions 25:11 When and how...

What are the new guidelines for influenza treatment? What are the diagnostic ratios of flu symptoms and tests? Time Stamps 03:10 The art of diagnosing the flu 05:17 Bayesian statistics and the diagnostic odds ratio 07:09 The ins and outs of diagnostic testing for the flu 08:44 Changes in influenza guidelines - testing and treatment 11:17 The not-so-rosy origin story of neuraminidase inhibitors (NA...

What is the difference between a case manager and social worker? What are the limitations that social workers and case managers face? How do you create a safe space for the interdisciplinary team? Show Notes and References Get CME-MOC credit with ACP! Time Stamps: 03:54 What are the various roles within a multidisciplinary teams? 10:42 Understanding limitations of social workers and case managers...

What are the symptoms? What distinguishes coronavirus from other influenza-like illness? When coronavirus is suspected, what should you do? Show notes and references CME credit:  https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im ACP Interactive Learning Module Time Stamps 01:30 Novel parts of coronavirus 03:00 What symptoms do patients present with for the novel coronavirus?...

How do you learn from diagnostic errors? Walk through a case that the host had initially gotten wrong and uncover possible reasons as why from data gathering to hypothesis generation to the interplay between hypothesis generation and evaluation. Learn interesting tidbits on prior work in medical education around how we think, particularly around diagnostic failures. CME Credit:  https://www.acponl...

Why is prognostication hard? How do we improve at communicating prognosis? How should we approach uncertainty? Explore this and more on this At the Bedside episode! Prognosis Calculators, Transcript and References Time Stamps 02:48 What is prognosis? 04:00 Why offer prognostication? 08:32 Why is prognostication hard? 16:41 How do we improve at communicating prognosis? 21:56 How should we approach...

Dive deeper into hx of the influenza virus, how vaccines are made and vaccine effectiveness ! Time Stamps   02:59 The history of the influenza virus 08:18 What does the influenza vaccine target? 13:20 Chickens, and bugs, and mammalian cells, oh my! How the vaccine is made. 14:00 What to do about egg allergies. 15:53 Vaccine effectiveness and herd immunity. 17:43 Waning immunity and other debates S...

Explore gaps in your knowledge about the home health world, particularly on home health aides! Get CME-MOC credit with ACP ! Full transcript, show notes, references Time Stamps : 02:33 What support do our patients have at home and how does those people play a role in their care? 06:00 Are there various types of home care workers? 07:25 What role do home attendants play in caring for a patient? 08:...

  Get CME Credit with ACP! Full Transcript with references and show notes Time Stamps 4:30 What is the daily risk of thrombosis if HIT Is left untreated? 5:40 What happens during platelet activation? 07:11 How long does it take for patients to develop for IgG antibodies to Heparin to form? 09:52 Is HIT common? 10:28 Who is at higher risk for HIT? 11:48 Why does low molecular weight heparin have a...

House of God author, Samuel Shem and Prof Katharine Watson share thought-provoking takes on Gallows Humor. Laugh and listen to this captivating take on the different shades of humor in the day-to-day of medicine. Time Stamps 02:33 Episode preview and Guest Introductions 04:20 Definition of Gallows Humor 07:25 Gallows Humor by Comedians vs Patients vs Physicians The Good 08:15 Benefits/Functions of...

1st outpatient clinical reasoning case on Core IM Hoofbeats! Get CME-MOC Credit (live at 9AM EST on 10/16) Time Stamps 01:18 Case introduction 11:40 The Casablanca strategy 23:17 The diagnosis revealed 25:30 Logical fallacy: Denying the antecedent 33:22 Components of illness scripts 41:37 Conclusion Show notes, transcripts and references ! Do you have a good case or an expert you would like to sug...

Go deeper into the world of blood cultures! Time stamps 04:10 Review of Choosing Wisely Guidelines 05:55 What are estimated incidences of positive blood cultures? 06:17 Which clinical signs or patient history is more likely to have positive blood cultures? 09:48 What is the estimated incidence of false positive blood cultures? 11:01 What infections more likely to have bacteremia? 13:50 How do posi...

Practical tips on smoking cessation!  Get CME Credit with ACP! Full Transcript with References and Show Notes Time Stamps 04:50 What questions are important to ask after a patient who contemplative about quitting tobacco? 07:00 Is quitting abruptly on a quit date or gradual cessation to a quit date better? 08:10 How can technology help support patients who are trying to quit? 08:49 How should we p...

Do we have to sign the AMA form? Do insurances deny payment for patients who leave AMA? What is your approach to AMA discharges? Core IM At the Bedside speaks to ethics researcher, Dr. David Alfandre, author of  Things We Do For No Reason : Against Medical Advice Discharges Show Notes, Full Transcript and References Time Stamps 3:03 Demographics of AMA discharges 5:59 Clinician/System related fact...

We hope these stories can make us more introspective and open minded on how these concepts can affect each one of us differently. Let's continue the discussion on the Women in Medicine Twitter chat on 8/25 at 9pm EST ! Full Transcript and Show Notes Time Stamps 2:07 Introduction to one woman’s journey 3:00 Stereotype Threat 6:15 Not all Anger is Created Equal 10:17 Asking and Writing Your Own...

20 Qs with Core IM Team vs. Expert Discussant ! Full Transcript and Show notes Get  CME-MOC Credit for listening to this episode (live at 09:00 am EST on 8/7) Time Stamps 00:20 The game of medical Twenty Questions 04:37 Case introduction 05:50 The CoreIM team attempts to solve the case 15:36 The discussant’s diagnostic schema for abnormal bleeding 23:37 Primary versus secondary hemostasis 30:33 Th...

Night and Day… join us for part II of our exploration into why we prescribe medications in the morning vs. at night, featuring statins! 03:28 How do statins and cholesterol synthesis work again, anyway? 04:00 Power in numbers - what do the meta-analyses say about timing of statins? 04:40 The long and short of it - how half-life may dictate when to take your statin. 07:35 Effect magnitude - does me...