The Rounds Table

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Send us Fan Mail Welcome back Rounds Table Listeners! In this solo episode, Dr. Mike Fralick discusses a recent trial looking at metformin for knee osteoarthritis in patients with overweight or obesity. Here we go! Metformin for Knee Osteoarthritis in Patients With Overweight or Obesity: A Randomized Clinical Trial (0:00 – 8:19). The Good Stuff (8:20 – 9:13): Diabetes Trial Files ( https://diabete...

Send us Fan Mail Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick. This week, he discusses a recently published trial examining the effect of a Mediterranean diet, compared with traditional dietary advice, on irritable bowel syndrome (IBS). Here we go! The Mediterranean Diet for Irritable Bowel Syndrome: A Randomized Clinical Trial (0:00 – 4:50). The...

Send us Fan Mail Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick. This week, he discusses a recently published trial examining the effect of caffeinated coffee consumption compared with abstinence from coffee and caffeine on recurrent atrial fibrillation (AF). Here we go! Caffeinated Coffee Consumption or Abstinence to Reduce Atrial Fibrillation: Th...

Send us Fan Mail Happy New Year, Rounds Table Listeners! In this throwback episode (initial release 29 May 2025), Dr. Mike Fralick and special guest Dr. David Juurlink, pharmacologist and internist, Professor of Medicine at the University of Toronto, and head of the Clinical Pharmacology and Toxicology division at Sunnybrook Health Sciences Centre, sit down to chat about the top drug interactions...

Send us Fan Mail Welcome back Rounds Table Listeners! In our year-end episode, Drs. Mike and John Fralick discuss five important research studies published in 2025: Apixaban for Extended Treatment of Provoked Venous Thromboembolism (HI-PRO) (0:00 – 4:20) Tirzepatide for Heart Failure with Preserved Ejection Fraction and Obesity (SUMMIT) (4:21 – 9:30) Aspirin in Patients with Chronic Coronary Syndr...

Send us Fan Mail Welcome back Rounds Table Listeners! In this solo episode, Dr. Mike Fralick discusses a recent meta-analysis examining beta-blockers after myocardial infarction in patients with an ejection fraction of at least 50% and no other indications for beta-blocker therapy. Here we go! Beta-Blockers after Myocardial Infarction with Normal Ejection Fraction (0:00 – 8:54). The Good Stuff (8:...

Send us Fan Mail Welcome back Rounds Table Listeners! In this solo episode, Dr. Mike Fralick discusses a recent trial examining whether noninvasive blood-pressure monitoring is noninferior to early insertion of an arterial catheter in patients with shock admitted to the ICU. Here we go!   Deferring Arterial Catheterization in Critically Ill Patients with Shock (0:00 – 11:05). The Good Stuff (11:06...

Send us Fan Mail Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick. This week, he discusses a recently published trial comparing rituximab with conventional strategy for the induction of remission in patients with eosinophilic granulomatosis with polyangiitis (EGPA). Here we go! Rituximab Versus Conventional Therapy for Remission Induction in Eosinoph...

Send us Fan Mail Welcome back Rounds Table Listeners! This week, Dr. Mike Fralick welcomes returning guest Dr. Yatin Chadha, radiologist at North York General Hospital and founder of the beyond MD podcast, to chat about Dr. Chadha's recently launched online course series beyond Radiology . Here we go! Check out Dr. Chadha's course series beyond Radiology : CT Head Basics for Clinicians -...

Send us Fan Mail Welcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a recent systematic review and meta-analysis that looks at continuing versus withholding RAS inhibitors before noncardiac surgery. Here we go! Evaluating the risks and benefits of continuing versus withholding renin–angiotensin system inhibitors: a systematic review and...

Send us Fan Mail Welcome back Rounds Table Listeners! We are back today with a Classic Rapid Fire episode. This week, Drs. Mike and John Fralick discuss two recent papers: the effects of spironolactone on heart failure and cardiovascular death in patients undergoing maintenance dialysis, and antibiotic prophylaxis in patients with cirrhosis and upper gastrointestinal bleeding. Two papers, here we...

Send us Fan Mail Welcome back Rounds Table Listeners! In this throwback episode (initial release 14 Mar 2024), Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast, discuss two papers: one exploring the role of non-invasive ventilation in comatose patients after acute poisoning, and and one on the use of the PEN-FAST Score in the point-of-care risk assessme...

Send us Fan Mail Welcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a recent trial examining whether amiloride is noninferior to spironolactone in reducing systolic blood pressure in patients with resistant hypertension. Here we go! Spironolactone vs Amiloride for Resistant Hypertension: A Randomized Clinical Trial (0:00 – 8:10). Run-in...

Send us Fan Mail Welcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a recent phase 2 trial looking at the effects of once-weekly semaglutide on alcohol consumption and craving in adults with alcohol use disorder (AUD). Here we go! Once-Weekly Semaglutide in Adults With Alcohol Use Disorder (0:00 – 10:28). Questions? Comments? Feedback?...

Send us Fan Mail Welcome back Rounds Table Listeners! This week, Dr. Mike Fralick sits down with Mihir Pandya, a third-year medical student at Western University. Mihir picks Mike’s brain for advice on preparing for internal medicine clerkship: What’s the best approach to acquire knowledge on the varying conditions seen in internal medicine? How can you foster better rapport with patients? What’s...

Send us Fan Mail Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick. This week, he discusses a recently published trial examining fecal microbiota transplantation (FMT) in primary C. difficile infection. Here we go! Fecal Microbiota Transplantation Versus Vancomycin for Primary Clostridioides difficile Infection: A Randomized Controlled Trial (0:00 – 4...

Send us Fan Mail Welcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a recently published trial looking at aspirin in patients with chronic coronary syndrome receiving oral anticoagulation. Here we go! Aspirin in Patients with Chronic Coronary Syndrome Receiving Oral Anticoagulation (0:00 – 9:43). Throwback to EPIC-CAD:  The Rounds Table...

Send us Fan Mail Welcome back Rounds Table Listeners! We are back today with a special Rapid Fire Podcast. This week, Drs. Mike and John Fralick discuss some of the top papers from the 2025 European Society of Cardiology (ESC) Congress. Hot off the presses, here we go! Increasing the Potassium Level in Patients at High Risk for Ventricular Arrhythmias (0:00 - 5:23) Digitoxin in Patients with Heart...

Send us Fan Mail Welcome back Rounds Table Listeners! This week, Dr. Mike Fralick sits down with Dr. Mina Tadrous, a pharmacist, researcher, Assistant Professor at the University of Toronto's Leslie Dan Faculty of Pharmacy, and host of the I'm Pharmacy podcast. If you're curious about what it takes to run a podcast, musings on the future of AI and drug discovery, and whether Mike ca...

Send us Fan Mail Welcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a throwback trial of dexamethasone in adults with acute bacterial meningitis. Here we go! Dexamethasone in Adults with Bacterial Meningitis (0:00 – 11:19). Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us Fan Mail Welcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a recently published trial exploring the effects of mifepristone on glycemic control in adults with inadequately controlled type 2 diabetes and hypercortisolism. Here we go! Inadequately Controlled Type 2 Diabetes and Hypercortisolism: Improved Glycemia With Mifepriston...

Send us Fan Mail Welcome back Rounds Table Listeners! We are back today with a Classic Rapid Fire episode. This week, Drs. Mike and John Fralick discuss two recent papers: the effects of infrequent zoledronate administration on vertebral fracture prevention in early postmenopausal women, and the efficacy and safety of semaglutide in adults with type 1 diabetes and obesity. Two papers, here we go!...

Send us Fan Mail Welcome back Rounds Table Listeners! We are back today with a Classic Rapid Fire episode. This week, Drs. Mike and John Fralick discuss two recent papers: the effects of perioperative hypotension-avoidance versus hypertension-avoidance strategies on delirium and 1-year cognitive decline after noncardiac surgery, and the effect of as-needed albuterol–budesonide on risk of severe as...

Send us Fan Mail Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick. This week, he discusses a recently published trial examining the effect of bedtime vs morning administration of antihypertensive medications on major cardiovascular events and death. Here we go! Antihypertensive Medication Timing and Cardiovascular Events and Death: The BedMed Randomi...