Episodes

Should your patients be reaching for albuterol when their asthma flares up? Some of us may have been treating asthma exacerbations incorrectly for many years… What is the right approach? Tune in to the fifth episode of Beyond Journal Club, a new series brought to you by Core IM in collaboration with NEJM Group, to learn about the latest asthma management trials and guidelines, and how to translate them into better patient care. Show Notes & Transcript Timestamps: (01:47) | Evolving story of ast...

How do you choose btw PO vs. IV iron? What is the best counseling for oral iron formulations? How do you choose between different IV iron formulations? Should you use the Ganzoni formula? What is a Fishbane reaction? And how is it different from anaphylaxis? Sponsor: At Panacea Financial, you don't need co-signers for personal loans and have reduced payments during training! Behind the Scenes YouTube Interview Transcript and Show Notes Time stamps: (02:09) | Spaced repetition from the last Gra...

What do the different iron labs mean?! How to interpret iron labs in the setting of inflammation? How to take a good menstrual history? Sponsor: Freed is an AI scribe that listens, prepares your notes, and writes your note in < 30 seconds. Freed learns your style over time and is HIPAA compliant! Use the code CORE50 to get 50% off your first month with Freed Behind The Scenes YouTube Videos Transcript and Show Notes Time stamps: (03:43) | Iron deficiency labs and interpretation in inflammation...

Uncover many blind spots on tube feeds! Sponsor: At Panacea Financial, every single customer gets their OWN 24/7 primary care banker who actually knows you! Behind the Scenes Youtube Interviews: Short-term enteral access Durable enteral access What is venting aka decompression? Show Notes & Transcript Timestamps: (02:21) | Indications for tube feeds (09:36) | Routes of enteral access (19:20) | Components of tube feeds (27:03) | Tube feeds complications (34:50) | Counseling patients before...

How do you manage GDMT in a frail older adult? When is a guardian needed and what is the process for obtaining guardianship? Sponsor: Echonous, the maker of Kosmos, is redefining point-of-care ultrasound at half the price (or less) of comparable carts. Mention Core IM at the Demo to get a free A.I application of choice! Behind The Scenes YouTube Interview Show Notes & Transcript Timestamps: (04:03) | Deep Dive 1: How do you approach guideline-directed medical therapy of heart failure with redu...

How do you counsel patients eligible for the RSV vaccines? What do the results of the RENOIR and AReSVi trials tell us and how do they compare? How should we interpret vaccine trials in the first place? Tune in to the fourth episode of Beyond Journal Club, a new series brought to you by Core IM in collaboration with NEJM Group. Sponsor: Pathway FREE evidence-based clinical decision support app. Guideline summaries, interactive algorithms, landmark trials & more Show Notes & Transcript Time Sta...

When you see a low mag or a low phos, what are you thinking about? And do PPIs effect magnesium absorption? How much sodium and potassium are found in a typical oral phosphorus supplement? Sponsor: Pathway FREE evidence-based clinical decision support app. Guideline summaries, interactive algorithms, landmark trials & more Youtube interview on key points on magnesium Youtube interview on key points on phosphate CME : http://bit.ly/CIMCME || Show Notes & Transcript Timestamps: (01:37) | Pearl 1...

Sharpen your de-escalation skills! Sponsor: GlassHealth | Get unlimited A.I queries for 1 month with promo code: COREIM ! Timestamps: 02:26 Difficult Patients 10:25 Mediation Toolkit 17:20 Maxims of Mediation 26:46 When the Conversation Still Breaks Down 35:11 Conclusion Tags: IMCore, CoreIM, ethics, humanities, nurse practitioner, pharmacist, physician assistant, burnout Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Spon...

In community-acquired pneumonia, can steroids improve mortality? Past studies of steroids in CAP have been conflicting, with some showing a mortality benefit and others showing no difference. How does the CAPE COD trial change how we think about patients hospitalized with severe CAP? To find out, tune into the third episode of Beyond Journal Club, a new series brought to you by Core IM in collaboration with NEJM Group. Show Notes & Transcript 01:50 Pathophysiology of Steroids and Infection 03:...

Syncope history, PPM/ICD prior to MRI or surgery, anticoagulation for pacemaker or ICD procedures and new cardiac devices and how they may look different on EKG or chest x-ray! Sponsor: Post Investment: Real Estate Syndications Show Notes & Transcript Timestamps: 01:13 Pearl 1: Should we approach syncope history differently in our patients with pacemakers and ICDs? 06:31 Pearl 2: Considerations for patients with implantable devices before surgery. 12:26 Pearl 3: Considerations for patients w...

Is Cr or Cystatin C better to assess eGFR? What are pros & cons of each? Does eGFR tell the full picture of kidney function? What may cause false positive albuminuria? Sponsor: Panacea Financial Student Loan Consultation CME : http://bit.ly/CIMCME || Show Notes & Transcript Timestamp: 00:13 Reviewing CKD Classification: G1-5 stage, A1-3 stage 04:20" What's wrong with how we estimate GFR? 06:50 Why is creatinine flawed as an estimator of GFR? 10:52 Enter new contender...Cystatin C! 16:16 Im...

Check out the original interview on Youtube: Essentials on Genetic Counselor | Lynch Syndrome Who should be referred for genetic counseling? How can we set our our patients and genetic counselors up for success? And let's do some genetics myth busting! Behind the Scenes YouTube Interview Show Notes & Transcript Timestamp 03:13 Part 1: Who should be referred to genetic counseling? 11:23 Part 2: How do we set up genetic counselors for success? 22:38 Part 3: Genetic counseling myth busting! T...

See some of the original interviews on Youtube! What is the evidence behind K+ repletion? What is a framework to think through for hypokalemia? What are the different repletion formulations and what else can you do to mitigate hypokalemia? Stepping back, do we really need to get labs every single day?! CME : http://bit.ly/CIMCME || Show Notes & Transcript Behind the Scenes YouTube Interview Whiteboard Animation video Timestamp 01:45 Pearl 1: Evidence for potassium repletion 09:10 Pearl 2: Fr...

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 08:29 Story of how medications for diabetes were found to have a weight loss benefit 12:50 SURMOUNT-1 tri...

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 Masterclass (Sept 20 and 27th at 5pm PST) CME : http://bit.ly/CIMCME || Show Notes & Transcript Timestamps 01:54 Pearl ...

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 curriculum Tags: IMCore, CoreIM, clinical reasoning, system 1 vs. system 2, cognitive bias, feedback and r...

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 Reconciliation 22:36 AKI in the Transplant Patient 31:53 Infections in the Transplant Patient 40:00 Tr...

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 in this new series brought to you by Core IM in collaboration with NEJM Group. Show notes & Transc...

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 for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out FIGS...

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, endocrine, internal medicine podcast, hospitalist, glucocorticoid withdrawal, fatigue Find the best disability ...

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 https://glass.health/coreim Subscribe to our new Youtube Channel ! Use this link for CME-MOC credit with A...

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 paracentesis and thoracocentesis 05:35 Deep Dive 2: FFP effect on bleeding risk 15:43 Deep Dive 3: Risks of FFP...

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 of Radiation Physiology Time Stamps 02:37 Systemic Radiation Side Effects 14:29 Lung Radiation Side Effects...

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 different from the past? 05:40 What role does radiation play in cancer treatment? 07:48 What are the...