Episodes

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 Modeling 19:59 Re-Calibrating Failure Tags: IMCore, CoreIM, failure, fixed mindset, growth mindset, imposter synd...

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 Tolerance Test 03:03 Hemoglobin A1c 08:26 Fructosamine and Glycated Albumin 10:50 Continuous Glucos...

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 Show notes, Transcript and References Time stamps 02:51 What are the different types of pacemakers and ...

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 Use this link for CME-MOC credit with ACP Show notes, Transcript and References Time stamps 03:49 Ep...

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 “COREIM-AMBOSS” to get a free month of access on https://go.amboss.com/CoreIM-E10 Show notes, Transcript an...

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 and Paradox of the Safety Net Hospital Links to other episodes: A Complex Patchwork of Suppleme...

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 07:57 Case 13:09 Differential 16:15 Diagnosis 22:20 Problem Representation Tags: IM Core, CoreIM, diagnostic ...

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 Definitions 20:23 Ethical Analysis 39:13 Recommendations Tags: IM Core, CoreIM, ATS, autonomy, justice, values,...

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 our communication regarding afib management?Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im%C2%A0)Show notes, Transcript and References: https://www.coreimpodcast.com/2023/01/18/diagnosis-of-atr…-matters-segment/Time stamps* 01:12 Intro* 03:51 Deep Dive 1* 08:16 Deep Dive 2* 15:25 Deep Dive 3* 21:05 Deep Dive 4* 27:07 Deep Dive 5Tags: IM Core, CoreIM, Devices, cardiac, risk, perioperative, stroke, surgery, anticoagulation Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campi…

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.amboss.com/CoreIM-E8 Time stamps 01:24 Intro 03:37 Fasting vs. Nonfasting Lipid Panel 05:11 Curre...

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 are some definitions of hope? 09:57 How can we address unrealistic hope? 21:39 Addressing hope in cli...

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-pearls-segment/ Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcas...

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-gap-asp…imary-prevention/ Time stamps 03:03 Guideline recommendations 07:00 How does Aspirin work? 09:...

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 and References Get CME-MOC credit with ACP Sponsor: Visit www.medmastery.com/coreim for 15% off on ...

How do you decide which lung nodules should be worked up inpatient or outpatient? How common are incidental lung nodules? What considerations are there for patients that could potentially get lost to follow up? What risk adopted approach can be implement in our practice? Do you know what fast forward rounds are? Sponsor: Use the code “COREIM-AMBOSS” to get a free month of access on https://go.amboss.com/CoreIM-E5 Show notes, Transcript and References: https://www.coreimpodcast.com/2022/09/21/di...

Can you identify where along the clinical reasoning pathway the learner is struggling? What coaching exercises can be helpful? What feedback do you fall back on when working with learners? What are common challenges? Show notes, Transcript and References: https://www.coreimpodcast.com/2020/12/09/hoofbeats-strugg…inical-reasoning/ ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Find the best disability insurance for you: https://www.patternlife.com/disability-i...

Hear personal stories about racial trauma or stereotype threat. How can we respond and how do we differentiate an up stander from a bystander? What barriers exist when we try to respond? Show notes, Transcript and References: https://www.coreimpodcast.com/2022/08/24/upstander/ Time stamps 04:51Overview of Microaggressions 08:11 Prevalence 11:43 How to respond 21:03 Barriers to appropriate response 26:00 Conclusion Tags: IM Core, CoreIM, bystander, race, microaggressions, hidden curriculum...

What are the 3 types of solutes you can use in hyponatremia? What are each of their drawbacks? How do loop diuretics work help in hyponatremia? What can you use to tell you on day 1 that fluid restriction alone will not work? Show notes, Transcript and References: https://www.coreimpodcast.com/2022/08/03/hyponatremia-man…5-pearls-segment/ Sponsor: https://go.amboss.com/CoreIM-E4 Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps: 0...

Digital Education Conference 2022 in Oct 7 2022: https://cmecatalog.hms.harvard.edu/digital-education (https://cmecatalog.hms.harvard.edu/digital-education)What does each diagnostic test tell you? How do you interpret urine osmolality, urine sodium, or urine urea? What studies can be used to better assess response to treatment? How can uric acid be utilized as a diagnostic tool? What is the interplay between ADH and UOsm?Show notes and Transcript: https://www.coreimpodcast.com/2021/02/10/5-pearls-on-hyponatremia-episode-1/ (https://www.coreimpodcast.com/2021/02/10/5-pearls-on-hyponatremia-episode-1/)ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im)Amboss Article on Hyponatremia (http://go.amboss.com/hyponatremia)Tags: urine studies, SIADH, Core IM, IMCore, antidiuretic hormone, hospital medicine, family medicine, nephrology Find the best disability insurance for you: https://www.…

Other than infection, what do you think about as other causes of fever? How can you distinguish sepsis from drug fever from antibiotics? What medications are most likely to cause neurotoxicity? What are some risk factors? How do you think about goals of care with patients? Show notes & Transcript: https://bit.ly/3P8wqG6 Sponsor: Visit www.medmastery.com/coreim for 15% off on all subscriptions Discount code: "coreim" Time stamps 02:50 Deep Dive #1 13:12 Deep Dive #2 26:39 Deep Dive Recap T...

What are the 3 different types of inhaler devices and what should you educate patients about each? When do you stop the inhaled steroid in COPD? And when do you think of increasing the dose? What is important to communicate at the time of diagnosis, and during goals of care discussions? Show notes, Transcript and References: https://www.coreimpodcast.com/2022/06/22/5-pearls-on-copd-management/ Sponsor: Use the code “COREIM-AMBOSS” to get a free month of access on https://go.amboss.com/CoreIM-E...

How do you ask about spiritual health? How is spirituality different from religion? Show notes, Transcript and References: https://www.coreimpodcast.com/2022/06/15/spirituality/ Time stamps 00:01 What is spirituality? 7:12 Why does spirituality matter? 12:09 How do we screen for it? 18:50 Chaplains 27:49 Conclusion Tags: IM Core, CoreIM, ethics, medical humanities Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: *...

What are the indications for a simple transfusion? And what the indications for an exchange transfusion? What is your approach to pain management in patients with sickle cell? What are the treatment options for sickle cell and which ones actually decrease sickle crisis and improve mortality? What are some of the major sickle cell complications to watch out for and how can we prevent some of them? Show notes, Transcript and References: https://www.coreimpodcast.com/2022/06/01/5-pearls-on-sickle-...

How do you counsel patients on beta blockers? Is one beta-blocker better than the other? What is preferred: ACEi, ARBs or ARNIs? What are the pros and cons of each? How does spironolactone compare to eplerenone? When do you stop mineralocorticoid receptor antagonist? What are risks with SGLT2 inhibitors? How do you initiate GDMT? Which meds do you start first and in what order? Show notes, Transcript and References: https://www.coreimpodcast.com/2022/05/11/5-pearls-on-guideline-directed-medical...