Episodes

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 to call a psychiatry consult for capacity assessment 27:47 Conclusion Tags: CoreIM, AMA Disc...

What are the new guidelines for influenza treatment? What are the diagnostic ratios of flu symptoms and tests? Time Stamps03:10 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 (NAIs) 13:47 Neuraminidase inhibitors (NAIs), mortality benefit and limitations of studies 15:49Ta...

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 15:55 The “behind the scenes” paperwork 18:42 Insurance and medications 22:17 Insurance and d...

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 ModuleTime Stamps 01:30 Novel parts of coronavirus 03:00 What symptoms do patients present with for the novel coronavirus? 04:22 What distinguishes coronavirus from other influenza-like illness? 05:31 When coronavirus i...

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.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time Stamps 02:39 Case Introduction 04:46 Y...

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 uncertainty? 31:06 Take Aways Tag: life expectancy, CoreIM Find the best disability insuran...

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 Show Notes, Transcript and References Get CME-MOC credit with ACP! Find the best disability ins...

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...

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?

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 Humor in General 11:10 Connection 13:07 Coping/Catharsis 16:22 Resistance Against Oppression...

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

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 bloo...

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?

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 factors of AMA discharges 10:30 Strategies for mitigating AMA Discharges 15:59 Do we have to make pat...

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 Job Description 13:08 Imposter Syndrome 15:50 Breaking Points to Self Care 18:50 Work Life Inte...

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

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 medication timing actually really impact patient outcomes? 10:30 Practical matters - so what shou...

Solidify your knowledge on Coronary calcium scores and Coronary CTAs! ACP members can claim CME-MOC Credit ! Quiz yourself on the 5 pearls we will be covering below: - 3:10 What are the big picture differences of functional stress tests and anatomic...

In ‘At The Bedside’, our newest podcast segment, we tackle important topics that *aren’t* easily indexable in guidelines and UpToDate article – topics that are better discussed…well…at the bedside. Our first episode examines the all-too-common trope of the ‘difficult’ patient. 01:13 Introduction 05:27 Question 1: What makes a patient difficult for you? 13:22 Question 2: What is a “good outcome” when working with difficult patients? 23:05 Question 3: What have you learned from your difficult ...

Transitions can be hard. Laugh, commiserate and be inspired by these July stories in medicine! Very big thank you to everyone who told their stories ! Let's help each other feel a little less alone in the struggle,

Dissect clinical reasoning and dive deeper into an interesting case! - 02:04 Initial Presentation 03:03 The Core IM team tackles the case 09:30 Social History 16:05 Physical Exam

Dive deeper into why we prescribe medications in the morning vs. at night ! - Why do we dose warfarin at night? (2:45) Back to the basics - what are the pharmacodynamics of warfarin and how does vitamin K intake matter? (4:28)

Solidify your knowledge on stress tests! Quiz yourself on the 5 pearls we will be covering: What are the indications for a stress test? (2:18) How to choose stress protocol in a stress test? (8:29) How to choose diagnostic modality in a stress test? (14:46) How do we interpret results from stress tests, and how should this be communicated to patients? (24:08) Pearl Recap (31:13) Risk of contrast induced nephropathy between arterial and venous contrast load (36:02) For full transcript, inf...

Dissect 3 interesting cases and improve your clinical reasoning skills! - Time Stamps: - New features in this episode [0:30] Case one: 66M w RUQ pain [1:09] Case two: 41M w Afib in RVR [9:26] Case three: 50M w Syncope [14:33] Reveal [19:57]