Core IM | Internal Medicine Podcast-logo

Core IM | Internal Medicine Podcast

Medical

Core Internal Medicine via following series: 5 Pearls || Clinically relevant pearls Mind the Gap || Why do we do what we do? Gray Matters || Management Reasoning Hoofbeats || Dissecting clinical reasoning At the Bedside || Explore everyday challenges

Location:

United States

Description:

Core Internal Medicine via following series: 5 Pearls || Clinically relevant pearls Mind the Gap || Why do we do what we do? Gray Matters || Management Reasoning Hoofbeats || Dissecting clinical reasoning At the Bedside || Explore everyday challenges

Language:

English


Episodes

#148 Iron Deficiency Treatment: 5 Pearls Segment

3/27/2024
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! Time stamps: 02:09: Spaced repetition from the last Gray Matters Episode 05:29: Choosing between oral and IV iron 11:17: Considerations with oral iron repletion 24:02: Considerations with IV iron repletion 32:36: Complications and side effects of IV iron Tags: hematology, primary care, CoreIM, IMcore, nurse practitioner, physician assistant Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:39:42

#147 Iron Deficiency: Grey Matters Segment

3/13/2024
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 Expert Interviews on Youtube Time stamps: Tags: hematology, women's health, gastroenterology, heavy menstrual bleeding, primary care, CoreIM, IMcore, nurse practitioner, physician assistant, iron deficiency diagnosis Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:39:15

#146 Tube Feeds: 5 Pearls Segment

2/28/2024
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! Youtube Interviews: Short-term enteral access Durable enteral access What is venting aka decompression? Show Notes & Transcript Timestamp Tags: IMCore, CoreIM, nursing home, primary care, dietician, nutrition support, hospital medicine, interprofessional education, enteral feeds Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:42:51

#145 Heart Failure in Older Adults & Guardianship: Gray Matter Segment

2/14/2024
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! Youtube Interviews: When to consider a guardian? Guardianship Process Limitation and value of individualism Show Notes & Transcript Timestamp Tags: IMCore, CoreIM, nursing home, primary care, cardiology, palliative care hospital medicine, interprofessional education, social work, case management Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:38:35

#144 RSV & What Makes Vaccine Trials Different: Beyond Journal Club on the RENOIR and AReSVi Trials

1/31/2024
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 Stamps Tags: IMCore, CoreIM, primary care, infectious disease, nurse practitioner, pharmacist, physician assistant Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:23:28

#143 Hypomagnesemia and Hypophosphatemia: 5 Pearls Segment

1/17/2024
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 Timestamp Tags: IMCore, CoreIM, nephrology, hospital medicine, interprofessional education, renal Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:37:57

#142 Managing Conflict: At the Bedside Segment

12/27/2023
Sharpen your de-escalation skills! Sponsor: GlassHealth | Get unlimited A.I queries for 1 month with promo code: COREIM ! Timestamps: 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 Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:38:37

#141 Do Steroids Have a Role in Community-Acquired Pneumonia? Beyond Journal Club on the CAPE COD Trial

12/6/2023
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 Tags: IMCore, CoreIM, primary care, cardiology, nurse practitioner, pharmacist, physician assistant Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:22:07

#140 Bonus Pacemaker & ICDs: 5 Pearls Segment

11/29/2023
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: Tags: IM Core, CoreIM, cardiology, prodromal symptoms, CRT, biventricular pacing Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:24:46

#139 CKD Staging (Cr vs. Cystatin C, Albuminuria & more): Mind The Gap Segment

11/8/2023
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 Importance of the A Stage! 20:21 Which patients should you measure proteinuria in? 22:10 Treatments for albuminuria! 24:27 Summary and Closing Tag: Creatinine, nephrology, renal, CoreIM, IMcore, internal medicine, primary care, nurse practitioner, physician assistant Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:26:27

#138 Incorporating Cancer Genetics into Your Practice: Lynch Syndrome and Beyond!

10/25/2023
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! Show Notes & Transcript Timestamp Tags: IMCore, CoreIM, primary care. oncology, surgonc, medonc, cancer, nurse practitioner, physician assistant Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:32:05

#137 Hypokalemia & Potassium Repletion: 5 Pearls Segment

10/18/2023
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 Timestamp Tags: IMCore, CoreIM, nephrology, hospital medicine, potassium diet, interprofessional education Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:34:08

#136 How Did Diabetes Medications Become Obesity Meds? Beyond Journal Club on SURMOUNT-1 Trial

10/4/2023
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 Tags: IMCore, CoreIM, primary care, cardiology, nurse practitioner, pharmacist, physician assistant Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:21:59

#135 Guideline Directed Medical Therapy Part II: 5 Pearls Segment

9/20/2023
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 Tags: IMCore, CoreIM, hydralazine, heart failure reduced ejection fraction, HFmrEF, HFimpEF, chronic kidney disease, cardiology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:36:50

#134 Diagnostic Errors & Excellence

9/6/2023
What does medical education research say about improving diagnostic errors? What habits help in getting to diagnostic excellence? Timestamps 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 reflection Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:30:24

#133 Post-Kidney Transplant: 5 Pearls Segment

8/16/2023
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? Timestamps CME: http://bit.ly/CIMCME || Show Notes & Transcript Tags: IMCore, CoreIM, renal, internal medicine podcast, hospitalist, nephrology, immunosuppressive Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:44:36

#132 Does PCI Save Lives in Heart Failure and CAD? Beyond Journal Club on the REVIVED Trial

8/2/2023
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 & Transcript Access to Rotation Prep Cardiology guide on NEJM Resident 360 is free for August 2023. View the relevant sections on ACS and CHF. Timestamps Tags: IMCore, CoreIM, cardiology, internal medicine podcast, hospitalist, stent, CABG, evidence-based medicine Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:17:48

#131 July Stories 2.0

7/19/2023
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 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: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:22:31

#130 Cort (ACTH) Stim Test

7/6/2023
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 Show notes & Transcript Subscribe to our new Youtube Channel ! Tags: IMCore, CoreIM, endocrine, internal medicine podcast, hospitalist, glucocorticoid withdrawal, fatigue Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:14:04

#129 Steroids: 5 Pearls Segment

6/28/2023
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 ACP Show notes & Transcript Time Stamps Tags: IMCore, CoreIM, endocrine, adrenal insufficiency, internal medicine podcast, hospitalist, hydrocortisone, fludrocortisone, methylprednisolone, prednisone, dexamethasone, steroid withdrawal syndrome Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Head to Factormeals.com/coreim50 to get 50% off! Use the code COREIM50 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Duration:00:41:23