Core IM | Internal Medicine Podcast

#98 Medical Education - 2021 SGIM Recap

09 Feb 2022

Contributed by Lukas

How can you implement effective note taking for virtual learning? Do you use interleaving during rounds? What is the 5/10/30 rule and how does it appl...

#97 Hoofbeats: Hyponatremia Consult Case

26 Jan 2022

Contributed by Lukas

What’s your comfort level with managing hyponatremia and how does it change in unfamiliar environment? How can you vary your practice to build up ad...

#96 The Hgb bump: Mind the Gap Segment

05 Jan 2022

Contributed by Lukas

Have you ever thought about where the 1g/dL hemoglobin appropriate bump after 1 unit of pRBC transfusion? How does the patient's intravascular vol...

#95 Treatment Over Objection Part 2: At the Bedside Segment

22 Dec 2021

Contributed by Lukas

Let’s apply to cases! We use the 7 questions framework to 3 practical casesShow notes, Transcript and References: https://www.coreimpodcast.com/2021...

#94 Treatment Over Objection Part 1: At the Bedside Segment

08 Dec 2021

Contributed by Lukas

Get a very useful framework to help you weigh the risks and benefits of treatment over objection!Show notes, Transcript and References: https://www.c...

#93 Hyperkalemia in CKD: Mind the Gap Segment

17 Nov 2021

Contributed by Lukas

What degree of hyperkalemia makes you worried enough to send your patient to the ED? Are ECG changes sensitive in detecting hyperkalemia? Do you know ...

#92 The Geriatric Assessment: 5 Pearls Segment

31 Oct 2021

Contributed by Lukas

What are pearls and pitfalls when assessing an older patient for the first time?Time Stamps:02:25 Initial Office Visit08:08 Mobility Assessment 13:25...

#91 Oral Diabetes Medications Inpatient: Mind the Gap Segment

13 Oct 2021

Contributed by Lukas

Should we use oral diabetes agents in our hospitalized patients? Do you hold metformin for fear of lactic acidosis? Do you typically order an insulin ...

#90 Stigma in Opioid Use Disorder: 5 Pearls Segment

29 Sep 2021

Contributed by Lukas

What are practical phrases can you incorporate to help patients who use drugs? What changes can you make to ensure person-first language? What safe dr...

#89 Code Status: At the Bedside Segment

12 Sep 2021

Contributed by Lukas

A very practical episode around nuanced code status conversations with many examples!Time Stamps:00:08 Introduction04:01 Information Gathering20:41 In...

"Best of" | SNF, SAR, NH, ALF and More Discharge Options

25 Aug 2021

Contributed by Lukas

What are the differences in resources, nursing and clinician oversight and who pays for what?! Show notes, transcript and references: https://www.co...

"Best of" | Stress Testing 5 Pearls

11 Aug 2021

Contributed by Lukas

What are the indications for a stress test?  How to choose stress protocol in a stress test?  How to choose diagnostic imaging in a stress test?  H...

"Best of" | Capacity Part 1 At the Bedside

28 Jul 2021

Contributed by Lukas

What goes into a capacity assessments? Is it just reciting risks, benefits and alternatives? Explore this and more on this At the Bedside Episode! Sho...

"Best of" | 20Qs Hoofbeats

14 Jul 2021

Contributed by Lukas

20 Qs game with Core IM Team vs. Expert Discussant ! Full Transcript and Show notes Get CME-MOC Credit for listening to this episode Time Stamps 00:...

"Best of" | July Stories

30 Jun 2021

Contributed by Lukas

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...

#88 Physician Impairment: At the Bedside Segment

16 Jun 2021

Contributed by Lukas

How can we help colleagues that we think are struggling with substance use disorder? What options are available for physicians? Are these different st...

#87 Penicillin Allergy: 5 Pearls Segment

02 Jun 2021

Contributed by Lukas

Debunk common myths of penicillin allergies! What's the best way to ask about allergies? How can you challenge patients to determine if they have ...

#86 Quality Improvement: Careers Series

08 May 2021

Contributed by Lukas

What are good habits in QI? What are the areas of expertise needed to have a successful career in QI? How can you get involved in quality improvement?...

#85 Dual Antiplatelet Therapy: 5 Pearls Segment

07 Apr 2021

Contributed by Lukas

How does cost, potency, and bleeding risk affect which antiplatelet you choose P2Y12 inhibitors? How long after starting, do you feel comfortable stop...

#84 Supporting Surrogates: At the Bedside Segment

17 Mar 2021

Contributed by Lukas

Hear perspectives that don't get as much spotlight! What is it like to be a surrogate? How can we be better listeners for our patients and for the...

#83 Public Health: Careers Series

24 Feb 2021

Contributed by Lukas

How can we better serve the public's health? What does the landscape of public health look like? What opportunities are available to better hone y...

#82 Hyponatremia Diagnostics: 5 Pearls Segment

10 Feb 2021

Contributed by Lukas

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...

#81 Treating Friends & Family: At the Bedside Segment

13 Jan 2021

Contributed by Lukas

How can I best answer my families medical questions? How can I give my loved ones the best care without providing it directly for them? What boundarie...

#80 Medical Education Paths: Careers Series

27 Dec 2020

Contributed by Lukas

How do you form an educational mission statement? What role do coaches and mentors play? Do you need formal training for a MedEd career? What are the ...

#79 Struggles with Clinical Reasoning: Hoofbeats Segment

09 Dec 2020

Contributed by Lukas

Can you identify where along the clinical reasoning pathway the learner is struggling? What coaching exercises can be helpful? What feedback do you ...

#78 A 29M with Cough, Abdominal Pain, Fever: Hoofbeats Segment

25 Nov 2020

Contributed by Lukas

What is the difference between mnemonics and schemata? What does the mnemonic NAACP bring to mind? How do repeat interviews bring you closer to or fur...

#77 Complimentary and Alternative Medicine (CAM): At the Bedside Segment

15 Oct 2020

Contributed by Lukas

What leads patients to search for alternative treatments than those offered in Western Medicine? How can we provide patients with safer complimentary ...

#76 COVID Management Update

30 Sep 2020

Contributed by Lukas

How can we feel more comfortable in treating these patients? What treatment options do we now have in our toolbox to fight COVID-19? How has the lands...

#75 Stories during Challenging Times

16 Sep 2020

Contributed by Lukas

How do we respond to challenging times? Are you a driver of change? How can we forge ahead during times of adversity? What lessons can we learn from ...

#74 Nephrotic Syndrome: 5 Pearls Segment

02 Sep 2020

Contributed by Lukas

What are common mistakes with protein on the UA? What questions should you ask while obtaining a history that could clue you into nephrotic syndrome? ...

# 73 Research Paths: Careers Series

19 Aug 2020

Contributed by Lukas

How tough is it to forge your career in clinical research? What struggles do physicians face in finding protected time? Are there setbacks and frequen...

#72 Physical Therapists: Interprofessional Education Series

05 Aug 2020

Contributed by Lukas

Are fall prevention programs helping our patients? Should patients receive outpatient PT based on clinical diagnosis? How has the landscape changed be...

#71 Capacity Part 2, Voluntarism & Difficult Scenarios: At the Bedside Segment

22 Jul 2020

Contributed by Lukas

What goes into decision making? What are the invisible tugs that may keep patients from acting in line with their values? Why isn't it part of the...

#70 A 40M with Fever and Confusion from the 19th Century: Hoofbeats Segment

08 Jul 2020

Contributed by Lukas

Unpack a famous historical legend's medical dilemma on a special "Historical CPC" episode!Show notes, transcript and references: https://...

#69 Inpatient Heart Failure: 5 Pearls Segment

24 Jun 2020

Contributed by Lukas

Packed with so many clinically relevant points taking care of a patient with decompensated heart failure on general medicine floors!Time Stamps:03:17 ...

#68 SNF, SAR, NH, ALF, and More Discharge Options: Interprofessional Education Series

10 Jun 2020

Contributed by Lukas

SNF vs. NH? SAR vs. SNF? What are the differences in resources, nursing and clinician oversight and who pays for what?!Show notes, transcript and ref...

#67 Salt Restriction in Heart Failure: Mind the Gap Segment

20 May 2020

Contributed by Lukas

Let's dive deeper into the dogma of salt restriction in heart failure! Show notes, transcript and references: https://www.coreimpodcast.com/2020/...

#66 Outpatient Advance Care Planning with COVID19

06 May 2020

Contributed by Lukas

How do you navigate new challenges with goals of care with your patients in clinics?Show Notes, Transcript, References: https://www.coreimpodcast.com/...

#65 COVID Reflections- Disconnections and Connections: At the Bedside Segment

29 Apr 2020

Contributed by Lukas

Episode OutlineDisconnection/connection: PatientsDisconnection/connection: Family/friendsDisconnection: Security, CertaintyConnection: Other clinician...

#64 Inpatient Goals of Care with COVID-19

22 Apr 2020

Contributed by Lukas

What is your approach to goals of care conversations, particularly during COVID-19? How do you navigate some of the new challenges with COVID19?Show n...

#63 Practical Tips for COVID-19 Floors

12 Apr 2020

Contributed by Lukas

How do you organize your day? How do you minimize exposure of yourself and your colleagues? What are the new things to keep in mind with discharging p...

#62 Transgender Health, Hormone Therapy and Preventive Screening: 5 Pearls Segment

01 Apr 2020

Contributed by Lukas

Practical tips on starting estrogen or testosterone on patients who are transgender and approach to primary care with cancer screening.CME Credit with...

#61 Transgender Health, Gender Affirming Care: 5 Pearls Segment

18 Mar 2020

Contributed by Lukas

Practical tips on Gender Affirming Care!Show notes, transcript and referencesTime Stamps:02:43 The Gender Unicorn and how it helps us better understan...

#60 Capacity Part 1: At the Bedside Segment

04 Mar 2020

Contributed by Lukas

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...

#59 Flu Diagnosis and Treatment: Mind the Gap Series

19 Feb 2020

Contributed by Lukas

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 ...

#58 Case Managers and Social Workers: Interprofessional Education Series

06 Feb 2020

Contributed by Lukas

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 creat...

Novel Coronavirus: What the Clinician Needs to Know Interview

04 Feb 2020

Contributed by Lukas

What are the symptoms? What distinguishes coronavirus from other influenza-like illness? When coronavirus is suspected, what should you do?Show notes...

#57 A 39M on Inpatient Psychiatry with a Fever: Hoofbeats Segment

22 Jan 2020

Contributed by Lukas

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 g...

#56 Prognosis: At the Bedside Segment

01 Jan 2020

Contributed by Lukas

Why is prognostication hard? How do we improve at communicating prognosis? How should we approach uncertainty? Explore this and more on this At the ...

#55 Influenza History and Vaccine: Mind the Gap Segment

18 Dec 2019

Contributed by Lukas

Dive deeper into hx of the influenza virus, how vaccines are made and vaccine effectiveness ! Time Stamps 02:59 The history of the influenza virus08...

#54 Home Health Aides: Interprofessional Education Series

27 Nov 2019

Contributed by Lukas

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...

#53 Heparin-Induced Thrombocytopenia: 5 Pearls Segment

13 Nov 2019

Contributed by Lukas

 Get CME Credit with ACP! Full Transcript with references and show notes Time Stamps4:30 What is the daily risk of thrombosis if HIT Is left untreate...

#52 Gallows Humor: At the Bedside Segment

30 Oct 2019

Contributed by Lukas

House of God author, Samuel Shem and Prof Katharine Watson share thought-provoking takes on Gallows Humor. Laugh and listen to this captivating take o...

#51 A 65M with Fatigue: Hoofbeats Segment

16 Oct 2019

Contributed by Lukas

1st outpatient clinical reasoning case on Core IM Hoofbeats!Get CME-MOC Credit (live at 9AM EST on 10/16)Time Stamps01:18 Case introduction11:40 The C...

#50 Blood Cultures: Mind the Gap Segment

02 Oct 2019

Contributed by Lukas

Go deeper into the world of blood cultures!Time stamps04:10 Review of Choosing Wisely Guidelines05:55 What are estimated incidences of positive blood ...

#49 Smoking Cessation: 5 Pearls Segment

18 Sep 2019

Contributed by Lukas

Practical tips on smoking cessation! Get CME Credit with ACP!Full Transcript with References and Show NotesTime Stamps04:50 What questions are import...

#48 AMA Discharges: At the Bedside Segment

04 Sep 2019

Contributed by Lukas

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 Bedsid...

#47 Stories of Women in Medicine

21 Aug 2019

Contributed by Lukas

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 th...

#46 A 45F with Persistent Bleeding: Hoofbeats Segment

07 Aug 2019

Contributed by Lukas

20 Qs with Core IM Team vs. Expert Discussant !Full Transcript and Show notesGet CME-MOC Credit for listening to this episode (live at 09:00 am EST o...

#45 Statins: Prescribing Meds Day vs. Night Part 2 Mind the Gap Segment

24 Jul 2019

Contributed by Lukas

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 ...

#44 Coronary Calcium Score and CTAs: 5 Pearls Segment

10 Jul 2019

Contributed by Lukas

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 co...

#43 "Difficult" Patients: At the Bedside Segment

26 Jun 2019

Contributed by Lukas

In ‘At The Bedside’, our newest podcast segment, we tackle important topics that *aren’t* easily indexable in guidelines and UpToDate article –...

#42 July Stories

12 Jun 2019

Contributed by Lukas

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 !L...

#41 A 23M with AMS and Fever: Hoofbeats Segment

22 May 2019

Contributed by Lukas

Dissect clinical reasoning and dive deeper into an interesting case!02:04   Initial Presentation03:03   The Core IM team tackles the case09:30 ...

#40 Prescribing Meds Day vs. Night Part 1: Mind the Gap Segment

08 May 2019

Contributed by Lukas

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 p...

#39 Stress Testing: 5 Pearls Segment

24 Apr 2019

Contributed by Lukas

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 ch...

#38 A 66M w RUQ pain, a 41M in Afib w RVR and a 50M w Syncope: Hoofbeats Segment

10 Apr 2019

Contributed by Lukas

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]...

#37 Unstable Angina: Mind the Gap Segment

27 Mar 2019

Contributed by Lukas

Check out part 1: Acute Coronary Syndrome and TIMI Risk ScoreLets go deeper into1) How the chest pain history correlates with pathophysiology? [2:40]2...

#36 Pain Management: 5 Pearls Segment

13 Mar 2019

Contributed by Lukas

Solidify your knowledge on inpatient pain management! Quiz yourself on the 5 pearls we will be covering:How effective are non-opioids? ( 3:17)Are NSAI...

#35 Acute Coronary Syndrome and TIMI Risk Score: Mind the Gap Segment

27 Feb 2019

Contributed by Lukas

Let's go deeper into the world of ACS and the origin of the TIMI score and major adverse cardiac events "MACE" outcomes!The basics – wh...

#34 47M with chest pain : Hoofbeats segment

13 Feb 2019

Contributed by Lukas

Dissect an interesting case and improve your clinical reasoning skills!Time Stamps:New features in this episode [00:25]Data point 1: Early hypothesis ...

#33 Barrett's Esophagus: 5 Pearls

30 Jan 2019

Contributed by Lukas

Solidify your knowledge on Barrett's Esophagus and more! Quiz yourself on the 5 pearls we will be covering:What is Barrett’s esophagus and why s...

#32 A 34M with Fever, HA, Myalgias

16 Jan 2019

Contributed by Lukas

Dissect an interesting case and improve your clinical reasoning skills!Time stamps:Player three has entered the game! [0:15]Case presentation, part 1 ...

#31: Troponins: 5 Pearls Segment

02 Jan 2019

Contributed by Lukas

Solidify your knowledge on troponins and more! Quiz yourself on the 5 pearls we will be covering:What aspects of the history are concerning in a patie...

#30 Acetaminophen/Fevers Pathophysiology and Patient Outcomes: Mind the Gap Segment

19 Dec 2018

Contributed by Lukas

Let's dive deeper into the world of acetaminophen and fever and how it may work and patient outcomesTime Stamps:What data is there to support the ...

#29 A 43M with Diarrhea: Hoofbeats Segment

05 Dec 2018

Contributed by Lukas

Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here:Time stamps:Case [1:19]Diagnostic weight [8:...

#28 What Would You Tell Your Younger Self?

21 Nov 2018

Contributed by Lukas

Women in medicine inspire us with what they would tell their younger selves. Some of the speakers with Shreya Trivedi MD @ShreyaTrivediMD at the Women...

#27 Treatment of Alcohol Use Disorder: 5 Pearls Segment

07 Nov 2018

Contributed by Lukas

Solidify your knowledge on Alcohol Use Disorder (AUD) treatment and more! Quiz yourself on the 5 pearls we will be covering:Throwback: At what levels ...

#26 A 85F with AMS Part 2: Hoofbeats Segment

24 Oct 2018

Contributed by Lukas

Dissect a working diagnosis through a process of validation!Time Stamps:Your collective differential [0:40]The test results (that you asked for) are i...

#25 A 85F with AMS Part 1: Hoofbeats segment

10 Oct 2018

Contributed by Lukas

Submit your diagnosis or differential for this episode's case at HumanDx.org (free registration required): http://hdx.org/2VP ! Part 2 (releasing ...

#24 Meet the Producers

27 Sep 2018

Contributed by Lukas

Join us in this episode with Doctors Who Create where we explore how Core IM was started and some things that happen behind the scenes!Episode page: h...

#23 UTIs and Delirium: Mind the Gap Segment

11 Sep 2018

Contributed by Lukas

 Let's go deeper into the world of UTIs and delirium!The basics – what are the official (IDSA) definitions for bacteriuria, pyuria, and UTI? (0...

#22 Proton-Pump Inhibitors: 5 Pearls segment

29 Aug 2018

Contributed by Lukas

Solidify your knowledge on Proton-Pump Inhibitors (PPIs) and more! Quiz yourself on the 5 pearls we will be covering:What are associated adverse effec...

#21 57F with confusion: Hoofbeats segment

15 Aug 2018

Contributed by Lukas

Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here:Case history and exam 00:40Causal models 11:...

#20 Vancomycin: Mind the Gap Segment

01 Aug 2018

Contributed by Lukas

Lets go deeper into the misunderstood side of Vancomycin!Where did vancomycin come from, and why is it so controversial? (0:28)What is vancomycin-indu...

#19 Unhealthy Alcohol Use: 5 Pearls segment

11 Jul 2018

Contributed by Lukas

Solidy your understanding of unhealthy alcohol use! Quiz yourself of the 5 Pearls we will be covering:What is alcohol use disorder (AUD), and how is i...

#18: A 54M with diarrhea: Hoofbeats segment

27 Jun 2018

Contributed by Lukas

Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here:Part one of case (0:56)Cognitive ease and st...

#17: Celebrating #ProudtobeGIM

20 Jun 2018

Contributed by Lukas

Be inspired by why so many are proud to be in General Internal Medicine (GIM)!Episode page: https://www.coreimpodcast.com/2018/06/23/celebrating-proud...

#16 Steroids in COPD: Mind the Gap Segment

30 May 2018

Contributed by Lukas

Let’s take your breath away… with a review on steroids in treating COPD exacerbations!Time StampsHow does GOLD (Global Initiative for Chronic Obst...

#15 Contrast-Induced Nephropathy: 5 Pearls segment

16 May 2018

Contributed by Lukas

Solidify your understanding of contrast-induced nephropathy (CIN)! Quiz yourself on the 5 pearls we will be covering:Are there diagnostic criteria for...

#14 A 36F with weakness: Hoofbeats segment

02 May 2018

Contributed by Lukas

Dissect an interesting case and think about the way clinicians think! So many clinical reasoning pearls here:Part 1 Case (2:05)Framing bias (7:07)Data...

#13 Chronic Adrenal Insufficiency: 5 Pearls segment

18 Apr 2018

Contributed by Lukas

Solidify your knowledge on adrenal insufficiency! Quiz yourself on the 5 pearls we will be covering:What are signs and symptoms of chronic adrenal ins...

#12 Latent TB: 5 Pearls segment

28 Mar 2018

Contributed by Lukas

Solidify your knowledge on latent TB! Quiz yourself on the 5 pearls we will be covering:Who should be screened for latent tuberculosis infection (LTBI...

#10 Albuminuria: 5 Pearls segment

28 Feb 2018

Contributed by Lukas

Solidify your knowledge on albuminuria! Quiz yourself on the 5 Pearls we will be covering:How good is a dipstick, urinalysis and UACR in detecting alb...

#9 COPD Classifications: Mind the Gap segment

14 Feb 2018

Contributed by Lukas

Let’s go deeper into to why we think about diseases the way we do: COPD Classifications through the years!Time Stamps:How did prior understanding of...

#8 Chronic Hepatitis B (Part 2) Management: 5 Pearls segment

31 Jan 2018

Contributed by Lukas

Quiz yourself on the following 5 Pearls on Chronic Hepatitis B (HBV) Management!What is the focused history, physical and lab workup in a patient wit...

#7: Chronic Hepatitis B Part 1: 5 Pearls segment

17 Jan 2018

Contributed by Lukas

Solidify your knowledge on Chronic Hepatitis B (HBV) screening and vaccinations! Quiz yourself on the 5 Pearls we will be covering:Who do you screen f...

#6 The Wonderful World of Albumin: Mind the Gap segment

03 Jan 2018

Contributed by Lukas

Let's go deeper as to why we do what we do: albumin in spontaneous bacterial peritonitis (SBP) ! Time Stamps:1. How much albumin is recommended in...

Hepatic Encephalopathy: 5 Pearls Edition Ep3

13 Dec 2017

Contributed by Lukas

Cement your knowledge on Hepatic Encephalopathy (HE)! Quiz yourself on the following 5 Pearls we’ll be covering on HE: Time StampsWhat are other c...

Mind The Gap Ep2: Part 2 of Paracentesis

29 Nov 2017

Contributed by Lukas

Part 2 on Abdominal Paracentesis ! Let's go deeperTime StampsShould a cirrhotic’s INR and platelets deter you from doing a paracentesis? (3:15)D...