The Intern At Work: Internal Medicine
A pan-Canadian learner-generated internal medicine podcast. The Intern at Work is written by residents for residents, and is meant to serve you better on the wards and on call. Disclaimer: This podcast is intended for educational use only and is not intended as the sole resource for clinical management. All scripts are original scripts. Podcasts produced out of Canada and may contain Canadian specific guidelines. Created by: Alison Lai Executive Producers: Laiya Carayannopoulos, Zahra Merali
Latest episodes
May 11, 2025 • 28min
282. The Internist's Guide to Pacemakers
In this discussion, Dr. Karen Konieczny, a board certified cardiologist and electrophysiologist from St. Michael's Hospital, delves into the complexities of pacemaker implantation. She highlights the rising trends in pacemaker use among aging populations and addresses unique cases like cardiac sarcoidosis. The episode also navigates sinus node dysfunction, discusses advanced pacemaker technologies like leadless options, and underscores the importance of careful evaluation in treatment decisions, especially for elderly patients.
May 8, 2025 • 26min
281. I@W x RoundsTable - Brensocatib for Bronchiectasis and Alteplase for Posterior Circulation Ischemic Stroke
Send us a textDr. Laiya Carayannopoulos & Dr. Mike Fralick connect to bring you another crossover episode, this time covering new studies on therapies for bronchiectasis and posterior circulation stroke. Take a listen and let us know what you think! Support the show
May 4, 2025 • 16min
280. Catching the Beat- Indications for Pacemakers
Send us a textWhy do our patients need pacemakers and what should you know about them? Written by Dr. Alyssa Chow (Internal Medicine Resident) and reviewed by Dr. Steve Montague (General Internal Medicine) and Dr. Aws Almufleh (Cardiology). Infographic Alyssa Chow and Sapirya Birk (Medical Student). Support the show
May 1, 2025 • 21min
279. The Rounds Table - 2025 ACC/AHA Clinical Practice Guidelines for Acute Coronary Syndrome
Dive into the latest guidelines on Acute Coronary Syndrome, focusing on revolutionary changes in antiplatelet therapy. Learn about the critical role of LDL regulation and the latest strategies for patients with NSTEMI. Discover insights into risk assessment tools and the impact of artificial intelligence in cardiology. Plus, enjoy some quirky egg cracking tips and chill music recommendations, adding fun to your listening experience!
May 1, 2025 • 21min
278. Life on the Circuit - ECMO Essentials
Send us a textToday we dive into the life-saving (and often intimidating!) technology known as ECMO. Written by: Dr. Pavan Malhi (Internal Medicine Resident)Reviewed by: Dr. Liang Chen (General Internist & Critical Care Medicine Fellow) & Dr. Jed Lipes (Intensivist, General Internist)Support the show
Apr 3, 2025 • 21min
277. The Rounds Table- Top Papers from the 2025 American College of Cardiology (ACC) Session
In a rapid-fire session, experts discuss groundbreaking findings from the 2025 American College of Cardiology conference. They dive into the efficacy of reduced-dose apixaban for cancer-related blood clots, highlighting its potential advantages. The DAPA-TAVI trial sheds light on the promising role of SGLT2 inhibitors in heart failure management. Additionally, the cardiovascular benefits of oral semaglutide in high-risk diabetes patients are explored, revealing significant reductions in adverse events. A sprinkle of humor is added with a mention of a new comedy series.
Mar 23, 2025 • 17min
276. Guarding Against Gravity – An Approach to Falls
Send us a textThere's more to falls than meets the eye! Learn all about an approach to this extremely common problem in our older adult population. Episode written by Dr. Annabel Chan (Internal Medicine Resident) and reviewed by Dr. Sudeep Gill (Geriatric Medicine) and Dr. Marie Leung (General Internal Medicine). Infographic by Julia Simone (Medical Student).Support the show
Mar 16, 2025 • 13min
275. A Long Time Coming - An Approach to the Chronic Complications of Diabetes
Explore the challenging world of diabetes with a deep dive into both macrovascular and microvascular complications. Discover how chronic hyperglycemia affects patient care through real-life case studies, like that of a patient struggling with foot pain. The discussion also emphasizes vital prevention strategies, including blood pressure management and screenings, to mitigate risks. Plus, gain insights from pivotal trials like ADVANCE and DAPA-CKD that shed light on effective management techniques.
Mar 14, 2025 • 29min
274. The Rounds Table - Restrictive versus Liberal Transfusion in Myocardial Infarction
Dr. Jeffrey Carson, a distinguished professor at Rutgers, dives into the controversial world of blood transfusion strategies for myocardial infarction patients. He discusses his influential meta-analysis on transfusion thresholds, shedding light on the evolving debate between restrictive and liberal approaches. Carson highlights findings from the MINT Trial and newly issued guidelines from major heart associations that advocate for a more liberal strategy. Additionally, he touches on the future of personalized transfusion practices and the role of AI in academic assessments.
Mar 2, 2025 • 14min
273. Silencing the Endless Alarm: An Approach to Chronic Pain
Send us a textIn this episode, we review the pathophysiology, symptompatology and treatment options for individuals with chronic pain. In addition, we review how to take a pain history to help differentiate between different types of pain. Our medicine minute discusses the SPACE trial. Written by: Dr. Lakindu Somaweera (Internal Medicine Resident)Reviewed by: Dr. Hasitha Welihinda (Palliative Care Specialist) and Dr. Lindsay Anderson (General Internist)Support the show
