
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

Jun 8, 2025 • 13min
285. When the Stomach Turns- Gastric Cancer
Send us a textLearn all about an approach to gastric cancer for the internist! Episode written by Dr. Gurjit Mander (Internal Medicine)Reviewed by by Dr. Arjun Kundra (Gastroenterology) and Dr. Genevieve Chick (General Internal Medicine)Infographic by Dr. Gurjit ManderDo you ever feel like you can't get ahead of charting? Freed AI has an AI driven scribe for you! You can try Freed for free right now by going to getfreed.ai. Listeners can use the INTERN50 code for $50 off their first month!Support the show

9 snips
Jun 2, 2025 • 16min
284. Looking Beneath the Surface - An Approach to BPSD
This discussion dives into the complex behavioral and psychological symptoms associated with dementia, addressing the unique challenges clinicians face. It emphasizes understanding different dementia types and evaluation strategies for effective management. The importance of tailored treatment plans is explored, balancing non-pharmacologic approaches with medication when necessary. Listeners gain valuable insights into compassionate care methods and rapid response techniques for severe agitation in patients.

May 25, 2025 • 14min
283. Putting out the Fire: A clinical approach to Adult Onset Still’s Disease
Send us a textIn this episode, we discuss the pathophysiology, clinical features and diagnostic approach to Adult Onset Still's Disease. Our medicine minute discusses the Yamaguchi Criteria for diagnosis of Adult Onset Still's Disease.Written by: Dr. Samira Adus (Internal Medicine Resident)Reviewed by: Dr. Kimberly Legault (Rheumatology) and Dr. John Neary (General Internal Medicine)Support the show

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

4 snips
May 4, 2025 • 16min
280. Catching the Beat- Indications for Pacemakers
Alyssa Chow, an Internal Medicine Resident with a focus on cardiology, dives into the fascinating world of pacemakers. She shares the innovative history behind these lifesaving devices and their critical role in managing bradyarrhythmias. Alyssa discusses assessment strategies for patients and highlights the importance of diagnosing syncope. Additionally, she explains the mechanisms behind different types of pacemakers, including essential guidelines from the 2018 American College of Cardiology. Tune in for a deep dive into cardiac care!

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

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!

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.

9 snips
Mar 23, 2025 • 17min
276. Guarding Against Gravity – An Approach to Falls
In this insightful discussion, Dr. Annabel Chan, an Internal Medicine Resident and author, dives into the complexities surrounding falls in older adults. She highlights the physiological changes that increase fall risk and stresses the importance of thorough assessments and preventative measures. The conversation also underscores the essential collaboration among healthcare professionals to tackle this pressing issue, featuring alarming statistics and recent U.S. guidelines that aim to improve safety for seniors. Tune in for valuable insights!