
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 4, 2023 • 13min
197. Your Learning Is Not in Vein - An Approach to Inherited Thrombophilias
Send us a textIn this episode, we cover when to suspect and investigate - or more importantly NOT investigate patients for potential inherited thrombophilias. Written by: Chloe Gordon (Internal Medicine Resident) Reviewed by: Dr. Eric Tseng (Hematologist) and Dr. Vicky Tagalakis (General Internist) Support the show

May 28, 2023 • 16min
196. The Heart has a Mind of its Own - An Approach to POTS
Send us a textIn this episode, we discuss the clinical presentation, consensus diagnostic criteria and pharmacologic and non-pharmacologic strategies to manage a patient with Postural Orthostatic Tachycardia Syndrome (POTS). Written by: Dr. David Bobrowski (Internal Medicine Resident)Reviewed by: Dr. Tosin Osuntokun and Dr. Paula Harvey (Cardiologists) and Dr. James Rassos (General Internist)Sound editing by: Alison LaiSupport the show

May 21, 2023 • 16min
195. Biliary Off Track - An Approach to Cholecystitis and Cholangitis
Send us a textIn this episode, we discuss the clinical presentation, severity grading, investigations and management for patients presenting with cholecystitis or cholangitis. Our medicine minute discusses a promising new technique for patients with non-operative cholecystitis. Podcast written by: Drs. Amine Zoughlami and Ikram Abow-Mohamed (Internal Medicine residents)Reviewed by: Dr. Constantine Soulellis (Gastroenterology) and Dr. Sanabelle Zaabat (Internal Medicine)Sound editing by: Alison laiSupport the show

May 14, 2023 • 15min
194. It's Lower Than You Think - Lower GI Bleed
Send us a textWe covered upper GI bleed a few weeks ago, but we'd be remiss if we didn't address the other half of the GI tract! This week we take you through our approach to lower GI bleeding and its management, including recent guideline updates. Written by: Dr. Ikram Abow-Mohamed & Dr. Amine Zoughlami (Internal Medicine Residents) Reviewed by: Dr. Alan Barkun (Gastroenterology) & Dr. Sanabelle Zaabat (Internal Medicine). Support the show

May 8, 2023 • 10min
193. Not So Sweet Pee- Approach to Central Diabetes Insipidus
Send us a textWritten by Dr. Tiffany Mach (Internal Medicine Resident) and reviewed by Dr. Vincent Larouche (Endocrinology) and Dr. Romina Pace (General Internal Medicine). Infographic by Vincent Li (Medical Student). Support the show

Apr 30, 2023 • 17min
192. Go Get the O2 - An Approach to Hypoxia
Send us a textIn this episode, we discuss two main causes of hypoxia as well as the utility of the A-a gradient to help determine the underlying etiology. We discuss different methods of oxygen delivery and briefly review etiologies that may cause hypoxia. Our medicine minute discusses the discovery and current controversy regarding pulse oximeters. Episode written by: Dr. Anna Tyker (Internal Medicine Resident)Reviewed by: Dr. Christine D’Arsigny (Respirology and Critical Care) and Dr. Amelia Wilkinson (General Internal Medicine)Sound editing by: Kiera Liblik (Medical Student)Support the show

Apr 23, 2023 • 17min
191. You put me in a state of SHOCK
Send us a textIn this episode, we review the main causes of four different types of shock: hypovolemic, cardiac, obstructive and distributive (or vasoplegic). We discuss both initial assessment and management of a patient in shock, as well as more focused therapies for specific etiologies. Our medicine minute discusses the choice for initial vasopressors as well as the evidence behind current MAP targets.Written by: Dr. Krish Bilimoria (Internal Medicine resident)Reviewed by: Dr. Camille Simard (GIM, OB medicine) and Dr. Jed Lipez (GIM, Critical Care)Sound editing by: Alison LaiSupport the show

7 snips
Apr 16, 2023 • 16min
190. Urine Trouble! An approach to AKI
Send us a textIn this episode we cover the history of AKI and an approach to its diagnosis and management. We also cover landmark trials! Written by: Dr. Thulasie Manokaran (Internal Medicine Resident)Reviewed by: Tyrone Harrison (Nephrologist) and Dr. Michael Fisher (General Internist) Support the show

Apr 10, 2023 • 10min
189. Into the Bubble: Approach to Hypogammaglobulinemia
Send us a textHave you heard of the "bubble boy?" In this episode, we outline an approach to hypogammaglobulinemia - a fascinating outpatient medicine topic! Episode written by Dr. Vivian Szeto (Internal Medicine resident) and reviewed by Dr. Rongbo Zhu (Clinical Allergy and Immunology) and Dr. Marko Mrkobrada (General Internal Medicine). Infographic by Dr. Valarie Kim (Internal Medicine resident). Support the show

Mar 26, 2023 • 12min
188. Atopy, asthma, and dysphagia - oh my!: An approach to eosinophilic esophagitis
Send us a textThis week we cover an increasingly common diagnosis - eosinophilic esophagitis. We will discuss the clinical presentation, diagnostic criteria, and help you remember the approach to treatment. Written by: Dr. Michael Scaffidi (Internal Medicine Resident)Reviewed by: Dr. Samir Grover (Gastroenterologist) and Dr. Don Thiwanka Wijeratne (General Internist)Support the show