Core IM | Internal Medicine Podcast

Join Dr. Andrew Parsons, a UVA hospitalist and clinical reasoning expert, alongside Dr. Jess Dreiser, a fellow UVA hospitalist and passionate fan of the show. They dive into the common struggles of medical trainees with clinical reasoning. Explore effective coaching exercises and the importance of low inference feedback. They discuss personal stressors affecting performance, offer insights from case studies, and emphasize structured approaches to enhance diagnostic skills. It’s a rich conversation on improving clinical education and learner support.

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 further away from the diagnosis? Show notes, transcript and references: https://www.coreimpodcast.com/2020/11/25/a-29m-with-cough…oofbeats-segment/ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imTime Stamps:00:43 Case presentation Part 104:55 Case presentation Part 206:50 Expert discussant28:52 Framing bias33:38 Concluding thoughtsTags: IM Core, CoreIM, schemata, mnemonics, eosinophilia, framing biasFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What leads patients to search for alternative treatments than those offered in Western Medicine? How can we provide patients with safer complimentary interventions? How do we prioritize what is important in our patients health?Show notes, Transcript and References: https://www.coreimpodcast.com/2020/10/15/approach-to-patients-with-cam-beliefs/Time stamps:01:49 Intro04:54 What is CAM06:29 Prevalence of CAM08:01 Holistic approach to patient care11:09 Patient empowerment14:38 Integrating CAM18:34 Risks and Benefits19:50 Caution patients22:29 Indirect Risk23:45 Big Picture26:04 Therapeutic Alliance27:27 ConclusionTags: IM Core, CoreIM, supplements, homeopathic, naturopathic, Ayurvedic medicine, mind-body interventions, massage, acupuncture, and chiropractic manipulation, qi gong and ReikiFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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 landscape changed in what we can offer patients?Show notes, Transcript and References: https://www.coreimpodcast.com/2020/09/30/covid-management/Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps04:16 Supportive Care07:48 Step-up approach to oxygenation13:44 Data Points15:30 Clots19:13 Steroid useTags: IM Core, CoreIM, oxygenation, proning, anticoagulationFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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 the stories of our peers and colleagues?Show notes, Transcript and References: https://www.coreimpodcast.com/2020/09/16/transitions-episode/Time Stamps:02:48 Minneapolis 2020 with Dr. Uloko06:44 Early HIV/AIDS with Dr. Kalet12:07 Hurricane Sandy with Dr. Hwang17:20 Aftermath of the Syrian Civil War20:23 Transitions with Dr. AroraTags: Core IM, IM Core, change, inspiration, narrative medicineFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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? Are kidney biopsies risky business? Is there an associated clot risk in patients with nephrotic syndrome?Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imShow note, Transcript and References: https://www.coreimpodcast.com/2020/09/02/5-pearls-on-nephrotic-syndrome/Amboss Article on Nephrotic Syndrome: https://www.amboss.com/us/knowledge/Nephrotic_syndrome?utm_source=affiliate&utm_medium=link&utm_campaign=coreim-01Time Stamps:03:22 Evaluating Proteinuria09:37 Nephrotic Syndrome specifics22:31 Who to biopsy31:39 Diuretics37:16 Thrombosis RiskTags - CoreIM, IM Core, edema, proteinuria, kidneys, thrombosis, urinalysis, diuresis Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

How tough is it to forge your career in clinical research? What struggles do physicians face in finding protected time? Are there setbacks and frequent rejections? How can you follow your passion and find success?Show note, Transcript and References: https://www.coreimpodcast.com/2020/08/19/research-careers…rs-in-gim-series/Time Stamps:1:28 Origins6:57 Mentorship14:30 Reality, Roadbumps, and Failures18:17 The path of many fellowships Tags - CoreIM, IM Core, clinical investigator, general internal medicineFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Are fall prevention programs helping our patients? Should patients receive outpatient PT based on clinical diagnosis? How has the landscape changed because of insurance reimbursement?Show note, Transcript and References: https://www.coreimpodcast.com/2020/08/05/physical-therapi…education-series/ Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imTime Stamps:01:47 Functional Assessment07:47 Documentation14:35 Outpatient PT18:14 Durable Medical Equipment22:55 ReimbursementTags: Core IM, IM Core, physical therapy, durable medical equipment, IPE, multidisciplinary team, interdisciplinaryFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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 formal capacity assessment?Show notes, Transcript and References: https://www.coreimpodcast.com/2020/07/22/capacity-2-0-and-voluntarism/Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imTime Stamps:2:57 Defining voluntarism5:36 Four elements that influence voluntarism10:26 How do you incorporate voluntarism into the capacity assessment?16:11 Discussions with uncooperative patients19:14 Protecting unrepresented patients21:30 Clinician perspective25:06 Moral distressTags: medical humanities, ethics, psychiatry, IM Core, CoreIMFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

Unpack a famous historical legend's medical dilemma on a special "Historical CPC" episode!Show notes, transcript and references: https://www.coreimpodcast.com/2020/07/08/22729/Time Stamps:02:55 HPI07:33 Past Medical History04:25 Physician Exam findings24:22 Historical Figure Revealed26:30 Reflections on top 3 diagnosisTags: cognitive and neuropsychiatric disturbances, rabies, mercury poisoning, cholera, delirium, COREIM, IMCORE, clinical reasoning caseFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Branch Basics: https://branchbasics.com/COREIM and use the code CoreIM for 15% * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Uncommon Goods: https://uncommongoods.com/COREIM* Check out Washington Red Raspberries: https://redrazz.orgAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy