Core IM | Internal Medicine Podcast

What are the 3 different types of inhaler devices and what should you educate patients about each? When do you stop the inhaled steroid in COPD? And when do you think of increasing the dose? What is important to communicate at the time of diagnosis, and during goals of care discussions?Show notes, Transcript and References:https://www.coreimpodcast.com/2022/06/22/5-pearls-on-copd-management/Sponsor: Use the code “COREIM-AMBOSS” to get a free month of access on https://go.amboss.com/CoreIM-E3Timestamps:Pearl 1: 3:20Pearl 2: 8:20Pearl 3: 15:47Pearl 4: 26:55Pearl 5: 34:10Tags: IMCore, CoreIM, Pulmonary, medication management, spirometryFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Thrive Market for 30% off your first order, plus a FREE $60 gift! : https://thrivemarket.com/coreim* Sponsor: FIGS! Use code FIGSRX for 15% off: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

How do you ask about spiritual health? How is spirituality different from religion?Show notes, Transcript and References:https://www.coreimpodcast.com/2022/06/15/spirituality/Time stamps00:01 What is spirituality?7:12 Why does spirituality matter?12:09 How do we screen for it?18:50 Chaplains27:49 Conclusion Tags: IM Core, CoreIM, ethics, medical humanitiesFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Thrive Market for 30% off your first order, plus a FREE $60 gift! : https://thrivemarket.com/coreim* Sponsor: FIGS! Use code FIGSRX for 15% off: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What are the indications for a simple transfusion? And what the indications for an exchange transfusion? What is your approach to pain management in patients with sickle cell? What are the treatment options for sickle cell and which ones actually decrease sickle crisis and improve mortality? What are some of the major sickle cell complications to watch out for and how can we prevent some of them?Show notes, Transcript and References: https://www.coreimpodcast.com/2022/06/01/5-pearls-on-sickle-cell-anemia/Sponsor: https://go.amboss.com/CoreIM-E2Timestamps:1:33 Pearl 14:48 Pearl 218:43 Pearl 329:45 Pearl 435:22 Pearl 5Tags: IM Core, CoreIM, hematology oncology, health inequity, vaso-occlusive crisisFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Thrive Market for 30% off your first order, plus a FREE $60 gift! : https://thrivemarket.com/coreim* Sponsor: FIGS! Use code FIGSRX for 15% off: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

How do you counsel patients on beta blockers? Is one beta-blocker better than the other? What is preferred: ACEi, ARBs or ARNIs? What are the pros and cons of each? How does spironolactone compare to eplerenone? When do you stop mineralocorticoid receptor antagonist? What are risks with SGLT2 inhibitors? How do you initiate GDMT? Which meds do you start first and in what order?Show notes, Transcript and References:  https://www.coreimpodcast.com/2022/05/11/5-pearls-on-guideline-directed-medical-therapy/Sponsor: https://go.amboss.com/GDMTGet CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps:03:13 Pearl 112:14 Pearl 220:36 Pearl 326:42 Pearl 432:16 Pearl 5Tags: IM Core, CoreIM, heart failure with reduced ejection fraction, GDMT, treatment, cardiologyFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Thrive Market for 30% off your first order, plus a FREE $60 gift! : https://thrivemarket.com/coreim* Sponsor: FIGS! Use code FIGSRX for 15% off: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

How much of D5W vs. isotonic saline contributes to intravascular volume? How do you distinguish between oncotic pressure and tonicity? What balanced solutions do you reach for? What is the data behind using colloids like albumin as an intravascular expander? How much do pRBCs stay in the plasma? Show notes, Transcript and References:  https://www.coreimpodcast.com/2022/04/27/fluids-colloids-5-pearls-segment/Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps:02:14 Intro04:26 Pearl 111:08 Pearl 220:43 Pearl 331:06 Pearl 435:06 Pearl 5Tags: IM Core, CoreIM, fluids, hypertonic, volume, crystalloid, tonicity, blood, nephrology, hospital medicineFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Thrive Market for 30% off your first order, plus a FREE $60 gift! : https://thrivemarket.com/coreim* Sponsor: FIGS! Use code FIGSRX for 15% off: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What do you include in your initial basic work-up for suspected pulmonary hypertension? Do you know how to calculate the PASP on the ECHO? What physiological insults that can cause high pulmonary pressures? How can we interpret the E/e’ ratio?Whiteboard animation video on YouTubeShow notes, Transcript and ReferencesGet CME-MOC credit with ACPTime stamps:02:18 | Intro05:27 | Pearl 1 12:17 | Pearl 216:13 | Pearl 324:04 | Pearl 430:08 | Pearl 5Tags: IM Core, CoreIM, PASP, Echo, hypoxia, PA pressure, vascular resistanceFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Thrive Market for 30% off your first order, plus a FREE $60 gift! : https://thrivemarket.com/coreim* Sponsor: FIGS! Use code FIGSRX for 15% off: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

How can we use food as medicine? How can we best counsel our patients on their diets? Which pre-set diets can we recommend for or against? How can we make the changes sustainable? Show notes, Transcript and References: https://www.coreimpodcast.com/2022/03/23/obesity-and-nutr…-2021-sgim-recap/Time stamps:03:10 Trends in weight and dieting06:01 Counseling patients on diet09:35 Food group recommendations14:53 Pre-set diets20:47 Making sustainable changesTags: Core IM, IM Core, diet, salt intake, fiber, weightFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Thrive Market for 30% off your first order, plus a FREE $60 gift! : https://thrivemarket.com/coreim* Sponsor: FIGS! Use code FIGSRX for 15% off: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

What are some tricks to help you perform a virtual physical exam? What role do these visits play in our overall care for the patient? What tools do we have at our disposal for a more thorough evaluation?Show notes, Transcript and References: https://www.coreimpodcast.com/2022/03/09/telemedicine-and…-2021-sgim-recap/Tags: IM Core, CoreIM, tele visit, gizmos, history taking, virtual, physical exam, assessment, functional status, tipsFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Thrive Market for 30% off your first order, plus a FREE $60 gift! : https://thrivemarket.com/coreim* Sponsor: FIGS! Use code FIGSRX for 15% off: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

How long should you anticoagulant for a PE? When can you safely stop anticoagulation for thrombogenic patients who need an urgent biopsy? Should an IVC filter be placed to prefer further embolization of a DVT? What percentage of patients with cancer associated blood clots will have progression while on anticoagulation?Show Notes, Transcript, and References: https://www.coreimpodcast.com/2022/02/23/24433/Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time Stamps:02:40 Deep Dive #1 Anticoagulation08:50 Deep Dive #2 DOACs14:08 Deep Dive #3 IVC Filter17:49 Deep Dive #4 Biopsy25:00 RecapTags: Core IM, IM Core, Anticoagulation, Bleeding, DOACs, IVC, reflections, clotsFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Thrive Market for 30% off your first order, plus a FREE $60 gift! : https://thrivemarket.com/coreim* Sponsor: FIGS! Use code FIGSRX for 15% off: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

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 apply to mentorship? Does implicit bias affect gender performance scores in clinical rotations? How common are biased patient behaviours? How can you foster a safer learning environment for trainees? How can you promote antiracism?Show notes, Transcript and References: https://www.coreimpodcast.com/2022/02/09/medical-educatio…ng-core-im-recap/Time stamps02:10 Make it Stick Virtually08:35 Mentoring in the Modern Era: More than the Traditional Dyad13:29 Clinical Update in Medical Education20:58 Anti-Racism in Medical Education: Concrete Actions to Further Social Justice and Racial EquityTags: IM Core, CoreIM, virtual learning, note taking, feedback, mentorship, microaggressions, gender bias, sterotype threatFind the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840Our Sponsors:* Check out Thrive Market for 30% off your first order, plus a FREE $60 gift! : https://thrivemarket.com/coreim* Sponsor: FIGS! Use code FIGSRX for 15% off: https://wearfigs.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy