Core Internal Medicine via following segments:
5 Pearls || Clinically relevant pearls on IM topics!
Mind the Gap || Why do we do what we do?
Hoofbeats || Dissecting clinical reasoning!
At the Bedside || Explore everyday challenges
#78 A 29M with Cough, Abdominal Pain, Fever: Hoofbeats Segment
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/ (https://www.coreimpodcast.com/2020/11/25/a-29m-with-cough-abd-pain-fever-hoofbeats-segment/)
ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im)
* 00:43 Case presentation Part 1
* 04:55 Case presentation Part 2
* 06:50 Expert discussant
* 28:52 Framing bias
* 33:38 Concluding thoughts
Tags: IM Core, CoreIM, schemata, mnemonics, eosinophilia, framing bias
#77 Complimentary and Alternative Medicine (CAM): At the Bedside Segment
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/ (https://www.coreimpodcast.com/2020/10/15/approach-to-patients-with-cam-beliefs/)
* 01:49 Intro
* 04:54 What is CAM
* 06:29 Prevalence of CAM
* 08:01 Holistic approach to patient care
* 11:09 Patient empowerment
* 14:38 Integrating CAM
* 18:34 Risks and Benefits
* 19:50 Caution patients
* 22:29 Indirect Risk
* 23:45 Big Picture
* 26:04 Therapeutic Alliance
* 27:27 Conclusion
Tags: IM Core, CoreIM, supplements, homeopathic, naturopathic, Ayurvedic medicine, mind-body interventions, massage, acupuncture, and chiropractic manipulation, qi gong and Reiki
#76 COVID Management Update
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 ( https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im)
* 04:16 Supportive Care
* 07:48 Step-up approach to oxygenation
* 13:44 Data Points
* 15:30 Clots
* 19:13 Steroid use
Tags: IM Core, CoreIM, oxygenation, proning, anticoagulation
#75 Stories during Challenging Times
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/
* 02:48 Minneapolis 2020 with Dr. Uloko
* 06:44 Early HIV/AIDS with Dr. Kalet
* 12:07 Hurricane Sandy with Dr. Hwang
* 17:20 Aftermath of the Syrian Civil War
* 20:23 Transitions with Dr. Arora
Tags: Core IM, IM Core, change, inspiration, narrative medicine
#74 Nephrotic Syndrome: 5 Pearls Segment
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-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im)
Show 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-01 (https://www.amboss.com/us/knowledge/Nephrotic_syndrome?utm_source=affiliate&utm_medium=link&utm_campaign=coreim-01)
* 03:22 Evaluating Proteinuria
* 09:37 Nephrotic Syndrome specifics
* 22:31 Who to biopsy
* 31:39 Diuretics
* 37:16 Thrombosis Risk
Tags - CoreIM, IM Core, edema, proteinuria, kidneys, thrombosis, urinalysis, diuresis
# 73 Research Paths: Careers Series
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/ (https://www.coreimpodcast.com/2020/08/19/research-careers-careers-in-gim-series/)
14:30 Reality, Roadbumps, and Failures
18:17 The path of many fellowships
Tags - CoreIM, IM Core, clinical investigator, general internal medicine