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
#91 Oral Diabetes Medications Inpatient: Mind the Gap Segment
Should we use oral diabetes agents in our hospitalized patients? Do you hold metformin for fear of lactic acidosis? Do you typically order an insulin sliding scale? When can you comfortably restart PTA meds?Time Stamps:* 02:25 Can we give metformin in the hospital?* 10:50 Incretin-based therapies* 14:49 Sodium Glucose Cotransporter-2 Inhibitors* 16:27 Sulfonylurea & Thiazolidinediones* 18:00 Basal Insulin inpatientShow notes, Transcript and References: https://www.coreimpodcast.com/2021/10/13/oral-diabetes-medications-in-hospitalization-mind-the-gap-segment/ (https://www.coreimpodcast.com/2021/10/13/oral-diabetes-medications-in-hospitalization-mind-the-gap-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)Tags: Core IM, IM Core, glucose, insulin, hospitalized patients, oral medications, sliding scale, DPP-4, GLP-1
#90 Stigma in Opioid Use Disorder: 5 Pearls Segment
What are practical phrases can you incorporate to help patients who use drugs? What changes can you make to ensure person-first language? What safe drug practices can you advise? What is MOUD?Show notes, Transcript and References: https://www.coreimpodcast.com/2021/09/29/5-pearls-on-stig…oid-use-disorder/ ( https://www.coreimpodcast.com/2021/09/29/5-pearls-on-stig…oid-use-disorder/)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 )Time Stamps:04:24 Starting the Conversation 10:43 The Shared Agenda14:46 Exploring patient goals18:54 Reducing drug use24:09 Reducing harm in opioid use29:06 RecapTags: Core IM, IM Core, MOUD, buprenorphine, patient centeredness, motivational interviewing, safe practices
#89 Code Status: At the Bedside Segment
A very practical episode around nuanced code status conversations with many examples!Time Stamps:* 00:08 Introduction* 04:01 Information Gathering* 20:41 Informed Consent* 29:47 Giving Recommendations* 36:47 Mistakes* 48:22 Wrap Up Show notes, Transcript and References: https://www.coreimpodcast.com/2021/09/12/code-status (https://www.coreimpodcast.com/2021/09/12/code-status/)Tags: Core IM, IM Core, DNR/DNI, CPR, intubation, goals of care, shared decision making, documentation, conversations, recommendations
"Best of" | SNF, SAR, NH, ALF and More Discharge Options
What are the differences in resources, nursing and clinician oversight and who pays for what?!
Show notes, transcript and references: https://www.coreimpodcast.com/2020/06/10/snf-sar-nh-alf-and-more-discharge-options-interprofessional-education-series/ (https://www.coreimpodcast.com/2020/06/10/snf-sar-nh-alf-and-more-discharge-options-interprofessional-education-series/)
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)
* 04:07 SAR vs SNF
* 13:35 Long term Nursing Home Care
* 18:30 Assisted Living Facility
* 24:40 Acute rehab
* 26:11 LTACH
* 27:49 Home
Tags: Subacute rehab, skilled nursing facility, long-term acute care hospital, CoreIM, Core_IM, hospital medicine, family medicine, emergency medicine, physician assistant, nurse practitioner, interprofessional education
"Best of" | Stress Testing 5 Pearls
What are the indications for a stress test? How to choose stress protocol in a stress test? How to choose diagnostic imaging in a stress test? How do we interpret results from stress tests, and how should this be communicated to patients?
For full transcript, infographic and show notes: https://www.coreimpodcast.com/2019/04/24/stress-testing/
Tags: Internal Medicine, Internist, Primary Care Physician, Hospitalists, Emergency Medicine, Nurse Practitioner, Physician Assistant, Family Physician, Cardiology, angina, ischemia
"Best of" | Capacity Part 1 At the Bedside
What goes into a capacity assessments? Is it just reciting risks, benefits and alternatives? Explore this and more on this At the Bedside Episode!
Show notes, Transcript and References: https://www.coreimpodcast.com/?p=22310 (https://www.coreimpodcast.com/?p=22310)
Tags: CoreIM, AMA Discharges, Psych, Competency, medical ethics, medical humanties