Core IM | Internal Medicine Podcast

Core IM Team
  • 4.8 (1.2K)
  • Medicine
  • Biweekly

Core Internal Medicine via following series: 5 Pearls || Clinically relevant pearls Mind the Gap || Why do we do what we do? Gray Matters || Management Reasoning Hoofbeats || Dissecting clinical reasoning At the Bedside || Explore everyday challenges

  1. 1d ago

    #222 AFib Stroke Prevention: WATCHMAN, DOACs, and the CHAMPION-AF Trial | Beyond Journal Club Segment with NEJM Group

    If your patient asks you about a left atrial appendage closure device, what should you tell them?    In the latest episode of the Beyond Journal Club podcast from CORE IM and NEJM Group, the hosts will help you:  Understand the trade-offs: stroke prevention, bleeding, procedural risks, and medications afterward.  Build clinical judgment: weigh which approach may better serve the individual patient, beyond the trial’s headline.  Learn from thoughtful counseling: hear how you might discuss the evidence, acknowledge uncertainty, and explore what matters to your patients. 🔹Sponsor: ACP MKSAP Oakstone CME Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP7​ 🔹Transcript and Show Notes   01:09 | What the Watchman is, and why it should work? 05:58 | The checkered history: PROTECT-AF and PREVAIL 09:06 | The plot continues: PRAGUE-17, OPTION, OCEAN, and CLOSURE-AF 12:35 | CHAMPION-AF: the biggest test yet 15:03 | Reading the fine print 19:23 | A local solution to a systemic problem 22:45 | How patients hear about it 25:44 | So what do we tell our patients? 29:52 | Takeaways Tags: IMCore, Internal Medicine, Medical Education, WATCHMAN device, Atrial Fibrillation, Cardiology, DOAC Anticoagulation, Primary Care, Hospital Medicine Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #222 AFib Stroke Prevention: WATCHMAN, DOACs, and the CHAMPION-AF Trial | Beyond Journal Club Segment with NEJM Group

  2. Oct 21

    #221 Colon Cancer Screening After Age 75 | 5 Pearls Segment Part 3

    “Should you stop screening for colorectal cancer (CRC) at 75?”  This episode explores how to individualize screening decisions based on life expectancy, prior colonoscopy findings, and procedural risks. Learn how to navigate these nuanced conversations, avoid age-based assumptions, and use strategies like mailed FIT kits and offering screening choices to help more patients get screened. 🔹Sponsor: Search “Amazon Pharmacy Nationwide Home Delivery" in your EHR to get home delivery (often same-day). Learn more here! 🔹Transcript and Show Notes 01:18 | Screening >75 yo? 10:06 | Takeaways on Colorectal Cancer Screening After 75  10:37 | Systems thinking: How do we get to an 80% screening rate Tags: Core IM, Internal Medicine, Colorectal Cancer Screening, Gastroenterology, Cancer Screening  Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #221 Colon Cancer Screening After Age 75 | 5 Pearls Segment Part 3

  3. Oct 8

    #220 Colon Cancer Screening Nuances: 5 Pearls Segment Part 2

    “What’s the best way to screen?” This episode breaks down the pros, limitations, and follow-up needs of FIT, Cologuard, CT colonography, and colonoscopy to help you choose the right CRC screening option for your patients. Also learn practical colonoscopy surveillance intervals based on polyp size, number, and pathology. 🔹Sponsor: Search “Amazon Pharmacy Nationwide Home Delivery" in your EHR to get home delivery (often same-day). Learn more here! 🔹Transcript and Show Notes 01:24 | Screening Options Besides Colonoscopy 11:22 | How FIT, FIT-DNA, and CT colonography differ and when each makes sense. 12:52 | Colonoscopy and Frequency 19:29 | How adenoma number, size, and histology guide surveillance intervals.  Tags: Core IM, Internal Medicine, Colorectal Cancer Screening, Gastroenterology, Cancer Screening  Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #220 Colon Cancer Screening Nuances: 5 Pearls Segment Part 2

  4. Sep 29

    #219 Updates in Triglycerides

    “The triglycerides are high. Now what?” This episode breaks down a practical approach to elevated TGs, from knowing when to check ApoB or non-HDL-C to choosing lifestyle changes, lipid-lowering medications, and when to suspect an underlying genetic disorder.  🔹Transcript and Show Notes 02:17 | Check a non-HDL-C or ApoB if TGs are ≥150 mg/dL  07:18 | Address waist circumference and lifestyle before meds for high TGs 10:52 | Dr. Watson’s 3-day carbohydrate responsiveness trial  17:07 | Order a fasting or nonfasting lipid panel? 19:00 | When do you reach for TG-lowering medications?  25:26 | Familial chylomicronemia syndrome (FCS) Tags: CoreIM, Medical Education, Hypertriglyceridemia, ACC AHA lipid guidelines, lipid guidelines 2026, cardiovascular risk  Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #219 Updates in Triglycerides

  5. Sep 23

    #218 Early-Onset Colon Cancer: 5 Pearls Segment Part 1

    “Too young for colon cancer.” This episode unpacks the red flags of early-onset colorectal cancer (CRC), from blood in the stool and iron deficiency anemia to persistent abdominal pain and changes in bowel habits, and offers practical pearls for closing the clinical loop. Also learn why a “negative” family history may need a yearly refresh. 🔹Sponsor: Search “Amazon Pharmacy Nationwide Home Delivery" in your EHR to get home delivery (often same-day). Learn more here! 🔹Transcript and Show Notes 01:45 | Colorectal cancer rising in younger adults  06:42 | Why screening starts at age 45 08:15 | What may be driving early-onset colorectal cancer  13:37| Key takeaways: symptoms, follow-up, and family history  Tags: Colorectal Cancer Screening, Internal Medicine, Gastroenterology, Cancer Screening, Oncology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #218 Early-Onset Colon Cancer: 5 Pearls Segment Part 1

  6. Sep 16

    #217 Treatment for Alcohol Use Disorder: 5 Pearls Segment

    “It didn’t work.” This episode breaks down practical treatment options (dosing options for naltrexone, acamprosate, topiramate, gabapentin) and counseling pearls to help you meet patients where they are and support their recovery. Also discover blind spots in detox and rehab centers. 🔹Transcript and Show Notes 🔹 Explore ACP’s Substance Use Disorder Education Hub for videos and an AI-powered patient simulation to practice alcohol-use conversations: https://www.coreimpodcast.com/SUDhub Alcohol Use and Chronic Health Conditions Mini Video Series 01:55 | #1: Naltrexone 12:06 | #2 Acamprosate 16:15 | #3: Topiramate 21:12 | #4: Other meds 29:31 | #5: Detox and rehab blind spots  Tags: CoreIM, Medical Education, Addiction Medicine, Alcohol Withdrawal, Addiction Treatment, GLP-1, pharmacology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #217 Treatment for Alcohol Use Disorder: 5 Pearls Segment

  7. Sep 8

    #216 Clinician Grief: At the Beside Segment

    Have you ever lost a patient and found yourself thinking about them long after the shift ended? This episode explores the grief clinicians can carry after a patient dies, including the losses that aren’t always obvious. We also discuss ways to work through that grief, recognize when it becomes complicated, and lean on your team for support.   🔹Transcript and Shownotes 04:12 | What is Clinician Grief? 10:02 | Types of Losses 10:22 | Loss of a close relationship with a particular patient 12:56 | Loss due to a professional's identification with the pain of family members 13:56 | Loss of one's unmet goals and expectations and one's professional self-image and role 18:47 | Loss related to one's personal system of beliefs and assumptions about life 21:30 | Past unresolved losses or anticipated future losses 23:29 | The death of the self 25:44 | Coping Tags: CoreIM, Medical Education, Clinician Wellbeing, Burnout, Secondary Traumatic Stress, Complicated Grief, Coping With Grief, Medical humanities, medical ethics Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #216 Clinician Grief: At the Beside Segment

  8. Aug 25

    #215 Gallbladder & Biliary Testing: 5 Pearls Segment

    How to choose between RUQ ultrasound, CT, HIDA, MRCP, EUS, and ERCP based on the clinical picture? When should you move from diagnostic imaging to therapeutic ERCP, and what should you know about sphincterotomy, stents, and stone removal? Plus, how to interpret bile duct dilation without jumping straight to obstruction? 🔹Sponsor: Oakstone CME Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP 🔹Transcript and Shownotes 02:11 | Pearl 1: Gallbladder Problems Spectrum 07:33 | Pearl 2: Choose Imaging Strategically: Start with RUQUS, Escalate as Needed 14:34 | Pearl 3: Biliary Tree Diagnostics 19:19 | Pearl 4: Invasives that are Diagnostic and Therapeutic 27:06 | Pearl 5: Stenting in ERCP Tags: CoreIM, Internal Medicine, Medical Education, Gallstones, Cholecystitis, Biliary Disease, ERCP, Biliary Imaging Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out ElevenReader and use my code PODCAST for a great deal: https://elevenreader.io Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    #215 Gallbladder & Biliary Testing: 5 Pearls Segment
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About

Core Internal Medicine via following series: 5 Pearls || Clinically relevant pearls Mind the Gap || Why do we do what we do? Gray Matters || Management Reasoning Hoofbeats || Dissecting clinical reasoning At the Bedside || Explore everyday challenges

Information

  • Creator
    Core IM Team
  • Years Active
    2017 - 2026
  • Episodes
    230
  • Rating
    Clean
  • Copyright
    © Copyright 2023 Core IM | Internal Medicine Podcast
  • Show Website
    Core IM | Internal Medicine Podcast

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