60 episodes

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!

Core IM | Internal Medicine Podcast Core IM Team

    • Medicine

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!

    #59 Flu Diagnosis and Treatment: Mind the Gap Series

    #59 Flu Diagnosis and Treatment: Mind the Gap Series

    What are the new guidelines for influenza treatment? What are the diagnostic ratios of flu symptoms and tests?

    Time Stamps

    * 03:10 The art of diagnosing the flu
    * 05:17 Bayesian statistics and the diagnostic odds ratio
    * 07:09 The ins and outs of diagnostic testing for the flu
    * 08:44 Changes in influenza guidelines - testing and treatment
    * 11:17 The not-so-rosy origin story of neuraminidase inhibitors (NAIs)
    * 13:47 Neuraminidase inhibitors (NAIs), mortality benefit and limitations of studies
    * 15:49Take aways

    • 18 min
    #58 Case Managers and Social Workers: Interprofessional Education Series

    #58 Case Managers and Social Workers: Interprofessional Education Series

    What is the difference between a case manager and social worker? What are the limitations that social workers and case managers face? How do you create a safe space for the interdisciplinary team?
    Show Notes and References (https://www.coreimpodcast.com/2020/02/06/cms-and-sws/)
    Get CME-MOC credit (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) with ACP!
    Time Stamps:

    * 03:54 What are the various roles within a multidisciplinary teams?
    * 10:42 Understanding limitations of social workers and case managers
    * 15:55 The “behind the scenes” paperwork
    * 18:42 Insurance and medications
    * 22:17 Insurance and disposition options
    * 25:08 The importance of creating a safe space for better communication

    • 32 min
    Novel Coronavirus: What the Clinician Needs to Know Interview

    Novel Coronavirus: What the Clinician Needs to Know Interview

    What are the symptoms? What distinguishes coronavirus from other influenza-like illness? When coronavirus is suspected, what should you do?
    Show notes and references (https://www.coreimpodcast.com/2020/02/04/coronavirus-what-the-clinican-needs-to-know/)
    CME credit: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im)
    ACP Interactive Learning Module (https://www.acponline.org/cme-moc/online-learning-center/novel-coronavirus-a-physicians-guide)
    Time Stamps



    01:30 Novel parts of coronavirus


    03:00 What symptoms do patients present with for the novel coronavirus?


    04:22 What distinguishes coronavirus from other influenza-like illness?


    05:31 When coronavirus is suspected, what should you do?


    07:13 What does testing for coronavirus entail?


    09:06 What kind of isolation is required?


    10:13 Do patients need to be isolated in biocontainment units?


    10:42 What is treatment for the novel coronavirus?


    12:30 Potential for vaccines


    15:23 What is R0?


    17:12 Animal reservoirs with 2019-nCoV, SARS, and MERS


    19:18 What should we tell patients for prevention?

    • 24 min
    #57 A 39M on Inpatient Psychiatry with a Fever: Hoofbeats Segment

    #57 A 39M on Inpatient Psychiatry with a Fever: Hoofbeats Segment

    How do you learn from diagnostic errors? Walk through a case that the host had initially gotten wrong and uncover possible reasons as why from data gathering to hypothesis generation to the interplay between hypothesis generation and evaluation. Learn interesting tidbits on prior work in medical education around how we think, particularly around diagnostic failures.
    CME Credit: 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

    * 02:39 Case Introduction
    * 04:46 Yes/No questions with our first two discussants
    * 18:43 The diagnosis is revealed
    * 21:14 Why did I miss the diagnosis?
    * 27:44 Using diagnostic problem solving to break down the case and understand our errors
    * 30:20 The importance of data gathering
    * 30:49 Introducing our third clinician
    * 34:17 Hypothesis generation
    * 37:11 The interplay between hypothesis generation and evaluation
    * 38:34 The win-stay, lose-shift heuristic
    * 41:33 Cognitive forcing strategies
    * 49:32 Knowledge vs. experience

    Tags: Dermatology, rash, DRESS, AGEP, varicella

    • 55 min
    #56 Prognosis: At the Bedside Segment

    #56 Prognosis: At the Bedside Segment

    Why is prognostication hard? How do we improve at communicating prognosis? How should we approach uncertainty? Explore this and more on this At the Bedside episode!
    Prognosis Calculators, Transcript and References (https://www.coreimpodcast.com/2020/01/01/prognosis/)
    Time Stamps

    * 02:48 What is prognosis?
    * 04:00 Why offer prognostication?
    * 08:32 Why is prognostication hard?
    * 16:41 How do we improve at communicating prognosis?
    * 21:56 How should we approach uncertainty?
    * 31:06 Take Aways

    Tag: life expectancy, CoreIM

    • 32 min
    #55 Influenza History and Vaccine: Mind the Gap Segment

    #55 Influenza History and Vaccine: Mind the Gap Segment

    Dive deeper into hx of the influenza virus, how vaccines are made and vaccine effectiveness !
    Time Stamps
     

    * 02:59 The history of the influenza virus
    * 08:18 What does the influenza vaccine target?
    * 13:20 Chickens, and bugs, and mammalian cells, oh my! How the vaccine is made.
    * 14:00 What to do about egg allergies.
    * 15:53 Vaccine effectiveness and herd immunity.
    * 17:43 Waning immunity and other debates

    Show Notes, Transcript and References (https://www.coreimpodcast.com/2019/12/18/influenza-history-and-vaccine/)
    Get CME-MOC credit (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) with ACP!

    • 22 min

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