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
#107 COPD: 5 Pearls Segment
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/ (https://www.coreimpodcast.com/2022/06/22/5-pearls-on-copd-management/)Sponsor: Use the code “COREIM-AMBOSS (https://go.amboss.com/CoreIM-E3)” to get a free month of access on https://go.amboss.com/CoreIM-E3 (https://go.amboss.com/CoreIM-E3)Timestamps:* Pearl 1: 3:20* Pearl 2: 8:20* Pearl 3: 15:47* Pearl 4: 26:55* Pearl 5: 34:10Tags: IMCore, CoreIM, Pulmonary, medication management, spirometry
#106 Spirituality: At the Bedside Segment
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 stamps* 00:01 What is spirituality?* 7:12 Why does spirituality matter?* 12:09 How do we screen for it?* 18:50 Chaplains* 27:49 Conclusion Tags: IM Core, CoreIM, ethics, medical humanities
#105 Sickle Cell: 5 Pearls Segment
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-E2 (https://go.amboss.com/CoreIM-E2)Timestamps:* 1:33 Pearl 1* 4:48 Pearl 2* 18:43 Pearl 3* 29:45 Pearl 4* 35:22 Pearl 5Tags: IM Core, CoreIM, hematology oncology, health inequity, vaso-occlusive crisis
#104 Guideline-Directed Medical Therapy for HFrEF Part 1: 5 Pearls Segment
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/GDMT (https://go.amboss.com/GDMT)Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps:* 03:13 Pearl 1* 12:14 Pearl 2* 20:36 Pearl 3* 26:42 Pearl 4* 32:16 Pearl 5Tags: IM Core, CoreIM, heart failure with reduced ejection fraction, GDMT, treatment, cardiology
#103 Fluids: 5 Pearls Segment
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 Intro* 04:26 Pearl 1* 11:08 Pearl 2* 20:43 Pearl 3* 31:06 Pearl 4* 35:06 Pearl 5Tags: IM Core, CoreIM, fluids, hypertonic, volume, crystalloid, tonicity, blood, nephrology, hospital medicine
#102 Echo in Pulmonary Hypertension: 5 Pearls Segment
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? Show notes, Transcript and References: https://www.coreimpodcast.com/2022/04/06/pulmonary-hypertension/ (https://www.coreimpodcast.com/2022/04/06/pulmonary-hypertension/)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)Time stamps:* 02:18 Intro* 05:27 Pearl 1 * 12:17 Pearl 2* 16:13 Pearl 3* 24:04 Pearl 4* 30:08 Pearl 5* Tags: IM Core, CoreIM, PASP, Echo, hypoxia, PA pressure, vascular resistance
I’m an ICU nurse who has exhausted the nursing podcast resources to the point that I didn’t feel like I was learning new clinically-relevant any more. Core IM is the perfect step up in terms of complexity! Highly recommend this podcast to anyone wanting to better understand evidence-based practice in the healthcare setting.
A vital lifeline
My current job as a military doctor has caused me to be removed from rigorous clinical practice, these podcasts mean so much to me in terms of connection w the internal medicine community I love
More Grey Area!
Loved the grey area segment. These types of cases are what makes medicine both so challenging and so awe-inspiring. It’s important we reflect on what we do to patients, especially in difficult cases. I’m hoping for more in this series