68 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

    • Business News
    • 4.8, 514 Ratings

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!

    #67 Salt Restriction in Heart Failure: Mind the Gap Segment

    #67 Salt Restriction in Heart Failure: Mind the Gap Segment

    Let's dive deeper into the dogma of salt restriction in heart failure!


    Show notes, transcript and references: https://www.coreimpodcast.com/2020/05/20/salt-restriction-in-heart-failure-mind-the-gap-segment/ (https://www.coreimpodcast.com/2020/05/20/salt-restriction-in-heart-failure-mind-the-gap-segment/)


    Get CME-MOC credit (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) with ACP!


    Time Stamp

    * 01:37 Sodium restriction guidelines
    * 07:13 Current data in outpatient data
    * 11:32 Do inpatient studies show signal?
    * 13:44 Physiology behind sodium balance
    * 16:27 Take away and clinical applicability

    • 20 min
    #66 Outpatient Advance Care Planning with COVID19

    #66 Outpatient Advance Care Planning with COVID19

    How do you navigate new challenges with goals of care with your patients in clinics?
    Show Notes, Transcript, References: https://www.coreimpodcast.com/2020/05/06/outpatient-advanced-care-planning-during-covid-19/ (https://www.coreimpodcast.com/2020/05/06/outpatient-advanced-care-planning-during-covid-19/)
    Time Stamps

    * 01:32 COVID Crisis as an Outpatient and Advance Care Planning (ACP)
    * 08:06 The virtual visit
    * 12:44 Vital Talk Mnemonic:  “CALMER”
    * 22:03 Challenges to Outpatient COVID Care
    * 26:03 Parting Thoughts

    • 29 min
    #65 COVID Reflections- Disconnections and Connections: At the Bedside Segment

    #65 COVID Reflections- Disconnections and Connections: At the Bedside Segment

    Episode Outline

    * Disconnection/connection: Patients
    * Disconnection/connection: Family/friends
    * Disconnection: Security, Certainty
    * Connection: Other clinicians

    * Sharing fears, supporting each other)
    * Shared ethos in healthcare (one workforce, no division of specialty or hierarchy)


    * Conclusion: Post-traumatic growth / Peri-Traumatic Growth

    Thank you to everyone we interviewed, particularly to the voices you heard:
    Dr. Kimberly Manning (@gradydoctor)
    Dr. John Hwang (Hoofbeats segment)
    Dr. Steve Liu (Mind the Gap segment)
    Dr Katherine Arthur
    Dr. Maria Garcia-Jimenez
    Dr. Kelsey Luoma
    Hosts:
    Dr. Margot Hedlin (@MargotHedlin) - Introduction and Ending
    Dr. Tamar Schiff
    Dr. Michael Shen (also audio editing)
    Dr. Jafar Al-Mondhiry (@mondhiry)
     
    tags: COVID19, COVID-19, CoreIM, coronavirus, narrative medicine

    • 18 min
    #64 Inpatient Goals of Care with COVID-19

    #64 Inpatient Goals of Care with COVID-19

    What is your approach to goals of care conversations, particularly during COVID-19? How do you navigate some of the new challenges with COVID19?
    Show notes, transcript and references: https://www.coreimpodcast.com/2020/04/22/goc-on-inpatient-service-during-covid-19/ (https://www.coreimpodcast.com/2020/04/22/goc-on-inpatient-service-during-covid-19/)
    Time stamps:

    * 05:54 Laying the groundwork
    * 08:56 Asking permission, eliciting values and making a recommendation
    * 15:55 When a patient is dying
    * 16:42 Sharing the prognosis first
    * 20:28 Functional status post-CPR
    * 21:52 Headline statement
    * 23:40 Virtual and PPE Communication Challenges
    * 25:28 Separate process from outcome

    Tag: coronavirus, COVID, CoreIM, Sars-cov-2, medicine floors, wards, advanced care planning

    • 29 min
    #63 Practical Tips for COVID-19 Floors

    #63 Practical Tips for COVID-19 Floors

    How do you organize your day? How do you minimize exposure of yourself and your colleagues? What are the new things to keep in mind with discharging patients?
    Show notes, transcripts and references:
    CME 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

    * 02:37 Entrance and Exit strategy
    * 04:25 Prioritizing patient acuity
    * 08:14 PPE uses
    * 11:11 Respiratory concerns in COVID-19 patients
    * 16:35 Patient examination
    * 18:49 Family updates
    * 20:56 Oxygen requirements
    * 23:12 Medications
    * 24:08 Discharging patients
    * 31:00 What we mean by isolation

    tag: coronavirus, COVID, CoreIM, sars-cov-2, medicine wards

    • 34 min
    #62 Transgender Health, Hormone Therapy and Preventive Screening: 5 Pearls Segment

    #62 Transgender Health, Hormone Therapy and Preventive Screening: 5 Pearls Segment

    Practical tips on starting estrogen or testosterone on patients who are transgender and approach to primary care with cancer screening.
    CME 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 notes, transcripts, and references: https://www.coreimpodcast.com/2020/04/01/5-pearls-on-transgender-health-hormone-therapy-and-preventive-screening/ (https://www.coreimpodcast.com/2020/04/01/5-pearls-on-transgender-health-hormone-therapy-and-preventive-screening/)
    Time Stamps:

    * 02:54 Hormone therapy contraindications
    * 07:09 Time course for hormone changes
    * 10:21 Hormone risks
    * 19:09 Hormone treatment options
    * 25:22 Preventative Care Screening

    Tags: CoreIM, gender affirming care

    • 32 min

Customer Reviews

4.8 out of 5
514 Ratings

514 Ratings

Sweet Carolyne ,

Amazingly informative, clinically relevant and fun!

A friend forwarded me your podcast on coronary artery disease, calcium scores and CT-As. So practical, so informative! I’m a psychiatrist, and I finished my internship 20 years ago, when some of us didn’t have cell phones. Your work reminded me of my love for internal medicine, and I look forward to listening to more episodes. And you are more entertaining and fun than much that is advertised as entertainment. Certainly more meaningful. Thank you so much! Life is better with you.

Deepankar_M ,

Goals of care during Covid-19 ( episode 64)

Loved the topic and the explanation by Dr Amrapali and Dr. about goals of care! Focusing on the process rather than the outcome helps the Doctor to maintain the stability of emotion required to keep delivering quality care to many patients!

McGill SOM grad ,

Excellent podcast

Great topics, informed presenters. I look forward to learning about the latest approach to medical topics on the show.

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