143 episodes
Core IM | Internal Medicine Podcast Core IM Team
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- Health & Fitness
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4.8 • 867 Ratings
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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
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#135 Guideline Directed Medical Therapy Part II: 5 Pearls Segment
With progressing CKD & HFrEF, what GDMT medications can you start, continue or stop? What does the data on hydralazine/isosorbide tell us and what does it NOT tell us? What are the pros and cons of starting GDMT inpatient versus outpatient? Do you still keep patients on GDMT once their EF recovers?
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CME : http://bit.ly/CIMCME || Show Notes & Transcript
Timestamps
01:54 Pearl 1 – Recap of GDMT and CKD09:15 Pearl 2 – Hydralazine and Isosorbide Dinitrate 20:59 Pearl 3 – Ivabradine 25:47 Pearl 4 – Inpatient vs Outpatient Initiation of GDMT30:55 Pearl 5 – Ejection Fraction Recovery Tags: IMCore, CoreIM, hydralazine, heart failure reduced ejection fraction, HFmrEF, HFimpEF, chronic kidney disease, cardiology
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#134 Diagnostic Errors & Excellence
What does medical education research say about improving diagnostic errors? What habits help in getting to diagnostic excellence?
Timestamps
01:00 System 1 vs. System 207:46 Cognitive Biases13:46 Case for Knowledge18:29 Other Practices to Decrease Error28:26 Conclusion CME: http://bit.ly/CIMCME || Show Notes & Transcript
This episode is made in part of ACP’s Diagnostic Excellence curriculum
Tags: IMCore, CoreIM, clinical reasoning, system 1 vs. system 2, cognitive bias, feedback and reflection
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#133 Post-Kidney Transplant: 5 Pearls Segment
What are side effects of tacrolimus and mycophenolate? And what are common medication interactions? What causes of acute kidney injury are unique to renal transplant recipients When a patient has a fever, what are the viral syndromes we should work up? What are signs and symptoms of rejection?
Timestamps
02:41 Types of Immunosuppression14:31 Medication Reconciliation22:36 AKI in the Transplant Patient31:53 Infections in the Transplant Patient40:00 Transplant rejection, cancer after transplant
CME: http://bit.ly/CIMCME || Show Notes & Transcript
Tags: IMCore, CoreIM, renal, internal medicine podcast, hospitalist, nephrology, immunosuppressive
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#132 Does PCI Save Lives in Heart Failure and CAD? Beyond Journal Club on the REVIVED Trial
In patients with heart failure with low ejection fraction and chronic coronary disease without unstable symptoms, does stenting open blocked coronary arteries extend life or reduce hospitalizations? There is some literature to suggest those with low EF may benefit from revascularization with surgery.
How does the REVIVED trial change how we think about these patients? Tune in to the first episode in this new series brought to you by Core IM in collaboration with NEJM Group.
Show notes & Transcript
Access to Rotation Prep Cardiology guide on NEJM Resident 360 is free for August 2023. View the relevant sections on ACS and CHF.
Timestamps
00:50 Question REVIVED addressed01:44 Revascularication in HFrEF06:32 Revascularization in stable CAD10:02 REVIVED trial12:20 Summary and takeaways
Tags: IMCore, CoreIM, cardiology, internal medicine podcast, hospitalist, stent, CABG, evidence-based medicine
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#131 July Stories 2.0
Laugh and be humbled along some of Dr. Maria Rosasco's most memorable July stories !
Listen to the original July Stories: https://bit.ly/3Y4n8jG
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Tags: medical humanities, internal medicine, residency, medical school, interprofessional education, rotation, imposter syndrome, feedback
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#130 Cort (ACTH) Stim Test
BONUS on Cosyntropin stimulation tests! What exactly is it? How do you interpret them? What is the difference between adrenal insufficiency and steroid withdrawal syndrome?
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Show notes & Transcript
Subscribe to our new Youtube Channel !
Tags: IMCore, CoreIM, endocrine, internal medicine podcast, hospitalist, glucocorticoid withdrawal, fatigue
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Customer Reviews
Excellent informative podcast!
I’ve been listening to this podcast intermittently since it started. Absolutely full of useful and thought provoking information. I would listen to every single episode if it weren’t for…alas, TIME.
Well considered structure of each episode.
Great resource when you have a specific question too.
Excellent medical knowledge nuggets
I just listened to this podcast for the first time today. Like everyone else I have a busy schedule and little time to take off for CME. The episode I heard was in collaboration with NEJM Group on the topic of PCI vs medical management in stable ischemic heart disease. It was concise went over the results of se tam studies both past and present and gave explanations as to why the findings may have been what they were. It was thoroughly explained and to the point. Excellent for the resident or attending.
Helpful but Cringy
Really good information here, definitely we’ll organized!
Clearly very scripted & fake laughs, “making conversation”, are cringy and awkward.
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