Core IM | Internal Medicine Podcast

Core IM Team
  • 4.8 (1.1K)
  • MEDICINE
  • UPDATED 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. #203 POCUS for AKI & Dialysis | Real Cases That Changed Management

    6H AGO

    #203 POCUS for AKI & Dialysis | Real Cases That Changed Management

    A dialysis patient with a chronic cough: is it COPD, or are they still volume overloaded? A patient with AKI and hyperkalemia says they’re still peeing — does that rule out post-obstructive AKI? A patient arrives in the ED with uremic symptoms and a newly created AV fistula. Can you safely use it, or do you need to place a temporary dialysis catheter? And the classic inpatient dilemma: your heart failure patient looks better after diuresis, but the creatinine is rising. Is it time to stop, or should you keep going? 🔹Sponsor: Pain Management and Opioids Adaptive Learning Free Online Course by NEJM Group: https://cme-info.nejm.org/core-im/ See here for Neph Madness details  See here for the POCUS region of NephMaddness VOTE here to build your bracket! 🔹Transcript and Shownotes: 00:52 | What is NephMadness? 02:19 | Detecting post-renal obstruction in a patient who reported normal urination 11:26 | POCUS for discharge or continue diurese 17:25 | Distinguishing COPD from volume overload in a dialysis patient using lung ultrasound 23:55 | Assessing AV fistula maturity at the bedside to potentially avoid placing a temporary dialysis line Along the way, we discuss practical ways clinicians can use renal, lung, and venous ultrasound to clarify uncertain clinical situations and make faster decisions at the bedside. If you’ve ever paused on rounds, wondering “what should we do next?” in a patient with kidney disease, this episode explores how POCUS can help answer that question. Tags: CoreIM, Internal Medicine, Medical Education, Nephrology, AKI Management, POCUS Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out FIGS and use our code FIGSRX for a great deal: https://wearfigs.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    29 min
  2. #202 Dementia Part 2: Gray Matters Segment

    MAR 12

    #202 Dementia Part 2: Gray Matters Segment

    Most clinicians see dementia medications on the med rec, but many of us aren’t sure how much they actually help. In this episode we break down donepezil, memantine, and the new anti-amyloid drugs, and when to stop them. • Do cholinesterase inhibitors really work? • What should clinicians know about lecanemab and donanemab before referring patients? • How much benefit should we expect and for how long? • When should you deprescribe dementia medications? 🔹Sponsor: Caraway’s cookware set is a favorite for a reason. For 10% off, go to Carawayhome.com/CoreIM or use code CoreIM at checkout. 🔹Transcript and Shownotes 02:27 | Deep Dive 1: How do we deliver the news of a diagnosis of dementia? 09:41 | Deep Dive 2: Prescribing medications for cognitive decline 29:30 | Deep Dive 3: Patient-centered management for a patient with cognitive decline 35:46 | Deep Dive 4: Planning for an uncertain future Tags: CoreIM, Internal Medicine, Medical Education, Cognitive Screening, primary care, nurse practitioner, physician assistant Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out FIGS and use our code FIGSRX for a great deal: https://wearfigs.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    47 min
  3. #201: Dementia Part 1: Gray Matters Segment

    FEB 25

    #201: Dementia Part 1: Gray Matters Segment

    Cognitive decline is tough for all parties. What are the high-yield questions to ask? What should you add to your one-liner? When do you stop using MOCA and try to clearly describe their functional status? Do all patients with cognitive decline need an MRI? 🔹Sponsor: DoxGPT by Doximity - an AI assistant built with practicing clinicians to deliver bottom-line clinical answers, chart summaries, secure calls, and faxing directly inside the Doximity app. See how fast it is and how easy to read at DoxGPT.com 🔹Transcript & Shownotes: 01:12 | Cognitive Concerns During a Routine Follow-Up 03:41 | Deep Dive 1: How do you pivot when you recognize unexpected memory issues? 15:08 | Deep Dive 2: What tools should we use to characterize and stage cognitive decline? 31:09 | Deep Dive 3: How do we determine the etiology of cognitive decline? Tags: CoreIM, Internal Medicine, Medical Education, Cognitive Screening, primary care, nurse practitioner, physician assistant Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out FIGS and use our code FIGSRX for a great deal: https://wearfigs.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    46 min
  4. #200: Insulin and QWINT-1 Trial in T2DM: Beyond Journal Club Segment with NEJM Group

    FEB 11

    #200: Insulin and QWINT-1 Trial in T2DM: Beyond Journal Club Segment with NEJM Group

    From metformin to basal insulin to overlooked older medications, this episode reviews the T2D medication toolkit clinicians use every day. We then dive into new evidence on once-weekly insulin to help you individualize therapy while reducing treatment burden. 🔹 Sponsor: Pain Management and Opioids Adaptive Learning Free Online Course by NEJM Group: https://cme-info.nejm.org/core-im/ 🔹Transcript and Shownotes: 00.58 | Insulin Hx & Types 06:00 | Indications for Insulin and the Burden on Patients 08:26 | What is the QWINT-1 Trial? 16:18 | Discussion Tags: CoreIM, Internal Medicine, Evidence-Based Medicine, Insulin Resistance, Clinical Reasoning, Hospital Medicine, Medical Education, Endocrine, Endocrinology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out FIGS and use our code FIGSRX for a great deal: https://wearfigs.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    28 min
  5. #199 Privacy & Confidentiality: At the Bedside Segment

    JAN 28

    #199 Privacy & Confidentiality: At the Bedside Segment

    Is patient confidentiality absolute or conditional? When does protecting privacy put others at risk? Can you follow a former patient in the EHR for learning? Should you post a compelling case online even if it’s “de-identified”? And when does the law force you to betray patient trust? In this episode of At the Bedside, learn how clinicians should act when ethics, law, and trust collide. 🔹 Sponsor: DoxGPT by Doximity - an AI assistant built with practicing clinicians to deliver bottom-line clinical answers, chart summaries, secure calls, and faxing directly inside the Doximity app. See how fast it is and how easy to read at DoxGPT.com 🔹Transcript and Shownotes: 03:51 | What is the difference between Privacy and Confidentiality? 05:50 | Guidelines and laws 10:06 | Limits/appropriate breaches (competing principles/obligations)  22:03 | Privacy vs education 35:34 | Conclusion Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out FIGS and use our code FIGSRX for a great deal: https://wearfigs.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    38 min
  6. #198 Microskills for Change That are Big Enough to Matter, Small Enough to Win

    JAN 21

    #198 Microskills for Change That are Big Enough to Matter, Small Enough to Win

    Baby alligators  - those betrayals of purpose , or, death by a thousand paper cuts ! Check out our latest episode, where Dr. Eileen Barrett walks us through how to tackle baby alligators with: Regulated curiosity Strategic empathy Small, well-chosen moves... ...and change that is big enough to matter, and small enough to win! 🔹 Sponsor: Caraway’s cookware set is a favorite for a reason. For 10% off, go to Carawayhome.com/CoreIM or use code CoreIM at checkout. 🔹 Transcript & Shownotes 00:00 | What are “baby alligators” in medicine? 02:24 | Rifaximin & Workflow Fixes 14:17 | Verbal Orders Policy 18:39 | Micro Skills for Change 25:12 | Key Takeaways #PhysicianBurnout #DoctorLife #HealthcareEfficiency, CoreIM, Internal Medicine, Career Development, Quality Improvement, QI Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out FIGS and use our code FIGSRX for a great deal: https://wearfigs.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    29 min
  7. #197 Hypercoagulability Part 2: 5 Pearls Segment

    JAN 7

    #197 Hypercoagulability Part 2: 5 Pearls Segment

    Gray zones of VTE management! How to approach anticoagulation duration in unprovoked, provoked-irreversible, and provoked-reversible clots? When dose-reduced DOACs make sense for long-term secondary prevention? What truly constitutes DOAC failure? We also devle into how APLAS a critical do-not-miss diagnosis that changes management entirely. 🔹 Sponsor: Pain Management and Opioids Adaptive Learning Free Online Course by NEJM Group: https://cme-info.nejm.org/core-im/ 🔹 Transcript & Shownotes (2:56) - (13:15) | PEARL 1: Managing clots in the “unprovoked”/provoked-irreversible patient (13:21) - (18:10) | PEARL 2: Managing provoked, “reversible” clots (18:14) - (25:14) | PEARL 3: DOAC failure: time to step it up? (25:20) - (37:25) | PEARL 4: APLAS: the exception to everything Tags: CoreIM, Internal Medicine, ClinicalPearls, Medical Education, IMCore, hospitalist, physician assistant, nurse practitioner, medical student, internal medicine, hematology Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out FIGS and use our code FIGSRX for a great deal: https://wearfigs.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    38 min
  8. #196 Stories of Courage and Career Development with Horn Award

    12/17/2025

    #196 Stories of Courage and Career Development with Horn Award

    We hope these stories resonate with anyone who has felt pulled between professional purpose and personal life, and remind you that you’re not alone in wanting both. 🔹 Sponsor: Oakstone CME Use the code "CORE30" for 30% off: https://www.coreimpodcast.com/MKSAP  🔹 Transcript and Shownotes (1:09) | How the Horn Award Opened the Door to Growth in Dr. Tyra Fainstad’s Career and Life (10:28) | How Dr. Carol Ward Created the Horn Award and Honored Mary Horn’s Legacy (14:16) | Dr. Hilit Mechaber’s Story of Courage, Vision, and Impact Beyond the Award (17:55) | Why does the Horn Award Matter? Tags: CoreIM, Internal Medicine, Career Development Award, Mary O'Flaherty Horn Award, Clinical Care, Scholarship, Teaching, Leadership, Wellness and Care, Family Responsibilities Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out FIGS and use our code FIGSRX for a great deal: https://wearfigs.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

    19 min
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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
    211
  • Rating
    Clean
  • Copyright
    © Copyright 2023 Core IM | Internal Medicine Podcast
  • Show Website
    Core IM | Internal Medicine Podcast

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