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Core IM | Internal Medicine Podcast

Core IM Team

68
Followers
88
Plays
Core IM | Internal Medicine Podcast

Core IM | Internal Medicine Podcast

Core IM Team

68
Followers
88
Plays
OVERVIEWEPISODESYOU MAY ALSO LIKE

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About Us

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

Latest Episodes

#72 Physical Therapists: Interprofessional Education Series

Are fall prevention programs helping our patients? Should patients receive outpatient PT based on clinical diagnosis? How has the landscape changed because of insurance reimbursement? Show note, Transcript and References:https://www.coreimpodcast.com/2020/08/05/physical-therapi…education-series/ (https://www.coreimpodcast.com/2020/08/05/physical-therapists-interprofessional-education-series/) 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: * 01:47 Functional Assessment * 07:47 Documentation * 14:35 Outpatient PT * 18:14 Durable Medical Equipment * 22:55 Reimbursement Tags: Core IM, IM Core, physical therapy, durable medical equipment, IPE, multidisciplinary team, interdisciplinary

29 MIN1 w ago
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#72 Physical Therapists: Interprofessional Education Series

#71 Capacity Part 2, Voluntarism & Difficult Scenarios: At the Bedside Segment

What goes into decision making? What are the invisible tugs that may keep patients from acting in line with their values? Why isn't it part of the formal capacity assessment? Show notes, Transcript and References:https://www.coreimpodcast.com/2020/07/22/capacity-2-0-and-voluntarism/ Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time Stamps: * 2:57 Defining voluntarism * 5:36 Four elements that influence voluntarism * 10:26 How do you incorporate voluntarism into the capacity assessment? * 16:11 Discussions with uncooperative patients * 19:14 Protecting unrepresented patients * 21:30 Clinician perspective * 25:06 Moral distress Tags: medical humanities, ethics, psychiatry, IM Core, CoreIM

31 MIN3 w ago
Comments
#71 Capacity Part 2, Voluntarism & Difficult Scenarios: At the Bedside Segment

#70 A 40M with Fever and Confusion from the 19th Century: Hoofbeats Segment

Unpack a famous historical legend's medical dilemma on a special "Historical CPC" episode! Show notes, transcript and references:https://www.coreimpodcast.com/2020/07/08/22729/ (https://www.coreimpodcast.com/2020/07/08/22729/) Time Stamps: * 02:55 HPI * 07:33 Past Medical History * 04:25 Physician Exam findings * 24:22 Historical Figure Revealed * 26:30 Reflections on top 3 diagnosis Tags:cognitive and neuropsychiatric disturbances, rabies,mercury poisoning,cholera, delirium, COREIM, IMCORE, clinical reasoning case

36 MINJUL 8
Comments
#70 A 40M with Fever and Confusion from the 19th Century: Hoofbeats Segment

#69 Inpatient Heart Failure: 5 Pearls Segment

Packed with so many clinically relevant points taking care of a patient with decompensated heart failure on general medicine floors! Time Stamps: * 03:17 What are the key initial clinical variables in evaluating heart failure admissions? * 10:09 What are key lab findings for patients with heart failure exacerbation? * 17:14 Which guideline-directed medical therapy, and in what circumstances? * 22:12 What are diureticsdosing strategies and monitoring tips to help guide initial volume removal? * 28:43 What role do thiazides and ultrafiltration play in diuresis, why does diuretic-induced metabolic alkalosis happen and what should you do about it? * 38:09 Expert Recap Show notes, transcript and references:https://www.coreimpodcast.com/2020/06/24/5-pearls-on-inpatient-heart-failure/ (https://www.coreimpodcast.com/2020/06/24/5-pearls-on-inpatient-heart-failure/) ACP CME:https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal...

45 MINJUN 24
Comments
#69 Inpatient Heart Failure: 5 Pearls Segment

#68 SNF, SAR, NH, ALF, and More Discharge Options: Interprofessional Education Series

SNF vs. NH? SAR vs. SNF? What are the differences in resources, nursing and clinician oversight and who pays for what?! Show notes,transcript and references: https://www.coreimpodcast.com/2020/06/10/snf-sar-nh-alf-and-more-discharge-options-interprofessional-education-series/ (https://www.coreimpodcast.com/2020/06/10/snf-sar-nh-alf-and-more-discharge-options-interprofessional-education-series/) ACP CME: 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: * 04:07 SAR vs SNF * 13:35 Long term Nursing Home Care * 18:30 Assisted Living Facility * 24:40 Acute rehab * 26:11 LTACH * 27:49 Home Tags: Subacute rehab, skilled nursing facility, long-term acute care hospital, CoreIM, Core_IM, hospital medicine, family medicine, emergency medicine,physician assistant,nurse practitioner, interprofessional education

33 MINJUN 10
Comments
#68 SNF, SAR, NH, ALF, and More Discharge Options: Interprofessional Education Series

#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/) GetCME-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 MINMAY 20
Comments
#67 Salt Restriction in Heart Failure: Mind the Gap Segment

#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 MINMAY 6
Comments
#66 Outpatient Advance Care Planning with COVID19

#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 MINAPR 29
Comments
#65 COVID Reflections- Disconnections and Connections: At the Bedside Segment

#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 MINAPR 22
Comments
#64 Inpatient Goals of Care with COVID-19

#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 MINAPR 12
Comments
#63 Practical Tips for COVID-19 Floors

Latest Episodes

#72 Physical Therapists: Interprofessional Education Series

Are fall prevention programs helping our patients? Should patients receive outpatient PT based on clinical diagnosis? How has the landscape changed because of insurance reimbursement? Show note, Transcript and References:https://www.coreimpodcast.com/2020/08/05/physical-therapi…education-series/ (https://www.coreimpodcast.com/2020/08/05/physical-therapists-interprofessional-education-series/) 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: * 01:47 Functional Assessment * 07:47 Documentation * 14:35 Outpatient PT * 18:14 Durable Medical Equipment * 22:55 Reimbursement Tags: Core IM, IM Core, physical therapy, durable medical equipment, IPE, multidisciplinary team, interdisciplinary

29 MIN1 w ago
Comments
#72 Physical Therapists: Interprofessional Education Series

#71 Capacity Part 2, Voluntarism & Difficult Scenarios: At the Bedside Segment

What goes into decision making? What are the invisible tugs that may keep patients from acting in line with their values? Why isn't it part of the formal capacity assessment? Show notes, Transcript and References:https://www.coreimpodcast.com/2020/07/22/capacity-2-0-and-voluntarism/ Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time Stamps: * 2:57 Defining voluntarism * 5:36 Four elements that influence voluntarism * 10:26 How do you incorporate voluntarism into the capacity assessment? * 16:11 Discussions with uncooperative patients * 19:14 Protecting unrepresented patients * 21:30 Clinician perspective * 25:06 Moral distress Tags: medical humanities, ethics, psychiatry, IM Core, CoreIM

31 MIN3 w ago
Comments
#71 Capacity Part 2, Voluntarism & Difficult Scenarios: At the Bedside Segment

#70 A 40M with Fever and Confusion from the 19th Century: Hoofbeats Segment

Unpack a famous historical legend's medical dilemma on a special "Historical CPC" episode! Show notes, transcript and references:https://www.coreimpodcast.com/2020/07/08/22729/ (https://www.coreimpodcast.com/2020/07/08/22729/) Time Stamps: * 02:55 HPI * 07:33 Past Medical History * 04:25 Physician Exam findings * 24:22 Historical Figure Revealed * 26:30 Reflections on top 3 diagnosis Tags:cognitive and neuropsychiatric disturbances, rabies,mercury poisoning,cholera, delirium, COREIM, IMCORE, clinical reasoning case

36 MINJUL 8
Comments
#70 A 40M with Fever and Confusion from the 19th Century: Hoofbeats Segment

#69 Inpatient Heart Failure: 5 Pearls Segment

Packed with so many clinically relevant points taking care of a patient with decompensated heart failure on general medicine floors! Time Stamps: * 03:17 What are the key initial clinical variables in evaluating heart failure admissions? * 10:09 What are key lab findings for patients with heart failure exacerbation? * 17:14 Which guideline-directed medical therapy, and in what circumstances? * 22:12 What are diureticsdosing strategies and monitoring tips to help guide initial volume removal? * 28:43 What role do thiazides and ultrafiltration play in diuresis, why does diuretic-induced metabolic alkalosis happen and what should you do about it? * 38:09 Expert Recap Show notes, transcript and references:https://www.coreimpodcast.com/2020/06/24/5-pearls-on-inpatient-heart-failure/ (https://www.coreimpodcast.com/2020/06/24/5-pearls-on-inpatient-heart-failure/) ACP CME:https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal...

45 MINJUN 24
Comments
#69 Inpatient Heart Failure: 5 Pearls Segment

#68 SNF, SAR, NH, ALF, and More Discharge Options: Interprofessional Education Series

SNF vs. NH? SAR vs. SNF? What are the differences in resources, nursing and clinician oversight and who pays for what?! Show notes,transcript and references: https://www.coreimpodcast.com/2020/06/10/snf-sar-nh-alf-and-more-discharge-options-interprofessional-education-series/ (https://www.coreimpodcast.com/2020/06/10/snf-sar-nh-alf-and-more-discharge-options-interprofessional-education-series/) ACP CME: 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: * 04:07 SAR vs SNF * 13:35 Long term Nursing Home Care * 18:30 Assisted Living Facility * 24:40 Acute rehab * 26:11 LTACH * 27:49 Home Tags: Subacute rehab, skilled nursing facility, long-term acute care hospital, CoreIM, Core_IM, hospital medicine, family medicine, emergency medicine,physician assistant,nurse practitioner, interprofessional education

33 MINJUN 10
Comments
#68 SNF, SAR, NH, ALF, and More Discharge Options: Interprofessional Education Series

#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/) GetCME-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 MINMAY 20
Comments
#67 Salt Restriction in Heart Failure: Mind the Gap Segment

#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 MINMAY 6
Comments
#66 Outpatient Advance Care Planning with COVID19

#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 MINAPR 29
Comments
#65 COVID Reflections- Disconnections and Connections: At the Bedside Segment

#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 MINAPR 22
Comments
#64 Inpatient Goals of Care with COVID-19

#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 MINAPR 12
Comments
#63 Practical Tips for COVID-19 Floors
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