Core IM | Internal Medicine Podcast

Core IM Team

  • 32 minutes 47 seconds
    #163 Urine Drug Screening Nuances: 5 Pearls Segment

    Limitations to urine drug screening (UDS) in primary care? What are common false positives and false negatives with the urine drug screen test?

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    Timestamps:

    (03:01) | PEARL 1: Basics to Urine Drug Screen (UDS)

    (08:03) | PEARL 2: Types of urine drug tests, and what are immunoassays (IA)?

    (18:44) | PEARL 3: What are gas chromatography/mass spectrometry (GC/MS)-based tests?

    (26:51) | PEARL 4: How do you address unexpected test results on a UDS?

    (30:29) | PEARL 5: Throwback to “5 Pearls on Stigma in Opioid Use Disorder” episode

    Transcript and Show notes

    Tags: IMCore, CoreIM, primary care, urine drug screening, opioid use disorder, substance use, harm reduction, addiction medicine, clinical toxicology, patient safety, compassionate care



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    30 October 2024, 5:00 am
  • 38 minutes 22 seconds
    #162 Hospice 102: Practical Tips and Nuances

    What if a patient can't afford hospice? Which medications do you deprescribe when on hospice? What happens when patients who are on hospice return to the hospital or ED?

    Behind the Scenes Youtube Interview:

    Hospice Music Therapy

    Show notes & Transcript

    Hospice 101 Episode 1

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    Tags: IMCore, CoreIM, primary care, palliative care, end-of-life, oncology nurse practitioner, pharmacist, physician assistant



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    16 October 2024, 5:00 am
  • 29 minutes 34 seconds
    #161 Transfusion Thresholds and the MINT Trial: Beyond Journal Club with NEJM Group

    Can the MINT trial change how we treat anemia in acute MI? The largest trial of its kind compared liberal vs. restrictive transfusion strategies in patients with myocardial infarction.

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    Timestamp:

    • 01:29 History of Transfusion Guidelines/Studies
    • 06:49 Pathophysiology of Anemia in heart disease
    • 10:04 Transfusion in MI Studies
    • 13:45 MINT Trial
    • 22:20 Takeaways/Discussion


    Transcript and Show Notes

    Tags: Tags: CoreIM, IMCore, cardiology, internal medicine, myocardial infarction, anemia, transfusion, physician assistant, nurse practitioner, pharmacist, clinical trials, MINT trial, transfusion strategies, restrictive vs. liberal transfusion, heart attack



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    2 October 2024, 5:00 am
  • 25 minutes 44 seconds
    #160 Moral Distress Part 2: At the Bedside Segment

    Strategies to address moral distress and moral injury — hear from the experts on their work on the topic!

    Timestamps:

    (01:07) | Strategies for Addressing Moral Distress

    (09:25) | Strategies for Address Moral Injury

    (20:52) | Conclusion

    Transcript and Show notes

    Tags: IMCore, CorelM, Burnout, Moral Distress, Moral Injury, Moral Residue, Medical Humanities, medical ethics



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    18 September 2024, 5:00 am
  • 27 minutes 4 seconds
    #159 Moral Distress Part 1: At the Bedside Segment

    What is moral residue vs. moral injury vs moral distress? How do these concepts impact us as clinicians?

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    Timestamps:

    (04:59) | Definitions

    (6:50) | Moral Distress

    (09:01) | Moral Residue

    (09:01) | Moral Residue

    (11:34) | Moral Injury

    (13:32) | Causes of Moral Distress and Moral Injury

    (18:18) | Consequences

    Transcript and Show notes


    Tags: IMCore, CorelM, Burnout, Moral Distress, Moral Injury, Moral Residue, medical humanities, humanism



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    11 September 2024, 5:00 am
  • 28 minutes 40 seconds
    #158 Diuretics Resistance Cases

    Listen to 3 cardiorenal cases that highlight that “without flow it really doesn't matter what you're doing with the diuretic!”

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    Timestamps:

    (01:53) | Case 1: Diuretic Resistance from Ascites and Intra-abdominal Hypertension

    (09:57) | Case 2: Diuretic Resistance from Low Cardiac Output

    (26:34) | Case 3: Diuretic Resistance from Inadequate Renal Perfusion Pressure


    Transcript and Show notes

    Cardiorenal Considerations: 5 Pearls Segment


    Tags:

    IMCore, CoreIM, Diuretics, Cardiorenal, Medical Education, nephrology, cardiology, CCU, ICU, critical care



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    28 August 2024, 5:00 am
  • 31 minutes 8 seconds
    #157 Handoffs: Contingency Planning

    Signouts! How can we do them better? Hear these memorable stories & ask yourself these FIVE questions when getting your handoff ready for the covering team.

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    Timestamps:

    (2:44) What makes this patient different from others with similar symptoms or diagnosis?

    (7:28) Does your covering team have the tools to follow up on tasks and information they need for success? 

    (16:06) Is the handoff updated? 

    (18:26) What information about goals of care and prognosis should be communicated to the night team, especially for critically ill patients? 

    (22:41) What are we still uncertain about? 

    (25:30) Closing thoughts 


    Show notes & transcripts


    Tags:

    IMCore, CoreIM, Contingency Planning, Handoffs, Medical Education, Nocturnists. Signouts, hospitalist



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    7 August 2024, 5:00 am
  • 39 minutes 17 seconds
    #156 Hospice 101: Nuts and Bolts
    • What is the philosophy of hospice? (3:04)
    • Who qualifies for hospice (6:13)
    • Who makes up the hospice team (8:17)
    • Who pays for hospice (17:24)
    • What are the different levels of care (21:31)
    • What are some limitations of the hospice medicare benefit? (31:57)


    Behind the Scenes Youtube Interview:

    Hospice Music Therapy

    Show notes & Transcript

    SponsorFreed is an AI scribe that listens and writes your note in < 30 seconds. Freed learns your style over time and is HIPAA compliant! 

    Use the code CORE50 to get 50% off your first month with Freed


    Tags: IMCore, CoreIM, primary care, palliative care, end-of-life, oncology nurse practitioner, pharmacist, physician assistant



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    24 July 2024, 5:00 am
  • 21 minutes 35 seconds
    #155 Microskills: Small Actions, Big Impact

    Dive into 4 microskills from the book “Microskills: Small Actions, Big Impact” that offer tangible tools for navigating the professional world with grace and intention.

    Book by Dr. Adaira Landry, Dr. Resa E. Lewiss:

    MicroSkills: Small Actions, Big Impact

    Show notes & Transcript

    Tags: IMCore, CoreIM, primary care, humanities, nurse practitioner, pharmacist, physician assistant



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    3 July 2024, 5:00 am
  • 29 minutes 30 seconds
    #154 Does Invitation To Screening Colonoscopy Save lives? Beyond Journal Club with NEJM Group on the NordICC Trial

    Does colonoscopy prevent colon cancer, and does it save lives? There has never been a randomized controlled trial on screening colonoscopies before NordICC trial, even though it is a guideline based recommendation for everyone over 45! How did this come to be? What do we tell our patients who are on the fence about undergoing screening colonoscopy? To find out, tune into the sixth episode of Beyond Journal Club, a new series brought to you by Core IM in collaboration with NEJM Group. 

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    Timestamp:

    • 00:00 Introduction
    • 02:28 Pathophysiology of Colorectal Cancer & Why Screening Makes Sense
    • 06:15 General Cancer Screening – Observational Studies
    • 09:17 General Cancer Screening – Randomized Controlled Trials
    • 14:40 NordICC Trial
    • 22:36 Implications for Patient Care


    Show notes & Transcript

    Tags: IMCore, CoreIM, primary care, gastroenterology, nurse practitioner, pharmacist, physician assistant, sigmoidoscopy, per protocol analysis and intention to treat analysis



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    19 June 2024, 5:00 am
  • 39 minutes 46 seconds
    #153 HFpEF: 5 Pearls Segment
    • What causes HFpEF? (1:59)
    • Does diastolic dysfunction imply HFpEF? (11:22)
    • Is the BNP level helpful in HFpEF? (19:21)
    • What scoring systems can be helpful in ruling in HFpEF? (25:06)
    • What's the treatment for HFpEF? (32:03)


    SponsorFreed is an AI scribe that listens and writes your note in < 30 seconds. Freed learns your style over time and is HIPAA compliant! 

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    Behind The Scenes videos on YouTube

    Tags: cardiology, primary care, CoreIM, IMcore, nurse practitioner, physician assistant, hospital medicine, pharmacy, nursing education, heart failure with preserved ejection fraction



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    5 June 2024, 5:00 am
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