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
Tags: IMCore, CoreIM, primary care, urine drug screening, opioid use disorder, substance use, harm reduction, addiction medicine, clinical toxicology, patient safety, compassionate care
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:
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Tags: IMCore, CoreIM, primary care, palliative care, end-of-life, oncology nurse practitioner, pharmacist, physician assistant
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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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
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
Tags: IMCore, CorelM, Burnout, Moral Distress, Moral Injury, Moral Residue, Medical Humanities, medical ethics
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
Tags: IMCore, CorelM, Burnout, Moral Distress, Moral Injury, Moral Residue, medical humanities, humanism
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
Cardiorenal Considerations: 5 Pearls Segment
Tags:
IMCore, CoreIM, Diuretics, Cardiorenal, Medical Education, nephrology, cardiology, CCU, ICU, critical care
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
Tags:
IMCore, CoreIM, Contingency Planning, Handoffs, Medical Education, Nocturnists. Signouts, hospitalist
Behind the Scenes Youtube Interview:
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Tags: IMCore, CoreIM, primary care, palliative care, end-of-life, oncology nurse practitioner, pharmacist, physician assistant
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
Tags: IMCore, CoreIM, primary care, humanities, nurse practitioner, pharmacist, physician assistant
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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Tags: IMCore, CoreIM, primary care, gastroenterology, nurse practitioner, pharmacist, physician assistant, sigmoidoscopy, per protocol analysis and intention to treat analysis
Sponsor: Freed 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
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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