• 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

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

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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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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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• 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)

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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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• How do immune checkpoint inhibitors work? (01:56)
• How do you organize the different immune-related adverse events (irAEs)? (07:15)
• Generally, when do different adverse events can present? (13:42)
• What makes someone more likely to develop an adverse effect? (22:20)
• What role does complementary & alternative medicine play in this patient population? (26:38)

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Tags: Side effects, oncology, cancer, primary care, CoreIM, IMcore, nurse practitioner, physician assistant, hospital medicine, pharmacy, pharmacology

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• Urinalysis in a patient with AKI from purely cardiorenal syndrome? (~02:05)
• What is bioavailability, duration of action, and outcomes with furosemide, torsemide, and bumetanide? (~08:47)
• How can spot urine sodium measurements be used to assess diuretic response? (~18:08)
• What are the differences between thiazides (PO Metolazone vs. IV Chlorothiazide) and acetazolamide augment diuresis? (~27:35)
• Spaced Repetition: RAAS inhibitors or SGLT2 inhibitors as GMDT in CKD? (~35:08)

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Get CME-MOC credit with ACP!

Tags: nephrology, cardiology, primary care, CoreIM, IMcore, nurse practitioner, physician assistant, hospital medicine, pharmacy, diuretic resistance

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What are the benefits of early rhythm control versus rate control alone? When is electrical cardioversion used and what information can it tell us? What side effects for amiodarone, dofetilide, and sotalol, propafenone and flecainide? When should catheter ablation be considered in patients with atrial fibrillation?

Time stamps:

• 02:05 Pearl 1 - Rhythm control
• 11:23 Pearl 2 - Electrical cardioversion
• 17:53 Pearl 3 - Class III antiarrhythmics and side effects
• 26:31 Pearl 4 - Class Ic antiarrhythmics and side effects
• 31:55 Pearl 5 - Catheter ablation

Tags: cardiology, primary care, CoreIM, IMcore, nurse practitioner, physician assistant, hospital medicine, pharmacy, nursing education, atrial fibrillation

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Should your patients be reaching for albuterol when their asthma flares up? Some of us may have been treating asthma exacerbations incorrectly for many years… What is the right approach? Tune in to the fifth episode of Beyond Journal Club, a new series brought to you by Core IM in collaboration with NEJM Group, to learn about the latest asthma management trials and guidelines, and how to translate them into better patient care.

Show Notes & Transcript

Time Stamps

• 01:47 Evolving story of asthma management
• 03:26 Pathophysiology of asthma management
• 06:01 Key players & terms
• 08:56 Story of asthma through the decades
• 17:55 MANDALA Trial

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

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How do you choose btw PO vs. IV iron? What is the best counseling for oral iron formulations? How do you choose between different IV iron formulations? Should you use the Ganzoni formula?  What is a Fishbane reaction? And how is it different from anaphylaxis?

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Time stamps:

02:09: Spaced repetition from the last Gray Matters Episode

05:29: Choosing between oral and IV iron

11:17: Considerations with oral iron repletion

24:02: Considerations with IV iron repletion

32:36: Complications and side effects of IV iron

Tags: hematology, primary care, CoreIM, IMcore, nurse practitioner, physician assistant

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What do the different iron labs mean?! How to interpret iron labs in the setting of inflammation? How to take a good menstrual history?

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Expert Interviews on Youtube

Time stamps:

• 03:43 Iron deficiency labs and interpretation in inflammation
• 16:08 Heavy menstrual bleeding evaluation
• 27:04 When should a premenopausal woman with iron deficiency have endoscopy?
• 35:15 Recap

Tags: hematology, women's health, gastroenterology, heavy menstrual bleeding, primary care, CoreIM, IMcore, nurse practitioner, physician assistant, iron deficiency diagnosis

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Uncover many blind spots on tube feeds!

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Youtube Interviews: 

Short-term enteral access

Durable enteral access

What is venting aka decompression?

Show Notes & Transcript

Timestamp

• 02:21 Indications for tube feeds
• 09:36 Routes of enteral access
• 19:20 Components of tube feeds
• 7:03 Tube feeds complications
• 34:50 Counseling patients before discharge and medication interactions

Tags: IMCore, CoreIM, nursing home, primary care, dietician, nutrition support, hospital medicine, interprofessional education, enteral feeds

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