Core IM | Internal Medicine Podcast

#135 Guideline Directed Medical Therapy Part II: 5 Pearls Segment

Wed, 20 Sep 2023

With progressing CKD & HFrEF, what GDMT medications can you start, continue or stop? What does the data on hydralazine/isosorbide tell us and what does it NOT tell us? What are the pros and cons of starting GDMT inpatient versus outpatient? Do you still keep patients on GDMT once their EF recovers?

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CME : http://bit.ly/CIMCME || Show Notes & Transcript

Timestamps

01:54 Pearl 1 – Recap of GDMT and CKD
09:15 Pearl 2 – Hydralazine and Isosorbide Dinitrate
20:59 Pearl 3 – Ivabradine
25:47 Pearl 4 – Inpatient vs Outpatient Initiation of GDMT
30:55 Pearl 5 – Ejection Fraction Recovery

Tags: IMCore, CoreIM, hydralazine, heart failure reduced ejection fraction, HFmrEF, HFimpEF, chronic kidney disease, cardiology

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#134 Diagnostic Errors & Excellence

Wed, 06 Sep 2023

What does medical education research say about improving diagnostic errors? What habits help in getting to diagnostic excellence?

Timestamps

01:00 System 1 vs. System 2
07:46 Cognitive Biases
13:46 Case for Knowledge
18:29 Other Practices to Decrease Error
28:26 Conclusion

CME: http://bit.ly/CIMCME || Show Notes & Transcript

This episode is made in part of ACP’s Diagnostic Excellence curriculum

Tags: IMCore, CoreIM, clinical reasoning, system 1 vs. system 2, cognitive bias, feedback and reflection

#133 Post-Kidney Transplant: 5 Pearls Segment

Wed, 16 Aug 2023

What are side effects of tacrolimus and mycophenolate? And what are common medication interactions? What causes of acute kidney injury are unique to renal transplant recipients When a patient has a fever, what are the viral syndromes we should work up? What are signs and symptoms of rejection?

Timestamps

02:41 Types of Immunosuppression
14:31 Medication Reconciliation
22:36 AKI in the Transplant Patient
31:53 Infections in the Transplant Patient
40:00 Transplant rejection, cancer after transplant

CME: http://bit.ly/CIMCME || Show Notes & Transcript

Tags: IMCore, CoreIM, renal, internal medicine podcast, hospitalist, nephrology, immunosuppressive

#132 Does PCI Save Lives in Heart Failure and CAD? Beyond Journal Club on the REVIVED Trial

Wed, 02 Aug 2023

In patients with heart failure with low ejection fraction and chronic coronary disease without unstable symptoms, does stenting open blocked coronary arteries extend life or reduce hospitalizations? There is some literature to suggest those with low EF may benefit from revascularization with surgery.

How does the REVIVED trial change how we think about these patients? Tune in to the first episode in this new series brought to you by Core IM in collaboration with NEJM Group.

Show notes & Transcript

Access to Rotation Prep Cardiology guide on NEJM Resident 360 is free for August 2023. View the relevant sections on ACS and CHF.

Timestamps

00:50 Question REVIVED addressed
01:44 Revascularication in HFrEF
06:32 Revascularization in stable CAD
10:02 REVIVED trial
12:20 Summary and takeaways

Tags: IMCore, CoreIM, cardiology, internal medicine podcast, hospitalist, stent, CABG, evidence-based medicine

#131 July Stories 2.0

Wed, 19 Jul 2023

Laugh and be humbled along some of Dr. Maria Rosasco's most memorable July stories !

Listen to the original July Stories: https://bit.ly/3Y4n8jG

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Tags: medical humanities, internal medicine, residency, medical school, interprofessional education, rotation, imposter syndrome, feedback