Core IM | Internal Medicine PodcastMedicine

Core IM | Internal Medicine Podcast

Core IM | Internal Medicine Podcast

#91 Oral Diabetes Medications Inpatient: Mind the Gap Segment

Wed, 13 Oct 2021

Should we use oral diabetes agents in our hospitalized patients? Do you hold metformin for fear of lactic acidosis? Do you typically order an insulin sliding scale? When can you comfortably restart PTA meds?

Time Stamps:

  • 02:25 Can we give metformin in the hospital?
  • 10:50 Incretin-based therapies
  • 14:49 Sodium Glucose Cotransporter-2 Inhibitors
  • 16:27 Sulfonylurea & Thiazolidinediones
  • 18:00 Basal Insulin inpatient

Show notes, Transcript and References:


Tags: Core IM, IM Core, glucose, insulin, hospitalized patients, oral medications, sliding scale, DPP-4, GLP-1

#90 Stigma in Opioid Use Disorder: 5 Pearls Segment

Wed, 29 Sep 2021

What are practical phrases can you incorporate to help patients who use drugs? What changes can you make to ensure person-first language? What safe drug practices can you advise? What is MOUD?

Show notes, Transcript and References:…oid-use-disorder/


Time Stamps:

04:24 Starting the Conversation 

10:43 The Shared Agenda

14:46 Exploring patient goals

18:54 Reducing drug use

24:09 Reducing harm in opioid use

29:06 Recap

Tags: Core IM, IM Core, MOUD, buprenorphine, patient centeredness, motivational interviewing, safe practices

#89 Code Status: At the Bedside Segment

Sun, 12 Sep 2021

A very practical episode around nuanced code status conversations with many examples!

Time Stamps:

  • 00:08 Introduction
  • 04:01 Information Gathering
  • 20:41 Informed Consent
  • 29:47 Giving Recommendations
  • 36:47 Mistakes
  • 48:22 Wrap Up

Show notes, Transcript and References:

Tags: Core IM, IM Core, DNR/DNI, CPR, intubation, goals of care, shared decision making, documentation, conversations, recommendations

"Best of" | SNF, SAR, NH, ALF and More Discharge Options

Wed, 25 Aug 2021

What are the differences in resources, nursing and clinician oversight and who pays for what?!

Show notes, transcript and references:


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

"Best of" | Stress Testing 5 Pearls

Wed, 11 Aug 2021

What are the indications for a stress test?  How to choose stress protocol in a stress test?  How to choose diagnostic imaging in a stress test?  How do we interpret results from stress tests, and how should this be communicated to patients?

For full transcript, infographic and show notes:

Tags: Internal Medicine, Internist, Primary Care Physician, Hospitalists, Emergency Medicine, Nurse Practitioner, Physician Assistant, Family Physician, Cardiology, angina, ischemia

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