Core IM | Internal Medicine Podcast

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1. #222 AFib Stroke Prevention: WATCHMAN, DOACs, and the CHAMPION-AF Trial | Beyond Journal Club Segment with NEJM Group

   <p>If your patient asks you about a left atrial appendage closure device, what should you tell them? </p><p> In the latest episode of the Beyond Journal Club podcast from CORE IM and NEJM Group, the hosts will help you: </p><ul><li> <strong
   32 min

2. #221 Colon Cancer Screening After Age 75 | 5 Pearls Segment Part 3

   <p><em>“Should you stop screening for colorectal cancer (CRC) at 75?”</em> </p><p>This episode explores how to individualize screening decisions based on life expectancy, prior colonoscopy findings, and procedural risks. Learn how to naviga
   17 min

3. #220 Colon Cancer Screening Nuances: 5 Pearls Segment Part 2

   <p><strong><em>“What’s the best way to screen?”</em></strong> This episode breaks down the pros, limitations, and follow-up needs of FIT, Cologuard, CT colonography, and colonoscopy to help you choose the right CRC screening option for your
   21 min

4. #219 Updates in Triglycerides

   <p><strong><em>“The triglycerides are high. Now what?”</em></strong> This episode breaks down a practical approach to elevated TGs, from knowing when to check ApoB or non-HDL-C to choosing lifestyle changes, lipid-lowering medications, and
   34 min

5. #156 Hospice 101: Nuts and Bolts

   <p><strong>Sponsor</strong>: <a href="https://www.coreimpodcast.com/Freed" rel="nofollow">Freed</a> is an AI scribe that listens and writes your note in < 30 seconds. Freed <strong>learns your style</strong> over time and is HIPAA compliant
   39 min

6. #155 Microskills: Small Actions, Big Impact

   <p>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.</p><p>Book by Dr. Adaira Landry, Dr. Resa E. Lewiss:</p><p><a href="
   22 min

7. #133 Post-Kidney Transplant: 5 Pearls Segment

   <p>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
   45 min

8. #218 Early-Onset Colon Cancer: 5 Pearls Segment Part 1

   <p><em>“Too young for colon cancer.” </em>This episode unpacks the red flags of early-onset colorectal cancer (CRC), from blood in the stool and iron deficiency anemia to persistent abdominal pain and changes in bowel habits, and offers pra
   15 min

9. #217 Treatment for Alcohol Use Disorder: 5 Pearls Segment

   <p><em>“It didn’t work.”</em> This episode breaks down practical treatment options (dosing options for naltrexone, acamprosate, topiramate, gabapentin) and counseling pearls to help you meet patients where they are and support their recover
   38 min

10. #216 Clinician Grief: At the Beside Segment

    <p><strong>Have you ever lost a patient and found yourself thinking about them long after the shift ended?</strong> This episode explores the grief clinicians can carry after a patient dies, including the losses that aren’t always obvious.
    40 min

11. #215 Gallbladder & Biliary Testing: 5 Pearls Segment

    <p>How to choose between <strong>RUQ ultrasound, CT, HIDA, MRCP, EUS, and ERCP</strong> based on the clinical picture? When should you move from diagnostic imaging to therapeutic ERCP, and what should you know about <strong>sphincterotomy,
    35 min

12. #214 Hyponatremia Management: A Core IM Classic

    <p>Throwback: Should you really fluid-restrict every patient with SIADH? When can IV fluids make hyponatremia better or worse? Are salt tabs actually doing enough? And what can urine studies tell you before you start treatment? Join us for
    45 min

13. #213 Hypertension First-Line Medications Troubleshooting | Bread & Butter Series

    <p>Why can lower-dose combinations be more effective and better tolerated than maximizing one medication? How to troubleshoot common challenges such as amlodipine edema, gout, electrolyte abnormalities, and the patient who says they cannot
    33 min

14. #212 Top 10 Highlights of the New Lipid Guidelines

    <p>Learn from primary care docs what has been practiced and changed from the <strong>2026 ACC/AHA Lipid Guidelines! </strong>Learn how the new <strong>CPR framework (Calculate, Personalize, Reclassify)</strong> and <strong>PREVENT risk calc
    24 min

15. #211 Breaking Down MASLD vs. MASH and the MAESTRO-NASH & ESSENCE Trials: Beyond Journal Club Segment

    <p>MASLD affects nearly one in three adults worldwide, yet many patients remain undiagnosed until advanced fibrosis or cirrhosis develops. So, which patients should clinicians actually be screening? When is a FIB-4 enough, and when should w
    34 min

16. #210 HTN in Dialysis: 5 Pearls Segment

    <p><strong>What blood pressure should we target in patients on hemodialysis?</strong> <strong><em> </em></strong>Why <strong>volume control </strong>remains the foundation of treatment? How <strong>blood pressure targets</strong> differ fro
    26 min

17. #209 Dialysis and Fluid Management: 5 Pearls Segment

    <p><strong>Why is fluid management the most important part of dialysis care?</strong> This episode explores the <strong><em>fundamentals of hemodialysis</em></strong>,<strong><em> why ESKD patients have unique physiology</em></strong><em>,
    32 min

18. #208 AI vs. Human with Post-Op AFib: Bread & Butter Series

    <p>Can AI manage post-op atrial fibrillation or does medicine still require human judgment? Using post-op AFib as a case study, we explore where algorithms help, where evidence falls short, and why clinical context still matters. When evide
    29 min

19. #207 Is There a Doctor on Board? In-Flight Emergencies

    <p>We start with a gripping story of seizures and use it as a jumping-off point to unpack practical pearls for in-flight emergencies. Along the way: what’s actually in the emergency medical kit, when planes divert, how ground medical suppor
    28 min

20. #206 Eosinophilia: 5 Pearls Segment

    <p>Can you distinguish <strong>benign eosinophilia</strong> from a<strong> sign of serious disease, </strong>and know exactly when to act at the bedside?</p><p>In this high-yield episode, test your clinical reasoning as we tackle:</p><ul><l
    43 min

21. #205 Nutrition Studies, Coffee and the CRAVE Trial: Beyond Journal Club with the NEJM Group

    <p><strong>Is coffee helping or harming our patients’ hearts?</strong></p><p>In this Beyond Journal Club, we unpack the <strong>CRAVE trial</strong> and use it as a lens to answer a bigger question:</p><p><strong>How should clinicians inter
    32 min

22. #204 Diabetic Foot Infections & Osteomyelitis: 5 Pearls Segment

    <p>Why can these infections be tricky? How to diagnose osteomyelitis at the bedside? Do we always need IV vs oral antibiotics? And the best for last: Simple, practical wound care strategies for medical students, residents, and clinicians wh
    34 min

23. #203 POCUS for AKI & Dialysis | Real Cases That Changed Management

    <p>A dialysis patient with a chronic cough: is it COPD, or are they still volume overloaded?</p><p>A patient with AKI and hyperkalemia says they’re still peeing — does that rule out post-obstructive AKI?</p><p>A patient arrives in the ED wi
    29 min

24. #202 Dementia Part 2: Gray Matters Segment

    <p>Most clinicians see dementia medications on the med rec, but many of us aren’t sure <strong>how much they actually help</strong>. In this episode we break down <strong>donepezil, memantine, and the new anti-amyloid drugs,</strong> and wh
    47 min

25. #201: Dementia Part 1: Gray Matters Segment

    <p>Cognitive decline is tough for all parties. What are the high-yield questions to ask? What should you add to your one-liner? When do you stop using MOCA and try to clearly describe their functional status? Do all patients with cognitive
    46 min

26. #200: Insulin and QWINT-1 Trial in T2DM: Beyond Journal Club Segment with NEJM Group

    <p>From metformin to basal insulin to overlooked older medications, this episode reviews the T2D medication toolkit clinicians use every day. We then dive into new evidence on once-weekly insulin to help you individualize therapy while redu
    28 min

27. #199 Privacy & Confidentiality: At the Bedside Segment

    <p>Is patient confidentiality absolute or conditional? When does protecting privacy put others at risk? Can you follow a former patient in the EHR for learning? Should you post a compelling case online even if it’s “de-identified”? And when
    38 min

28. #198 Microskills for Change That are Big Enough to Matter, Small Enough to Win

    <p><strong>Baby alligators </strong><img src="https://fonts.gstatic.com/s/e/notoemoji/16.0/1f40a/32.png"> - those betrayals of purpose <img src="https://fonts.gstatic.com/s/e/notoemoji/16.0/1f92c/32.png">, or, death by a thousand paper cuts
    29 min

29. #197 Hypercoagulability Part 2: 5 Pearls Segment

    <p>Gray zones of VTE management! How to approach anticoagulation duration in unprovoked, provoked-irreversible, and provoked-reversible clots?</p><p>When dose-reduced DOACs make sense for long-term secondary prevention? What truly constitut
    38 min

30. #196 Stories of Courage and Career Development with Horn Award

    <p>We hope these stories resonate with anyone who has felt pulled between professional purpose and personal life, and remind you that you’re not alone in wanting both.</p><p>🔹 <strong>Sponsor: Oakstone CME</strong></p><p>Use the code "CORE
    19 min

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