Core IM | Internal Medicine Podcast

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

Transcript and Show notes

Tags: IMCore, CoreIM, primary care, urine drug screening, opioid use disorder, substance use, harm reduction, addiction medicine, clinical toxicology, patient safety, compassionate care

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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:

Hospice Music Therapy

Show notes & Transcript

Hospice 101 Episode 1

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

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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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Timestamp:

• 01:29 History of Transfusion Guidelines/Studies
• 06:49 Pathophysiology of Anemia in heart disease
• 10:04 Transfusion in MI Studies
• 13:45 MINT Trial
• 22:20 Takeaways/Discussion

Transcript and Show Notes

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

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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

Transcript and Show notes

Tags: IMCore, CorelM, Burnout, Moral Distress, Moral Injury, Moral Residue, Medical Humanities, medical ethics

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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

Transcript and Show notes

Tags: IMCore, CorelM, Burnout, Moral Distress, Moral Injury, Moral Residue, medical humanities, humanism

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