Core IM | Internal Medicine Podcast

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 evidence is incomplete, and every patient is different, can AI truly practice medicine or only assist the clinicians who do? This episode explores the space between algorithms, uncertainty, and human judgment in modern medical care. 

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🔹Transcript and Shownotes:  
02:51 | Broad workup for reversible causes and other etiologies of AFib that may occur post-op
05:10 | Considerations for management of post-op atrial fibrillation
13:00 | Stroke risk in atrial fibrillation
20:49 | Outpatient management of atrial fibrillation 
25:54 | The role of AI in medical decision-making

Tags: CoreIM, Internal Medicine, Medical Education, Atrial Fibrillation, Cardiology, Open Evidence

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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 support works, altitude physiology, legal protections, and how to stay calm when medicine suddenly happens at 35,000 feet. By the end, you may still sweat a little…but hopefully less than before.
🔹Sponsor: Oakstone CME
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🔹Transcript and Shownotes:  

04:40 | Emergency Medical Kit (EMK) Standard Contents
08:50 | Role of Ground-Based Medical Support & Flight Diversion Decision-Making
19:35 | Interpreting Hypoxia at Altitude
22:06 | In-Flight Liability
23:35 | Common Chief Concerns & Useful Additional Medications
24:53 | How to Be Resourceful in an Austere Environment

Tags: CoreIM, Internal Medicine, Medical Education, In-flight Care, Medical Emergencies, Clinical Reasoning, Seizure Management, Hypoxia, Airway Management, Cardiac Emergency, Syncope, Respiratory Distress

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Can you distinguish benign eosinophilia from a sign of serious disease, and know exactly when to act at the bedside?
In this high-yield episode, test your clinical reasoning as we tackle:
When eosinophilia becomes dangerous and why it matters
How to distinguish if its from atopy vs. systemic disease
Which medications to stop (and which to watch)
How travel, diet, and exposure history shape your workup
When to suspect malignancy before giving steroids

🔹Transcript and Shownotes: 
02:34 | Why Do We Care About Eosinophilia? (Pearl 1)
10:24 | Atopy and Eosinophilia (Pearl 2)
18:57 | Drugs and Eosinophilia (Pearl 3)
27:29 | ID and Eosinophilia (Pearl 4)
33:54 | Pearl 5: Eosinophilia, Steroids, and Neoplasms (Pearl 5)

Tags: CoreIM, Internal Medicine, Medical Education, Eosinophilia, Hypereosinophilia, Allergy Immunology, Hematology, Pulmonology, Parasitic Infections, Atopy

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Is coffee helping or harming our patients’ hearts?
In this Beyond Journal Club, we unpack the CRAVE trial and use it as a lens to answer a bigger question:
How should clinicians interpret nutrition research, especially when it feels inconsistent or hard to trust?
Listen for a concise, practical framework you can use the next time a patient asks about coffee, diet, or lifestyle.

🔹Sponsor: Oakstone CME
Use the code "CORE325" for 25% off: https://www.coreimpodcast.com/MKSAP 
🔹 Transcript and Show notes
00:00 | Challenges of interpreting nutritional research.
02:22 | Best practices for evaluating studies in nutrition. 
12:35 | Delve into the CRAVE trial as an example of critically appraising nutritional investigations.
26:41 | Applying this to clinical practice for your patients.

Tags: IMCore, Internal Medicine, Medical Education, Epidemiology, Diet and Lifestyle

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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 who want a clear, usable approach.

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🔹Transcript and Shownotes:
02:15 | Pearl 1: Pathophysiology
08:20 | Pearl 2: Diagnosis
16:35 | Pearl 3: Treatment
20:35 | Pearl 4: Antibiotics
27:39 | Pearl 5: Wound Care

Tags: CoreIM, Internal Medicine, Medical Education, Diabetic Foot Infections, Osteomyelitis, Foot Ulcer, Wound Care

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