Core IM | Internal Medicine Podcast

Moral Distress Part 2: At the Bedside Segment

Wed, 18 Sep 2024

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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Moral Distress Part 1: At the Bedside Segment

Wed, 11 Sep 2024

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

(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

#158 Diuretics Resistance Cases

Wed, 28 Aug 2024

Listen to 3 cardiorenal cases that highlight that “without flow it really doesn't matter what you're doing with the diuretic!”

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Timestamps:

(01:53) | Case 1: Diuretic Resistance from Ascites and Intra-abdominal Hypertension

(09:57) | Case 2: Diuretic Resistance from Low Cardiac Output

(26:34) | Case 3: Diuretic Resistance from Inadequate Renal Perfusion Pressure

Transcript and Show notes

Cardiorenal Considerations: 5 Pearls Segment

Tags:

IMCore, CoreIM, Diuretics, Cardiorenal, Medical Education, nephrology, cardiology, CCU, ICU, critical care

#157 Handoffs: Contingency Planning

Wed, 07 Aug 2024

Signouts! How can we do them better? Hear these memorable stories & ask yourself these FIVE questions when getting your handoff ready for the covering team.

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Timestamps:

(2:44) What makes this patient different from others with similar symptoms or diagnosis?

(7:28) Does your covering team have the tools to follow up on tasks and information they need for success?

(16:06) Is the handoff updated?

(18:26) What information about goals of care and prognosis should be communicated to the night team, especially for critically ill patients?

(22:41) What are we still uncertain about?

(25:30) Closing thoughts

Show notes & transcripts

Tags:

IMCore, CoreIM, Contingency Planning, Handoffs, Medical Education, Nocturnists. Signouts, hospitalist

#156 Hospice 101: Nuts and Bolts

Wed, 24 Jul 2024

What is the philosophy of hospice? (3:04)
Who qualifies for hospice (6:13)
Who makes up the hospice team (8:17)
Who pays for hospice (17:24)
What are the different levels of care (21:31)
What are some limitations of the hospice medicare benefit? (31:57)

Behind the Scenes Youtube Interview:

Hospice Music Therapy

Show notes & Transcript

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