Core IM | Internal Medicine Podcast

Have a good laugh and reflect deeply with these three stories that hit the feels in different ways.

If you'd love to hear more stories from Dr. Maria Rosasco, check out some of her other appearances on the podcast: July Stories and Handoffs & Contingency Planning.

🔹 Sponsor: Oakstone CME’s ACP MKSAP Audio Companion

Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP

🔹 Transcript and Show Notes

Timestamps:

(01:04) | Story 1: Sharing a Personal Story for Patient Care

(03:42) | Story 2: Leading a Family Meeting

(06:52) | Story 3: Early Days of the COVID-19 Pandemic

(10:22) | What Rituals and Values Guide Your Path in Medicine

Tags: CoreIM, Internal Medicine, Primary Care, Medical Education, IMCore, Physician Assistant, Nurse Practitioner, Medical Student, Narrative Medicine, Humanities

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Our Sponsors:
* Check out Eko’s Digital Stethoscope: Get $50 off, plus a FREE custom chest piece cover ($25 value): https://ekohealth.com/COREIM
* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com
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What went wrong? What were the reasoning or contextual missteps that led us astray?

🔹 Sponsor: NEJM Fellowship Program, click here to learn more and/or apply! Due Aug 1, 2025

🔹 Transcript and Show Notes

Timestamps:

(00:02) | Case Presentation and Initial Diagnosis

(02:47) | Tachycardia and Early Impressions

(04:10) | Clinical Deterioration and New Clues

(07:19) | Problem Representation and Reflection

(21:45) | Lessons on Reasoning and Bias

(26:55) | Final Takeaways and Action Steps

Tags: Clinical Reasoning, Internal Medicine, Diagnostic Accuracy, Hoofbeats, Cognitive Bias, Medical Education, Illness Scripts

Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840

Our Sponsors:
* Check out Eko’s Digital Stethoscope: Get $50 off, plus a FREE custom chest piece cover ($25 value): https://ekohealth.com/COREIM
* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com
* Check out Washington Red Raspberries: https://redrazz.org


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• Imaging Pearls | (01:12)
• Deciding on Thoracentesis | (04:00)
• Light’s Criteria and Pseudoexudates | (07:00)
• Pleural Fluid Studies: pH and Cell Differential | (16:56)
• Diagnosing and Treating Parapneumonic Effusions | (23:32)
• Malignant Pleural Effusions: Diagnosis and Management | (30:39)

🔹 Sponsor: Oakstone CME’s ACP MKSAP Audio Companion

Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP

🔹 Transcript and Show Notes

Tags: Internal Medicine, Medical Education, Pulmonology, CoreIM, Clinical Reasoning, critical care, pulm

Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840

Our Sponsors:
* Check out Eko’s Digital Stethoscope: Get $50 off, plus a FREE custom chest piece cover ($25 value): https://ekohealth.com/COREIM
* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com
* Check out Washington Red Raspberries: https://redrazz.org


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Privacy & Opt-Out: https://redcircle.com/privacy

Listen for some good laughs and relatable stories!

In this episode, we share raw and real stories from July — from rapid responses to unexpected kindness — and reflect on the emotional weight of starting out in medicine.

🔹 Sponsor: NEJM Fellowship Program, click here to learn more and/or apply! Due Aug 1, 2025

🔹 Transcript and Show Notes

Prior July Stories:

July Stories 2.0 (2023)

July Stories (2019)

Timestamps:

(00:32) | Dr. Ali Trainor's First Day as an Intern

(03:00) | The Patient's Critical Condition and Emotional Response 

(07:12) | Dr. George Tran's First Night Shift 

(10:38) | Dr. Ali Trainor's Second Rotation Experience 

(14:01) | The Importance of Co-Intern

Tags: CoreIM, Internal Medicine, Primary Care, Medical Education, IMCore, Physician Assistant, Nurse Practitioner, Medical Student, Narrative Medicine, Humanities

Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840

Our Sponsors:
* Check out Eko’s Digital Stethoscope: Get $50 off, plus a FREE custom chest piece cover ($25 value): https://ekohealth.com/COREIM
* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com
* Check out Washington Red Raspberries: https://redrazz.org


Advertising Inquiries: https://redcircle.com/brands

Privacy & Opt-Out: https://redcircle.com/privacy

How much do beta blockers help after a heart attack, even when the heart’s pumping well? In this episode, we revisit the origins of beta blockers in post-MI care, examine how evidence evolved, and explore the REDUCE-AMI trial, which questions whether beta blockers are still needed for all.

Listen to this latest episode of Beyond Journal Club, a collaboration between Core IM and NEJM Group, where we put research into context tracing the arc of evidence, dissecting the clinical question, and exploring what the findings could mean for real-world patient care

🔹 Sponsor: NEJM Fellowship Program, click here to learn more and/or apply!

🔹 Transcript and Show Notes

Timestamps:

(00:48) | Background on Beta Blockers and Their Mechanism

(02:41) | Historical Context of Beta Blockers in Heart Disease

(04:56) | Capricorn Trial and Its Impact

(07:17) | Emergence of Doubts About Beta Blockers

(10:09) | Introduction to the REDUCED-AMI Trial

(15:52) | Discussion on Trial Interpretation and Clinical Implications

(16:18) | Comparison with Other Trials and Future Directions

Tags:  CoreIM, Internal Medicine, Primary Care, Medical Education, IMCore, Physician Assistant, Nurse Practitioner, Medical Student, Cardiology

Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840

Our Sponsors:
* Check out Eko’s Digital Stethoscope: Get $50 off, plus a FREE custom chest piece cover ($25 value): https://ekohealth.com/COREIM
* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com
* Check out Washington Red Raspberries: https://redrazz.org


Advertising Inquiries: https://redcircle.com/brands

Privacy & Opt-Out: https://redcircle.com/privacy