#48 AMA Discharges: At the Bedside Segment

#48 AMA Discharges: At the Bedside Segment

Do we have to sign the AMA form? Do insurances deny payment for patients who leave AMA? What is your approach to AMA discharges? Core IM At the Bedside speaks to ethics researcher, Dr. David Alfandre, author of Things We Do For No Reason (https://www.journalofhospitalmedicine.com/jhospmed/article/147925/hospital-medicine/things-we-do-no-reason-against-medical-advice-discharges): Against Medical Advice Discharges Show Notes, Full Transcript and References (https://www.coreimpodcast.com/2019/09/04/ama-discharges/) Time Stamps * 3:03 Demographics of AMA discharges * 5:59 Clinician/System related factors of AMA discharges * 10:30 Strategies for mitigating AMA Discharges * 15:59 Do we have to make patients sign the AMA form? * 18:27 Do insurances deny payment for patients who leave AMA? * 23:09 Take Away Points Tags: shared-decision making, harm reduction Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Our Sponsors: * Check out Quince: https://quince.com/coreim * Use code FIGSRX for a great deal: https://wearfigs.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Jaksot(213)

#181 July Stories 3.0

#181 July Stories 3.0

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 starti...

2 Heinä 202515min

#180 Beta-Blockers & REDUCE-AMI Trial: Beyond Journal Club Segment with NEJM Group

#180 Beta-Blockers & REDUCE-AMI Trial: Beyond Journal Club Segment with NEJM Group

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 exp...

25 Kesä 202526min

#179 Invasive Fungal Disease: 5 Pearls Segment

#179 Invasive Fungal Disease: 5 Pearls Segment

🔹 What is invasive fungal disease, and who is most at risk for developing invasive fungal disease? (~ 02:46)🔹 What are the main classes of fungi? (~11:35)🔹 What are the pros and cons of B-D Glucan ...

11 Kesä 202545min

#178 Continuous Glucose Monitor (CGM): 5 Pearls Segment

#178 Continuous Glucose Monitor (CGM): 5 Pearls Segment

🔹What are clinically relevant limitations of an A1c vs. a CGM (1:40)🔹What do the different parts of the ambulatory glucose profile tell you? (09:59)🔹What are common pitfalls, medications, lifestyle...

2 Kesä 202533min

#177 Interventional Radiology (IR) 101: 5 Pearls Segment

#177 Interventional Radiology (IR) 101: 5 Pearls Segment

🔹When is an U/S vs. CT vs. MRI helpful before consulting Interventional Radiology?🔹What factors go into an IR pre-op evaluation?🔹 When do drains go in, and when do they come out?🔹 When a patient h...

14 Touko 202543min

#176 Constipation Medications: 5 Pearls Segment

#176 Constipation Medications: 5 Pearls Segment

🔹 High-yield reversible causes of constipation? (02:26)🔹 Which type of fiber is more helpful? And is more hydration really better? And bulk-forming laxatives (9:03)🔹 Osmotic vs Stimulant Laxatives ...

30 Huhti 202539min

#175 A Revolution in HIV Prevention & The PURPOSE Trials: Beyond Journal Club Segment with NEJM Group

#175 A Revolution in HIV Prevention & The PURPOSE Trials: Beyond Journal Club Segment with NEJM Group

How good are we at preventing HIV? How do efficacy and effectiveness differ? We journey from oral pre-exposure prophylaxis (PrEP) to long-acting injectables, and then to the PURPOSE trials, which look...

16 Huhti 202527min

#174 Lp(a) and ASCVD Risk: 5 Pearls Segment

#174 Lp(a) and ASCVD Risk: 5 Pearls Segment

What does Lipoprotein(a) tell us that a standard lipid panel doesn’t? Should we be testing everyone for it? Dive into the genetics, clinical implications, and evolving management strategies for Lp(a)....

2 Huhti 202543min

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