#79 Struggles with Clinical Reasoning: Hoofbeats Segment

#79 Struggles with Clinical Reasoning: Hoofbeats Segment

Can you identify where along the clinical reasoning pathway the learner is struggling? What coaching exercises can be helpful? What feedback do you fall back on when working with learners? What are common challenges? Show notes, Transcript and References: https://www.coreimpodcast.com/2020/12/09/hoofbeats-strugg…inical-reasoning/ (https://www.coreimpodcast.com/2020/12/09/hoofbeats-struggles-with-clinical-reasoning/) ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im (https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im) (https://www.coreimpodcast.com/2020/12/09/hoofbeats-strugg…inical-reasoning/)Time Stamps: * 00:00 Introduction * 03:33 Mental Health & Wellbeing * 06:43 Case 1 * 11:48 Exercise 1 * 12:53 Exercise 2 * 14:35 Case 2 * 19:15 Exercise 3 * 21:22 Exercise 4 * 23:24 Case 3 * 27:29 Exercise 5 * 28:07 Exercise 6 * 29:24 Conclusion Tags: CoreIM, IM Core, problem representation, coaching exercises, data gathering, hypothesis generation, clinical reasoning, faculty development 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

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#197 Hypercoagulability Part 2: 5 Pearls Segment

#197 Hypercoagulability Part 2: 5 Pearls Segment

Gray zones of VTE management! How to approach anticoagulation duration in unprovoked, provoked-irreversible, and provoked-reversible clots?When dose-reduced DOACs make sense for long-term secondary pr...

7 Tammi 38min

#196 Stories of Courage and Career Development with Horn Award

#196 Stories of Courage and Career Development with Horn Award

We hope these stories resonate with anyone who has felt pulled between professional purpose and personal life, and remind you that you’re not alone in wanting both.🔹 Sponsor: Oakstone CMEUse the code...

17 Joulu 202519min

#195 Antibiotic Duration & BALANCE Trial: Beyond Journal Club with NEJM Group

#195 Antibiotic Duration & BALANCE Trial: Beyond Journal Club with NEJM Group

Antibiotic duration for bacteremia is something most of us learned by habit, not by trial data. In this episode, we walk through the BALANCE trial and use it as a lens to revisit how 1) host, 2) organ...

10 Joulu 202521min

#194: Severe Hypertriglyceridemia: 5 Pearls Segment

#194: Severe Hypertriglyceridemia: 5 Pearls Segment

How quickly can triglycerides rise? At what threshold are patients at risk of pancreatitis or cardiovascular adverse outcomes? What do you have to rule out? How do you counsel on lifestyle changes? Wh...

3 Joulu 202538min

#193 Venous Congestion & VEXUS Interview with Dr. Ross Prager

#193 Venous Congestion & VEXUS Interview with Dr. Ross Prager

Why is venous congestion not the same as volume overload? How can looking at IVC as well as doppler on the hepatic vein, portal vein, and/or intrarenal vein help? Can venous congestion explain someone...

19 Marras 202534min

#192 Debate on First-Line Medications for Diabetes

#192 Debate on First-Line Medications for Diabetes

SGLT-2i vs. GLP-1? vs Metformin? How do you balance the cost and coverage of first-line options like metformin, SGLT-2, and GLP-1s? How do you choose between SGLT-2 and GLP-1s for comorbidities like C...

5 Marras 202536min

#191 Hepatorenal Syndrome Part 2 on Management: 5 Pearls Segment

#191 Hepatorenal Syndrome Part 2 on Management: 5 Pearls Segment

What really works when treating HRS? Vasoconstrictors like terlipressin vs. norepinephrine vs. midodrine: how do we decide which to use? Do you give albumin? When do you give Lasix or another diuretic...

22 Loka 202530min

#190: Hepatorenal Syndrome Part 1: 5 Pearls Segment

#190: Hepatorenal Syndrome Part 1: 5 Pearls Segment

HRS-AKI vs. other causes of AKI in cirrhosis: What do serum or urine sodium clues, albumin challenges, and shifting diagnostic criteria actually reveal about getting the diagnosis right?🔹 Sponsor: Oa...

15 Loka 202536min

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