#71 Capacity Part 2, Voluntarism & Difficult Scenarios: At the Bedside Segment

#71 Capacity Part 2, Voluntarism & Difficult Scenarios: At the Bedside Segment

What goes into decision making? What are the invisible tugs that may keep patients from acting in line with their values? Why isn't it part of the formal capacity assessment? Show notes, Transcript and References: https://www.coreimpodcast.com/2020/07/22/capacity-2-0-and-voluntarism/ Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time Stamps: * 2:57 Defining voluntarism * 5:36 Four elements that influence voluntarism * 10:26 How do you incorporate voluntarism into the capacity assessment? * 16:11 Discussions with uncooperative patients * 19:14 Protecting unrepresented patients * 21:30 Clinician perspective * 25:06 Moral distress Tags: medical humanities, ethics, psychiatry, IM Core, CoreIM Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Episoder(213)

#21 57F with confusion: Hoofbeats segment

#21 57F with confusion: Hoofbeats segment

Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here: * Case history and exam 00:40 * Causal models 11:24 * Facets versus diagnoses 13:25 * Proble...

15 Aug 201835min

#20 Vancomycin: Mind the Gap Segment

#20 Vancomycin: Mind the Gap Segment

Lets go deeper into the misunderstood side of Vancomycin! * Where did vancomycin come from, and why is it so controversial? (0:28) * What is vancomycin-induced nephrotoxicity and how common is it? ...

1 Aug 201813min

#19 Unhealthy Alcohol Use: 5 Pearls segment

#19 Unhealthy Alcohol Use: 5 Pearls segment

Solidy your understanding of unhealthy alcohol use! Quiz yourself of the 5 Pearls we will be covering: * What is alcohol use disorder (AUD), and how is it different from unhealthy alcohol use? * Who...

11 Jul 201832min

#18: A 54M with diarrhea: Hoofbeats segment

#18: A 54M with diarrhea: Hoofbeats segment

Dissect an interesting case and think about the way clinicians think! Many clinical reasoning pearls here: * Part one of case (0:56) * Cognitive ease and strain (03:51) * Metacognition and routine di...

27 Jun 201828min

#17: Celebrating #ProudtobeGIM

#17: Celebrating #ProudtobeGIM

Be inspired by why so many are proud to be in General Internal Medicine (GIM)! Episode page: https://www.coreimpodcast.com/2018/06/23/celebrating-proudtobegim/ (https://www.coreimpodcast.com/2018/06/2...

20 Jun 20188min

#16 Steroids in COPD: Mind the Gap Segment

#16 Steroids in COPD: Mind the Gap Segment

Let’s take your breath away… with a review on steroids in treating COPD exacerbations! Time Stamps * How does GOLD (Global Initiative for Chronic Obstructive Lung Disease) define a COPD exacerbation?...

30 Mai 201813min

#15 Contrast-Induced Nephropathy: 5 Pearls segment

#15 Contrast-Induced Nephropathy: 5 Pearls segment

Solidify your understanding of contrast-induced nephropathy (CIN)! Quiz yourself on the 5 pearls we will be covering: * Are there diagnostic criteria for CIN? (2:11) * Is there a difference between ...

16 Mai 201828min

#14 A 36F with weakness: Hoofbeats segment

#14 A 36F with weakness: Hoofbeats segment

Dissect an interesting case and think about the way clinicians think! So many clinical reasoning pearls here: * Part 1 Case (2:05) * Framing bias (7:07) * Data-driving reasoning  (11:48) * Hypothesi...

2 Mai 201834min

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