#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(212)

#140 Bonus Pacemaker & ICDs: 5 Pearls Segment

#140 Bonus Pacemaker & ICDs: 5 Pearls Segment

Syncope history, PPM/ICD prior to MRI or surgery, anticoagulation for pacemaker or ICD procedures and new cardiac devices and how they may look different on EKG or chest x-ray!Sponsor: Post Investment...

29 Nov 202324min

#139 CKD Staging (Cr vs. Cystatin C, Albuminuria & more): Mind The Gap Segment

#139 CKD Staging (Cr vs. Cystatin C, Albuminuria & more): Mind The Gap Segment

Is Cr or Cystatin C better to assess eGFR? What are pros & cons of each? Does eGFR tell the full picture of kidney function? What may cause false positive albuminuria?Sponsor: Panacea Financial Studen...

8 Nov 202326min

#138 Incorporating Cancer Genetics into Your Practice: Lynch Syndrome and Beyond!

#138 Incorporating Cancer Genetics into Your Practice: Lynch Syndrome and Beyond!

Check out the original interview on Youtube:Essentials on Genetic Counselor | Lynch SyndromeWho should be referred for genetic counseling? How can we set our our patients and genetic counselors up for...

25 Okt 202332min

#137 Hypokalemia & Potassium Repletion: 5 Pearls Segment

#137 Hypokalemia & Potassium Repletion: 5 Pearls Segment

See some of the original interviews on Youtube!What is the evidence behind K+ repletion? What is a framework to think through for hypokalemia? What are the different repletion formulations and what el...

18 Okt 202334min

#136 How Did Diabetes Medications Become Obesity Meds? Beyond Journal Club on SURMOUNT-1 Trial

#136 How Did Diabetes Medications Become Obesity Meds? Beyond Journal Club on SURMOUNT-1 Trial

What is the difference between semaglutide (ozempic) and tirzepatide (mounjaro) in outcomes and mechanism? How did we find out diabetes medications can help with weight loss?Sponsors: Post Investment:...

4 Okt 202321min

#135 Guideline Directed Medical Therapy Part II: 5 Pearls Segment

#135 Guideline Directed Medical Therapy Part II: 5 Pearls Segment

With progressing CKD & HFrEF, what GDMT medications can you start, continue or stop? What does the data on hydralazine/isosorbide tell us and what does it NOT tell us? What are the pros and cons of st...

20 Sep 202336min

#134 Diagnostic Errors & Excellence

#134 Diagnostic Errors & Excellence

What does medical education research say about improving diagnostic errors? What habits help in getting to diagnostic excellence?Timestamps01:00 System 1 vs. System 207:46 Cognitive Biases13:46 Case f...

6 Sep 202330min

#133 Post-Kidney Transplant: 5 Pearls Segment

#133 Post-Kidney Transplant: 5 Pearls Segment

What are side effects of tacrolimus and mycophenolate? And what are common medication interactions? What causes of acute kidney injury are unique to renal transplant recipients When a patient has a fe...

16 Aug 202344min

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