#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 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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#37 Unstable Angina: Mind the Gap Segment

#37 Unstable Angina: Mind the Gap Segment

Check out part 1: Acute Coronary Syndrome and TIMI Risk Score (http://bit.ly/UnstableAnginaPart1) Lets go deeper into 1) How the chest pain history correlates with pathophysiology? [2:40] 2) How has h...

27 Mars 201914min

#36 Pain Management: 5 Pearls Segment

#36 Pain Management: 5 Pearls Segment

Solidify your knowledge on inpatient pain management! Quiz yourself on the 5 pearls we will be covering: * How effective are non-opioids? ( 3:17) * Are NSAIDs contraindicated in patients with kidney,...

13 Mars 201931min

#35 Acute Coronary Syndrome and TIMI Risk Score: Mind the Gap Segment

#35 Acute Coronary Syndrome and TIMI Risk Score: Mind the Gap Segment

Let's go deeper into the world of ACS and the origin of the TIMI score and major adverse cardiac events "MACE" outcomes! * The basics – what is acute coronary syndrome? (4:08) * Clinical context matt...

27 Feb 201920min

#34 47M with chest pain : Hoofbeats segment

#34 47M with chest pain : Hoofbeats segment

Dissect an interesting case and improve your clinical reasoning skills! Time Stamps: * New features in this episode [00:25] * Data point 1: Early hypothesis generation? [03:20] * Data point 2: Pertin...

13 Feb 201937min

#33 Barrett's Esophagus: 5 Pearls

#33 Barrett's Esophagus: 5 Pearls

Solidify your knowledge on Barrett's Esophagus and more! Quiz yourself on the 5 pearls we will be covering: * What is Barrett’s esophagus and why should we care? (4:12) * Who do we screen for Barrett...

30 Jan 201926min

#32 A 34M with Fever, HA, Myalgias

#32 A 34M with Fever, HA, Myalgias

Dissect an interesting case and improve your clinical reasoning skills! Time stamps: * Player three has entered the game! [0:15] * Case presentation, part 1 [1:20] * First impressions [3:24] * Rethin...

16 Jan 201926min

#31: Troponins: 5 Pearls Segment

#31: Troponins: 5 Pearls Segment

Solidify your knowledge on troponins and more! Quiz yourself on the 5 pearls we will be covering: * What aspects of the history are concerning in a patient with a positive troponin? (4:00) * What is ...

2 Jan 201931min

#30 Acetaminophen/Fevers Pathophysiology and Patient Outcomes: Mind the Gap Segment

#30 Acetaminophen/Fevers Pathophysiology and Patient Outcomes: Mind the Gap Segment

Let's dive deeper into the world of acetaminophen and fever and how it may work and patient outcomes Time Stamps: What data is there to support the use of acetaminophen as a fever reducer? (2:08) ...

19 Dec 201817min

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