The Intern At Work: Internal Medicine

The Intern At Work: Internal Medicine

A pan-Canadian learner-generated internal medicine podcast. The Intern at Work is written by residents for residents, and is meant to serve you better on the wards and on call. Disclaimer: This podcast is intended for educational use only and is not intended as the sole resource for clinical management. All scripts are original scripts. Podcasts produced out of Canada and may contain Canadian specific guidelines. Created by: Alison Lai Executive Producers: Laiya Carayannopoulos, Zahra Merali

Episodes

May 4, 2025 15 mins

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Why do our patients need pacemakers and what should you know about them? Written by Dr. Alyssa Chow (Internal Medicine Resident) and reviewed by Dr. Steve Montague (General Internal Medicine) and Dr. Aws Almufleh (Cardiology). Infographic Alyssa Chow and Sapirya Birk (Medical Student). 

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Today we dive into the life-saving (and often intimidating!) technology known as ECMO. 

Written by: Dr. Pavan Malhi (Internal Medicine Resident)

Reviewed by: Dr. Liang Chen (General Internist & Critical Care Medicine Fellow) & Dr. Jed Lipes (Intensivist, General Internist)

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Today we're introducing a new format—the first episode in our Clinical Practice Guidelines series. This week, Drs. Mike and John Fralick discuss the 2025 ACC/AHA Clinical Practice Guidelines for Acute Coronary Syndrome. Here we go! 

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Episode 112 - Top Papers from the 2025 American College of Cardiology (ACC) Session

Welcome back Rounds Table Listeners! We are back today with a special Rapid Fire Podcast! This week, Drs. Mike and John Fralick discuss top papers from the 2025 American College of Cardiology (ACC) Annual Scientific Session. Hot off the presses, here we go!

  1. Extended Reduced-Dose Apixaban for Cancer-Associated Venous Thromboembolism (...
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There's more to falls than meets the eye! Learn all about an approach to this extremely common problem in our older adult population. 

Episode written by Dr. Annabel Chan (Internal Medicine Resident) and reviewed by Dr. Sudeep Gill (Geriatric Medicine) and Dr. Marie Leung (General Internal Medicine). Infographic by Julia Simone (Medical Student).

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In this episode, we review the macrovascular and microvascular complications of longstanding diabetes. Our medicine minute discusses the ADVANCE trial published in 2008 and the DAPA-CKD trial published in 2020.

Written by: Dr. Nour Marafie,  Internal Medicine Resident

Reviewed by:  Dr. Melissa-Rosina Pasqua, endocrinologist and Dr. Jennifer Wright, general internal medicine

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For patients w/ myocardial infarction & anemia, at what hemoglobin should you transfuse? Tune into Rounds Table where Dr. Mike Fralick interviews Dr. Jeffrey Carson to discuss his individual patient data meta-analysis published in NEJM Evidence. 

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In this episode, we review the pathophysiology, symptompatology and treatment options for individuals with chronic pain. In addition, we review how to take a pain history to help differentiate between different types of pain. Our medicine minute discusses the SPACE trial. 


Written by: Dr. Lakindu Somaweera (Internal Medicine Resident)

Reviewed by: Dr. Hasitha Welihinda (Palliative Care Specialist) and Dr. Lindsay A...

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February 23, 2025 22 mins

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In this episode, we have Dr. Lisa Dubrofsky (Nephrology, University of Toronto) speaking about the KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease.

Host: Dr. Catherine Leurer (Geriatrics Fellow)
Sound editing by:  Krzystof Kowalik

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February 16, 2025 23 mins

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In this episiode, Dr. Sheliza Halani interview Dr. Jameel Abdulrehman (Hematology, Thrombosis) about the latest recommendations in the  CHEST 2021 Antithrombotic Therapy for VTE Disease: Second Update of the CHEST Guideline and Expert Panel Report


Host: Dr. Sheliza Halani
Guest: Dr. Jameel Abdulrehman, Hematologist, Assistant Professor at University of Toronto
Sound Editing: Alison Lai

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In this episode, Dr. Maya Stein interviews Dr. Kevin Singh about the 2016 Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery.

Produced and Hosted By: Dr. Maya Stein (Internal Medicine resident)
Special Guest: Dr. Kevin Singh (General Internist)
Sound Editing by: Dr. Alison Lai (General Internist)

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In this episode, Dr. Sheliza Halani speaks with Dr. Kevin Venus (General Internist) about the 2020 update to the Hypertension Canada Guidelines for the Prevention, Diagnosis, Risk Assessment, and Treatment of Hypertension.

Host: Dr. Sheliza Halani
Sound Editing: Dr. Alison Lai
Producers: Dr. Catherine Leurer and Dr. Sheliza Halani

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January 27, 2025 23 mins

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This week, Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast and our Medicine Pods collaboration, discuss two recent papers exploring oxygenation in acute respiratory failure and the use of ablation versus anti-arrhythmic medication for ventricular tachycardia. Two papers, here we go!

  1. High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients with Acute Respiratory Fai...
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Dr. John Fralick sits down with Dr. Nicole Hawe, a first-year Internal Medicine resident at the University of British Columbia, to discuss her third place winning clinical vignette from the Canadian Society of Internal Medicine Annual Meeting 2024.

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Dr. Laiya Carayannopoulos sits down with Nick Sanchez (MD student) to discuss his second place winning clinical vignette from the Canadian Society of Internal Medicine Annual Meeting. He takes us through a fantastic case of upper GI bleeding! 

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Dr. Zahra Merali (Host) sits down with Dr. Shaima Kaka (Internal Medicine resident) to discuss her first place winning clinical vignette (oral case report) from the Canadian Conference of Medicine Annual Meeting 2024. They discuss a curious case of hyperglycaemia and jitters! 

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December 27, 2024 24 mins

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Happy Holidays Rounds Table Listeners! For our penultimate episode of 2024, we are back with a special treat! This week, Drs. Mike and John Fralick chat about the top five RCTs published over the past year:

  1. Finerenone in Heart Failure with Mildly Reduced or Preserved Ejection Fraction (0:00 – 3:40).
  2. Tirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity (3:40 – 9:00).
  3. Effects of Semaglutide on Chronic K...
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As a result of the rapid adoption CAR-T therapy for certain lymphoid malignancies and multiple myeloma, of these treatments, CRS and ICANS will become more common in IM wards in the coming years. Take a listen to learn about how to treat this emerging condition. 

This episode was written by Dr. Veronica Ramirez (Internal Medicine Resident) and reviewed by Dr. Kelly Davison (Hematology) and Dr. Blair Schwartz ...

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Take a listen to learn everything there is to know about this less common GI diagnosis- GAVE! Written by Dr. Zuhal Mohmand (Internal Medicine resident) and reviewed by Dr. Elizabeth Squirell (Gastroenterologist), Dr. Michelle Ricci (Gastroenterologist) and Dr. Heather Johnson (General Internal Medicine). Infographic by Sapriya Birk (Medical Student). 

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 Written by: Dr. Tharaniya Vallipuram (Internal Medicine Resident) & Dr. Liang Chen (General Internal Medicine & ICU Fellow) 
Reviewed by: Dr. Jed Lipes (Intensivist & General Internist) & Dr. Evan Wong (Intensivist & General Surgeon)

Don't forget to check out Episode 238 - Tracheostomy 101 before listening to this week's episode on tracheostomy associated emergencies!

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