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
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The Intern At Work: Internal Medicine podcast is truly a gem in the world of medical podcasts. As an intern myself, I have found this podcast to be extremely helpful and informative in my daily practice. The episodes are concise yet packed with useful information, making it easy for busy interns to absorb knowledge on the go. The addition of the physiology minute segment further enhances understanding and connects the basic science to clinical practice. Overall, this podcast is a valuable resource that every intern should have in their listening queue.
One of the best aspects of The Intern At Work: Internal Medicine podcast is its organization and attention to detail. Each episode is well-structured to ensure maximal absorption of information by sleep deficient interns. The episodes are around 10-15 minutes long, which is the perfect length to cover all the basics without being too prolonged. Unlike some other podcasts, there is no unnecessary chatting between hosts or attempts to outsmart guests. Additionally, each episode is reviewed by 2-3 educators to ensure content accuracy, adding another layer of quality control.
Another commendable aspect of this podcast is its focus on addressing the issues and clinical problems that interns commonly face on a daily basis. While there are many medical podcasts out there, few specifically cater to interns and their unique challenges. The Intern At Work fills this gap by offering practical and informative discussions relevant to intern life. Although it has a Canadian setting, I have found it helpful even as an international listener.
One minor downside of this podcast is that it may not provide enough in-depth discussion or exploration of certain topics. Due to its succinct format, some listeners may crave more detailed analysis or case examples for a thorough understanding. However, considering its target audience of busy interns, the brevity of episodes can also be seen as an advantage.
In conclusion, The Intern At Work: Internal Medicine podcast is an excellent resource for interns seeking efficient and effective learning opportunities amidst their hectic schedules. The education and instruction provided are relevant to clinical practice, and the podcast is a pleasure to listen to. I highly recommend this podcast to all interns who are looking for a concise and informative way to stay on top of their studies while juggling their intern responsibilities.
Send us a textThis week we take you through a common and challenging symptomatology experienced by patients who have dementia - behavioural and psychosocial symptoms in dementia, or BPSD. Written by: Dr. Rafique Van Umm (Internal Medicine Resident) Reviewed by: Dr. Tricia Woo (Geriatrician) & Dr. Marianne Talman (General Internist) Do you ever feel like you can't get ahead of charting? Freed AI has an AI driven scribe for you! You can try Freed for free right now by going to getfreed.ai. Listeners can use the INTERN50 code for $50 off their first month!Support the show
Send us a textIn this episode, we discuss the pathophysiology, clinical features and diagnostic approach to Adult Onset Still's Disease. Our medicine minute discusses the Yamaguchi Criteria for diagnosis of Adult Onset Still's Disease.Written by: Dr. Samira Adus (Internal Medicine Resident)Reviewed by: Dr. Kimberly Legault (Rheumatology) and Dr. John Neary (General Internal Medicine)Support the show
Send us a textIn this episode, Dr. Matthew Fuda (Internal Medicine Resident) discusses the 2018 ACC/AHA/HRS Guideline on the Evaluation and Management of Patients With Bradycardia and Cardiac Conduction Delay: Executive Summary with Dr. Karen Konieczny (Cardiologist, Electrophysiologist).Host: Dr. Matthew FudaSpecial Guest: Dr. Karen Konieczny (Cardiologist, Electrophysiologist)Producers: Drs. Valerie Kim and Matthew FudaSound editing: Dr. Alison LaiSupport the show
Send us a textDr. Laiya Carayannopoulos & Dr. Mike Fralick connect to bring you another crossover episode, this time covering new studies on therapies for bronchiectasis and posterior circulation stroke. Take a listen and let us know what you think! Do you ever feel like you can't get ahead of charting? Freed AI has an AI driven scribe for you! You can try Freed for free right now by going to getfreed.ai. Listeners can use the INTERN50 code for $50 off their first month!Support the show
Send us a textWhy 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). Do you ever feel like you can't get ahead of charting? Freed AI has an AI driven scribe for you! You can try Freed for free right now by going to getfreed.ai. Listeners can use the INTERN50 code for $50 off their first month!Support the show
Send us a textToday 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! Support the show
Send us a textToday 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)Support the show
Send us a textEpisode 112 - Top Papers from the 2025 American College of Cardiology (ACC) SessionWelcome 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!Extended Reduced-Dose Apixaban for Cancer-Associated Venous Thromboembolism (0:00 - 5:55)Dapagliflozin in Patients Undergoing Transcatheter Aortic-Valve Implantation (DapaTAVI) (5:56 - 9:51)Oral Semaglutide and Cardiovascular Outcomes in High-Risk Type 2 Diabetes (9:52 - 14:04)Semaglutide and walking capacity in people with symptomatic peripheral artery disease and type 2 diabetes (STRIDE) (14:05 - 18:36)The Good Stuff:The Studio TV series on Apple (18:37 - 19:11)Cardiology Trial Files (19:12 - 20:40)Questions? Comments? Feedback? We'd love to hear from you! @roundstable @InternAtWork @MedicinePodsSupport the show
Send us a textThere'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).Do you ever feel like you can't get ahead of charting? Freed AI has an AI driven scribe for you! You can try Freed for free right now by going to getfreed.ai. Listeners can use the INTERN50 code for $50 off their first month!Support the show
Send us a textIn 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 ResidentReviewed by: Dr. Melissa-Rosina Pasqua, endocrinologist and Dr. Jennifer Wright, general internal medicineDo you ever feel like you can't get ahead of charting? Freed AI has an AI driven scribe for you! You can try Freed for free right now by going to getfreed.ai. Listeners can use the INTERN50 code for $50 off their first month!Support the show
Send us a textFor 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. Do you ever feel like you can't get ahead of charting? Freed AI has an AI driven scribe for you! You can try Freed for free right now by going to getfreed.ai. Listeners can use the INTERN50 code for $50 off their first month!Support the show
Send us a textIn 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 Anderson (General Internist)Support the show
Send us a textIn 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 KowalikSupport the show
Send us a textIn 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 ReportHost: Dr. Sheliza HalaniGuest: Dr. Jameel Abdulrehman, Hematologist, Assistant Professor at University of TorontoSound Editing: Alison LaiDo you ever feel like you can't get ahead of charting? Freed AI has an AI driven scribe for you! You can try Freed for free right now by going to getfreed.ai. Listeners can use the INTERN50 code for $50 off their first month!Support the show
Send us a textIn 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)Do you ever feel like you can't get ahead of charting? Freed AI has an AI driven scribe for you! You can try Freed for free right now by going to getfreed.ai. Listeners can use the INTERN50 code for $50 off their first month!Support the show
Send us a textIn 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 HalaniSound Editing: Dr. Alison LaiProducers: Dr. Catherine Leurer and Dr. Sheliza HalaniSupport the show
Send us a textThis 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!High-Flow Nasal Oxygen vs Noninvasive Ventilation in Patients with Acute Respiratory Failure: The RENOVATE Randomized Clinical Trial (0:00 – 14:45).Catheter Ablation or Antiarrhythmic Drugs for Ventricular Tachycardia (14:45 – 22:55).And for the Good Stuff:Medicine Pods! (22:55 – 23:51).Sign-up to our mailing list to receive link to attend the Royal College Epidemiology Crash Course hosted by Dr. Mike FralickSupport the show
Send us a textDr. 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.Support the show
Send us a textDr. 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! Support the show
Send us a textDr. 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! Support the show
Send us a textHappy 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:Finerenone in Heart Failure with Mildly Reduced or Preserved Ejection Fraction (0:00 – 3:40).Tirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity (3:40 – 9:00).Effects of Semaglutide on Chronic Kidney Disease in Patients with Type 2 Diabetes (9:00 – 13:55).Tirzepatide for Metabolic-Dysfunction Associated Steatohepatitis with Liver Fibrosis (13:55 – 20:00).Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections (the Balance Trial) (20:00 – 23:30).And for the Good Stuff:Toronto Star Santa Claus Fund, Calgary Food Bank, Epilepsy Canada (23:30 – 24:51).Questions? Comments? Feedback? We'd love to hear from you! @roundstable @InternAtWork @MedicinePodsSupport the show
Send us a textAs 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 (General Internist and Intensivist). Infographic by Neeloufar Grami (medical student).Support the show
Send us a textTake 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). Support the show
Send us a text 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!Support the show
Send us a textIn this episode, Dr. Maya Stein (General Internal Medicine fellow) interviews Dr. Beth Abramson (Cardiologist) on the 2022 CCS guidelines for peripheral arterial disease. Support the show
Send us a textIn this episode, Dr. Sheliza Halani interviews Dr. Nisha Andani (Infectious Diseases) about the latest guidelines regarding the epidemiology, clinical presentation, investigations, treatment and prevention of PJP. Support the show
Send us a textWritten by: Dr. Yining (Nancy) Chen (Internal Medicine Resident) Reviewed by: Dr. Shaun Ong (Respirologist) & Dr. Lori Wik (General Internist)Support the show
Send us a textLet's talk about the BCR:ABL negative MPNs! Written by Dr. Sarah Ge (Internal Medicine Resident), reviewed by Dr. Christopher Hillis @HemeHillis (Hematology) and Dr. John Neary @jddneary (General Internal Medicine). Infographic by Dr. Caitlyn Vlasschaert @DrFlashHeart (Internal Medicine Resident).Support the show
Send us a textWritten by: Dr. Roslyn Mainlaind (Internal Medicine Resident) Reviewed by: Dr. Lindsay Anderson (General Internist) & Dr. Karine Gauthier (Hematologist)Support the show
Send us a textTake a listen to our live recording of The Canadian Conference of Internal Medicine Top papers of the year 2024 session! We talk about recent studies involving alzheimer's dementia, community acquired pneumonia, atrial fibrillation, MASLD and long covid. Host: Dr. Zahra Merali, Expert: Dr. Rajender Hanmiah. Check out www.medicinepods.com for a live video recording. You can also see a link to each paper there. Support the show
Send us a textIn this episode, we discuss the clinical presentation, work-up, and treatment of CMML. Our medicine minute discusses emerging evidence on the use of ruxolitinib for CMML treatment. Written by: Dr. Elliot Smith (Internal Medicine Resident)Reviewed by: Dr. Stephanie Lee (Hematology and Oncology) and Dr. Christophe Langois (General Internal Medicine)Support the show
Send us a textUp to 30% of all healthcare offers no clinical value to patients. Reducing this care has the co-benefit of decreasing healthcare's carbon footprint. In this special CSIM episode, host Dr. Zahra Merali sits down with guests Dr. Billy Silverstein @WKSilverstein (General Internist, University of Toronto) and Dr. Owen Luo @OwenLuo5 (Internal Medicine Resident, McGill University) to discuss 4 of the Choosing Wisely Canada's climate-conscious recommendations (https://choosingwiselycanada.org/climate/). They were integral in creating these recommendations, and have a wealth of practical tips about how we can implement them into our own practice! Infographic by Julia Simone (medical student). If you have not heard Part 1- make sure to go back and listen to other Canada-wide experts in this area.Support the show
Send us a textIn the final part of our series leading up to CSIM Dr. Mike Fralick of the Rounds Table sits down with Dr. Raj Hanmiah to discuss the papers that didn't make the cut for the top papers of the year. Join us as we record live at CSIM during the Top Papers breakfast session on October 17th for the reveal of the top 5 of the year! Support the show
Send us a textThere are everyday practices we can stop or reduce that don't add value to patient care and harm the environment.In this special CSIM episode, host Dr. Zahra Merali sits down with guests Dr. Mathilde Gaudreau @MathildeGSimard (General Internist, University of Ottawa), Dr. Nabha Shetty (General Internist, Dalhousie University) and Dr. Valeria Stoynova (General Internist, Island Health/UBC Island Medical Program) to discuss 4 of the Choosing Wisely Canada's climate-conscious recommendations (https://choosingwiselycanada.org/climate/). They were integral in creating these recommendations, and have a wealth of practical tips about how we can implement them into our own practice!Infographic by Julia Simone (medical student). Keep tuning in to hear the rest of our CSIM special episodes and join us & the Planetary Health team as they present at CSIM! @CSIMSCMISupport the show
Send us a textIn this episode, we review the screening, monitoring and treatment approaches to patients with diabetes in pregnancy. Our medicine minute reviews the MiTy trial - a landmark randomized controlled trial that provided direct safety data on the use of metformin in pregnancy.Written by: Dr. Ryan Peters (Internal Medicine Resident)Reviewed by: Dr. Katherine Steckham (General Internist, Obstetric Medicine fellow) and Dr. Amanda Huynh (General Internist, Obstetric Medicine)Support the show
Send us a textIn part two of our series leading up to CSIM Dr. Zahra Merali sits down with Dr. Raj Hanmiah to discuss the papers that didn't make the cut for the top papers of the year. Keep tuning in to hear the rest and join us as we record live at CSIM during the Top Papers breakfast session on October 17th for the reveal of the top 5 of the year! Support the show
Send us a textIn this episode, we discuss the epidemiology, clinical manifestations, investigations and treatment of ITP. Our medicine minute discusses the Harrington-Hollingsworth Experiment. Written by: Dr. Vanessa Giuliano (Internal Medicine Resident)Reviewed by: Drs. Taylor Dear and Zachary Liederman (Hematology) and Dr. Kevin Venus (General Internal Medicine)Infographic by: Dr. Lilly Yu (Internal Medicine Resident)Support the show
Send us a textIn the first of our series leading up to CSIM we sit down with Dr. Raj Hanmiah to discuss the papers that didn't make the cut for the top papers of the year. Keep tuning in to hear the rest and join us as we record live at CSIM during the Top Papers breakfast session on October 17th for the reveal of the top 5 of the year! Support the show
Send us a textIn this episode, we discuss the history, epidemiology, clinical presentation, investigations and management for invasive aspergillosis. Written by: Dr. Ravinder Sandhu (Internal Medicine Resident)Reviewed by: Dr. Terrence Ho (Respirology) and Dr. John Neary (General Internal Medicine)Sound Editing by: Tony WalshSupport the show
Send us a textIn this episode, we discuss the history, related legislation and procedures regarding Medical Assistance in Dying. This episode discusses the state of Medical Assistance in Dying in Canada in 2024. We encourage listeners to continue to be up-to-date on the local legislation and practices. Written by: Dr. Valerie Kim (Internal Medicine Resident)Reviewed by: Dr. Mark Bonta (Internist) and Dr. Kayla Wolofsky (Internist, Palliative Care)Support the show
Send us a textThis week, Dr. Laiya Carayannopoulos from the Intern at Work Podcast and Dr. Mike Fralick from The Rounds Table, our new Medicine Pods collaboration, discuss two recent papers exploring the novel management of two rare diseases – ATTR Amyloidosis and Hereditary Angioedema. Two papers, here we go!Support the show
Send us a text"Bad Gut Feeling" Medical & Surgical Management of The Hospitalized IBD Patient. This ask a fellow kicks off our first episode of the new academic year with one of our Queens site leads, Michael Scaffidi (Internal Medicine Resident) hosts Dr. Fiona Milne @not_shreks_wife (Gastroenterology fellow) and Dr. Daniel Potter (General Surgery Resident). Reviewed by Dr. Elizabeth Squirell (Gastroenterologist and IBD specialist) and Dr. Sunil Patel (Colorectal Surgeon). Infographic by Sapriya Birk. Support the show
Send us a textWelcome to Medicine Pods! Your one stop shop for everything internal medicine, prn. Find us at www.medicinepods.com to find everything from The Intern at Work, The Rounds Table, Everything You Need To Know and Trial Files all in one place. Support the show
For this year's special episode, we sat down with Dr. Mark Soth of the Loonie Doctor and Money Scope to talk about approaching creating a healthy financial future for yourself as a resident and beyond. Support the Show.
Written by: Dr. Vijay Gupta (Internal Medicine Resident) Reviewed by: Dr. Sabe De (Cardiologist) and Dr. Karen Geukers (General Internist)Support the Show.
Written by Dr. Isaac Bonisteel (Internal Medicine). Reviewed by Dr Phil Laird (General Internal Medicine and Critical Care) and Dr. Dan Howes (Critical Care). Infographic by Sapriya Birk (Medical Student)Support the Show.
In this episode, we review the acute presentation of hepatorenal syndrome. We review the nomenclature, epidemiology, clinical presentation, investigations and management of hepatorenal syndrome. Our medicine minute reviews the utility of terlipressin in treatment of HRS. Written by: Dr. Elias Hazan (Internal Medicine Resident)Reviewed by: Dr. Cynthia Tsien (Transplant Hepatologist) and Rupal Shah (General Internal Medicine)Sound Editing by: Tony WalshSupport the Show.
In this episode, we provide a broad introduction to tracheostomies. This includes indications and contraindications, tracheostomy equipment, procedural options and potential complications of tracheostomies. The medicine minute discusses the TRACMAN trial published in JAMA in 2013. Written by: Drs . Tharaniya Vallipuram (Internal Medicine Resident) and Liang Chen (General Internal Medicine & ICU Fellow)Reviewed by: Drs. Peter Goldberg (Intensivist, Respirologist) and Jed Lipes (Intensivist, General Internist)Sound Editing by: Tony WalshSupport the Show.
In this episode, we discuss the presentation, typical timing of onset, investigations and treatment for individuals with intrahepatic cholestasis of pregnancy. We also discuss the potential complications of ICP. Written by: Dr. Kristina Wade (Internal medicine resident)Reviewed by: Dr Giada Sebastiani (Hepatologist) and Dr Camille Simard (GIM/Ob Med)Support the Show.
How can we best prevent diabetic related complications before surgery? Learn all about it in this weeks perioperative episode. This episode was written by Dr. Michael Wong (Internal Medicine Resident) and reviewed by Dr. Robyn Houlden (Endocrinology) and Dr. Kristen Marosi (General Internal Medicine). Infographic by Dr. Valarie Kim (Internal Medicine Resident). Support the Show.
Written by: Dr. Lori Israelian (Internal Medicine Resident) Reviewed by: Dr. Eva Piessens (Infectious Diseases) & Dr. Jessica Huynh (General Internal Medicine) Support the Show.