Explore every episode of the podcast The Intern At Work: Internal Medicine
| Title | Pub. Date | Duration | |
|---|---|---|---|
| Tired of Trying – An Approach to Tricuspid Regurgitation | 22 Feb 2026 | 00:15:48 | |
In this episode, we discuss an approach to tricuspid regurgitation. Written by: Dr. Phelopater Sedrak. Reviewed by Dr. Mena Gewarges (Cardiology) and Dr. Eric Kaplovitch (General Internal Medicine). | |||
| When Skin and Joints Collide - An Approach to Psoriatic Arthritis | 08 Feb 2026 | 00:11:57 | |
In this episode, we discuss an approach to psoriatic arthritis. Written by: Dr. Inara Mawji. Reviewed by Dr. Tanveer Towheed (Rheumatology) and Dr. Don Thiwanka Wijeratne (General Internal Medicine). | |||
| 288. New Beginnings | 07 Sep 2025 | 00:16:47 | |
After almost 10 years of running The Intern at Work, the founding members and executive team are ready to hand over the podcast to a new producing team featuring Drs. Valerie Kim, Maya Stein and Annie Wu. Tune in to listen to how The Intern at Work started, and the future directions it might take. | |||
| 199. CABG - More than a Vegetable | 18 Jun 2023 | 00:15:09 | |
In this episode, we review the physiology and pathophysiology behind coronary artery disease. We also reviewed the current indications for CABG as per the CCS guidelines. The medicine minute discusses the recently released ISCHEMIA trial. | |||
| 198. Tearing down and building up: An Aproach to Paget Disease of Bone | 11 Jun 2023 | 00:12:30 | |
Let's dive into endocrinology this week- to learn about Paget Disease of the Bone! Listen till the end to learn about Sir James Paget himself. This episode was written by Emaad Mohammad (Internal Medicine Resident) and reviewed by Dr. Robyn Houlden (Endocrinology) and Dr. Amelia Wilkinson (General Internal Medicine) | |||
| 197. Your Learning Is Not in Vein - An Approach to Inherited Thrombophilias | 04 Jun 2023 | 00:13:25 | |
In this episode, we cover when to suspect and investigate - or more importantly NOT investigate patients for potential inherited thrombophilias. | |||
| 196. The Heart has a Mind of its Own - An Approach to POTS | 28 May 2023 | 00:16:10 | |
In this episode, we discuss the clinical presentation, consensus diagnostic criteria and pharmacologic and non-pharmacologic strategies to manage a patient with Postural Orthostatic Tachycardia Syndrome (POTS). | |||
| 195. Biliary Off Track - An Approach to Cholecystitis and Cholangitis | 21 May 2023 | 00:15:30 | |
In this episode, we discuss the clinical presentation, severity grading, investigations and management for patients presenting with cholecystitis or cholangitis. Our medicine minute discusses a promising new technique for patients with non-operative cholecystitis. | |||
| 194. It's Lower Than You Think - Lower GI Bleed | 14 May 2023 | 00:15:00 | |
We covered upper GI bleed a few weeks ago, but we'd be remiss if we didn't address the other half of the GI tract! This week we take you through our approach to lower GI bleeding and its management, including recent guideline updates. | |||
| 193. Not So Sweet Pee- Approach to Central Diabetes Insipidus | 08 May 2023 | 00:09:48 | |
Written by Dr. Tiffany Mach (Internal Medicine Resident) and reviewed by Dr. Vincent Larouche (Endocrinology) and Dr. Romina Pace (General Internal Medicine). Infographic by Vincent Li (Medical Student). | |||
| 192. Go Get the O2 - An Approach to Hypoxia | 30 Apr 2023 | 00:16:39 | |
In this episode, we discuss two main causes of hypoxia as well as the utility of the A-a gradient to help determine the underlying etiology. We discuss different methods of oxygen delivery and briefly review etiologies that may cause hypoxia. Our medicine minute discusses the discovery and current controversy regarding pulse oximeters. | |||
| 191. You put me in a state of SHOCK | 23 Apr 2023 | 00:17:05 | |
In this episode, we review the main causes of four different types of shock: hypovolemic, cardiac, obstructive and distributive (or vasoplegic). We discuss both initial assessment and management of a patient in shock, as well as more focused therapies for specific etiologies. Our medicine minute discusses the choice for initial vasopressors as well as the evidence behind current MAP targets. | |||
| 190. Urine Trouble! An approach to AKI | 16 Apr 2023 | 00:15:42 | |
In this episode we cover the history of AKI and an approach to its diagnosis and management. We also cover landmark trials! | |||
| 287. Swan Diving into Hemodynamics - An approach to Right Heart and Pulmonary Artery Catheterization | 26 Aug 2025 | 00:25:35 | |
This week we have a physiology heavy hitter - we review cardiac hemodynamics and how to translate those principles into the use and application of PA catheters. Written by: Dr. Paul Mundra (Internal Medicine Resident) Reviewed by: Dr. Craig Ainsworth (Cardio-Intensivist) & Dr. Hugh Traquair (General Internist) Don't forget to use code FIGSCA for 20% off your first purchase! | |||
| 189. Into the Bubble: Approach to Hypogammaglobulinemia | 10 Apr 2023 | 00:09:33 | |
Have you heard of the "bubble boy?" In this episode, we outline an approach to hypogammaglobulinemia - a fascinating outpatient medicine topic! Episode written by Dr. Vivian Szeto (Internal Medicine resident) and reviewed by Dr. Rongbo Zhu (Clinical Allergy and Immunology) and Dr. Marko Mrkobrada (General Internal Medicine). Infographic by Dr. Valarie Kim (Internal Medicine resident). | |||
| 188. Atopy, asthma, and dysphagia - oh my!: An approach to eosinophilic esophagitis | 26 Mar 2023 | 00:11:31 | |
This week we cover an increasingly common diagnosis - eosinophilic esophagitis. We will discuss the clinical presentation, diagnostic criteria, and help you remember the approach to treatment. | |||
| 187. Breaking down the perPLEXing topic of TTP | 19 Mar 2023 | 00:13:54 | |
In this episode, we discuss the clinical presentation, laboratory abnormalities, initial work-up and treatment of TTP. We review the pathophysiology and also how to distinguish TTP from other MAHAs based on the patient's lab findings and clinical presentation. The medicine minute discusses the first known case of TTP and the timeline of discovery of the etiology behind TTP. Sound editing by: | |||
| 186. Ring the Alarm: Mast cell activation syndrome (MCAS) | 12 Mar 2023 | 00:13:01 | |
Today's episode is all about a rare disease that you may encounter on your allergy and immunology rotation! This episode was written by Dr. Candice Luo (Internal Medicine Resident) and reviewed by Dr. Paul Keith (Allergy and Immunology) and Dr. Zahira Khalid (General Internal Medicine). Infographic by Dr. Cailyn Vlasschaert (Internal Medicine Resident). | |||
| 185. Two Sizes Too Big - Dilated Cardiomyopathy | 05 Mar 2023 | 00:12:37 | |
In this episode we take you through all the need-to-knows for your next patient with dilated cardiomyopathy! | |||
| 184. Backed Up - An Approach to SVC Syndrome | 26 Feb 2023 | 00:14:04 | |
In this episode, we discuss the approach to a patient with SVC syndrome. This includes considering both malignant and non-malignant causes. Treatment focuses on relief of the obstruction and investigation and management of malignant causes. Our medicine minute discusses a 2021 trial reviewing endovascular therapy for SVC syndrome. | |||
| 183. An Approach to PCOS | 19 Feb 2023 | 00:13:29 | |
At the intersection of endocrinology and gynaecology is an important topic- polycystic ovarian syndrome! This episode was written by Dr. Sooyoun Shin (Internal Medicine Resident) and reviewed by Dr. Shoba Sujana Kumar (Endocrinology) and Dr. Rupal Shah (General Internal Medicine). Podcast produced by Kiera Liblik (medical student). Infographic by Dr. Shannon Gui (Internal Medicine Resident). | |||
| 182. Matters of the Heart - An approach to myocarditis | 12 Feb 2023 | 00:12:47 | |
In this episode we break down the lengthy list of causes of myocarditis. We cover guidelines for biopsy and work-up and management approaches. | |||
| 181. Bad Connection- An Approach to Sarcoma | 05 Feb 2023 | 00:13:37 | |
Sarcoma's are rare, and sometimes coined the "forgotten cancer." Learn more about sarcoma so that you don't miss this on your differential diagnosis of internal medicine patients! Written by Dr. Megan Smith-Uffen (Internal Medicine Resident) and reviewed by Dr. Richard Tozer (Medical Oncology) and Dr. John Neary (General Internal Medicine). Infographic by Dr. Valerie Kim (Internal Medicine Resident). | |||
| 180. The Crimson Cough - A practical approach to hemoptysis | 29 Jan 2023 | 00:13:53 | |
In this episode we cover a condition that is anxiety provoking for patients and healthcare workers alike. We take you through our approach to both life threatening and non life threatening hemoptysis. | |||
| 286. Ask a Fellow - Hematologic Conditions in Pregnancy | 29 Jun 2025 | 00:34:27 | |
In this episode, our host Dr. Arjun Pandey (Internal Medicine Resident) interviews special guest Dr. Stefan Jevtic (Hematology Fellow) on hematologic conditions in pregnancy. They discuss the clinical presentation, investigations and management of thrombocytopenia, anemia, VTE and other hematologic conditions in pregnancy. Be sure to tune into www.cbcmadeeasy.com to reinforce your knowledge! Hosted by: Dr. Arjun Pandey (Internal Medicine Resident) Special Guest: Dr. Stefan Jevtic (Hematology Fellow) Produced by: Dr. Arjun Pandey and Dr. Zahra Merali | |||
| 179. When the filters start to falter: An approach to CKD management | 22 Jan 2023 | 00:19:52 | |
In this episode, we review the staging, management and treatment options for chronic kidney disease. Though most patients may present asymptomatically at first, we review the symptoms and physical findings to look out for when examining a patient with CKD. Our medicine minute discusses EMPA-KIDNEY, and the evidence that supports the use of SGLT-2 inhibitors in CKD management. | |||
| 178. About Damn Spine - Approach To Ankylosing Spondylitis | 15 Jan 2023 | 00:14:07 | |
In this episode, we review the clinical presentation, specialized physical exam maneuvers, investigations and management of ankylosing spondylitis. Our medicine minute reviews the Choosing Wisely guidelines for Rheumatology. | |||
| 177. "Con" Man: An Approach to Primary Hyperaldosteronism | 08 Jan 2023 | 00:11:05 | |
We're starting off the new year with an outpatient medicine episode! Take a listen to learn more about primary hyperaldosteronism, a common cause of resistant hypertension. Written by Dr. Isabel Shamsudeen, Internal medicine resident, and reviewed by Dr. Stan Van Uum, Endocrinology and Dr. Andrew Appleton, General Internal Medicine. Infographic by Dr. Shannon Gui, Internal Medicine Resident. | |||
| 176. TIAWxRounds Table: Digital Education and The Way Forward | 18 Dec 2022 | 00:38:13 | |
In this episode, Drs. Michael Fralick and Alison Lai get together to talk about the state of digital education in Internal Medicine across Canada. They talk about the origin stories of their podcast, how they stay up to date, and where they hope to see the digital education sphere! We then present the latest episode of The Rounds Table, hosted by brothers Dr. Michael Fralick and John Fralick. | |||
| 175. The Internist's Guide to C.Difficile | 11 Dec 2022 | 00:23:31 | |
In this episode, Dr. Sheliza Halani interviews special guest Dr. Alon Vaisman (Infectious Diseases) on the Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA). | |||
| 174. The Internist's Guide to VTE (Repeat) | 04 Dec 2022 | 00:22:27 | |
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
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| 173. The Internist's Guide to Atrial Fibrillation (Repeat) | 27 Nov 2022 | 00:40:57 | |
In this episode, Dr. Sheliza Halani interviews Dr. Andrew Ha, cardiac electrophysiologist at the University Health Network whose interest and clinical focus is in atrial fibrillation. They discuss the CCS/CHRS Comprehensive Guidelines for the Management of Atrial Fibrillation, released in 2020. | |||
| 172. The Internist's Guide to Dyslipidemia (Repeat) | 20 Nov 2022 | 00:20:58 | |
In this episode we have special guest Dr. Dominic Ng (Endocrinologist) review the 2021 Canadian Cardiovascular Society Guidelines for the Management of Dyslipidemia for the Prevention of Cardiovascular Disease in Adults with our host Dr. Catherine Leurer.
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| 171. The Internist's Guide to Chronic Hypertension (Repeat) | 13 Nov 2022 | 00:30:52 | |
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. | |||
| 170. The Internist's Guide to Dyspepsia (Repeat) | 06 Nov 2022 | 00:28:05 | |
In this episode, we discuss the CAG/ACG guidelines for management of Dyspepsia, released in 2017 with Dr. Piero Tartaro, Gastroenterologist. | |||
| 285. When the Stomach Turns- Gastric Cancer | 08 Jun 2025 | 00:11:54 | |
Learn all about an approach to gastric cancer for the internist! Episode written by Dr. Gurjit Mander (Internal Medicine) | |||
| 169. The Internist's Guide to Heart Failure with Reduced Ejection Fraction (Repeat) | 30 Oct 2022 | 00:29:48 | |
In this episode, Dr. Catherine Leurer interviews Dr. Stephanie Poon (Cardiologist) on the 2021 CCS/CHFS Heart Failure Guidelines Update: Defining a New Pharmacologic Standard of Care for Heart Failure With Reduced Ejection Fraction. | |||
| 168. The Internist's Guide to Infective Endocarditis (Repeat) | 23 Oct 2022 | 00:39:51 | |
In this episode, we have Dr. Malika Sharma, Infectious Diseases physician take us through the 2015 Guidelines to the diagnosis, treatment and management of endocarditis. We also include some of the new 2020 updates as well! | |||
| 167. The Internist's Guide to CKD (Repeat) | 16 Oct 2022 | 00:22:44 | |
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. | |||
| 166. Approach to Parathyroid Adenoma | 02 Oct 2022 | 00:14:13 | |
In this episode we walk you through the approach to work up, diagnosis and management of parathyroid adenoma, including the guidelines regarding surgical management! Reviewed by: Dr. Stan Van Uum (Endocrinologist) and Dr. Ian Brown (General Internal Medicine) | |||
| 165. A Tale of Two Symptoms... An Approach to Pallative Symptom Management | 25 Sep 2022 | 00:16:13 | |
Written by Dr. Justin Boyle (Internal Medicine Resident) and reviewed by Dr. Marie Leung (General Internal Medicine) and Dr. Danielle Kaine (Pallative Care). Infographic by Vincent Li. | |||
| 164. Happy Gut, Happy Mind - An Approach to IBS | 18 Sep 2022 | 00:13:38 | |
In this episode, we review the clinical presentation, history and physical examination as well as the ROME-IV diagnostic criteria for a diagnosis of IBS. We review the different subtypes of IBS as well as symptom management and emerging treatments for IBS. Our medicine minute focuses on the evidence supporting the use of eluxadoline in patients with IBS-D. | |||
| 163. Tetany Trouble- Hypocalcemia | 11 Sep 2022 | 00:16:10 | |
Written by: Dr. Samantha Bruzzese (Internal Medicine Resident) Produced by: Margaret Sun | |||
| 162. Putting the Sick in Sicca - Approach to Sjogren's Syndrome | 04 Sep 2022 | 00:09:45 | |
This week we talk about symptoms that should prompt you to consider Sjogren's, key features on history and physical, and the appropriate tests for work-up. | |||
| 161. Hell’s Fire - An Approach to Herpes Zoster | 28 Aug 2022 | 00:17:13 | |
This episode will take you through all the details about herpes zoster! We cover the approach, when you should take extra concern and refer to ophthalmology, and how to manage a whole spectrum of patients. | |||
| 160. Stuck in the Middle - An Approach to Achalasia | 21 Aug 2022 | 00:07:12 | |
In this episode, we review the pathophysiology, history, work-up and management of Achalasia. Our medicine minute discusses the trial "Endoscopic or Surgical Myotomy in Patients with Idiopathic Achalasia" published in NEJM in 2019. Written by: Dr. Grace Wang (Internal Medicine Resident) | |||
| 284. Looking Beneath the Surface - An Approach to BPSD | 02 Jun 2025 | 00:14:35 | |
This 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) | |||
| 159. Derailed on the Trail - Malignant Emergencies | 14 Aug 2022 | 00:11:26 | |
In this episode we cover a host of malignant emergencies. We begin with their categorization, then walk through pertinent history details, physical exam, and your approach to diagnosis and treatment. | |||
| 158. Scoping Out for Dysplasia - An Approach to Barrett’s Esophagus | 07 Aug 2022 | 00:16:13 | |
In this episode, we review the clinical presentation, screening guidelines, diagnosis and management of Barrett's Esophagus - one of the risk factors for developing Esophageal Adenocarcinoma. In our medicine minute, we discuss a landmark trial that transitioned treatment for BE from esophagectomy to endoscopic ablation methods. | |||
| 157. A Thick Skin- Understanding Scleroderma | 31 Jul 2022 | 00:12:43 | |
It's not always good to have "a thick skin!" Learn all about it in this weeks episode. Written by Dr. Laura Spatafora (Internal Medicine Resident) and reviewed by Dr. Stephanie Garner (Rheumatology) and Dr. Daniel Brandt Vegas (General Internal Medicine). Infographic by Kiera Liblik (Medical student). | |||