The Intern At Work: Internal Medicine
by Medicine Pods: The Intern at Work
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
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Systemic Mastocytosis: When Mast Cells Take Over
Send us Fan Mail In this episode, we discuss how to recognize, diagnose, and manage systemic mastocytosis. Written by Dr. Calum Slapnicar (Internal Medicine Resident). Reviewed by Dr. Stephanie Lee (Hematologist) and Dr. James Rassos (General Internist). Support the show
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Live Podcast: CSIM Teaching Wisely- Leveraging Education to Reduce Low Value Care
Send us Fan Mail Teaching Wisely: Leveraging Education to Reduce Low Value Care on General Medical Wards. Tune in to listen to Dr. William Silverstein (General Internist-Sunnybrook Health Sciences Centre, Assistant Professor- University of Toronto) discuss teaching wisely in front of a live...
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Trach 102 - An Approach to Tracheostomy Associated Emergencies (Repeat)
Send us Fan Mail 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 -...
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Not Just Wear & Tear: Approach to Osteoarthritis
Send us Fan Mail Osteoarthritis may not just be inevitable wear and tear of a joint. In this episode, we break down osteoarthritis, exploring joint mechanics, clinical presentation, and relevant investigations. Written by Dr. Aarabi Thayaparan (Internal Medicine resident at Queen's University)....
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Tracing the Leak: An Approach to Proteinuria
Send us Fan Mail In this episode, we break down an approach to proteinuria, focusing on the interpretation of the urine dipstick, the urine ACR, and the urine PCR. Written by Dr. Ishmam Bhuiyan (Internal Medicine Resident at UBC). Reviewed by Dr. Teresa Tai (General Internist at Royal Columbian...
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High Stakes, with Low Pressures: An Updated Guide to ARDS
Send us Fan Mail In this episode, we discuss updates to diagnosing and managing Acute Respiratory Distress Syndrome (ARDS). Written by Dr. Jason Vaillancourt (Internal Medicine Resident) and Dr. Muralie Vignarajah (Internal Medicine Resident). Reviewed by Dr. Christine D’Arsigny (Critical Care...
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Approach to Porphyria
Send us Fan Mail In this episode, we discuss an approach to porphyria. Written by Dr. Hannah Ramsay (Internal Medicine Resident). Reviewed by Dr. Karla Machlab (Hematology Fellow) and Dr. Zachary Liederman (Hematology Staff). Support the show
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An Approach to Anaphylaxis
Send us Fan Mail In this episode, we discuss an approach to the acute management of anaphylaxis. Written by Dr. Jen Zheng (Internal Medicine Resident). Reviewed by Dr. Raymond Mak, (Allergist and Clinical Immunologist) and Dr. Matthew Brooks, (General Internist). Support the show
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An Approach to Osteoporosis
Send us Fan Mail In this episode, we discuss a comprehensive approach to osteoporosis. Written by: Dr. Sharon Pritchard. Reviewed by: Dr. Nadine Vaninetti (Endocrinology) and Dr. Peter Gregory (General Internal Medicine). Support the show
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More than Mouth Ulcers: An Approach to Behçet's Disease
Send us Fan Mail In this episode, we discuss how to recognize and manage Behçet's Disease. Written by Dr. Oswald Chen (Internal Medicine Resident). Reviewed by Dr. Alexa Smith, (Rheumatologist) and Dr. Allen Tran, (General Internist). Support the show
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Sickle Cell Disease and its Acute Complications
Send us Fan Mail In this episode, we discuss how to identify and manage the acute complications of sickle cell disease. Written by Dr. Yi Hui Luo (Internal Medicine Resident). Reviewed by Dr. Véronique Naessens (Hematologist) and Dr. Sanabelle Zaabat (General Internist). Support the show
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Lungs, Drugs, and Nasal Prongs: An Approach to Drug Induced Interstitial Lung Disease
Send us Fan Mail In this episode, we discuss drug induced ILD, reviewing its diagnostic criteria and management. Written by: Dr. Reenika Aggarwal. Reviewed by: Dr. Joshua Wald (Respirology) and Dr. Andrew Cheung (General Internal Medicine). Support the show
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Lungs, Liver, and a Missing Link: Alpha-1-Antitrypsin Deficiency Explained
Send us Fan Mail In this episode, we discuss alpha-1-antitrypsin deficiency, reviewing key topics including the SERPINA1 gene, disease manifestations, testing, and an overview of augmentation therapy. Written by: Dr. Navjeet Baath. Reviewed by: Dr. Rebecca Amer (Respirology) and Dr. Arden Azim...
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Peering into the Pipes: Coronary Angiography
Send us Fan Mail In this episode, we break down everything you need to know about coronary angiography. Written by: Dr. Luke MacLeod. Reviewed by: Drs. Michael Ward and Alison Lai. Support the show
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Untangling the Web – An approach to Cryptogenic Organizing Pneumonia
Send us Fan Mail In this episode, we discuss an approach to cryptogenic organizing pneumonia. Written by: Dr. Saif Samari. Reviewed by Dr. Helen Neighbour (Respirology) and Dr. Connor Cox (General Internal Medicine). Support the show
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Overview of Lung Transplantation
Send us Fan Mail In this episode, we discuss an overview of lung transplantation, from the process itself to the associated medications and potential complications. Written by: Dr. Yi Tao Chan. Reviewed by Dr. Ciaran Scallan and John Neary. Support the show
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De-Liver: It's Crucial
Send us Fan Mail In this episode, we discuss an approach to acute fatty liver disease of pregnancy. Written by: Christina Chavenet. Reviewed by Liang Chen (Critical Care) and Nathalie Nathoo (General Internal Medicine, Obstetric Internal Medicine). Support the show
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Tired of Trying – An Approach to Tricuspid Regurgitation
Send us Fan Mail 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). Support the show
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When Skin and Joints Collide - An Approach to Psoriatic Arthritis
Send us Fan Mail 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). Support the show
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When the Bone Marrow Breaks Down: Primary Myelofibrosis
Send us Fan Mail In this episode, we discuss an approach to myelofibrosis, including a review of new treatment agents that just received approval in Canada in 2025! Written by: Dr. Ayesha Warsi. Reviewed by: Drs. Zachary Leiderman, Clarissa Skorupski, and Ryan Luther. Support the show
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The GIST of it all!
Send us Fan Mail In this episode, we discuss an approach to gastrointestinal stromal tumor, with a focus on its physiology, work-up, and management. Written by: Dr. Lotus Alphonsus. Reviewed by: Dr. Gary May. Support the show
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It’s in Your Genes: The Truth About Familial Hypercholesterolemia
Send us Fan Mail In this episode, we discuss an approach to familial hypercholesterolemia, with a focus on different screening, diagnostic, and treatment thresholds based on one's individual risk. Written by: Dr. Nour Marafie. Reviewed by: Dr. Morris Schweitzer and Dr. Matthew Ades. Support the show
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Silence of the Glands: An Approach to Male Hypogonadism
Send us Fan Mail In this episode, we discuss an approach to male hypogonadism, including an exploration of the medical field's fascination with testosterone over the past millennia. Written by: Dr. Jim TC Chen. Reviewed by: Dr. Robyn Houlden and Dr. Kenneth Kwong. Support the show
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Out of Sight: An Approach to Inflammatory Eye Disease
Send us Fan Mail In this episode, we discuss an approach to inflammatory eye disease, with a focus on uveitis, scleritis, and episcleritis. Written by: Dr. Oswald Chen. Reviewed by: Dr. Alexa Smith and Dr. Allen Tran. Support the show
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PoCUS Focus - An Approach to Bedside Ultrasound
Send us Fan Mail In this episode, we discuss an approach to using point-of-care ultrasound (PoCUS), with 3 cases to take you through the steps of acquiring images and using them to refine your differential and management. Written by: Dr. Phelopater Sedrak. Reviewed by: Dr. Rushil Chaudhary and…
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A ‘Darling’ Discovery: An Approach to Histoplasmosis and Blastomycosis
Send us Fan Mail In this episode, we cover the history of histoplasmosis and blastomycosis, as well as an approach to their diagnosis and management. Written by: Dr. Mario Corrado. Reviewed by: Dr. Alina Blazer and Dr. David Fox. Support the show
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All about the Transition from Junior to Senior Resident
Send us Fan Mail In this episode, Dr. Maya Stein and Dr. Valerie Kim chat about that daunting but exciting transition from junior to senior medical resident, as they share personal reflections but also general strategies and specific local educational initiatives at the University of Toronto....
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288. New Beginnings
Send us Fan Mail 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...
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287. Swan Diving into Hemodynamics - An approach to Right Heart and Pulmonary Artery Catheterization
Send us Fan Mail 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.…
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286. Ask a Fellow - Hematologic Conditions in Pregnancy
Send us Fan Mail 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…
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285. When the Stomach Turns- Gastric Cancer
Send us Fan Mail Learn all about an approach to gastric cancer for the internist! Episode written by Dr. Gurjit Mander (Internal Medicine) Reviewed by by Dr. Arjun Kundra (Gastroenterology) and Dr. Genevieve Chick (General Internal Medicine) Infographic by Dr. Gurjit Mander Support the show
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284. Looking Beneath the Surface - An Approach to BPSD
Send us Fan Mail 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) &...
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283. Putting out the Fire: A clinical approach to Adult Onset Still’s Disease
Send us Fan Mail In 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)...
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282. The Internist's Guide to Pacemakers
Send us Fan Mail In 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).…
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281. I@W x RoundsTable - Brensocatib for Bronchiectasis and Alteplase for Posterior Circulation Ischemic Stroke
Send us Fan Mail Dr. 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! Support the show
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280. Catching the Beat- Indications for Pacemakers
Send us Fan Mail 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...
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279. The Rounds Table - 2025 ACC/AHA Clinical Practice Guidelines for Acute Coronary Syndrome
Send us Fan Mail 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! Support the show
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278. Life on the Circuit - ECMO Essentials
Send us Fan Mail 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) Support...
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277. The Rounds Table- Top Papers from the 2025 American College of Cardiology (ACC) Session
Send us Fan Mail 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…
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276. Guarding Against Gravity – An Approach to Falls
Send us Fan Mail 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...
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275. A Long Time Coming - An Approach to the Chronic Complications of Diabetes
Send us Fan Mail 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:...
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274. The Rounds Table - Restrictive versus Liberal Transfusion in Myocardial Infarction
Send us Fan Mail 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. Support the show
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273. Silencing the Endless Alarm: An Approach to Chronic Pain
Send us Fan Mail 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...
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272. (Repeat) The Internist's Guide To CKD
Send us Fan Mail 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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271. (Repeat) The Internist's Guide to VTE
Send us Fan Mail 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…
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270. (Repeat) The Internist's Guide to Peri-operative Cardiac Risk Management
Send us Fan Mail 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...
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269. (Repeat) The Internist's Guide to Chronic Hypertension
Send us Fan Mail 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...
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268. Rounds Table x I@W - Rapid Fire
Send us Fan Mail 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...
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267. CSIM Special Episode: Serotonin Surprises
Send us Fan Mail 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. Support the show
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266. CSIM Special Episode - The GI Bleed You Can't (Un)See
Send us Fan Mail 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! Support the show
About this show
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
Hosted by
Medicine Pods: The Intern at Work