The Curbsiders Internal Medicine Podcast brings you expert interviews, clinical pearls, and practice-changing knowledge — plus the occasional bad joke. Trusted by 100,000+ health professionals every month, we cover the full spectrum of internal medicine to keep you learning and laughing. No boring lectures here, just high-value content and a healthy dose of humor. Fantastic for Internal Medicine, Family Medicine, Primary Care, and Hospital Medicine.
Don't just listen to podcasts. Learn from them with transcripts, summaries, and chapters for every episode. Skim, search, and bookmark insights. Learn more
Join us as we review recent articles and news featured in The DIGEST #70 , including PSA screening, acetaminophen and autism, COVID19 vaccines and cancer, and aspirin and anticoagulation in coronary artery disease. Fill your brain hole with a delicious stack of hotcakes! Featuring Drs. Paul Williams ( @PaulNWilliamz ), Nora Taranto ( @norataranto ), Rahul Ganatra ( @rbganatra ), Laura Glick ( @lauraglick ) and Matt Watto (@doctorwatto) . Claim free CME for this episode at curbsiders.vcuhealth.or...
Dr. Scott Matherly provides a comprehensive update on cirrhosis, from initial diagnosis and lab interpretation to advanced imaging like FIB4, VCTE, and MRE. The discussion covers essential patient counseling, dietary advice, and safe medication use, alongside detailed management strategies for decompensation including variceal bleeding, ascites, and hepatic encephalopathy. The episode also explores the nuances of MELD 3.0 and crucial considerations for liver transplant evaluation.
Dizziness can be a daunting presenting symptom. Demystify dizziness with us by breaking it down by timing and triggers, various pertinent physical maneuvers, and even an approach to chronic dizziness. We are joined by our esteemed guest Dr. David Hale ( Johns Hopkins )! Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Case 1 Defining dizziness and vertigo Timing and triggers Episod...
Explore how GLP-1 meds can help or harm eating disorders with Dr. Laura Bridge When weight-loss meds meet eating disorders: GLP-1 drugs are reshaping medicine, but could they also be fueling disordered eating? Join Dr. Laura Bridge as we unpack the risks, red flags, and how to keep “healthy” from turning harmful. Also, how to approach restrictive eating disorders, bulimia, and binge eating disorder as a PCP. Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe ...
More than just mechanical! Keep older adult patients on their feet, literally! Learn to map the Age-Friendly 5Ms Framework onto multifactorial risk factor assessment and management and incorporate other evidence-based fall prevention interventions with the expertise of an interdisciplinary team. We are joined by geriatrician Alyson Michener (@AlysonMichener University of Pennsylvania ) and physical therapist Suzanne Zukoski ( Good Shepherd Penn Partners ). Claim CME for this episode at curbsider...
Dr. Tom DeLoughery shares pearls on iron deficiency anemia, covering comprehensive lab interpretation, including critical ferritin cutoffs for diagnosis and treatment. He details optimal oral iron supplementation, discussing dosing, absorption enhancers, and inhibitors. The episode also highlights when to escalate to IV iron, comparing various formulations and managing potential infusion reactions, alongside addressing anemia in women and those with inflammatory conditions.
Update your approach to the evaluation and management of IBD with Dr. Aline Charabaty ( @DCharabaty ). Review updates in management options, imaging modalities and preventive health recommendations. Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Case Initial presentation and evaluation Imaging and endoscopic findings Treatment options Treatment goals Diet Recommendations Preventi...
Update your approach to the evaluation and management of GERD with Dr. James Callaway. Learn when to consider ambulatory reflux monitoring and how to determine if someone has an indication for long-term PPI therapy. Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Case Definitions and symptoms Reflux mechanisms and triggers Medications for Acid suppression Endoscopy and Ambulatory ...
In this bonus episode, Matt and Paul answer Patreon listener questions on various topics, including the role of AI in medicine, concerns about antibiotics and their impact on health, insomnia treatments, thyroid health, reflections on career burnout and more. They also share personal anecdotes and insights emphasizing the importance of continuous learning and adaptation in the medical field. Chapters 00:00 Exploring AI in Medicine 04:50 Cultural Shifts in Music Appreciation 10:16 Navigating Medi...
GOLD Updates, Novel Treatments, and Managing Comorbidities in COPD Care Level up your COPD care with practical, evidence-based strategies. Learn how to confirm airflow obstruction with spirometry (and use LLN/Z-scores thoughtfully), stage patients with the A/B/E framework, and build treatment around long-acting bronchodilation—adding ICS selectively based on exacerbations and eosinophils. We’ll highlight the nonpharmacologic moves that change outcomes (smoking cessation, vaccination, pulmonary r...
This episode delves into heart failure with preserved ejection fraction (HFpEF), a challenging cardiac condition. Dr. Michelle Kittleson illuminates its diagnosis, distinguishing it from other causes of dyspnea and edema, and emphasizing the importance of not missing cardiac amyloidosis. The discussion covers the nuances of BNP interpretation in HFpEF, the management of comorbidities, and the latest evidence for pharmacological and non-pharmacological therapies, including SGLT2 inhibitors and GLP-1s, providing practical guidance for clinicians.
Sorting out DOAC Drama in the Hospital Is it treatment failure or not? Join us for a great conversation with Dr. Jori May ( University of Alabama-Birmingham ) on all the nuances around DOAC treatment failure and treatment indications for the hospitalized patient. Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Rapid fire questions/Picks of the Week Case 1 Definitions Missed Doses ...
Grow your management tools for opioid withdrawal in the hospital. Investigate how to decide between methadone and buprenorphine, additional medications to manage symptoms and how and when to use short-acting opioids for management of withdrawal. We’re joined by Ashish Thakrar, MD at the University of Pennsylvania. Claim CME for this episode at curbsiders.vcuhealth.org ! By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance us...
In this high-yield episode of Curbsiders Addiction Medicine, we dive deep into a practical and compassionate approach to caring for patients using methamphetamines and/or living with methamphetamine use disorder. We explore the latest pharmacologic options, harm reduction strategies, contingency management, and innovative ideas for monitoring and supporting patients. Whether you’re in primary care or other subspecialty settings, this episode is packed with pearls for every clinician with our ama...
Dr. Amber Byrd provides practical guidance on managing upper respiratory infections, commonly known as the cold, in adult patients. The discussion covers appropriate diagnosis, differentiating viral from bacterial causes, and effective symptomatic treatments, including both over-the-counter and home remedies. It also emphasizes judicious use of antibiotics and antivirals, offering strategies for patient counseling and seizing opportunities for vaccination.
Join us as we review recent practice-changing articles on cannabidiol (CBD)-induced liver injury, IV iron for HFrEF, bedtime administration of blood pressure meds, carpal tunnel syndrome & rheumatoid arthritis , & FDA approval of finerenone for HFpEF. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams ( @PaulNWilliamz ), Rahul Ganatra (@rbganatra ), Nora Taranto ( @norataranto ) and Matt Watto (@doctorwatto) . Claim CME for this episode at curbsiders.vcuheal...
Why we need to stop calling them “endemic” mycoses & more fungi fun! Feeling muddled about endemic mycoses? We tackle the clinical presentation of diseases like histoplasmosis, blastomycosis, and coccidioidomycosis, the importance of testing, and how to diagnose fungal infections with our esteemed guest Dr. Andrej Spec, MD! Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Introductio...
Dominate C. diff! Learn to distinguish colonization from infection, select first-line therapies, and counsel patients on recurrence prevention and microbiome recovery. We’re joined by IDSA past president and expert on foodborne and intestinal infections, Dr. Cindy Sears (Johns Hopkins University) for a comprehensive update on Clostridioides difficile (C. diff, Cdiff, CDAD, CDI). Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify | YouTube | Newslett...
In this special bonus episode, Dr. Linda Blustein (Bendy Bodies https://bit.ly/m/BendyBodies ) addresses listener questions about Ehlers-Danlos syndrome (EDS) and hypermobility spectrum disorders. 00:00 – Introduction 00:59 – Can PCPs diagnose hEDS without a geneticist? 03:19 – Limitations of the Beighton Score 05:40 – 2017 hEDS criteria & upcoming revisions 10:29 – How to find a knowledgeable provider 12:52 – SVT vs POTS in a patient with EDS family history 19:53 – How to ask your provider ...
We have a classic Curbsiders episode for you. Expert guest Dr. Elliot Tapper ( @ebtapper ) shares his framework for approaching NAFLD/MASLD and the treatment tools he recommends including lifestyle modifications and medications.
An age-friendly approach to arthralgias. Attack arthralgias with ease! Learn how to evaluate and manage common joint complaints in older adults. We’re joined by Dr Una Makris, @unamakris.bsky.social ( UT Southwestern ). Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Case 1 from Kashlak General approach to joint pain in older adults Diagnosing osteoarthritis Management of osteoart...
Here is a classic Curbsiders episode with one of our favourite guests of all time, Dr Joel Topf. Learn how to manage diabetes and hypertension in chronic kidney disease with expert tips from Kidney Boy, Kashlak’s Chief of Nephrology, Dr. Joef Topf @kidney_boy . Finerenone is FDA approved for managing CKD in patients with diabetes. ** Update as of July 2025: The non-steroidal mineralocorticoid recepter antagonist, finerenone is now FDA approved to treat heart failure with LVEF at or above 40% bas...
Combing through common dermatologic complaints in Primary Care Hone your framework for assessing generalized and patchy hair loss and learn how to counsel patients about the hair loss advice they hear on social media. We discuss useful tests and treatments, psychosocial factors in relation to hair loss, variations in hair types and mention relevant nail conditions. Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact |...
Matt and Paul recap top pearls from a recent episode on Travel Medicine with Dr. Boghuma Titanji (audio version) and share their picks of the week. Below are links to the original interview & show notes. #449 Travel Medicine Picks of the week: Paul recommends: Clutch - Psychic Warfare; Harry Nilsson - The Point Watto - Mr. McMahon (Netflix Docuseries)
Decode low neutrophils, recognize thalassemia without chasing iron, and sharpen your approach to bleeding disorders in primary care. Crack the code on confusing labs. Learn from Dr. Bradley Beeler, an academic hematologist, how to recognize thalassemia without over-ordering tests, why a low neutrophil count in a healthy patient might not be a problem, and how to tackle bleeding disorders in primary care. Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Sp...
Master the latest approaches for treating venous thromboembolism with expert tips on direct oral anticoagulant (DOAC) selection, dosing, and duration. Learn how to tailor anticoagulation for special populations, handle treatment failures, and navigate long-distance travel risks. We’re joined by Dr. Tara Lech, PharmD, CACP (Beth Israel Lahey Health, @AnticoagPharmD , @anticoagpharmd.bsky.social ). Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify |...
Take the ache out of those joint aches! Learn about inpatient diagnosis and management of crystalline arthropathies as well as a brief conversation about those rheumatology NOS cases. We’re joined by Dr. Kimberly Trotter, MD ( University of Chicago ). Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Rapid fire questions/Picks of the Week Case 1 Differential Diagnosis of arthropathy...
Join us as we review recent practice-changing articles on the effect of combination statin and ezetimibe in reducing myalgias, male partner treatment for BV, semaglutide for MASH/liver fibrosis, exercise and cancer risk, and cytisinicline for smoking cessation. Fill your brain hole with some delicious apps and entrees from our spring Digests! Featuring Paul Williams ( @PaulNWilliamz ), Nora Taranto (@norataranto), special guest epidemiologist Alexander Chaitoff (@alexchaitoff) and Matt Watto (@d...
Dive into practical, evidence-based approaches to managing pain in patients with opioid use disorder, bust common myths, and explore strategies to support patients. This episode will enhance your skills in providing holistic, patient-centered care. We’re joined by Dr. Jessica Merlin, @JessicaMerlinMD ( University of Pittsburgh ). Claim CME for this episode at curbsiders.vcuhealth.org ! By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement...
Get confident supporting your patients with infertility in primary care! We cover who needs a workup, how to evaluate both partners, and when to refer—plus tips on coding, counseling, and emotional support. Reproductive endocrinologist Dr. Brindha Bavan shares practical insights to empower PCPs on the front lines of fertility care. Claim CME for this episode at curbsiders.vcuhealth.org ! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro C...
