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The Curbsiders Internal Medicine Podcast


Supercharge your learning as these board-certified Internists interview the experts to bring you clinical pearls, practice changing knowledge, and a healthy dose of humor. 

Oct 21, 2019

Catch up on the latest guidelines and insights on tuberculosis with help from Dr. Laila Woc-Colburn, @docwoc71 (Baylor)! We cover new recommendations for screening health care workers, treatment of both latent and active TB, and best practices for counseling patients throughout the process. Listen to find out more… And say goodbye to the annual PPD?

ACP members can claim CME-MOC credit at https://www.acponline.org/curbsiders (CME goes live at 0900 ET on the episode’s release date). 

Full notes https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com.

Credits

  • Written and Produced by: Hannah R. Abrams
  • Cover Art and Infographic by: Hannah R. Abrams
  • Hosts: Hannah R. Abrams; Matthew Watto MD, FACP
  • Editors: Matthew Watto MD, FACP; Emi Okamoto MD
  • Guest: Laila Woc-Colburn, MD, FACP

Partners

 

Win a prize! Celebrate National Internal Medicine Day and tell us why you’re I.M. Proud.

Tell us why you are I.M. Proud and enter the contest by visiting www.acponline.org/improud to submit your story today! Answer one of the three questions below and share your story on social media using the hashtags #IMProud #NationalInternalMedicineDay, and tag @acpinternists. Prizes will be given out 3 times through June of 2020. The first group of winners will be announced on the first ever National Internal Medicine Day October 28, 2019!

  1. What makes you proud to practice internal medicine or one of the I.M. subspecialties? 
  2. What recent patient experience made you proud to be an internist or subspecialist?
  3. How is internal medicine unique from other subspecialties?

See us at the CHEST 2019 Annual Meeting in New Orleans!

We’ll be doing two live interviews on stage, plus recording two recap episodes to bring you high yield clinical pearls from the conference. Look out for us in our red Curbsiders shirts and say hello. Take a picture with Stuart! Give Paul a hug! 

  1. Sunday October 20 3:30-4:30 room 265-   Dr. Quinn Capers - Implicit Bias
  2. Monday October 21 7:30-8:30 room 281- Dr. Christine Won - Update in Sleep Medicine

Time Stamps

  • 00:00 Sponsor: ACP’s National Internal Medicine Day I.M. Proud Story Contest
  • 00:24 Disclaimer, Intro, Guest bio, Pun
  • 03:51 Guest one-liner, Career Advice; Picks of the Week*: Leonardo Da Vinci by Walter Isaacson; Aditya Shah (@IDdocAdi) antibiotic stewardship on Twitter; @EpicEMRParody on Twitter; Zima is a presumably delicious beverage (we’ve never tried it...ha)
  • 09:52 Sponsor: ACP’s National Internal Medicine Day I.M. Proud Story Contest
  • 11:30 Case of latent TB; Interpretation of PPD (Tuberculin Skin Test)
  • 17:05 PPD and BCG vaccine; Who needs an IGRA?
  • 19:20 LTBI treatment threshold; IGRA explained including what to do with “indeterminate results”
  • 25:22 LTBI natural history; Why endemic countries don’t treat LTBI
  • 30:08 TB infection, immunity and reinfection
  • 33:33 How to counsel patients about latent tuberculosis treatment
  • 38:25 Dietary and alcohol restrictions during LTBI therapy
  • 44:18 Screening of healthcare workers
  • 48:02 Case of active TB; AFB smears and nucleic acid amplification tests
  • 56:05 Initiation of antibiotics for tuberculosis and how to handle TB resistance
  • 58:13 Airborne precautions; Who needs them and how to isolate patients
  • 61:24 Direct observed therapy and why adherence to tuberculosis therapy is challenging
  • 68:11 Tuberculosis UV light and sanatoriums
  • 71:00 Take home points
  • 72:25 Outro

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on my Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Goals

Listeners will learn the current standard of care for diagnosis, treatment, and surveillance of tuberculosis.

Learning objectives

After listening to this episode listeners will…  

  1. Recognize updates in tuberculosis screening and treatment guidelines
  2. Identify best diagnostic modalities for latent and active tuberculosis
  3. Identify best practices for the management of tuberculosis during the diagnostic period
  4. Employ treatment algorithms and best practices for latent and active tuberculosis

Disclosures

Dr. Woc-Colburn reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

Citation

Woc-Colburn L, Abrams HR, Watto MF. “#178 Tuberculosis Updates with Laila Woc-Colburn MD”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list October 21, 2019.