The Rounds Table

Send us a text Welcome back Rounds Table Listeners! In this solo episode, Dr. Mike Fralick discusses a recent trial looking at metformin for knee osteoarthritis in patients with overweight or obesity. Here we go! Metformin for Knee Osteoarthritis in Patients With Overweight or Obesity: A Randomized Clinical TrialThe Good Stuff (8:20 – 9:13): https://diabetestrialfiles.substack.com/https://trialfiles.substack.com/Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick. This week, he discusses a recently published trial examining the effect of a Mediterranean diet, compared with traditional dietary advice, on irritable bowel syndrome (IBS). Here we go! The Mediterranean Diet for Irritable Bowel Syndrome: A Randomized Clinical TrialThe Good Stuff (4:51 – 5:57): Check out the playlist on YouTubeQuestions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick. This week, he discusses a recently published trial examining the effect of caffeinated coffee consumption compared with abstinence from coffee and caffeine on recurrent atrial fibrillation (AF). Here we go! Caffeinated Coffee Consumption or Abstinence to Reduce Atrial Fibrillation: The DECAF Randomized Clinical TrialThe Good Stuff (4:33 – 5:29): https://www.cbc.ca/news/science/space-moss-9.6984791Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Happy New Year, Rounds Table Listeners! In this throwback episode (initial release 29 May 2025), Dr. Mike Fralick and special guest Dr. David Juurlink, pharmacologist and internist, Professor of Medicine at the University of Toronto, and head of the Clinical Pharmacology and Toxicology division at Sunnybrook Health Sciences Centre, sit down to chat about the top drug interactions you might be missing. Here we go! Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! In our year-end episode, Drs. Mike and John Fralick discuss five important research studies published in 2025: Apixaban for Extended Treatment of Provoked Venous Thromboembolism (HI-PRO)Tirzepatide for Heart Failure with Preserved Ejection Fraction and Obesity (SUMMIT)Aspirin in Patients with Chronic Coronary Syndrome Receiving Oral Anticoagulation (AQUATIC)Liberal fluid intake versus fluid restriction in chronic heart failure: a randomized clinical trial (FRESH-UP)Phase 3 Trial of Semaglutide in Metabolic Dysfunction–Associated Steatohepatitis (ESSENCE)The Good Stuff (23:50 – 25:27): Toronto Star Santa Claus FundCalgary Food BankThe War AmpsQuestions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! In this solo episode, Dr. Mike Fralick discusses a recent meta-analysis examining beta-blockers after myocardial infarction in patients with an ejection fraction of at least 50% and no other indications for beta-blocker therapy. Here we go! Beta-Blockers after Myocardial Infarction with Normal Ejection FractionThe Good Stuff (8:55 – 9:43): NPR Music Tiny Desk ConcertsQuestions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! In this solo episode, Dr. Mike Fralick discusses a recent trial examining whether noninvasive blood-pressure monitoring is noninferior to early insertion of an arterial catheter in patients with shock admitted to the ICU. Here we go! Deferring Arterial Catheterization in Critically Ill Patients with ShockThe Good Stuff (11:06 – 11:59): https://criticalcaretrialfiles.substack.com/Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick. This week, he discusses a recently published trial comparing rituximab with conventional strategy for the induction of remission in patients with eosinophilic granulomatosis with polyangiitis (EGPA). Here we go! Rituximab Versus Conventional Therapy for Remission Induction in Eosinophilic Granulomatosis With Polyangiitis: A Randomized Controlled TrialThe Good Stuff (5:41 – 6:31): https://medicinepods.com/im-pharmacy/Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! This week, Dr. Mike Fralick welcomes returning guest Dr. Yatin Chadha, radiologist at North York General Hospital and founder of the beyond MD podcast, to chat about Dr. Chadha's recently launched online course series beyond Radiology. Here we go! Check out Dr. Chadha's course series beyond Radiology: CT Head Basics for Clinicians - Ruling out Neurosurgical EmergenciesCT Head Basics - Artifact or Pathology?Learn more about Dr. Chadha and his work: https://www.beyondmd.ca/https://www.linkedin.com/in/yatin-chadha/Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a recent systematic review and meta-analysis that looks at continuing versus withholding RAS inhibitors before noncardiac surgery. Here we go! Evaluating the risks and benefits of continuing versus withholding renin–angiotensin system inhibitors: a systematic review and meta-analysis with trial sequential analysisThe Good Stuff (8:21 – 9:44): NotebookLMQuestions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! We are back today with a Classic Rapid Fire episode. This week, Drs. Mike and John Fralick discuss two recent papers: the effects of spironolactone on heart failure and cardiovascular death in patients undergoing maintenance dialysis, and antibiotic prophylaxis in patients with cirrhosis and upper gastrointestinal bleeding. Two papers, here we go! Spironolactone versus placebo in patients undergoing maintenance dialysis (ACHIEVE): an international, parallel-group, randomised controlled trialProphylactic Antibiotics for Upper Gastrointestinal Bleeding in Patients With Cirrhosis: A Systematic Review and Bayesian Meta-AnalysisAnd for the Good Stuff (15:09 – 17:51): The $500m slugger who helped Canada get to the World Serieshttps://trialfiles.substack.com/Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! In this throwback episode (initial release 14 Mar 2024), Dr. Mike Fralick and special guest, Dr. Laiya Carayannopoulos from the Intern at Work Podcast, discuss two papers: one exploring the role of non-invasive ventilation in comatose patients after acute poisoning, and and one on the use of the PEN-FAST Score in the point-of-care risk assessment of penicillin allergy. Two papers, here we go! Effect of Noninvasive Airway Management of Comatose Patients With Acute PoisoningEfficacy of a Clinical Decision Rule to Enable Direct Oral Challenge in Patients With Low-Risk Penicillin AllergyAnd for the Good Stuff: Non-inferiority results: everything you need know in 5 minutes!Is Noninferior Not Inferior?Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a recent trial examining whether amiloride is noninferior to spironolactone in reducing systolic blood pressure in patients with resistant hypertension. Here we go! Spironolactone vs Amiloride for Resistant Hypertension: A Randomized Clinical TrialRun-in studies: Application and impact of run-in studiesApplication and Impact of Run-In Studies for the Evaluation of Statin Efficacy and SafetyThe Good Stuff (8:11 - 9:14): https://trialfiles.substack.com/https://hemeonctrialfiles.substack.com/https://allergyimmtrialfiles.substack.com/https://criticalcaretrialfiles.substack.com/Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a recent phase 2 trial looking at the effects of once-weekly semaglutide on alcohol consumption and craving in adults with alcohol use disorder (AUD). Here we go! Once-Weekly Semaglutide in Adults With Alcohol Use DisorderQuestions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! This week, Dr. Mike Fralick sits down with Mihir Pandya, a third-year medical student at Western University. Mihir picks Mike’s brain for advice on preparing for internal medicine clerkship: What’s the best approach to acquire knowledge on the varying conditions seen in internal medicine? How can you foster better rapport with patients? What’s the best way to ask your staff physician for a reference letter? Answers to these questions and more—here we go! Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! We are back today with a solo episode with Dr. John Fralick. This week, he discusses a recently published trial examining fecal microbiota transplantation (FMT) in primary C. difficile infection. Here we go! Fecal Microbiota Transplantation Versus Vancomycin for Primary Clostridioides difficile Infection: A Randomized Controlled TrialThe Good Stuff (4:48 – 5:36): https://medicinepods.com/im-pharmacy/Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a recently published trial looking at aspirin in patients with chronic coronary syndrome receiving oral anticoagulation. Here we go! Aspirin in Patients with Chronic Coronary Syndrome Receiving Oral AnticoagulationThrowback to EPIC-CAD: The Rounds Table Episode 94The Good Stuff: Trial Fileshttps://trialfiles.substack.com/Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! We are back today with a special Rapid Fire Podcast. This week, Drs. Mike and John Fralick discuss some of the top papers from the 2025 European Society of Cardiology (ESC) Congress. Hot off the presses, here we go! Increasing the Potassium Level in Patients at High Risk for Ventricular ArrhythmiasDigitoxin in Patients with Heart Failure and Reduced Ejection FractionRSV Prefusion F Vaccine for Prevention of Hospitalization in Older AdultsApixaban for Extended Treatment of Provoked Venous ThromboembolismThe Good Stuff (20:56 - 22:53): https://thrombotrialfiles.substack.com/John Candy: I Like Me at the Toronto International Film Festivalwww.medicinepods.comQuestions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! This week, Dr. Mike Fralick sits down with Dr. Mina Tadrous, a pharmacist, researcher, Assistant Professor at the University of Toronto's Leslie Dan Faculty of Pharmacy, and host of the I'm Pharmacy podcast. If you're curious about what it takes to run a podcast, musings on the future of AI and drug discovery, and whether Mike can hold his own in a 90's-style rap battle, this is a conversation you don't want to miss. Here we go! Check out the I'm Pharmacy podcast (new season begins 17 Sep 2025), now on https://medicinepods.com/. Questions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods

Send us a text Welcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a throwback trial of dexamethasone in adults with acute bacterial meningitis. Here we go! Dexamethasone in Adults with Bacterial MeningitisQuestions? Comments? Feedback? We’d love to hear from you! @roundstable @InternAtWork @MedicinePods