#201: Dementia Part 1: Gray Matters Segment
Core IM | Internal Medicine Podcast
Core IM Team
4.8 • 1.2K Ratings
🗓️ 25 February 2026
⏱️ 47 minutes
🧾️ Download transcript
Summary
Cognitive decline is tough for all parties. What are the high-yield questions to ask? What should you add to your one-liner? When do you stop using MOCA and try to clearly describe their functional status? Do all patients with cognitive decline need an MRI?
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01:12 | Cognitive Concerns During a Routine Follow-Up
03:41 | Deep Dive 1: How do you pivot when you recognize unexpected memory issues?
15:08 | Deep Dive 2: What tools should we use to characterize and stage cognitive decline?
31:09 | Deep Dive 3: How do we determine the etiology of cognitive decline?
Tags: CoreIM, Internal Medicine, Medical Education, Cognitive Screening, primary care, nurse practitioner, physician assistant
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Transcript
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| 0:00.0 | I'm excited to tell you about Docs GPD from Doximity. The team built this closely with doctors |
| 0:05.3 | and you can feel it. You get the bottom line answer up front for your question and then clear |
| 0:10.3 | bullet points and tables to help you quickly see through the evidence without getting glossed. |
| 0:14.7 | And when Docs GPT links to their studies, you get paywall free access to these articles so more than |
| 0:20.0 | 2,000 journals are included. |
| 0:22.3 | So even when you're on the go, you can double-check the data behind what you're reading. |
| 0:26.1 | That combination, fast summaries, plus the easy access to the literature, is exactly the type of |
| 0:31.3 | assistance we need to take care of our patients. |
| 0:33.7 | If you want clinical answers that are practical, evidence-based, built for clinicians in mind, |
| 0:38.1 | check out DocsGPT in the Doximity app or visit DoxGPT.com. |
| 0:42.3 | And yes, it's free and always will be free for physicians, nurse practitioners, physician assistants, and medical students. |
| 0:48.3 | Go check out DoxGPT.com. |
| 0:50.8 | The following is meant to be for medical education and not formal medical advice. |
| 0:54.9 | Remember to always consider the patient in front of you, especially with matters as gray as these. |
| 0:59.1 | The views expressed in this episode don't reflect the views of any affiliated institutions. |
| 1:04.4 | I think a lot of folks really shy away from addressing cognitive impairment because it often |
| 1:09.9 | feels so hopeless, because many of these |
| 1:12.4 | diagnoses are really devastating and don't have the greatest treatments. But you're really doing |
| 1:16.9 | everyone a disservice and propelling the patient towards a crisis point when there's a lot |
| 1:21.7 | that can be done to prevent that crisis. Welcome to Gray Matters, where we unpack how medical |
| 1:27.0 | management is rarely black or white. |
| 1:29.3 | And go on lots of deep dives along the way. |
... |
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