Discover and read the best of Twitter Threads about #ERAS

Most recents (13)

This is the first year I have not applied for #Match2023

It’s the first time I’m not worrying if I did “enough” to finally get in.

And I have to say, I haven’t felt HAPPIER or more fulfilled in years.

I had been running the #Match marathon for 4 years, kept pushing through, amping my experience, rewriting my PS, getting new LORs, working during a pandemic.

Kept ending up #unmatched, sometimes more heartbroken than the previous year, with no time to process what happened.

I had made every sacrifice to get into residency because that was the only way I saw my future as a physician

But that’s where I was wrong - I was stuck with tunnel vision of what it meant to succeed as a doctor

After #Match2022 I decided I was ending the toxic cycle

Read 15 tweets
Folks ask me all the time why I chose @iu_tripleBoard. Let me paint a picture that's as crystal clear.

A Thread for minority #eras applicants
Before I started residency, Dr. Michael Okoronkwo and myself along with other colleagues published a systematic review on Strength-based interventions for adolescent Black males who had the unfortunate fate of experiencing gun violence.
As I was beginning to start residency, I had already learned that my PD, APD, and other residents in the program were comfortable with these conversations because they engaged with me about them on the interview days and afterwards.
Read 16 tweets
1/ Many folks have messaged me asking for guidance regarding #USMLE, so I figured I might create a thread on how I was able to take all exams (except step3) while still in #medicalschool.
The following 🧵 is what I found useful for me, obviously doesn't apply to everyone.
2/ Disclaimer, I was an average #medicalstudent, no genius or prodigy.
I put in the extra effort and it paid dividends.
I graduated in Nov 2012, as an #IMG and matched into surgery in Mar 2013. If I can do it, so can you, just remember no shortcuts in life.
3/ The first time I heard of #USMLE was in Dec 2010, when my buddy was studying for it.
It was around that time I looked into studying for this "international exam" as I would falsely assume.
Once I did some digging, I realized, everyone has to take it to practice in the US.
Read 22 tweets
An in-depth review of ACL injury.

If you're interested in sports medicine, you won't want to miss this one!


To view our past reviews, check out:
The ACL is the primary restraint to anterior tibial translation and also plays a role in rotary stability

It is composed of two bundles, named based on their tibial insertions:
✯ Anteromedial
✯ Posterolateral

What structure separates the femoral insertions of the two bundles?
AM bundle:
✯ Tightest in Flexion
✯ Resists anterior tibial translation
✯ Tested by Lachman's/Anterior Drawer

PL bundle:
✯ Tightest in Extension
✯ Rotatory Restraint
✯ Tested by Pivot Shift

The bifurcate ridge separates the femoral insertions of the AM and PL bundles.
Read 17 tweets
An in-depth review of Proximal Humerus Fractures.

If you're interested in orthopedics you won't want to miss this one!


To view our past reviews visit:
Proximal humerus fractures are common, accounting for around 5% of all fractures with increasing frequency with age.

They are most common in elderly females and are considered a fragility fracture.

Which nerve is most commonly injured in proximal humerus fractures?
The axillary nerve passes medial to the surgical neck and is most commonly injured in proximal humerus fractures.

Sensation testing over the lateral shoulder may be performed as deltoid testing may be difficult.

Which artery provides the main blood supply to the humeral head?
Read 16 tweets
An in-depth review of Clavicle Fractures.

If you're interested in orthopedics you won't want to miss this one!

Clavicle fractures are typically the result of a fall onto the shoulder and are one of the most common fractures in children.

They may also occur from direct trauma, seizures, or a fall onto an outstretched hand (FOOSH).
The clavicle serves as the connection between the UE and axial skeleton.

It is the first bone to ossify and the last to fuse. It is S-shaped and widest medially.

Most fractures occur in the middle 1/3rd, roughly 80%, which is the thinnest segment.
Read 17 tweets
An in-depth review of Ankle Fractures.

If you're interested in orthopedics you'll definitely want to check this review out!

The ankle is a complex hinge joint comprised of the tibial plafond, talar dome, and distal fibula.

Ankle fractures most commonly occur in elderly females, with roughly 70% being isolated malleolar, 20% being bimalleolar, and 5-10% being trimalleolar. (1)
When first examining a patient with an ankle injury, you can utilize the Ottawa Ankle Rules to determine if you should x-ray the patient.

Our review of The Ottawa Ankle Rules can be found here:
Read 20 tweets
An in-depth review of Terrible Triad Injuries.

If you're interested in orthopedics you won't want to miss this one!

Terrible triad injuries are complex posterior elbow dislocations associated with coronoid and radial head fractures as well as capsular and ligamentous injuries.
These injuries commonly result from a fall on an outstretched arm and the structures of the elbow fail from lateral to medial.

LCL --> anterior capsule --> MCL
Read 13 tweets
An in-depth review of pediatric femoral shaft fractures.

If you're interested in orthopedics or pediatrics you'll definitely want to check this review out!

Pediatric femoral shaft (PFS) fractures constitute a small portion of pediatric fractures roughly 1-2% with a bimodal age distribution

Most common causes:
✯ Toddlers: falls
✯ Teenage/adolescent: MVA
In children younger than walking age child abuse must be suspected. As high as 80% of PFS fractures in this age group are due to child abuse.

In the toddler age group as high as 25% of PFS fractures are due to child abuse, so it must be ruled out.
Read 11 tweets
- Make an initial list of programs you are interested in applying to.
- Do your #research: curriculum, front loaded?, number of residents, night float?, location, categorical or advanced (needs IM prelim)?
- Start asking for LoRs (May have to remind writer at least once)

- Start working on your PS
- Have a note or document on your phone/PC for
ideas: You never know when a moment of inspiration
may happen!💡).
- Make as many corrections as needed
- Contact programs with any questions, specially if something is not clear to you

Read 9 tweets
Let’s talk about the personal statement (PS)

Writing the PS might seem like one of the most daunting tasks for the ERAS application, & believe me it is. But here are a few tips & thoughts to facilitate the process

Thread No.2/

#Match2021 #AskAnIMG #MyERAS #NRMP
Side note: If you've missed Thread. No 1, feel free to check it out here
1/n. The earlier you start writing the better. Why? bcz the phases of writing a PS are the following: reflection, writing, rewriting, sending it for review, rewriting from scratch, re-sending for review, re-wri.. well you get the point. Bottom line, give your PS time to mature
Read 19 tweets
Truly, if you are an individual who insists on calling this hospital sandwich 'ultraprocessed junk' you really need to a) learn how to interpret a food label, b) read up on ingredients c) stop commentating in public on matters on which you have little knowledge or understanding
Well, this tweet certainly has brought *interesting* replies. So many carefully trying to explain their food prejudices with emotive justification. A few, to a person with no nutritional qualification to their name, being just plain rude. Pretty normal food-fight behaviour
A post-surgery sandwich - like this #refusetolink is common in surgical wards. The sandwich order on one general surgery ward peaked on Tuesday lunchtime - when Monday's elective GI surgery patients started to eat again. Pragmatic ordering by nurses as hot meals rarely consumed
Read 8 tweets
Really enjoyed the @CAGUK1 annual meeting yesterday with presentations on a wide range of pertinent topics such as prehabilitation, ward based extended care & @GM_ERAS_PLUS from great speakers incl @traumagasdoc @mysurgeryandme @SujeshBansal @Tanaesthesia
As part of my presentation on "How to use data to improve your #ERAS protocol" I posed some @Slidoapp questions to the audience and thought I'd share the results here for those who weren't able to stay to the end Image
Read 4 tweets

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