Discover and read the best of Twitter Threads about #IMproud

Most recents (3)

#medtwitter #meded #pediatrics #IMProud

Reflecting on an undeniable threat to our patients - pregnant Moms, children, seniors, families, communities

Denied freedom.. a 🧵

Denied freedom to

shop for a prom dress

walk the mall with your child

go to your doctor
2/?

Denied freedom to

worship

go to the supermarket

go to school

teach in school

To do these things without being snuffed out, there one second and gone the next

Freedom to breathe, to come home that day

Freedom to access life, liberty and the pursuit of happiness ->
3/

But freedom is layered, complex; each of us sees &lives it differently, we prioritize freedoms individually

Who’d have thought freedom, as foundational as we purport it to be, is so individually interpreted and variegate?

Why should a doc be tweeting this? ->
Read 12 tweets
#medtwitter #meded #primarycare @primarycarechat

Sorry going long, not sorry

1/?

Letterhead

From: All primary care docs (community, employed in large network, academic medical centers)

To: #healthcare system writ large, administrators/financial lever pullers
2/

Primary care docs are in a precariously fatigued way

We deliver longitudinal relational care, which is foundational to the whole person rewarding work we need to be professionally happy, and to the revenue and reputational growth you need to maintain community market
3/

Primary care docs fulfill an indispensable role not just in the local setting, but we provide what all the country and our society desperately needs - coordination and high value care in a system that overspends and doesn’t provide universal access nor competitive outcomes
Read 23 tweets
@MParshleyMD @adamIMdoc @InduPartha @primarycarechat @ACPinternists Urgent need to provide MORE time for ambulatory visits. Us ambulatory specialists have all felt the time crunch of seeing complex patient w/ 5-10 issues (or more) in 15-20 minutes. NOT good #PatientCare. NOT #PatientSafety. Thread 🧵 1 @ACPinternists #IMProud
@MParshleyMD @adamIMdoc @InduPartha @primarycarechat @ACPinternists We need major payment reform so reimbursements & physician “productivity” is NOT volume-centered based on number of visit encounters. THAT drives ambulatory schedules to have visits that are far too short to maximize numbers of visits. Thread 🧵 2 @ACPinternists #IMProud
@MParshleyMD @adamIMdoc @InduPartha @primarycarechat @ACPinternists Focus on value of care, NOT number of visits. Have flexibility of visit lengths based on appropriateness for care complexity. Get rid of “one size fits all” 15-20 minute visits. Simple 1 issue visit ok for that. Complex multi-problems-NOT ok w/ that. Threads 🧵 3 @ACPinternists
Read 6 tweets

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