Discover and read the best of Twitter Threads about #SGIM19

Most recents (8)

1/ #medtwitter #twitternists #proudtobeGIM

I've been sitting on a @SocietyGIM #sgim19 debrief #medthread since the meeting, and thought I might finally take a swing at it - here goes ..

I am considering whether I can do more division/systems leadership in coming years .. ->
2/ Theme of the conference was 'Courage to Lead', and single best workshop for me was :

Leading Change: Tools/Tips for Change Management

Crediting Alfred Burger, Emily Fondahn, Brent Petty, Nathan Spell, Dan Steinberg - can't find them on Twitter, so giving proper đź—Łđź—Ł.
3/ would like to share key concepts for all of us trying to lead in academic medicine or in #advocacy spaces.

First key Slide/thoughts:

The hard stuff - barriers to change .. ->
Read 16 tweets
From stop & frisk to mass Incarceration as a driver of health disparities. Can’t talk about health inequities w/o discussing criminal justice system (&racism) #SGIM19 1/x ImageImage
US incarceration rates exceed 20 developed democracies. Incarceration rates not related to violent crimes. 1/3 black men will be incarcerated lifetime (racism, not race). Incarceration traumatizes individuals, families, communities ImageImage
Many newly dx w chronic diseases but access limited. In CT, those incarcerated pay $3 copay for (constitutionally guaranteed) healthcare = 4 days of work Image
Read 15 tweets
Anti racism in action: name racism (it’s not race it’s racism) & interrogate mechanism. Racism creates opened & closed signs in our society. It is difficult to recognize a system of inequity that privileges us Dr @CamaraJones #SGIM19 recognize the 2 sides of the sign! ImageImageImage
Racism exists even if we don’t see it. Racism is a SYSTEM of power to structure opportunity & assign value. Based on social interpretation of how one looks Image
Racism unfairly disadvantages individuals & communities & unfairly advantages others & saps strength of whole society Image
Read 16 tweets
So proud of the @UCSFPCRF fellows! So great to see your work at #SGIM19
Dr @TimAndersonMD presenting his work w @MikeSteinman cautioning against adjusting BP meds inpatient when uptitration in older adults assoc w harm (Rec: Inpt teams should communicate w outpt provider for close follow up ImageImageImage
Dr Emilia De Marchis work w @SIREN_UCSF on social needs screening in health care settings. Pt’s find it acceptable & think HCP should know about pt’s social needs #SGIM19 ImageImageImage
Read 7 tweets
1/3 Wow what a day for mentees at #sgim19! First up future @nyuschoolofmed student Kanan Shah showing that docs who see patients 4-5 days a week have to spend almost 3 hours in #EHR on each day off to keep up Image
2/3 next, future med student Emma Simon showing that a simple #EHR template can give internists the info they need post procedure, have >95% uptake and reduce calls to proceduralists #sgim19 Image
3/3 and finally junior faculty Himali Weerahandi with an oral presentation showing that patients given home health services do better after discharge from SNF than those just sent home #sgim19 ImageImage
Read 5 tweets
President @SocietyGIM Dr @gcsmd shares her story to inspire us to find our community & purpose to give voice to those we serve & dare to be powerful in the service of our vision to advance health equity #SGIM19 ImageImageImage
Our work requires paradigm shift: focus on community’s strengths (not weaknesses) to build health equity. Center those who we hope to serve in our work! Image
Center theories that elevate oppressed communities, center the strengths of the community, their voices & experiences. #ProudtobeGIM
Read 3 tweets
Proud of Dr @AliciaFMD the @SocietyGIM Nickens Award for lifetime work for diversity & inclusion in healthcare & gives amazing speech & call to action for real social change Si Se Puede @ucsfcvp #UCSFProud ImageImage
Who we hire matters, #FightFor15 living wage, health care is a human right housing for all @UCSF Image
Read 3 tweets
Low barrier tx w buprenorphine: same day MAT for #homeless ppl. ~50% filled bupe rx &1/7 ongoing care @MInczeMD presents #SGIM19 plenary MAT saves lives. @SF_DPH @UCSF collaboration innovative program to meet ppl where they are ImageImageImage
How to ⬆️ retention? (Hint: Housing would make a lot easier) but until we have housing, need to decrease mortality from OUD. Role for navigators?
Couldn’t do this w/o insurance coverage for Bupe. (Too confront opioid epidemic, need Medicaid). Grateful to live in expansion state.
Read 4 tweets

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