Discover and read the best of Twitter Threads about #Twitternists
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@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 𧔠1 @ACPinternists #IMProud
@MParshleyMD @adamIMdoc @InduPartha @primarycarechat @ACPinternists We need major payment reform so reimbursements & physician âproductivityâ 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 𧔠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 âone size fits allâ 15-20 minute visits. Simple 1 issue visit ok for that. Complex multi-problems-NOT ok w/ that. Threads 𧔠3 @ACPinternists
1/Many of my colleagues and I have not been redeployed to the hospital during the #COVID pandemic. We have been doing the ambulatory care of pre/non hospitalized patients, helped w admitted pts and starting to see post discharge pts.
Many thoughts/advice points:
A đ§”THREAD
Many thoughts/advice points:
A đ§”THREAD
2/ First our #primarycare triage function in this process is crucial.
Workflows/teamwork/infrastructure have to be worked out and optimized.
An updated list of daily follow up #telehealth covid pts must be kept. Day of illness, daily update notes and tracking has to happen
Workflows/teamwork/infrastructure have to be worked out and optimized.
An updated list of daily follow up #telehealth covid pts must be kept. Day of illness, daily update notes and tracking has to happen
3/ Key points:
Age, comorbidities matter. And yet, there are those healthier patients that get sicker, hypoxemic/stormy as well
Donât completely know (like so much in this illness) the grouped likelihood ratios for the following but these are things to ask to be complete ..
Age, comorbidities matter. And yet, there are those healthier patients that get sicker, hypoxemic/stormy as well
Donât completely know (like so much in this illness) the grouped likelihood ratios for the following but these are things to ask to be complete ..
1/ Hey #medtwitter #proudtobeGIM
cc @mmteacherdoc @templeratcliffe @tony_breu @meggerber @laurelfick @adamcifu @DrSinhaEsq @SusanHingle
Received a text this AM from divisionâs admin coordinator
âWhat a beautiful day it would have been for opening day - Letâs Go Mets ..â
->
cc @mmteacherdoc @templeratcliffe @tony_breu @meggerber @laurelfick @adamcifu @DrSinhaEsq @SusanHingle
Received a text this AM from divisionâs admin coordinator
âWhat a beautiful day it would have been for opening day - Letâs Go Mets ..â
->
2/ 2which my Chief of DGIM responded:
The one constant through all the years, Ray, has been baseball.
America has rolled by like an army of steamrollers. It's been erased like a blackboard, rebuilt, and erased again. But baseball has marked the time.
This field, this game->
The one constant through all the years, Ray, has been baseball.
America has rolled by like an army of steamrollers. It's been erased like a blackboard, rebuilt, and erased again. But baseball has marked the time.
This field, this game->
3/ itâs part of our past, Ray. It reminds us of all that was once good, and what could be again.
Ohhh, people will come Ray. They most definitely come
To which I responded ->
Ohhh, people will come Ray. They most definitely come
To which I responded ->
1/
âThe Erythemasâ â A #dermatology #meded #FOAMEd #tweetorial. pc:@dermnetnz
Ever get all the different #dermatologic terms jumbled up? Was it erythema nodosum, erythema migrans, or erythema multiforme?
Honest poll â Ever write ârashâ b/c you couldnât remember the diagnosis?
âThe Erythemasâ â A #dermatology #meded #FOAMEd #tweetorial. pc:@dermnetnz
Ever get all the different #dermatologic terms jumbled up? Was it erythema nodosum, erythema migrans, or erythema multiforme?
Honest poll â Ever write ârashâ b/c you couldnât remember the diagnosis?
2/
All kidding aside, these terms can get confusing. Remember though, derm terms are usually just descriptors of what you see. The name tells you all you need to know.
For example: Acute Generalized Exanthematous Pustulosis (AGEP) = pustules suddenly appeared everywhere!
All kidding aside, these terms can get confusing. Remember though, derm terms are usually just descriptors of what you see. The name tells you all you need to know.
For example: Acute Generalized Exanthematous Pustulosis (AGEP) = pustules suddenly appeared everywhere!
3/
So, the âerythemas.â First off, what does âerythemaâ actually mean? Well, according to my Google machine, it's from the Greek root âeruthrosâ meaning âred.â So "erythema" doesnât add much to our knowledge of what the rash looks like other than itâs red, and so, likely inflamed
So, the âerythemas.â First off, what does âerythemaâ actually mean? Well, according to my Google machine, it's from the Greek root âeruthrosâ meaning âred.â So "erythema" doesnât add much to our knowledge of what the rash looks like other than itâs red, and so, likely inflamed
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 .. ->
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 đŁđŁ.
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 đŁđŁ.
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 .. ->
First key Slide/thoughts:
The hard stuff - barriers to change .. ->
