Discover and read the best of Twitter Threads about #medschool

Most recents (8)

I’ve spent a lot of time over the last few days just walking in different environs, observing people, and thinking...a short thread 1/
2/ one of my fav #MedSchool profs was a Jewish man from NY. He came to TX by way of Miami COM.
3/ He was brash...and brilliant...a neurologist by trade. Day one, he told me to schlep his medical bag while we rounded together
Read 9 tweets
#Pediatric #COVID19 discussion thread - why is severity in children less than adults? Do other coronavirus infections in childhood play a role? Are there other protective factors in children? Let's dive in. 1/n
SARS-CoV-2, referred to as COVID-19. Since being identified in late 2019, there have been over 1 million infections worldwide with case fatality rate reported to be around 5.7% as of April 7, 2020 according to @JohnsHopkins 2/n
Numerous theories have been postulated on why children are not being affected by coronavirus at a severity level that is equal to their adult counterparts.
The idea of prior immunity or a more robust immune response to new illnesses have been some ideas discussed. 3/n
Read 26 tweets
Have any medical schools publicly weighed in on how they will evaluate pass-fail (or similar) grades from this semester? How about anything from @AAMCPreMed or @AAMCtoday?

Some thoughts based on conversations with #premed students. 🧵…
My students are the kind of people you’d want to have as your doctor someday. They’re smart, hard-working, critical (in the good way), and compassionate. They’re also navigating this uncertain time with the added pressure of applying to #medschool. 2/
And because they’re ambitious, they are reluctant to take a pass-fail option if it’s given to them because they don’t know how med schools will evaluate it. This pressure may be especially intense for #firstgen students who are already battling the odds to get into #medschool. 3/
Read 11 tweets
We all learn in medical school to give calcium in hyperkalemia for ‘membrane stabilization’. But what does ‘membrane stabilization’ actually mean? 🤷‍♀️ #iforgot #medschool #nephtwitter #tweetorial #physiology #pleasecareeventhoughstep1ispassfail
Trick question - because there are 2 answers! But before we tackle hyperkalemia, check out this brief but brilliant refresher on action potentials in the heart.
Now, hyperkalemia raises the resting membrane potential of cardiac myocytes, shifting them closer to the threshold for activation.

This should make the myocytes more irritable and easily activated - which it does... at first!
Read 17 tweets
#MedTwitter has been discussing “Take Two Aspirin + Call Me By My Pronouns,” an op-ed claiming social justice is taking time from sci ed + decreasing the quality of #MedEd.

So here’s my take:
“Take Two Aspirin + Read a Curriculum”

#MedTwitter #SoMeDocs #DoubleDocs
As always, I start threads with my POV: #LatinasInMedicine #DoubleDocs student in year 2 of #medschool. I have interests in both #MedEd + #HealthJustice. I am about to finish my term as diversity rep on our med student govt. I care a lot about advocacy.
Let’s take a moment to learn about the author: Stanley Goldfarb is a nephrologist, *former* assoc dean of curriculum at UPenn Med. He graduated from med school in 1969. Ffolks who studied at UPenn have brought up negative experiences with Dr. Goldfarb.
Read 55 tweets
1. Yesterday was #SuicidePreventionDay. At the start of the day, I didn't know the risk of #suicide among female #healthcare professionals is 2⃣4⃣% higher than
the national average🇬🇧 […]. It's a scary thought.
2. After returning to #medschool and learning of the death of one of our fellow #MedStudents, this #suicide statistic really hits home.

For me #SuicidePreventionDay was a day to reflect on these potentially preventable losses; losses affecting my own family & many others... ⚰️💔
3. Most of us know #MentalHealthMatters, but raising #MentalHealthAwareness isn't always enough. We must all do more to speak up, speak out and check in with others before it's too late for another life...⌛️

👉Suicide is scary, but saving a life is simple: #AskTellSaveALife 🎗️
Read 3 tweets
CUTANEOUS LUPUS – a #tweetorial/#medthread!!

We all learn about Systemic Lupus Erythematosus (SLE) in medical school, but did you know there are multiple forms #lupus can take in the #skin?

#Meded #FOAMed #dermtwitter #medtwitter #rheumtwitter #dermatologia pc: @dermnetnz
It wasn’t until #dermatology residency I learned about all the subtypes of cutaneous lupus (CLE)! I thought it was all just one disease: SLE. But in reality there are many forms of CLE, each with its own implications on systemic involvement and effect on the patient.
Let’s start with the 3 subtypes:
Acute, Subacute, and Chronic Cutaneous Lupus Erythematosus (ACLE, SCLE, CCLE). CCLE is aka Discoid.
Each subtype "overlaps" with SLE in a different way.

Eg: ACLE overlaps completely with SLE, so they all have SLE! 👇…
Read 17 tweets
1/ It’s been a week.

It’s well into Friday evening & I just got off the phone with a patient who had urgent radiology results. This was after spending > 40 min on the phone w another patient discussing the same this afternoon.

(18 more to come; stick with me.)
2/ I only got 2 items on today’s long “to do” list done — but that’s on me. I was finally able to sit down for a couple hours uninterrupted and dig deep into a few patient cases from the week.

(And I “don’t work” on Fridays.)
3/ As I hung up the phone, I reflected on how #directprimarycare has enabled me to get to the heart of medicine & the doctor-patient relationship.

During that call, my patient’s spouse broke down and — through sobs — simply said: “Thanks for being so kind.”
Read 19 tweets

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