Discover and read the best of Twitter Threads about #medschool

Most recents (17)

Duration of Antibiotic Therapy
Deciding on the duration of antimicrobial therapy for an infection is neither straightforward nor simple. 👇
#MedTwitter #MedEd #USMLE #FOAMed #hospitalist #mbbs #medicine #doctor
#medschool #MedStudentTwitter #medstudent #TwitterRx
🔽👇🔽🔽👇

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Most ID guidelines are based- either expert opinions or evidence-based medicine. Historically, duration of ABX Rx were based on arbitrary extension of days(magic numbers like 7, 10 & 14 days) rather than on reliable evidence with the main aim to ⬇️ failures & avoid underRx.

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There is growing evidence to support for shorter courses. It is important for prescribers to be up to date with best practices. Duration of therapy plays a pivotal role in antimicrobial stewardship programme within the global effort to optimize antibiotic use &⬇️resistance.

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Read 26 tweets
As we get closer and closer to #MatchDay for #match2022 I have to admit... I don't talk much publicly about NOT matching into #EM last year. It was devastating. But I think it's important that we normalize the conversation around not matching... 🧵1/11
For many, not matching is the ultimate failure coming out of #medschool. Residency placement is what we were working toward. Schools advertise on the backs of their match rate. Being left empty handed after match AND the scramble is a lonely place. You question everything. 2/11
You try for an open categorical, prelim, or transitional spot. Naturally, we're told those are the preferred options. Find a prelim surgery spot, they said—to keep your "procedure skills" up. Find a transitional year or prelim year anywhere. Get an MPH. Not tons of options. 3/11
Read 11 tweets
#MedStudents, #Residents, #Fellows, and #Research Trainees - I recently had both a resident and fellow ask me how I got involved in research and published when I was a #trainee. I thought I would share my tips and advice in this thread. #MedTwitter #ACGME #MedStudentTwitter
1. Ask yourself👉what you want from this? To pursue research as career? To boost application for #residency #fellowship #employment? To get a recommendation letter? Regardless, aim for #publication (most value). Conference talks are cool, but publications stay on CV forever!
2. Basic science research=⬆️time+lab training vs clinical research. Study designs: RCTs, prospective, retrospective, case reports, review papers. Publishing case reports+review papers are most feasible endeavors during training! Best way to boost #publication numbers.
Read 22 tweets
Rationale for #TDM

All TDM should be performed in the context of the clinical disease activity and severity -@IBDMD
Philosophy of #TDM
Read 23 tweets
Beyond thrilled to have been awarded a *renewal* for my @NIH_LRP award!!!!!! Story time (on #privilege and #perseverance)

#medtwitter #academictwitter #blackinSTEM 1/
As a first-generation #Kenyan American, raised in #Kenya and very much an #African child (if you know you know), a #doctor is very much what I was going to be from the time I was born. 😋 (thankfully, also a marrying of my love of science and taking care of people!) 2/
So it was to my parents’ incredible delight when I got accepted to #medicalschool, never having... basically... known someone who had done so, in the US anyway. #firstgen #firstgeneration (yes, this story has a comical peak, wait for it...) 3/
Read 10 tweets
3rd year of #MedSchool through Schitt's Creek #MedTwitter:
The first day of your first rotation:
What you feel like the attending says every time you answer their questions:
Read 20 tweets
Med Schools offer almost no instruction in the world's #1 cause of working-age disability. It'd be like Dental Schools not covering cavities.

7 words diagnose most #migraine: Recurrent #pain w/ hypersensitivity &/or nausea. 60% of patients go undiagnosed. #MedicalTwitter #PCP
#Migraine is PROGRESSIVE. A 40% diagnostic rate condemns some to lifelong #disability: Late diagnosis & ineffective treatment of acute #migraine are leading risks for continuous migraine. #PCP #MedicalTwitter mdedge.com/jcomjournal/ar…
🔴HOW DOES THIS CHILD GO 8 YEARS WITHOUT A DIAGNOSIS? She has textbook ICHD-3 #migraine! 1>sudden hypersensitivity (smell) 2>throbbing #pain 3>nausea 4>need for bedrest

She might've avoided #disability w/ early diagnosis & treatment. #PCP blogs.webmd.com/my-experience/…
Read 10 tweets
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
Man, all of #MedSchool is really about “trusting the process”. At the beginning of 3rd year, my confidence in my ability to EVER get to a point where I could talk to a patient about their labs in lay terms seemed SOOO distant.

I have an old college classmate who’s in her 3rd
trimester and she had concerns. We hopped on FaceTime, talked about what her values meant and possible next steps.

The step I said was most likely to happen did, but this is less about me being right. It’s about her trusting me and me trusting the skills I’ve been building.
Medicine really is the one of the coolest jobs....ever.

She ended the call encouraging me saying we need more Black doctors 😭😍. Also plugged my support of vaccines because #VaccinesCauseAdults 🙌🏾
Read 4 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 coronavirus.jhu.edu/map.html
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
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
2/
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.
3/
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
Congratulations to new #medstudents starting today!

Look around at the other students in your cohort. These people will become your dearest friends, closest supports & some even lovers.

Together you will take a journey of a thousand miles & today begins with the 1st step! Image
We ALL remember our 1st day of #medschool. I remember standing outside the school mustering up the courage: ‘You can do this!’

I’d moved to a new city & didn’t know anyone. I was petrified. Guess what? Everyone else was too!

#MedTwitter what was your 1st day of med school like? Image
New Med Student Tip #1:
🥦Eat well
🏄🏻‍♀️Keep active
😴Get plenty of sleep
(Yes, you can pass med school & sleep 8hrs a night!)
Read 9 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”
THREAD.

#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🇬🇧 [ons.gov.uk/peoplepopulati…]. 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
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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.
2/
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! 👇
onlinelibrary.wiley.com/doi/abs/10.111…
3/ Image
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
HEMOPHILIA A
- Factor VIII deficiency, X-linked recessive
- Increased bleeding risk (after minor trauma or surgery)
- High PTT corrected on mixing study, normal PT, normal bleeding time
#MedRxed #USMLE #medschool #meded #Medicine
HEMOPHILIA A
- Treatment: Desmopressin (for mild cases), Factor VIII Replacement (for severe cases).
- Patient may develop inhibitor or antibodies to Factor VIII and requires treatment modification.....
#MedRXeD #USMLE #ABIM #primarycare #Meded
HEMOPHILIA A w/ Factor VIII Inhibitors
- If inhibitor titer < 5 Bu/ml: Increase dose of FVIII
- If titer > 5: Activated prothrombin complex concentrate, Activated recombinant FVII, Porcine Factor VIII
WE NOW HAVE ONE MORE FDA APPROVED DRUG...
#MedRxeD #ABIM #Hematology #Meded
Read 4 tweets

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