Discover and read the best of Twitter Threads about #sgim22
Most recents (7)
1/🚨Addiction & Substance Use Science of 2021🚨
Our #SGIM22 team checked >1000 titles to come up with key insights for general med/addiction clinicians and affected communities on:
Opioids
Alcohol
“Potpourri” (nicotine, stimulants+)
Policy
Let's go!
@SocietyGIM
Our #SGIM22 team checked >1000 titles to come up with key insights for general med/addiction clinicians and affected communities on:
Opioids
Alcohol
“Potpourri” (nicotine, stimulants+)
Policy
Let's go!
@SocietyGIM
2/By the way, here's "our team" for #SGIM22 includes:
Kenny Morford from @YaleADM
@_kmullins_ from @MonteAddMed
@XimenaLevander of @OHSUSOM
And @StefanKertesz from @cappi_uab
Lets go!
Kenny Morford from @YaleADM
@_kmullins_ from @MonteAddMed
@XimenaLevander of @OHSUSOM
And @StefanKertesz from @cappi_uab
Lets go!
3/*Tired of docs who don’t know anything about addiction?
Internal Medicine resident training in addiction WILL be required starting 7/1/22, –
But this paper finds some training but only 12% include addiction med clinic time
pubmed.ncbi.nlm.nih.gov/34729698/
Internal Medicine resident training in addiction WILL be required starting 7/1/22, –
But this paper finds some training but only 12% include addiction med clinic time
pubmed.ncbi.nlm.nih.gov/34729698/
1/Recruiting people who lose someone to suicide after Rx opioids are stopped, is hard but feasible.
That a beginning.
That’s pilot work for CSI:OPIOIDs -
Presented at #SGIM22
So thankful to:
@AllysonVarley @PainPtFightBack @AJ_Gordon
A word more-
That a beginning.
That’s pilot work for CSI:OPIOIDs -
Presented at #SGIM22
So thankful to:
@AllysonVarley @PainPtFightBack @AJ_Gordon
A word more-
2/Our view is that statistical studies of Rx opioid stoppage are sufficient to show there is risk of suicide but they don’t explain what happened.
When a plane crashes- we look closely at why.
Suicide deaths occurring after Rx reductions deserve no less.
When a plane crashes- we look closely at why.
Suicide deaths occurring after Rx reductions deserve no less.
3/But how does one recruit nationally?
How do you do that ethically? How would families decide whether to trust
“Researchers”
from a “Health System”
..when they *just lost someone they love because the healthcare system changed pain meds? @DrewQJoseph
statnews.com/2021/11/22/her…
How do you do that ethically? How would families decide whether to trust
“Researchers”
from a “Health System”
..when they *just lost someone they love because the healthcare system changed pain meds? @DrewQJoseph
statnews.com/2021/11/22/her…
Have been too busy enjoying seeing people in person and seeing so much great research at #SGIM22 to have been tweeting, but what a great meeting. @nyugrossman was out in force /1
Med student Kyle Smith had a wonderful oral presentation on how we have developed a method of finding people on oral anti psychotics who haven’t had a1c testing (no pics cause I was so busy watching!) with @SaulBlecker /2
T32 trainee Rachel Engelberg had a great poster on incarceration and health outcomes /3
1/A criminal justice matter, like court debt or risk of re-incarceration can emerge as a contextual factor resulting in worse medical status
I didn’t realize there are model letters for us docs to assist at
Docsforhealth.org
#SGIM22
I didn’t realize there are model letters for us docs to assist at
Docsforhealth.org
#SGIM22
2/This remarkable session at #SGIM22 merged two distinct areas of work for ways doctors and other clinicians.
A physician can detect when there is a contextual red flag, and probe it to reveal a contextual factor that might be addressable !
A physician can detect when there is a contextual red flag, and probe it to reveal a contextual factor that might be addressable !
3/The research finds that detecting patients’ presentation of contextual red flags in the office:
doesn’t take more time
can be taught
does improve medical health outcomes
Assessing them is- in a way- broader than SDOH.
sciencedirect.com/science/articl…
doesn’t take more time
can be taught
does improve medical health outcomes
Assessing them is- in a way- broader than SDOH.
sciencedirect.com/science/articl…
1/ Welcome to another edition of West’s Well-Being Wednesday! Today as #SGIM22 begins: a 🧵 on language, respect in medicine, and how this relates to #burnout and #wellbeing. #wellbeingwednesday #medtwitter #meded (reposting due to upload errors yesterday, my apologies)
2/ Last week I tweeted about this paper @MayoProceedings:
Physician Identification Badges: A Multispecialty Quality Improvement Study to Address Professional Misidentification and Bias mayoclinicproceedings.org/article/S0025-…
Physician Identification Badges: A Multispecialty Quality Improvement Study to Address Professional Misidentification and Bias mayoclinicproceedings.org/article/S0025-…
3/ Role identification is an issue especially affecting women and URiM physicians, and can be an important reflection of workplace bias. Clear badging can help!
1/While I was in with air travel chaos and missing Poster Session 1, Dr Jane @liebschutz got our poster up on the boards.
Thanks 😊 !
Our work looks at 29 VA clinics for homeless Veterans to learn what features offer a better care experience, applying machine learning
Thanks 😊 !
Our work looks at 29 VA clinics for homeless Veterans to learn what features offer a better care experience, applying machine learning
2/We surveyed 3900 homeless-experienced Veterans AND the staff in 29 clinics where they got primary care. And asked what clinic features make the difference?
Problem: we had 57 organizational characteristics of interest, and 18 personal characteristics to address
Problem: we had 57 organizational characteristics of interest, and 18 personal characteristics to address
3/With a brilliant statistician we ran Classification And Regression Tree analysis - the “machine” to sort out which of those variables best partition the Veterans rating primary care better vs worse.. both patient and clinic characteristics matter …
Pulse oximeters are widely used to monitor for low oxygen levels among #Covid19 patients at home.
But does pulse oximetry improve outcomes over monitoring for symptoms of shortness of breath?
Our team provides some answers today in @NEJM 🧵👇
nejm.org/doi/full/10.10… #SGIM22
But does pulse oximetry improve outcomes over monitoring for symptoms of shortness of breath?
Our team provides some answers today in @NEJM 🧵👇
nejm.org/doi/full/10.10… #SGIM22
..First some context, early in the pandemic there were widespread accounts of #Covid19 patients presenting to the ER with relatively minor symptoms, but with markedly low oxygen levels, a phenomenon known as “silent hypoxia"...
nytimes.com/2020/04/20/opi…
nytimes.com/2020/04/20/opi…
...It was thought that use of a pulse oximeter could detect declining oxygen levels before symptoms develop, and provide an opportunity for the patients to get to the ER faster where they could be stabilized faster...nytimes.com/2020/04/24/wel…
