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Most recents (24)

Although #COVID19 is horrific and changed everything for all of us including #acc20 #WCCardio I just wanted to take a second to reflect on a few things.
1. Social distancing has not been isolating in this day & age. We have been able to gather strength from being in touch #SoMe
2. We have been able to be resourceful & use technology to stay connected with colleagues worldwide, our families and friends. Never before had I felt connected to the world despite being slightly alone physically
3. Did we ever have happy hours together before this, virtually?
4. Did you ever call your parents or siblings so often that you ran out of things to catch up on? Sometimes we have sat in silence and that has been nice. Or watch movies from afar but together. ♥️
5. Working together via @zoom_us has been better than just quick call, text, email
Read 8 tweets
Hi 👋🏽- I have #COVID19.

Isolated at 🏠 away from my healthy & unexposed family.

Seeking ways to help as a research subject (take my serum!) & hope to be back on front lines soon w/my #ICU & #anesthesia colleagues as an🤞🏽immune #COVIDー19 fighter.

Oh & anosmia= 100% REAL. 1/
My #covid19 symptom timeline were:
Day 1: myalgia
Day 2: chills, coughing, malaise
Day 3: coughing continues, exhausted, intermittent nausea, myalgias
Day 4:myalgia, cough, nausea, decreased taste, fatigue
Day 5: myalgia, cough, malaise, ANOSMIA

Symptoms come & go in 🌊 2/
Anosmia. The strangest & most fascinating symptom of all. Discovered it when the brand new diffuser wasn’t working despite dumping several drops of strong scented oil in. Then a friend asked “so is that anosmia thing real?” Then it hit me. 3/
Read 11 tweets
Yesterday was hard.
Today will be harder.
It's going to get worse.

How do we deal and cope amongst the #uncertainty and #chaos?

Some thoughts about managing through the #coronavirus #pandemic:
#Covid_19
1. At work:
✅If you're in a position of leadership, get on the same page with the rest of leadership
✅Know your institution's policies, collate them in 1 place, disseminate to employees
✅Be proactive in asking folks how they are. What ? do they have? If you don't know, say so
✅Amidst all the physical preparedness, don't forget to check on their mental and emotional health.

We are all scared. Uncertain of each coming day. Of each coming hour.

Don't assume when folks are quiet that they are not scare, confused, or just need a little comfort.
Read 25 tweets
A Friday #tweetorial #medthread about patient privacy on
#medtwitter #SoMe

There are many facets of patient privacy & professionalism concerns in this communal space—I’m going to focus on this through the
lens of case-based teaching

🧵
1/N
We know that #medtwitter & #SoMe enhance learning based on tenants of adult learning theory—this includes the microsimulation, mini-challenges, & active discussion of case-based learning.

However, how can we make this effective safe for our patients AND ourselves?

2/N
I want to introduce this concept—the term came to me a couple of weeks ago:

“POST THE PEARL, NOT THE PATIENT”

3/N
Read 25 tweets
1/
I’ve been working on my #medtwitter elevator pitch. Mostly because lately I seem to have lots of fleeting conversations about it.

And I know I’m not alone.

Here's what I find:

Some are sold but nervous.
Some are intrigued but don’t get it.

And a lot are precontemplative.
2/
I think it’s because it can seem like all #medtwitter users look the same.

Them: “I would get on Twitter but I’m not a social media person.”
Me: “Twitter is different! Even if you don’t do social media!”
Them: 😐“Nah. Can’t see it.”

*ping*

Them: ✌️🏾

Elevator ride over.
3/
But I’ve been thinking about the many different #medtwitter identities there are. Most can find a fit nestled somewhere in 1 or a few of them.

What works for each person depends on a few things:

Who you are
What you hope to get from it
What’s going on in your life

Yup.
Read 22 tweets
As the antivax movement steps up its violent ideation, I think it is time for a Tweetstorm to remember George Tiller. I hope my friends will share this around to their connections who are amplifying the antivaccine message 1/
George Tiller was a Kansas doctor who performed a procedure called late term abortion. If this procedure was required, something awful was happening to fetus and/or mom. There were a small number of people in the country who did it. Still are.
The antiabortion movement, spearheaded by Bill O'Reilly on his nightly Fox show, made Tiller into a national figure. Tiller the baby killer (lovely rhyme, that). They called him a Nazi, a pedophile, and an outright murderer.
Read 15 tweets
Live tweet thread of @kristinadzara's #HMSMedEd talk at @harvardmed: "Why Use Twitter in Medical Education?"

1/many
2/

Great turnout for @kristinadzara's #HMSMedEd talk: "Why Use Twitter in #MedEd"
3/ Learning Objectives for today's #HMSMedEd talk by @kristinadzara
Read 30 tweets
🚨Junto a @Dr_Hari_Krishna hicimos selección 🇬🇧🇪🇸de mejores artículos 📑 2⃣0⃣1⃣9⃣ en #PedsICU para @PICJournalWatch

Comparte y comenta!
#Tweetorial acompañante

Lista PDF👉docs.google.com/viewer?a=v&pid…
Infográfico clickeable👉docs.google.com/viewer?a=v&pid…
Pubmed👉ncbi.nlm.nih.gov/sites/myncbi/h…
@Dr_Hari_Krishna @PICJournalWatch @Nopanaden @curso_vm @miguelrdgzrubio @LA_Rednetwork @WFPICCS @SapnaKmd @jramonfernandez @PedCritCareMed @ChrisCarrollMD @pccm_doc 3/ La colección es incompleta. Muchos buenos estudios han sido publicados durante 2019. Ayúdanos a completarla y comparte tus ideas!

Surely this colection is incomplete. Many good studies have been published during the past 2019. Feel free to share with us!

#PedsICU #BestOf2019
Read 30 tweets
1/ Welcome to the Saturday Poster session at #KidneyWk. On behalf of Hector and Edgar, I’d like to welcome you to our tweet thread on • Gender disparities in #SoMe and #MedEd•. You can view our poster (&🗣w/us) live TODAY from 10-12 PM (#27) or learn more about our work below
2/ #SoMe is exploding in medicine & #Nephrology leads the way in many metrics & most certainly in #SoMe research. Many #SoMe *users* are becoming active #SoMe *educators* & share valuable educational information to the larger online community.
datastudio.google.com/u/0/reporting/…
#KidneyWk
3/ Concurrently, there is a greater push to equalize the way we share knowledge. Gender is an area in need of equalization. More men than women are offered presenting &/or moderating opportunities. This imbalance negatively effects both female *and* male learners. #KidneyWk
Read 19 tweets
(Thread) Another week and another @MedTwitThisWeek #medthread. As a reminder, this is not all inclusive. It's a jumping off point. A continuation of the discussions from the week that I found interesting including conferences, #Tweetiorials and tributes. #medttw #FOAMed
2/ Conference Bonanza! Since last week, several amazing conferences took place (or just started). Each conference has their own hashtags and flavors of #SoMe. Here are some highlights...
3/ @jenreadlynn was at #midwesthospmed and did a great job of distilling @MelBreggs' talk on inpatient management of alcohol withdrawal.
Read 31 tweets
#ENARM
Para otros países: es el exámen que realizamos en 🇲🇽 como médicos para poder hacer una Especialidad Médica.

Aplica también para el #MIR o el exámen que realicen en tu país 🌏🌎🌍

Abro hilo, iniciamos, y abierto los comentarios 👩‍⚕️👨‍⚕️
#MedEd #Edumed #SoMe
"¿Es un exámen difícil?"
No. No lo es.
"¿Pero me han dicho que es muy difícil?"
Esas respuestas, son de personas que no se prepararon lo suficiente.
Pero, vamos a platicar un poco de todo esto:
"Necesito un curso para pasarlo"
No. Pero si puede ser necesario, si necesitas mayor orientación, o no te ha dado resultados estudiar "sólo".

"No tengo dinero para pagarlo"
Es tu esfuerzo el que da resultados. Puedes pagar 5 cursos, pero ninguno de ellos hará por ti el examen.
Read 28 tweets
Not every day you get to speak to the Medical Deans of Australia and NZ on disruption and #MedEd #FOAMed & #SoMe in a plenary chaired by the indomitable @forrest_kirsty together with @LSchuwirth and Dr Joe Kolars from @umichmedicine 🙏🏽@forrest_kirsty for this opportunity.
Shout out my @MedEdStuffnN partners in disruption @GongGasGirl @hypoxicchicken including @char_durand @drlauraduggan & @MedEdUnicorn for their input. Plus thank you @aoglasserfor sharing & 🙏🏽@NEJM @tony_breu for impeccable timing ... why is a cow indeed?! Let’s embrace curiosity.
@MedEdStuffnN @GongGasGirl @hypoxicchicken @char_durand @drlauraduggan @MedEdUnicorn @NEJM @tony_breu A few people have asked for the talk so here you go a thread on disruption in #MedEd. Challenges facing medical education: medicine, social media and the digital age. Session moderated by @forrest_kirsty Prof KForrest Dean of Medicine @BondUniversity #MDANZ19 @MedicalDeans
Read 33 tweets
Such an honor to have the opportunity to collaborate and be mentored with amazing coauthors Drs @maraantonoff @OuzounianMD @ebender001 @ArieBlitzMD @drnikkistamp @TomVargheseJr @DavidCookeMD on our latest papers on #TSSMN

1. annalsthoracicsurgery.org/article/S0003-…
2. jtcvs.org/article/S0022-…
@maraantonoff @OuzounianMD @ebender001 @ArieBlitzMD @drnikkistamp @TomVargheseJr @DavidCookeMD @WomenInThoracic @tomcnguyen @purviparwani @STS_CTsurgery @AATSJournals @AATSHQ @annalsthorsurg @AASFoundation1 @UnivSurg @TSRA_official @tssmn (/2) #TSSMN @TSSMN has since garnered lots of digital attention globally with a total of (at the time of publication) 10,900 tweets, with an average of 243 tweets per month. The combined followership of all TSSMN delegates was 52,983, with representation from across the world
Read 9 tweets
Friday #Medthread! I’ve been chatting lately that I should write a #tweetorial about how I’ve put my social media related/based activities on my academic/professional CV. So, without further ado... 1/x
these are excited times, & hopefully this won't be uncharted territory for too much longer as standards are set and more institutions embrace social media related activities...BUT for now...how do you show your uniqueness and innovations via #medtwitter #SoMe?? 2/x
Disclaimers:
1⃣these are my opinions (grounded in experience & many discussions)
2⃣I use the OHSU CV template (Scholarship/Service/Teaching)
3⃣employers may not be ready to embrace

PS--bonus points--name the TV show the GIF is from!! (probably not known/respected enough...)
Read 18 tweets
An anniversary #Medthread!
One year ago today, I gave my OHSU #GrandRounds about #medtwitter for academic clinicians and immediately posted its accompanying #tweetorial.
My goodness, what a year!!
Some reflections and musings 1/x
an incredible year indeed, professionally AND personally--and definitely in no small part thanks to #medtwitter and the opportunity to prepare and give this talk about #SoMe
pardon my if the argument is getting a little circular...the coffee is still kicking in... 2/x
I truly truly had no idea. In probably a poor exam of my "beginning of the academic year commitment to say 'no' more often", I told my boss that I could fill the August 7th #GrandRounds slot on only a few weeks notice.

"Don't you have a talk about twitter prepared?"... 3/x
Read 17 tweets
Medical visualizations (vizs; #visualAbstract, #infographic, or #graphicalAbstract) are ⬆︎popular. In this tweetorial I'm going to detail how I make vizs to help you in your #meded/#FOAMed endeavors. Here's my portfolio for background: twitter.com/i/moments/1057…
There are four large domains that I consider when making a viz: Design, Structure, Content, and Textual Context (mostly in the parent tweet).
Let's go through each of these and discuss various facets that one might want to consider when designing a medical viz
Design: Audience
Know your audience, particularly if your audience is one that *doesn't* have access to the article that inspired your viz. If they don't, then recognize that your viz may be the 1st and only exposure to the science that the reader will have.
Read 22 tweets
Jeg ser at der er en del misforståelser, fejlagtige fremstillinger og overdrivelser ang. hele #Iran / #Hormoz / #atomkonflikt spørgsmålet på #SoMe og #dkmedoer pt. Så her nogle facts:
1. Det er USA, der har brudt atomaftalen - en aftale, verdenssamfundet var enige om fungerede efter hensigten.
2. Iran har overholdt atomaftalen - 15 ud af 15 inspektioner fra det Internationale Atomenergiagentur har bekræftet dette. Det er det største inspektionsregime i verdenshistorien og netop årsag til at atomaftalen blev hyldet som diplomatisk mesterværk.
Read 11 tweets
As promised, a #tweetorial #Medthread to accompany our new publication ABOUT #medtwitter use by residency programs!
"Twelve Tips for Tweeting as a Residency Program"

@DesaisSima
@PDX_Tom

1/x
mededpublish.org/manuscripts/24…
@DesaisSima @PDX_Tom The piece is in the online journal @MedEdPublish, & we really appreciate the reads. Because it is open-access, I won't regurgitate the entire piece, but I will share and sprinkle additional explanations on highlights 2/x
@DesaisSima @PDX_Tom @MedEdPublish the "12 Tips" piece chronicle our journey to create @OHSUIMRes for the @OHSUSOM @OHSUNews Internal Medicine Residency Program, and the reflections, musings, advise for others thinking about a programmatic account for internal medicine and non-IM residency/fellowship programs 3/x
Read 19 tweets
#Tweetorial vs. #UnsolicitedAdviceThread
🤔"What I wish I knew"🤔
#tipsfornewdocs #2wk

I was asked to do a wonderful Q&A during @umnmedresidency's first intern academic 1/2 day

Complied all tips👇

(💪work @Kay_L_Ingraham, @VigneshWP, @PendlKM) with co-panel (@jenwong101)
Before we begin.

Aside from trying to coax you to try twitter for #FOAMed #MedEd ...

Please know👉🏽not every tip will work for every person. Find what works for you!

Don't be overwhelmed
👉 Focus on something new each week or month!
** Audience ?s **

🗝️ Step 3 😱?👉focus on patient care unless you are taking w/in 3 months, just get signed up (it'll be OK)

🗝️ Research?👉focus on patient care and being a wonderful doctor (till spring @ earliest)

🗝️ Reading?👉read to care for your patient's illness

#theme?
Read 18 tweets
A brief #tweetorial for those curious as to why I spend countless hours on a non-specialty medical organization. The basic premise of the @AmerMedicalAssn House of Delegates is actually simple. #healthpolicy #publichealth #MembersMoveMedicine 1/
It’s a representative democratic body consisting of members of societies from the US states and subspecialties of medicine, convening twice a year as the @AmerMedicalAssn House of Delegates (HoD). The majority of each meeting is spent deliberating policy proposals. #AMAmtg 2/
Any member or organization can bring resolutions with various policy goals to the HoD to be debated and voted on. These go through a multistep vetting process where everyone has the opportunity to speak on and amend these policies under the rules of parliamentary procedure. 3/
Read 11 tweets
In the run up to #RAUK20 -18-19th May 2020,& to introduce some of the many publications of our Bruce Scott Lecturer @EMARIANOMD - I thought I’d start tweeting 10 of his papers to get you inspired about #RegionalAnaesthesia #RegionalAnesthesia - I’ll add them all to this thread...
In the first of 10 of @EMARIANOMD‘s papers, lets start by looking at this one on Continuous interscalene brachial plexus block via an ultrasound-guided Posterior approach #RAUK20 #MarianoTopTen 1/10
ncbi.nlm.nih.gov/pubmed/1937235…

insights.ovid.com/anesthesia-ana…
The second of 10 of @EMARIANOMD’s papers is on #PedAnes! This paper is on the Feasibility of ultrasound-guided peripheral nerve block catheters for pain control on pediatric medical missions in developing countries. #RAUK20 #MarianoTopTen 2/10
ncbi.nlm.nih.gov/pmc/articles/P…
Read 12 tweets
Excited to hear @lisabodnar & @ProfMattFox’s #SPER2019 keynote!! Just as soon as the technical issues get fixed 😬😬
Is twitter a dumpster fire?
Read 33 tweets
Today I gave divisional rounds @UofA_ID on the power of #SoMe and #IDTwitter for ID physicians and microbiologists.

I have gained loads in this space, and here I compile some of the takeaways 🥡 for those who remain unconvinced of the benefits of #MedTwitter

A thread 1/
Whether we like it or not, #SoMe has changed our world. It has changed the way leaders are chosen, the way we communicate & interact with one another, the empowerment & mobilization of societies, & giving us unprecedented access to people and spaces otherwise unimaginable. 2/
#SoMe has also changed the way academic physicians and scientists practice and how we conduct and communicate science. 3/
Read 35 tweets
Citation counts come from OTHER RESEARCHERS. They are important, yes.

But, sharing #science on #SoMe=broad & instantaneous dissemination to those who focus their time AT THE BEDSIDE. Which may surprise some- but is MOST OF MEDICINE especially....#anesthesiology.(Thread) #AUA2019
A metric like the “Kardashian Index” *MAY* be relevant in genome biology where the proportion of basic/translational science is significantly higher and no immediate bedside application for a general practitioner is there. (and I’m making an assumption here) #medtwitter #aua2019
When your #research is relevant primarily to other #scientists who are also writing research papers then citation counts do more wholly reflect the paper’s impact. But in clinical research, it’s different. Bedside clinicians are looking to the literature for guidance & new ideas.
Read 13 tweets

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