Discover and read the best of Twitter Threads about #tipsfornewdocs

Most recents (9)

History & Physical #tipsfornewdocs

- Where are you from? is a good thing to ask somewhere near the beginning

- When was the last time you felt like your normal self? can help you establish chronology

- Who is your family doctor?
- “I’m going to tell you what I know and you let me know what I’ve missed” can be helpful for the patient who is tired of telling their story over and over

- Ditto for “As far as your medical problems, I know you have XY and Z. Am I missing anything?”
Don’t forget to ask details about PMH

- COPD ➡️ home O2? Prior hospitalizations/intubations?
- CAD ➡️ stents?
- DM ➡️ a1c? Insulin?
- Valve ➡️ type? A/c?
- Coumadin ➡️ dose?
- CHF ➡️ AICD?
- Cancer ➡️ last chemo?

And on and on, etc.
Read 16 tweets
Practice guessing everything:
- what will the troponin be
- how many days in the hospital
- what’s the next CBC
- peptic ulcer or gastric cancer
- lives or dies
This makes you an active participant in the result.

Instead of 7 or 10 it becomes I’m right or I’m wrong.
In time you’ll create a virtual version of each patient in your mind. Some will be destroyed by the truth and facts as they develop.
Read 17 tweets
My approach to family meetings in the ICU & some #TipsForNewDocs I've learned along the way. Here is my approach - - my favorite part is the mandatory interpreter!
Set the stage: invite the right people (HCP, RN), consider ambiance & setup, have a plan w objectives but manage your own expectations! It's work to you, but life & death to the family.

Sometimes the patient's room itself is the best location, esp if they can participate!
✨The Jargonese Interpreter ✨
Empower someone to interrupt you & ask for clarifications before the meeting. "Can you explain what you mean by ventilation?"

We use way more jargon than we think, and the family may not ask for nearly as much translation as is needed.
Read 16 tweets
Thread: Tell me about the good times (#residency)
1/Obviously, so many threads about the tough times in training. Neg experiences, disrespect, fatigue, depression. I began to wonder if I had imagined having a great residency experience. How could mine have been so different?
2/I wouldn't put it past me to have amnesia about the whole thing. So I texted some of my co-residents? Was I seeing things thru rose-colored goggles? Nope-they all said "Great time and Hard Work." Which is what I recall. With so many new interns preparing to start....
3/ Can you share with me some of the good times you remember? Because we surely don't want them all to start a new experience expecting doom and gloom. #MedTwitter #Twitternist #ProudToBeGIM #TipsForNewDocs
Read 8 tweets
1/15 As promised, here is a summary of my presentation from today about “Using Your Phone for Lifelong Learning”

As a note, these slides are all hyperlinked instead of referenced and can be seen in full in the previous tweet.
2/15 We started with our objectives for today. While the topic is huge, we focused on three things that have been instrumental in my education. Twitter, podcasts, and the Human Diagnosis Project.
3/15 I argued that these tools are not only useful, but also necessary! Medical knowledge is increasing too quickly for us to keep up, and using all our technology gives us an advantage at staying up to date.

Read 16 tweets
1/n #Tweetorial: As an Assistant PD for @OHSUIMRes focused on scholarship, #medtwitter, & #hcsm (health care social media), I’m often guide residents and colleagues on how to best use Twitter for academics, networking, learning, etc...
2/n recently, while welcoming newbies (esp students) and “onboarding” them to #medtwitter & #hcsm, I was asked to put together advice for IM applicants on how to best use social media during application/interview season. I think this advice is applicable beyond IM, too.
3/n First, tell me about yourself:
Read 28 tweets
Been thinking a bit about what I’ve learnt in the two years since I qualified as a doctor & what (hopefully, helpful and honest) advice I’d give to brand new medics on the cusp of a career in the NHS - a thread #TipsForNewDocs
1. Being a doctor is the best job in the world. Some days it will feel like the worst, but 95% of the time it’s the best and most rewarding career. I adore the NHS. Be proud of yourself, you’ve worked damn hard to get here.
2. Remembering to say “thank you” on a busy ward at 2pm can earn you a cup of tea at 4am. A sincere “thank you” with eye contact might even get you a cup of tea *and* some magical NHS biscuits on your night shift (the holy grail is NHS toast). Nurses are all-seeing superheroes.
Read 22 tweets
Here’s my small contribution to #TipsForNewDocs - ready? YOU DON’T NEED ANY TIPS. IGNORE THIS THREAD. YOU ARE AMAZING! Remember why you’re here and stay true to yourself. You’ll get the hang of it in no time. And if not, reach out to a friend. #sorrynotsorry #tipoverload
Allow me to explain why you should ignore #TipsForNewDocs, or at least set it aside for now (and I mean no offense to the originators, it’s full of really GREAT tips). Seems to me that this thread attempts to address, and ameliorate, the anxiety caused by 2/x
the transition from student doctor to doctor in training (really not that big a jump if you stop to think about it). But it does so with the unintended consequence of contributing to burnout via imposter syndrome and reinforcing a sense of helplessness. 3/x
Read 9 tweets
In these days at the end of June 22 years ago I began to formulate my internship mantra:

Remove unnecessary motion.

Anything you do must move you towards the goal of completion. You don't "read the patient's old medical record." You "write a summary of the patient's past medical history." Always active, never passive.
When you read a paper or an online summary, seek the answer you are looking for and nothing more, e.g. if you give steroids for alcoholic hepatitis, how long is the course?
When you find the answer, stop reading.
Read 5 tweets

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