Sonja Raaum, MD, FACP Profile picture
Aug 27, 2019 12 tweets 9 min read Read on X
Calling on #MedTwitter #MedEd and awesome #MedEducators

Last year, I put together an infographic with links to resources for MS4 students on medicine rotation

I want to update, so send me your best links for students to use on inpatient rotations to make an improved v2.0! Image
1/n
H&P

MedFools is dead!
Where do you get the best scut sheets?

@UtahIMCMRs @MedEdPGH Image
2/n
Illness Scripts

I love teaching this concept to students - what resources do you use to engage students in learning to build on illness scripts?

@CPSolvers @DxRxEdu Image
3/n
Plans & Problem Lists

I like to teach something I call "SOAP-X" to help learners form plans –
Define problem completely
Differential
Work-up
Treatment

What resources are there to help students practice crafting problem lists and plans?

@AndreMansoor @andrewolsonmd Image
4/n
Notes & Presentations

The goal of presenting is to show how you synthesize and interpret info; and a note should convey meaningful interpretation and clear plans

What tips/tricks/additional resources do you refer students to when they want to improve?

@gradydoctor Image
5/n
Sign-Out

One of the best ways to learn is practice and participate in cross-cover on patients to anticipate problems

Are there any IPASS related or additional resources that are accessible if students want to learn more?

@RJmdphilly Image
6/n
Code Status

There is so much to cover...

I typically refer students to GoFarCalc.com and also discuss some of the common pitfalls

What are your go to accessible resources for teaching this topic?

@ShaidaTalebreza @UofUPalliCare Image
7/n
Consults

There is an etiquette to both consulting and being the consultant. Our MS4s spend a week on a sub-specialty consult service with the hope they pick up some best practices.

Besides osmosis, what resources do you use to teach these principles?

@kidney_boy @JJRyanMD Image
8/n
EBM

So much more than only looking at the literature, it is an art to incorporate clinical expertise and patient values into evidence based medicine.

What are your tips and go to resources for learners to improve EBM skills in the clinical setting?

@adamcifu @PaulBerglMD Image
9/n
Patient Safety

Students often have such fresh eyes that they can truly contribute to a culture of safety.

What resources are there to help students/early residents learn more about their role in patient safety?

@KenceeMD @bobpmd @ChrisMoriates Image
10/n
Grab Bag of Resources

What are *the best* EKG and CXR online resources for MS4s?

What resources are available to navigate common cross--cover issues?

@thecurbsiders @COREIMpodcast Image
11/fin

Let me know if you have any suggestions for edits, additions or other ideas for this resource!

#MedTwitter #MedEd

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More from @SonjaRaaum

Feb 25, 2021
I went down a rabbit hole of women and academic productivity this morning...

Spurred by a recent Washington Post article (which buried the lede) showing that due to COVID19 academic women are losing 7.5 to 10 hrs/week of research if they have kids <7 yo

washingtonpost.com/road-to-recove… Change in how academics spent their time during the pandemic
1/
This is a CRISIS for academic promotion.

Pre-pandemic, studies showed disparities in publication rates between women/men.

There are 100s of articles describing this, but these 2 are pertinent to #AcademicMedicine

jamanetwork.com/journals/jama/…

ncbi.nlm.nih.gov/pmc/articles/P… Table 2 from Raj 2016 article. Men vs Women publications of
2/
Unfortunately, since the pandemic started, the gender gap in publication seems to be worsening.

jamanetwork.com/journals/jaman…
Read 10 tweets
Jul 22, 2020
I put together info on feedback for our interns and meant to share, but things *ahem, COVID* got in the way...

I learned ADAPT @acgme course in faculty assessment, and honed during @intermtnsim facilitator course.

A month into new AY, might be a good time to revisit! #Feedback
First of all.

Very important to understand what feedback is -

It's not about your opinions, it's about observed behaviors compared to standard.

For those in the back - observed compared to standard!

⚠️ if not observed
⚠️ if not using a standard

#AdaptFeedback
Set yourself up for success to deliver feedback - let team know expectations, 🚸 signpost feedback! And make sure you are in the right setting.

#1 rule, always assume everyone is trying their best.

Finally reflect on feedback that worked for you, and pay it forward to others!
Read 11 tweets
Jul 1, 2020
Hey #MedStudentTwitter

It's that time of year again - preparing applications for residency.

Let's talk about how you can use the personal statement to your advantage!

(preview to the pep talk I'm giving @UofUInternalMed students tonight!) Image
1/
Every PD will tell you that your personal statement has to be, well, personal.

Take it a step further and make it authentic - it's your opportunity to tell a story, and make it your own!

How do you do that?
Recognize as @gradydoctor stresses - ”Becoming is better than being” Image
2/
So let's get to the nitty gritty.

Go back to your med school personal statement, and use it to gain perspective.

Use reflection to help define your growth which will help you tell your story.

Write all of this down uncensored and get it on the page. Image
Read 13 tweets
Apr 7, 2020
This last month has been difficult to process

I’ve struggled with the insane amount of data and the enormity of the situation, but even more so I’ve struggled fitting it all into my worldview

Then, I remembered @factfulness

Here are 10 instincts we can all hone
#MedTwitter
1️⃣ Gap Instinct

Stories can paint dramatic portraits of gaps between two groups - but in reality there is almost always an overlap and majority live in between

❗️beware comparisons of averages
❗️beware comparisons of extremes
❗️remember looking down from above distorts view
2️⃣ Negativity Instinct

❗️Bad events get the press, so expect it - good news and gradual improvements are rarely reported (but you can seek it out!)

🔑 Point: distinguish between a level and direction of change - data can be both bad and better
Read 12 tweets
Oct 14, 2019
#medtwitter

I love to provide structure for my learners. A couple years ago I adopted a set of rules for rounds and ward teams. These continue to evolve.

I share them on day 1, and refer back to them frequently while on service.
👇

#TeamRules #MedEd
What are your #teamrules?
Rule 1: We treat patients, not diseases or numbers.

Always always put the disease and number into context for that specific patient. And get to know the patient.

It’s good medicine, and makes the job so much more interesting.

#SDOH #IllnessInContext #EBM
Rule 2: Rounds are done by noon.

Come prepared and we will get the work done together

Stick with the 4 Ds - decompensated, discharges, diagnostic dilemmas, the C Diff patients last. Stop wherever we are at 11:30 and finish running the list.

HT @thecurbsiders ep157

#efficient
Read 7 tweets
Jul 8, 2019
#MedStudentTwitter #IMResidency

It’s Personal Statement Season!

I help review med student statements and have a few thoughts to share to hopefully help students/faculty along the way.

Its a thread.

👉awesome PDs can chime in @carolinemilneMD @abbyCCim @CincyIM @AmyOxentenkoMD
1⃣Big Picture
The personal statement is an opportunity to weave together
* highlights from CV
* experiences
* personal attributes
Into a cohesive story that explains
- Why you are going into IM
- What you can bring to a program
#IM_PSTips
2⃣ To start, find your PS from your Med School Application

- Think about how you have grown since then...
- What experiences in med school helped you grow into the prepared student you are now ready for residency?

☑️ Write all of this down
#Reflect #growthmindset #IM_PSTips
Read 12 tweets

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