Kimberly D. Manning, MD Profile picture
Aug 28, 2019 7 tweets 5 min read Read on X
1/
A #meded paper I love:

Using cognitive mapping to define key domains for successful attending rounds.

Roy B, et al. J Gen Intern Med. 2012 (with @medrants as final author)

Literally changed how I approach attending on wards and self assess. . . no exaggeration.
2/
Here’s what learners want from us—these five attributes:

1) Learning Atmosphere
2) Clinical Teaching
3) Teaching Style
4) Communicating Expectations
5) Team Management

I keep these on a card in my pocket and intentionally work at them. Soooo doable!
3/
Hand over heart—I kid you not:

When I began to focus on these 5 things, it showed my evaluations. I got much more robust narrative comments and felt like I could finally work on being the best version of ME (instead of what I thought was gold standard.)

Yup.👊🏽
4/
You know what was rated highest? Here’s what they said:

“Teach by example (bedside manner)" (4.50)
"Sharing of attending's thought processes" (4.46)
"Be approachable-not intimidating" (4.45)
"Insist on respect for all team members" (4.43)

Dude. We can so do these things!
5/
Try this out next time you’re attending on wards. Put the 5 distinct domains of attributes on a card. Work at them.

Also remember: Bedside manner & them knowing your clinical thought processes matters a lot.

Yup.
6/
Soooo yeah. Shout out to Dr. Roy, Dr. Centor and their colleagues on a #meded paper that changed the game for this clinician educator.

What #meded paper was #gamechanger for you—and why?

@DxRxEdu @rabihmgeha @aoglasser @JenniferSpicer4 @drlessing @tony_breu @AndreMansoor
Whoops: forgot to actually list the real citation. Duh. I also didn’t @ first author Brita Roy. Fixing that now:

1. @Broy3445

2. J Gen Intern Med. 2012 Nov;27(11):1492-8. doi: 10.1007/s11606-012-2121-6. Epub 2012 Jun 22.

3. ncbi.nlm.nih.gov/m/pubmed/22722…

#ProudtobeGIM

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Mar 24
1/
On rounds at Grady

Me: "How're you feeling today?"
Him: "Well. I been better. That medicine y'all gave me made me run off!"

My team looked puzzled.
I did not.

Me: "Oh no! You talking 'bout the medicine we gave you for your gout flare up?"
Him: "Yeah! That one!" Image
2/
Him: "Shit, you coulda warned a brother."
Me: "Dang. I really should have. I'm sorry."
Him: "Yeah, if it wasn't for that bedside commode it woulda been a clean up on aisle 1!"

He laughed.
I was glad he was making light of it.

Me: "I apologize, sir. Colchicine can do that."
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Him: "It's cool. My knee is feeling a little bit better so that's good."
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Him: "I'm okay, doc."

I turned to my team.

Me: "'Running off' is diarrhea."
Them: "Ohhh."
Him: "Oh my bad, y'all."

*laughter*
Read 15 tweets
Jun 23, 2023
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Her: "Why haven't you left for L.A. yet?"
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*silence*

Her: "But, like is it?"
Me: *sighs* "Me rushing there won't change anything."
Her: "Depends on who you ask."

And after that, we both went back to charting.
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I was on the hospital service last April when I got the news. Dad had this sudden onset of disabling vertigo. We'd learn it was a cerebellar stroke. My sister was there in LA. At the bedside and wringing her hands as next-of-kin.

So she kept me posted.

And I kept rounding.
3/
On that first day, I walked right in and told my team.

Me: "My dad has been admitted to the hospital. It seems that he's had a cerebellar stroke."

And I said it in that "but I'm fine" voice. Because at that time that's what I was telling myself.

My team listened intently.
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Me: “I’m glad to see you.”
You: “You know what? I’m glad to see you, too.”

*silence*

Me: “You know how you’re loved, don’t you?”
You: *smiling gently* “I do. I think that’s what makes this so hard, you know? Can’t feel a loss like that without feeling a love like that.” Image
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We both let out big exhalations. After a few beats, you swung your head in my direction.

You: “How are you?”
Me: “Me?”
You: “Yeah. You.”
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You reached out for my forearm. And then sighed again.
3/
You: “Yeah. But I’ll be okay. We were soul-connected. That will comfort me.”

I nodded. Then we sat in silence.

You: “But for real—how are you? Like with all this cool stuff you’ve been doing.”
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Ooph.
Read 9 tweets
Apr 13, 2023
1/
I just finished this beautiful, courageous, and searing memoir “I Can’t Save You” by @CQ__MD. It was . . . in a word. . . sublime.

Whew.

And full disclosure—as his former med school advisor & friend—I love Dr. CQ.

But.

I also love books and honesty.

And he knows that. Image
2/
@CQ__MD will be the first to tell you that I won’t endorse anything—even a book my my beloved little bro CQ—unless I’d read it myself and believed others should, too.

And now I have.
And wholeheartedly I do.

But before you jump in—and you should—let me say this. . .
3/
There are some parts that explore depression, thoughts of suicide, and self-harm. No, not recklessly. But yes, with raw honesty. So you need to know that up front.

He does NOT play it safe around his lived experiences as a Black man in the ivory tower.

So hold on tight. Image
Read 6 tweets
Mar 18, 2023
1/
Thought I’d show some Black joy from this year’s #MatchDay. Because sometimes we don’t see that enough.

And there IS joy.

Especially on this day.

The ancestors are surely rejoicing. I know I am.

I think the words of Jill Scott will say it best. . .
2/
“I'm taking my freedom
Pulling it off the shelf
Putting it on my chain
Wear it around my neck

I'm taking my freedom
Putting it in my car
Wherever I choose to go
It will take me far . . .”
3/

“I'm livin' my life like it's golden

Livin' my life like it's golden

Livin' my life like it's golden

Livin' my life like it's golden

Livin' my life like it's golden, golden . . .”
Read 11 tweets
Mar 14, 2023
1/
I had imagined what this day would be like. Played it out in my head and saw various iterations of me exploding in celebration.

In some versions, I was doing the running man or, quite literally, running in triumphant circles, #MatchDay envelope in hand.

"Wooo hooo!" Image
2/
I also saw these visions of me quietly weeping, one hand extended to the heavens in gratitude. My lips quietly murmuring prayers of thanksgiving.

See, I was my ancestors' wildest dreams. And not even just my enslaved ancestors but the Jim Crow survivors who raised me, too.
3/
So, yeah. This was about to be big.

I was even on the #MatchDay party committee. And since we were broke, that meant soliciting donations from faculty & parents & anybody who felt proud enough of us to shell out a few coins.

Which, fortunately for us, was a lot of folks. Image
Read 20 tweets

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