Thread by @GIMaPreceptor

1/ This past Thurs, I was honored to ‘emcee’ a grand rounds @HofNorthwellDOM, presenting the Candee Award for Education Excellence in Medicine 2our beloved Ron Rosen of @NorthwellDGIM

Ron is a 50 yr general internist who has taught no less than 40 yrs worth of learners -> 🧵

https://twitter.com/gimapreceptor/status/1319278161884897282

2/ Ron had so much to tell us about his aunt and uncle, who were early family medicine practitioners in the Bronx/Manhattan. Ambulance drivers would take them to a patient’s home. A beautiful sepia tone showing his aunt going to a call, and another of his uncle in the office

3/ We heard about Dr. Rosen’s medical school yrs @nymedcollege in the early 60s &how he knew the civil rights movement, the movement for reproductive rights, the attempts to mitigate poverty and the birth of Medicaid and Medicare would affect all his future pts &his work ->

4/ We heard about his two years service in Vietnam. Ron didn’t have a lot to say about this .....

Thank you for your service dear colleague

5/ Ron described his residency at Metropolitan Hospital in NYC, a facility serving underserved &vulnerable populations 4a century. I learned my physical exam and history taking skills there and had the approaches of teaching docs like Ron instilled in me on those very wards ...

6/ On a great day for Long Island Jewish Hospital in Queens, and for its residency (which would merge w North Shore years later), Ron answered a NYTimes ad 2be an ‘OPD’ (outpatient department) doc. This was 1980 - he then pioneered ambulatory education 4the 50 doc residency, ->

7/ .. saw employees, ushered in the HIV yrs; oversaw ‘150 topics’, as he put it, in ambulatory didactics 4years of residents, ran journal clubs 4them &4 DGIM/DOM faculty. In the early years doing this, there were only 2 attendings delivering all the precepted care and education!

8/ We asked Ron what his guiding principles were as a clinician educator - he offered these up:

Teach:
hi valu care/cost of meds
labs r the least of it
guidelines &how 2assess the evidence underneath them
complete thought process b4 consultant
social determinants of health->

9/ we asked Ron what are aspirational goals for the clinician educator. He said:

Know all your learners personally
Enthusiasm always
Role model always
Self discovery always
Humanism above all else

10/ on past/persisting challenges to work as a clinician educator general internist:

#primarycare visit compensation/salary not commensurate w importance

institutional support affected by this

keeping residents in primary care

#burnout

#disparities

To meet/overcome ->

11/

Stay true 2self/mission

Camaraderie/teams

#humanism

#advocacy

We thanked Ron, &he us, and we thank @MagaliParisien, our Associate Chief for clinical operations, who has been Ron’s partner in all things LIJ residency practice for 10+ yrs and put slides 2gether

->

12/

PS: as we started this grand rounds, Ron realized he lost modem/router at home night be4. We had some fits &starts getting Ron a Zoom link on his cell .. we kept things moving. When he did reach us, his answers came thru on a grainy cell 📱that made it sound like->

13/ an FDR fireside chat. And somehow that was nice, apropos ..

He called me a few hours later, all IT mischief in our rear view mirror, thanking me -

‘Frank, I just want to thank you, you saved the day, keeping it going, keeping me going when I lost the slides ...’

->

14/ .. and I thought to myself

No Ron, it wasn’t ME who saved YOU ..

through your essence &commitment to our residency for four decades, and your preceptor’s legacy, it was YOU who ‘saved’ ME, and all those learners who were wildly lucky to be in your presence

🙏🏻🙏🏻🙏🏻

->

15 @TomMcGinn4 @KarenFriedman9 @dhirschwerk @MCarneyMD @drstaceyrosen @LPhillipsMD @mattysincs @sjauhar @JoeCMD @JRaimoMD @seanplavine @NALaVine @JVerbsky @sagar_ankita @NorthwellChiefs @kdjhaveri @DrSaimaChaudhry

4all of Ron’s residents far &wide, doing good work all these yrs