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Amar Kelkar MD

19 Mar, 10 tweets, 11 min read

@BlakeJodian

Excited to share our (@BlakeJodian @kartc @hmaddd28 @BobbieLMcKee @chris_cogle) paper on #COVID19 #VaccineHesitancy in patients with #Cancer & caregivers, & impact of an educational #Webinar in Healthcare (@MDPIOpenAccess)! A #tweetorial... #MedTwitter 1/ mdpi.com/1041036

@WHO

-Pre-pandemic rising #VaccineHesitency (#PublicHealth threat by @WHO in 2019)
-April 2020, Fisher et al (@AnnalsofIM) reported ~57% of 991 reported the intention to receive a #COVID19Vaccine (⬆️since then)
-Limited data on successful interventions to combat #vaccine hesitancy
2/

@UFHealthCancer

-Jan 8, 2021 @UFHealthCancer, @WellFlorida, & CCRAB hosted a Webinar to improve knowledge & vaccine enthusiasm amongst Cancer and caregiver populations in North/Central Florida
-264 participants
-205 completed pre-Webinar Survey
-105 completed post-Webinar Survey
#patientchat 3/

-Attendees ranked sources of information on the #COVID19Vaccine, favoring physicians & clinics, followed by governmental organizations & then news outlets
-#socialmedia was not as highly reported as we had expected, but still a fairly common source.
4/ #misinformation

-Pre-webinar: High baseline #vaccine acceptance rate (Intention: 71%, Unsure: 24%, No intention: 5%) - likely affected by self-selection
-Post-webinar: Intention: 80/97 (82.5%), Unsure: 15 (15.5%), No intention: 2 (2.1%)
-The #Webinar seemed to reduce #VaccineHesitancy!
5/

Predictors of vaccine acceptance:
-Enthusiasm to encourage others to vaccinate (may be uniquely high due to immunocompromised cancer population)
-Doctor recommendation!
-Belief in safety & efficacy of #vaccines
6/ #VaccinesWork

However, we have some work to do on #patienteducation & data interpretation ... 😣Visual presentation of numbers has a huge impact on perception!
7/ #SciComm

tl;dr The words of #HCWs MATTER!

Patients *want* to hear from HCWs about #vaccine safety & efficacy. Our words can increase vaccine enthusiasm! 8/

@chris_cogle

This was one of my favorite papers to write! I have to thank @chris_cogle for his awesome mentorship and enthusiasm for this project and our patients! This was my first opportunity to participate in #publichealth research and I'm excited to branch out into #healthservices! 9/fin

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More from @amarkelkar

Amar Kelkar MD

@amarkelkar

12 Apr

Apparently, I was a much keener observer when I was a student ... or at least took more meticulous notes. From those notes comes a #parasitology story told by a professor during my medical school days. His inflection is lost, but the story remains LEGENDARY! #MedStudentTwitter 1/

As a PhD student, I was on a very small stipend and my supervisor said to me, 'I'll give you $400 if you could be a definitive host for some saginata for me.'

I thought, 'Yeah, no problem.'

2/

I mean the actual tapeworm itself causes no pathology whatsoever. There might be a little bit of abdominal discomfort. Minor diarrhea. But essentially they're fine.

So I thought, 'Yeah, I'll do this.'

*laughs uncomfortably*

3/

Read 7 tweets

Amar Kelkar MD

@amarkelkar

2 Dec 19

@DaveAizenberg

#Hahnemann is a cautionary tale of for-profit companies plundering a #SafetyNetHospital for a land deal. After speaking with several former physician trainees and the Internal Medicine PD @DaveAizenberg. The stories were disheartening. We must do better. #HahnemannStories 1/

#Hahnemann #tweetorial-In all the talk of policy changes and corporate malfeasance, the personal impact cannot be undersold. One story that needs to be shared is that of Erika Correa (permission given to share her experience). #HahnemannStories #medtwitter #MembersMoveMedicine 2/

Dr. Correa was starting #HemeOnc fellowship orientation at #Hahnemann when the closure was announced on June 26. She was suddenly without a program, funding, or health insurance. She had bought a house in Philadelphia, planning to stay at least 3 more years. #medtwitter 3/

Read 19 tweets

Amar Kelkar MD

@amarkelkar

24 Jun 19

@AmerMedicalAssn

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/

@AmerMedicalAssn

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

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