Tim @Maximal_Change Yau talking about Bridging the Generation Gap:Undertanding the Millennial and GenZ mind to optimize Med Ed. #NKFClinicals
Boomer 1946 to 1964. They have a landline. They read a newspaper. #NKFClinicals
Gen X 1965-1980 Saw the transition from traditional to digital media #NKFClinicals
Gen Y/Millennials 1980-1994 is the largest population, 72 million #NKFClinicals
Gen Z 1997-2012 Current medical students.Pandemic is major life changing event. #NKFClinicals
Generation Alpha Born after 2012. Will feel the effects of our chaotic climate. #NKFClinicals
Name the generation #NKFClinicals #OkayBoomer
100% of current fellows are millennials, 100% of current med students are Gen Z #NKFClinicals
What the olds are saying about Millennials and Gen Z vs How they view themselves #NKFClinicals
Differentiate core values (never change) from operating practices (change constantly in response to a changing world) #NKFClinicals
Changing the environment changes how the content is delivered and perceived #NKFClinicals
Study of pre-clinical students and their response to flipped learning. Individuals vote across the distribution. You cannot make all people happy. #NKFClinicals
New views of mentorship. Short frequent check ins, flattened hierchy. #NKFClinicals
I recognize some of those logos. #NKFClinicals
References #NKFClinicals
Time just killed it. Great talk. #NKFClinicals

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More from @kidney_boy

Apr 9
Nayan @captainchloride Aurora calls his own number to speak on stopping RASi. #NKFClinicals
The debate comes from worrying about EGFR decline, hyperkalemia vs CV health, mortality benefit, kidney benefit #NKFClinicals
In CRIC in propensity matched evaluation of RASi users vs no RASI in CKD 4/5. No difference in outcomes, Kidney Medicine 2020 Aurora. #NKFClinicals
Read 8 tweets
Apr 9
Next up Implications of lower BP thresholds in patients with advanced CKD by Paul Drawz. Starts with a question
Effects of intensive BP lowering in patients with advanced CKD likely include:
A) Prevention of ESRD
B) Increased risk of AKI
C) Increased fall risk
D) Increased risk of infection
Low BP targets and renal outcomes #NKFClinicals
Read 8 tweets
Apr 9
Slipped into the Optimizing antihypertensives medications selection in hemodialysis patients with Jennifer Flythe. #NKFClinicals
Audience response question.

The people chose fosinopril. #NKFClinicals
Treating blood pressure in HD reduces outcomes (just barely) #NKFClinicals
Read 16 tweets
Apr 9
Next up fellow Channeler, @AnnaGaddy to talk about urine Chemistries to Predict and Monitor Response to Diuretics. She’s an Assistant Professor of Medicine. #NKFClinicals
Interesting topics #NKFClinicals
Heart failure is a disease of inadequate sodium homeostasis. #NKFClinicals

Diuretics try to bring down ECF while in the long term patient returns to Na in = Na out (sodium intake is the dotted line)
Read 9 tweets
Apr 9
Next up is Dr. Uribarri to savage the urinary anion gap. Sorry @Dan_Batlle.
The urine anion gap is not real, but allows you to see what is not measured. There is no gap. Cations must equal anions.
Since 24 urine Na, K, Cl equal their dietary intake, then the urine anion gap must reflect relative dietary intake not ammonia in the urine. #NKFClinicals
Read 7 tweets
Apr 9
Pisse Prophecy workshop. First up Richard Sterns. He failed to release his slides. That sucks. @NKF should disinvite speakers that don’t release their slides. They are here to teach. #NKFClinicals
The BUMP: Basic Urine Metabolic Profile. I’m going to start ordering daily BUMPs. #NKFClinicals
All you need is the BUMP!
Read 5 tweets

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