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Rachel Thee-in-pray-oon, MD, MSCS Profile picture
@RThienprayoon
Dec 9, 2022 • 8 tweets • 9 min read • Read on X
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Kicking off #QMC2022- @arifkamalmd with Top 10 Pearls in #hapc #quality! #pedpc
Speaking of @PalliativeQual - do you do palliative care?
Do you follow the Palliative Care Quality Collaborative? No time like the present! Twitter is still here!
@arifkamalmd on palliative care as a field: "We're kinda badass!"
Wish I felt this way more often! Always good to be reminded! #hapc #pedpc
"Palliative care is the field that embodies the quote 'people won't remember what you say, or what you do, but they will remember how you made them feel'". #hapc #pedpc
@arifkamalmd #QMC2022 @PalliativeQual
Arif made me laugh out loud!
He knows he should floss. (evidence based)
Getting him to floss is a different thing. (#QI)
I also hate flossing. I'm sorry, dentists.
#QMC2022 #hapc #pedpc @PalliativeQual @arifkamalmd
"QI is counter culture because it often involves changing things that are baked in...you are taking things that are well baked and trying to break them. To disrupt without being disruptive."
Reminds me of palliative care.
#hapc #pedpc #QI #QMC2022 @arifkamalmd @PalliativeQual
Ooh intrigue! @arifkamalmd thinks #QI is harder than #research! What say ye, #MedTwitter?
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More from @RThienprayoon

Rachel Thee-in-pray-oon, MD, MSCS Profile picture
Jun 27, 2023
Bittersweet day for us at CCHMC as @billpatcourtney gives the Schubert lecture for #CincyKidsPGR @CincyKidsCME as she begins retirement soon.
Sharing profound memories of Dr. Schubert as the epitome of a trusted leader.
She's one of the greats.
❤️💜💙💚💛🧡
Sharing lessons from Dr. Thomas Delong and reflecting on lessons during COVID.
Most importantly-
Be crystal clear about how others experience you.
Be crystal clear about how others experience themselves when they are with you.
I love the title of this slide.
Pointing out the importance of
Self awareness- what are my strengths?
Self management- what are my blind spots? how do i
Social awareness- what is this room telling me?
Social skills- managing relationships and building networks
Read 12 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
May 23, 2023
I've been thinking about compassion and pediatricians.

There's an idea that pediatricians are "softer" than internal medicine docs because we take care of kids. And kids are cute! Funny! Sticky! 1/
Once when I was a resident, a scrub tech told me I was going to treat runny noses all day while HE worked in the OR doing SURGERY.

I had already matched to a hem/onc fellowship.

But the perception was there. My job was soft. His was hard.
2/
The irony is that pediatricians embody fierce compassion.

We show up when kids have been shot. When they have been abused. When they have been disfigured.

When they are dying.

There is nothing soft about that. 3/
Read 5 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
Apr 28, 2023
Day 2 @theNASEM workshop
The highlight from day 1: LaToya, a CNA, gave a moving, honest, courageous account of being a direct care worker. “The ice cream truck should not be a luxury.”
- hours & pay are bad, the work is hard & they love & care their patients & their dignity ImageImage
@theNASEM First up- @EspinozaNotes from @PHInational
The intense focus on direct care workers, paying people a living wage, improving working conditions so that we can also improve patient care during this event has given me so much hope Image
“Social determinants of success at work” is one phrase that stuck out to me yesterday.
@mad_sters doing critical work in this area for direct care workers
But I think about it for others who work in our system too.
Read 19 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
Apr 27, 2023
Good morning from the Keck Center @theNASEM where I am so pleased to be part of their workshop this morning to support and sustain the workforce to care for people with serious illness! #hapc #pedpc #wellness #wellbeing #suffering Image
The first panel shared experiences from the front lines so vulnerably and beautifully. @MaguirePeggy @PhilRodgersMD @RachelMayAdams ImageImage
Now @CAPCpalliative CEO @BrynnBHealth discussing the current and future workforce we need in #hapc Image
Read 12 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
Apr 3, 2023
Thinking about how the same gesture can be received as incredibly compassionate or just- not- depending on the actor.
Ex- after 4 was in the ED, I took cookies to say thank you. The nurse cried. "No one does this."
But if an org leader did the same, likely different response. 1/
I appreciate that the meaning and receipt of the gesture depends a lot on the power and intention of the person making it.
An org leader can change difficult working conditions and chooses instead to bring cookies, that's incompetent compassion for workers.
2/
I think the best case is to work in a system in which clinicians are so well cared for, that even small gestures by leaders can be received as helpful and a kind of love.
To get to that place requires fixing structural healthcare workplace issues first.
3/
Read 5 tweets
Rachel Thee-in-pray-oon, MD, MSCS Profile picture
Mar 24, 2023
Next up: Fr218A- Agitation and feeding intolerance in children with medical complexity with @StocktonBev and Dr. Katherine Maddox! Image
Front row is Dr. Julie Hauer. The OG of this topic who wrote the book. If you don’t have it and you do #pedpc here is a link:
bookshop.org/p/books/caring…
Julie Hauer did a study on gabapentin in children with Med complexity and feeding intolerance- remarkable response in sx. (That’s Julie’s head in front of the slide! I fan girl every time I interact with her.) ❤️ #hapc23 #pedpc Image
Read 9 tweets

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