Thread /
The 5 sections of an effective Specific Aims Page when writing a R01. #ASC2023 #FOAmed

1/ Introduce the topic.
Less numbers (everyone has stats), keep it short and pithy. Communicate the fierce urgency of NOW.
2/ Create knowledge gaps.
Make clear is what known and unknown, stick to relevant gaps, and establish a pattern of parallel writing.
3/ Introduce your approach.
Contrast the gaps you just laid out in the prior section, emphasize your differentiators and streamline redundancy.
4/ Alas, the specific aims.
We like to stick to 3 aims (though some successfully deviate from this). State the aim, explain what you're going to do (and provide a hypothesis.)
5/ Impact.
Explain the immediate impact, but also the broader impact. Be sure to know you read about the funder/institute, and use their language here.
Fin / Massive gratitude to @jdimick1 for teaching these principles to us @UMichCHOPFellow !

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More from @AndrewMIbrahim

Jul 17, 2022
1/ We're welcoming a new group of fellows spending 2 years researching with us... Here are the three most common questions they ask mentors (and how to address them):
#MedEd #FOAMed #Mentoring
2/ To start, some upfront principles. The goals of focused research time at this career stage include: transferable skills, developing a mission & vision, and growing your community.
3/ So you ask a mentee, "What do you want to do?"

Some have a polished answer, some fake a polished answer, eventually most admit, "I'm not really sure!"

MENTEE QUESTION 1: "How do I move forward when I don't know where I'm going?"
Read 14 tweets
Aug 30, 2021
🧵
1 /
What is the lasting legacy of racist housing policy on modern outcomes after surgery?

Important work led by @DiazAdrian10 out ahead of print today in @AnnalsofSurgery : journals.lww.com/annalsofsurger…
2/ In the 1930s, US Govt. Home Owners Loan Corporation (HOLC) used racial composition of neighborhoods to determine creditworthiness & label them ‘‘Best’’, ‘‘Still Desirable’’, ‘‘Definitely Declining’’, & ‘‘Hazardous.’’ Lenders used these maps to inform home loan approvals.
3/ Despite ongoing fights for racial equity including Supreme Court case striking down racial covenants in 1948 and the Fair Housing Act of 1968, neighborhood segregation, discriminatory lending practices and a widening racial wealth gap persisted.
Read 9 tweets
Jul 2, 2020
1/ Happy July 1st! I remember my intern year getting a lot of pages & struggling to work through them. Overtime, I saw the patterns & took notes... so I present to you: Common Intern Calls

(Yes - as an intern I didn't know how to forward the pagers)
#FOAMed #MedTwitter #July1st
2/ This isn't an exhaustive list-but illustrative examples of common surgery intern calls. An upfront take home message, you'll rarely go wrong if you:
1. Get more Data - repeat vitals, labs
2. See the patient - sick? not sick?
3. Pass it up - get a senior involved when unsure
3 / Some context: As the landmark work led by @AmirGhaferi demonstrated, variation in surgical mortality is influenced by our ability to recognize problems early & address them before they domino. Intern call = find the first domino & address early!
nejm.org/doi/full/10.10…
Read 21 tweets
Apr 5, 2020
1/ @umichmedicine we're quickly developing more and more ICU experience with #COVID19 patients and have open sourced all our pathways, protocols and lessons learned here: med.umich.edu/surgery/mcccn/ #MedEd #FOAMED
2 / #COVID19 Airway response Guidelines for Outside of OR Airways med.umich.edu/surgery/mcccn/ #MedED #FOAMED
3 / #COVID19 Emergency Department Airway Management Algorithm med.umich.edu/surgery/mcccn/ #MedED #FOAMed
Read 7 tweets

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