Carl Kay, MD Profile picture
May 1, 2023 10 tweets 11 min read Read on X
1/ Collated thread for new GI fellows

⭐️GI Fellow Resources ⭐️

▪️Websites
▪️Guidelines
▪️Apps
▪️Podcasts
▪️Textbooks
▪️Board study
▪️Social media

📲 bit.ly/3KwqCVG (hyperlinked 📄)

#GITwitter Image
2/ Advice for First Year Fellows

▪️Build management algorithms
▪️Read on 🔦, 🔬, 🩻
▪️Use 📚 study resources
▪️Register for ASGE first yr course
▪️Review basic anatomy
▪️Invest in GI endoscopy atlas
▪️Develop system of 🔬 tracking
▪️Mentor & network

🔗 giejournal.org/article/S0016-… Image
3/ Survive consult blocks!

▪️Have a system!
▪️Checklist for each 🆕 consult
▪️Talk to the consulting team
▪️Be brief
▪️Give specific recs
▪️Provide contingency plans

Art of Being a Consultant
🔗 jamanetwork.com/journals/jamai… @JAMA_current

See @Dr_Oubre for more documentation tips! ImageImage
4/ Store & Access Reading/Guidelines

1️⃣ Get iPad + Apple ✏️
2️⃣ Download @GoodNotesApp
3️⃣ Download ACG, AGA, AASLD, & ASGE guidelines
4️⃣ Download GI NCCN guidelines
5️⃣ Other options
📲 DDSEP10/Plus
📲 Sleisenger & Fordtran's ch.
6️⃣ Quickly add other 📄

Syncs on all📱& 💻 Image
6/ Organize management algorithms & snippets for quick reference

Many ways to do this.

I prefer @Apple Notes app due to universality.

▪️Easily searchable
▪️Easily add images
▪️👀 SAME algorithm 📸 every time
▪️Quickly add from #GITwitter
▪️Quickly share & AirDrop ImageImage
7/ Note Annual GI Conferences & Deadlines

▪️@AmCollegeGastro
▪️@AASLDtweets Liver Meeting
▪️@DDWMeeting
▪️@GuildConference

Also be familiar with GI societies and their associated journals! 🧵👇 Image
8/ Learn endoscopy!

▪️Invest in GI endoscopy atlas
🔗amzn.to/44bBiSs
▪️Fundamentals of 🔦
🔗amzn.to/3Aymtf9
▪️Watch SUTAB tip of the week
🔗bit.ly/3oLmZE6
▪️Have 1️⃣ learning objective daily
📸 see examples below 👇
▪️GET REPS! Image
9/ Navigate Year-by-Year

First year
▪️Get new skills
▪️Max efficiency
▪️Effective consult communication
▪️Clinical focus

Second year
▪️Clinical knowledge
▪️Mentorship
▪️Research
▪️Career planning

Third year
▪️Career decisions
▪️Advanced fellowships

🔗ncbi.nlm.nih.gov/pmc/articles/P…
10/10 @LiverFellow tips 👇

🔗docs.google.com/document/d/1Mr…

#GITwitter any others?

As a rising chief fellow, I’m trying to collate the best advice and resources.

@BilalMohammadMD
@drkeithsiau
@stevenbollipo
@GIreview
@GIscope_updates
@LizzieAbyMD
@ebtapper
@DrBloodandGuts

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More from @CarlKayMD

May 28
1/ Approach to Ascites Thread

▪️3-step approach (PMN, SAAG, protein)
▪️Lab evaluation
▪️Differential by fluid color
▪️Correction for bloody fluid
▪️Ascites DDx square (SAAG x Protein)
▪️Bacterial peritonitis profiles
▪️Runyon’s criteria for secondary infection

#LiverTwitter 👊 Image
This is my own approach.

Here are some other really nice resources I have collected. Sharing below in this thread 👇

2/ @EmoryGastroHep Emoroid Digest

🔗

Don’t forget the amazing app
📲 med.emory.edu/departments/me…
apps.apple.com/us/app/emoroid…



Image
Image
Image
Image
3/ @JHepatology

Here with a little more focus on ascites fluid WBC differential.

▪️Neutrophil predominant
▪️Lymphocyte predominant

Also great at guiding next steps in management + work-up!

🔗 jcehepatology.com/article/S0973-…
Image
Read 8 tweets
Aug 18, 2023
1/ Diverticular disease thread

▪️Asymptomatic diverticulosis
▪️Acute diverticulitis
▪️Recurrent diverticulitis
▪️Smoldering diverticulitis
▪️Complicated diverticulitis
▪️SUDD
▪️SCAD
▪️Diverticular hemorrhage

🔸Epidemiology
🔸Anatomy
🔸Lifestyle modifications
🔸Management Image
2/ Epidemiology

▪️Diverticulosis is common
▪️“60% by age 60”
▪️Acute diverticulitis is “uncommon”
▪️Costly disease
▪️Uncomplicated tics rarely evolve
▪️Recurrent disease is likely
▪️Complications occur at 1st episode Image
3/ Anatomy of Colonic Diverticulum

▪️ “Diverticulum” = pseudo-diverticulum
▪️True diverticulum = ALL layers
▪️Diverticula do NOT occur randomly
▪️Diverticula occur in 4️⃣ locations
▪️Predict locations relative to taeniae coli

https://t.co/4yEcH8HvfYx.com/carlkaymd/stat…
Image
Read 15 tweets

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