Prof of Medicine/Med Education/Biostatistics. Medical Director, Employee Well-Being. Evidence-based medicine. Dad jokes, NIN, and Oxford commas. Tweets mine.
Mar 29, 2023 • 16 tweets • 7 min read
1/ Welcome to Edition 142 of West’s Well-Being Wednesday! Today, a review of threads and content from March 2022. #wellbeingwednesday#wellbeing#burnout#medtwitter#meded2/ From March 2, a thread on our 2020 burnout update toward the end of the first year of the pandemic.
1/ More on the colonoscopy trial: for those interpreting this as evidence that colonoscopy screening doesn’t work, read the protocol: thieme-connect.com/products/ejour…2/ If you think this was a sound screening recruitment strategy, well, you have a different understanding of public health, primary care, and shared decision-making in medical practice than I do. Read on …
Oct 11, 2022 • 15 tweets • 5 min read
1/ The colonoscopy trial reported in @NEJM is being widely reported as suggesting that colonoscopy is not effective for colon cancer screening. This is not the correct interpretation of these results. #EBM#evidencebasedmedicine#epitwitter nejm.org/doi/full/10.10…2/ This study’s results do not demonstrate that colonoscopy is effective, but also do not demonstrate that it is ineffective. Why? Because only 42% of those in the screening arm actually had a colonoscopy!
Apr 7, 2022 • 25 tweets • 11 min read
1/ Welcome to another edition of West’s Well-Being Wednesday! Today as #SGIM22 begins: a 🧵 on language, respect in medicine, and how this relates to #burnout and #wellbeing. #wellbeingwednesday#medtwitter#meded (reposting due to upload errors yesterday, my apologies)
2/ Last week I tweeted about this paper @MayoProceedings:
Physician Identification Badges: A Multispecialty Quality Improvement Study to Address Professional Misidentification and Bias mayoclinicproceedings.org/article/S0025-…
Jul 7, 2021 • 9 tweets • 5 min read
1/ Welcome to another edition of West’s Well-Being Wednesday! As a reminder, I’ll briefly highlight papers, topics, questions, etc. related to healthcare professional #wellbeing, with a new 🧵 each week. #wellbeingwednesday#burnout#medtwitter#meded2/ To start Year 2, I’ll link to the threads from July 2020.
First, from July 15, a thread on #burnout history back to Freudenberger.
1/ Welcome to another edition of West’s Well-Being Wednesday! As a reminder, I’ll briefly highlight papers, topics, questions, etc. related to healthcare professional #wellbeing, with a new entry each week. #wellbeingwednesday#burnout#MedTwitter2/ This week we’ll touch on the association of racial bias and burnout, prompted by @FutureDocs thread last week reflecting on #DrSusanMoore and so many other victims of systematic disparities and racism.
1/ Welcome to another edition of West’s Well-Being Wednesday! As a reminder, I’ll briefly highlight papers, topics, questions, etc. related to healthcare professional #wellbeing, with a new entry each week. #wellbeingwednesday#burnout#MedTwitter2/ This week will be brief because the point is simple:
BURNOUT
IS NOT
DEPRESSION
May 11, 2020 • 34 tweets • 17 min read
1/34 Okay #medtwitter#epitwitter , read on for an #EBM#Tweetorial on p-values, with specific attention to the implications of the recent remdesivir trial with p=0.059 for mortality (full report still not published, which is not ideal …).
2/ This is a follow-up to my prior #EBM#Tweetorial on diagnostic test performance study design
1/32 Okay #medtwitter#epitwitter , as promised here’s a #Tweetorial on diagnostic test performance study design. Who am I to do this? My PhD is in #biostatistics, I direct the @MayoClinicSOM#EBM curriculum, and I teach Bayesian Diagnostic Testing Strategies @MayoGradSchool.
2/ Yep, this is a little wonkish but really not so complicated. And anyway, when I hear “wonkish” I hear:
Sep 24, 2018 • 34 tweets • 13 min read
1/ Several provocative papers were published on #burnout last week in @JAMA_current. I have some thoughts on both the papers and the field. I hope these might stimulate further informed discussion. I will take part in that to the extent time permits, but I do have a day job. 😀
2/ First up, the systematic review by @LisaRotenstein@srijan_sen_lab@DouglasMataMD and others. Hearty congratulations for such a visible publication based on an immense amount of work! #burnout@JAMA_currentjamanetwork.com/journals/jama/…
