1/ Now that I’ve transitioned back to being a full time student (🤯), I’ve taken on a personal challenge to read one academic journal article each day.

🧐 So #MedTwitter #AcademicTwitter, how do you critically & effectively read a journal article? 2/ The 3-pass approach to reading a scientific article:

1st pass: quick scan of the article

2nd pass: read it in detail, highlight & jot down notes as you go

3rd pass: in dot points, try & reconstruct the main points of the paper from memory including your critical analysis

1/ Tips for #JuniorDocs interested in become involved in research

Thanks @drjacksonblythe for asking!

A thread… 2/Why should #JuniorDocs consider research?

🔬Improve your critical analysis skills

🧬Contribute to evidence based-medicine

👋🏽Collaborate with amazing researchers & clinicians

👩🏻‍🎓Establish new career opportunities

📝(And yes, it looks good on your CV!)

A thought provoking question from a medical student today as we discussed #CrazySocks4Docs:

“We all walk around wearing socks & I know it’s gotta do with mental health, but really...does it make any difference? What’s the use?”

So here is the difference I see: 💁🏾‍♀️Increased awareness of mental health in doctors

Did you know:
📌21% doctors have had depression
📌Medical students report higher rates of general distress & specific mental health diagnoses
📌1:4 doctors had suicidal ideation prior to the last 12months

beyondblue.org.au/docs/default-s…

1/ Primary Care Case of the Week 5

Each week I’d like to share a case for #MedStudents to continue developing their clinical reasoning, even though not on clinical placement at present.

All cases are fictitious, but inspired by those seen in #PrimaryCare

#MedEd #MedTwitter 2/ 5yo F presents to the general practice clinic with a fever & a rash. Mum has been giving her paracetamol & ibuprofen, but it hasn’t seemed to really help.

🤦🏻‍♀️Oh no! Not a fever & a rash!

🤷🏼What are your differentials?

🤷🏽‍♂️What additional info would you like on history & exam?

1/ Primary Care Case of the Week 4

Each week I’d like to share a case for #MedStudents to continue developing their clinical reasoning, even though not on clinical placement at present.

All cases are factitious, but inspired by those seen in #PrimaryCare

#MedEd #MedTwitter 2/ A 50yo male presents to the clinic with an itchy red rash

🤦🏻‍♀️Not another itchy red rash?! (We see a lot of itchy red rashes in #PrimaryCare!)

💁🏼What’s in your list of differentials?

💁🏽‍♂️What additional information would you like from this patients history & physical exam?

1/ Primary Care Case of the Week 3

Each week I’d like to share a case for #MedStudents to continue developing their clinical reasoning, even though not on clinical placement at present.

All cases are factitious, but inspired by those seen in #PrimaryCare

#MedEd #MedTwitter 2/ 30yo crayfish diver presents to the clinic with sudden onset abdominal, back & chest pain. He looks sweaty & in significant discomfort.

🦞What’s in your list of differential diagnoses?

🦞What would you would like to know on history & exam?

#MedEd

1/ Primary Care Case of the Week 2

Each week I’d like to share a case for #MedStudents to continue developing their clinical reasoning, even though not on clinical placement at present.

All cases are factitious, but inspired by those seen in #PrimaryCare

#MedEd #MedTwitter 2/ 3yo young girl presents to the clinic with her mum with one week of puffy eyes. Her mum initially thought she hadn’t been sleeping enough, but it seems to be worsening.

🤷🏻‍♀️What’s your list of differential diagnoses?

🤷🏽‍♂️What you would like to know on history & exam?

1/ Primary Care Case of the Week

#MedStudents clinical placements have halted due to the #COVID19 pandemic. So I’d like to share an interesting case each week to support #MedStudents clinical reasoning.

🧐All cases are factitious, but inspired by cases seen in #PrimaryCare 2/ Before we begin, what is clinical reasoning?

💡It’s an ability to integrate & apply different types of knowledge, to weigh evidence, critically think about arguments & to reflect upon the process used to arrive at a diagnosis

#MedEd #MedTwitter
nap.edu/read/21794/cha…

1/ What can we learn from Singapore’s #COVID19 public health response?

💁🏻‍♀️ Yet another #COVID19 thread 🧵
theconversation.com/why-singapores… 2/ Singapore were ready before the outbreak even occurred because of the SARS outbreak of 2002-03:
👏🏼Pandemic preparation
👏🏾Appropriate infrastructure (eg isolation hospitals, negative pressure rooms)
👏🏽Relevant policy & legislation

🙌🏼Here’s the #COVID19 national public health campaign we’ve been waiting 2 months for...

🤦🏻‍♀️ Better 687 cases late then never?!
health.gov.au/resources/coll…

In amongst the fear, panic & confusion associated with #COVID19, let me share with you some #COVIDkindness.

This week I developed symptoms of an upper respiratory tract infection. I was quarantined in my own home & tested for #COVID19 1/4 Throughout this time:

☎️My workplace arranged for me to work from home via Telehealth

🍞My kind neighbours dropped off home-made bread, soup & even lime jam (thanks @RaatusRuth!)

🤧My supportive supervisors regularly checked in on me to make sure I was ok

2/4

I walked into the ED to find a critically unwell patient.
“Let’s get some oxygen, IVC & bloods”

I turned to see a #medstudent frozen in the corner, staring at the patient
“Can you put in the IVC?”
“No sorry”

#MedTwitter how can we involve med students in hospital emergencies? 2/ Tips for #medstudents in hospital emergencies:

💁🏻‍♀️Know what you can & can’t do. Remember this changes as you progress through medical school

💁🏽ASK how you can help e.g.
-writing notes
-running bloods to the lab
-inserting an IVC
-finding info the patients medical chart

Congratulations to new #medstudents starting today!

Look around at the other students in your cohort. These people will become your dearest friends, closest supports & some even lovers.

Together you will take a journey of a thousand miles & today begins with the 1st step! We ALL remember our 1st day of #medschool. I remember standing outside the school mustering up the courage: ‘You can do this!’

I’d moved to a new city & didn’t know anyone. I was petrified. Guess what? Everyone else was too!

#MedTwitter what was your 1st day of med school like?

1/ Mitigating Micro-inequities in Medicine

Inspired by @JulieSilverMD’s article on Micro-inequities in Medicine, I wanted to explore strategies to mitigate some micro-inequities I have seen or heard about as a doctor

onlinelibrary.wiley.com/doi/full/10.10…

#medtwitter #DiversityAndInclusion 2/ Micro-inequities vs Micro-aggressions

🙅🏽‍♀️Micro-inequities: are small events which are often unintentional & occur wherever people are perceived to be different

🙅🏻Micro-aggressions: are brief indignities that communicate hostile slights towards culturally marginalised groups

1/ Fatigue in Primary Care

It’s that time of year, many of us (myself included!) feel fatigued 🥱

Fatigue is one of the most common presentations in #PrimaryCare yet can be challenging to investigate & manage 🤔

Here’s a #tweetorial on an approach to fatigue 😴

#MedTwitter 2/ Intended Learning Outcomes

💡To recognise fatigue red flags

💡To develop a diagnostic approach to fatigue

💡To outline a fatigue management plan for those with no red flags

1/ Cognitive Bias in Clinical Medicine

I love teaching #MedStudents about #CognitiveBias & #DiagnosticErrors & so thought I would create my debut #tweetorial on cognitive biases in clinical medicine 🧑🏻‍⚕️👩🏽‍⚕️👨🏼‍⚕️

🤔Now which bias that?!

#MedTwitter 2/ Intended Learning Outcomes

💡To recognise common cognitive biases in clinical medicine

💡To identify strategies to overcome them

#MedTwitter Ready? Let’s go!

Let’s shift our focus from 🤷🏻‍♀️🤷🏽‍♂️
“Is there #GenderEquity in medical leadership?”

To 🙋🏿‍♂️🙋🏼‍♀️
“What can our workplaces, colleges, committees, & academic journals do to ensure #GenderEquity at all levels of leadership?”

#WomenInMedicine @smh @theMJA
smh.com.au/national/the-q… #WomenLeadership #DiversityandInclusion #iLookLikeaSurgeon #WomenInSTEMM #TIMESUPHC #timesuphealthcare #NeedHerScience #SheLeadsHealthcare

@theMJA “Is there #GenderEquity in medical leadership?”
👩🏾‍⚕️👨🏻‍⚕️👩🏼‍⚕️👨🏽‍⚕️👩🏻‍⚕️👨🏼‍⚕️

#WomenInMedicine answer with a resounding “NO!”
🙅🏻‍♀️🙅🏽‍♀️🙅🏼‍♀️

Let’s shift our focus from asking whether it exists to implementing sustainable strategies to change the status quo.
🙆🏼‍♀️🙆🏻‍♀️🙆🏽‍♀️

mja.com.au/journal/2019/2… Ping @VerranDeborah @OrthopodReg @MyaCubitt @inquisitiveGyn @DrAmandaCohn @c3convertase @DrESigston @Dr_Hempenstall @EktaPaw @DrAnitaGoh @drruthmitchell @saspist @lsrampersad @DrBrooke_ @claski @Nishaobgyn @LiangRhea @drtessak @emjhu @simplyjak @jordanwalter @MarisaMagiros