ChatGPT could be of enormous benefit to physicians.

However, there are serious ethical considerations.

A 🧵 with examples of AI-generated:

• Letter to insurance
• Personal statement
• Letter of recommendation
• Patient educational letter
• Review article

& much more Huge Disclaimer: I am not suggesting these should be used. But, as physicians, we will encounter or create such AI-generated content sooner or later. It is imperative we start thinking about it now.

I asked #Medtwitter questions about a typical clinical scenario for outpatient E/M billing.

> 180 respondents.

Shockingly, 48% to 66% of respondents answered incorrectly. The one that most people got wrong was the scenario of refilling medications without changes.

Any medication-related action or discussion is Level 4 in the third column,
"Risk of complications and morbidity/mortality of patient management"

2021 marked the first change in 20 years in how we billed for OUTPATIENT visits

7 major changes in the new OUTPATIENT BILLING guidelines follow.

A #tweetorial that literally makes you money 💵

#medtwitter #neurotwitter

1/ 1. History & Exam does not count towards billing.

Only medical decision making (MDM) or time counts.

That does not mean no history or exam; medically appropriate history and exam is still needed,

But you don't have to obsess about 4 "qualifiers" for the chief complaint.

You know what is more challenging than starting intern year?

The transition from junior resident to senior resident!

This was my personal experience and the experience of many residents I spoke to

How to win at this challenge: (in collaboration w/ @JayKinariwala @MihirKakara) @JayKinariwala @MihirKakara 1. Be super-organized

• Review all patients the day before

• Keep track of new admissions and updates on old patients when you are off

14 pieces of advice for a New Attending

OR

What I wish I knew when I first became an attending

#medtwitter
#neurotwitter
#academicphysicianlife

1/ 1. Enjoy the independence

No more staffing with the attending.

A liberating feeling.

Enjoy it because the rest is on you.

2/

12 Principles for rounding and case presentations for medical students,

residents, and attendings who are forever residents at heart

#medtwitter
#neurotwitter Whether you are presenting to the attending or calling in a consult,

it is your responsibility to convince

Pathway to Green Card via J-1 Waiver Job

#medtwittter #neurotwitter #IMG

These are the steps in chronological order 👇🏼 Disclaimer: I am not an immigration lawyer. The information below is based on my experience and personal research. Do your own research

#Match2022 is done.

Now, what if you did not match?

First recommendation: Take a break.

No, seriously!

(Note: this thread is not about unfairness, doctor shortage, etc. Enough people are talking about it)

🧵 The last few months and possibly years you have been laser-focused on a single thing.

There is nothing you can do now that cannot wait for 1-2 weeks.

Disconnect. Recharge. Refocus

Close Twitter. Bookmark this post for later.

When you come back..

It has been heartbreaking to see on #medtwitter the stories of scores of people going unmatched.
But it does not have to be this way
But hardly anyone is offering solutions
Simple changes to the medical education system can help our doctors & our patients.

An op-ed thread Laying the groundwork:

We know there is currently a shortage and there is projected to be an even greater shortage in the future.

@safassalem

https://twitter.com/safassalem/status/1504121582066843652

It has been heartbreaking to see on #medtwitter the stories of scores of people going unmatched.
But it does not have to be this way
But hardly anyone is offering solutions
Simple changes to the medical education system can help our doctors & our patients.

An op-ed thread Laying the groundwork:

We know there is currently a shortage and there is projected to be an even greater shortage in the future.

@safassalem

https://twitter.com/safassalem/status/1504121582066843652

What can International Medical Graduates on J-1 visas do for a smooth transition to the first job and beyond

Super niche thread for #ship30for30 15/30
#proudIMG
@ECFMG_IMG
@AANMember
@DetroitNeurons

I have experienced the convoluted pathway of J-1 waiver. Some tips 👇🏼🧵 1) On finishing training, J-1 visa holders have two options - They can move back to their home country for 2 years or work in a “J-1 waiver job” for 3 years.