Discover and read the best of Twitter Threads about #ChiefResident
Most recents (24)
1/
Email 1
Her: “I hate we had to cancel your visit.”
Me: “Me, too.”
Email 2
Her: “Any chance you’d be open to lecturing virtually?”
Me: “You mean the Grand Rounds lecture? I would.”
Email 3
Her: “What if . . . we made the whole visiting professorship virtual?”
Hmmm.
Email 1
Her: “I hate we had to cancel your visit.”
Me: “Me, too.”
Email 2
Her: “Any chance you’d be open to lecturing virtually?”
Me: “You mean the Grand Rounds lecture? I would.”
Email 3
Her: “What if . . . we made the whole visiting professorship virtual?”
Hmmm.
2/
What if a pandemic stopped you from going to a long anticipated visiting professorship?
What if a determined #chiefresident reimagined a way for you to still have a meaningful visit—on a virtual platform?
And . . what if your prior experiences allowed you a comparison?
What if a pandemic stopped you from going to a long anticipated visiting professorship?
What if a determined #chiefresident reimagined a way for you to still have a meaningful visit—on a virtual platform?
And . . what if your prior experiences allowed you a comparison?
3/
Admittedly, I was curious. Plus, I love an adventure.
Sharing my experience as a (virtual) visiting professor this week.
Yes, yes y’all. This is the REMIX. . .
You ready?
Admittedly, I was curious. Plus, I love an adventure.
Sharing my experience as a (virtual) visiting professor this week.
Yes, yes y’all. This is the REMIX. . .
You ready?
Catching up on some awesome recent #ChiefResident blog posts from #NoonConferences and #WOTW #winoftheweek's!
first up, FUO? What a giant differential! Is there a role for PET?
imrespdx.com/imrespdx-blog/…
first up, FUO? What a giant differential! Is there a role for PET?
imrespdx.com/imrespdx-blog/…
#NoonConference
how to look at art with Dr. Lam!
including samples of some of the art work on campus
imrespdx.com/imrespdx-blog/…
how to look at art with Dr. Lam!
including samples of some of the art work on campus
imrespdx.com/imrespdx-blog/…
Special #NoonConference surgical curbsiders style with Dr. @katewat4141 from @OHSUsurgery (sorry @thecurbsiders ...)
INCLUDING clinical pearls AND systems-based practice including their call cycle/structure and team structures (color coded by subspecialty)
imrespdx.com/imrespdx-blog/…
INCLUDING clinical pearls AND systems-based practice including their call cycle/structure and team structures (color coded by subspecialty)
imrespdx.com/imrespdx-blog/…
Dr. @rloganjonesmd led our Noon Report by giving us updates on how to optimize modern learning with #SoMe! Twitter, apps, podcasts, and more! Check out the #chiefresident blog for details. Thanks Logan.
imrespdx.com/imrespdx-blog/…
imrespdx.com/imrespdx-blog/…
@rloganjonesmd PS--@rloganjonesmd also made his presentation available here (& is DOES include QR codes)! docs.google.com/presentation/d…
@rloganjonesmd lots of HT to our #medtwitter community, incl (but not limited to) @hdx @thecurbsiders @CPSolvers @rabihmgeha @DxRxEdu @AndreMansoor @AdamRodmanMD @ETSshow @medrants @tony_breu
it's so exciting to see #meded convo's highlight the value of new digital platforms to connect/learn!
it's so exciting to see #meded convo's highlight the value of new digital platforms to connect/learn!
#NoonConference resident bake off!
Getting plates ready for the judges...or flunking the mini cog exam and clock draw...
Resident bake off
#ChiefResident blog #WOTW WEEK OF THE WINS!!!!!!!!!! It's been such an incredible week, we couldn't narrow down. And, in the spirit of #nephmadness @NephMadness which starts next week, we're going bracket style here. Our OHSU IM Final Four.... imrespdx.com/imrespdx-blog/…
We welcomed back two esteemed recent alumni to deliver great noon conference lectures to our housestaff. We also held our annual “thank you for being you!” Residency-wide appreciation luncheon to celebrate the end of interview season...
we held the #R2workshop, learning to become experts in teaching topics to other housestaff and med students. this included @AndreMansoor giving his amazing "teaching for teachers" talk on #ChalkTalks!
#ChiefResident blog
we love seeing residents being innovative educators esp when giving case-report style #NoonConference!
Dr Huber did a one-two punch: exciting medical case & expose into the challenges of providing med advice to our family members...
imrespdx.com/imrespdx-blog/…
we love seeing residents being innovative educators esp when giving case-report style #NoonConference!
Dr Huber did a one-two punch: exciting medical case & expose into the challenges of providing med advice to our family members...
imrespdx.com/imrespdx-blog/…
Dr Huber shared with the permission of his family member, & the work/management of this case was through his eyes, by proxy through another family member, over phone calls and text messages, complicated by the fact that the patient did not have insurance initially #NoonConference
and check out this @AnnalsofIM article including OHSU faculty authors! annals.org/aim/fullarticl…
#ChiefResident blog #NoonConference Dr. Eddie Maldonado's case highlighting care facets when a patient is incarcerated! imrespdx.com/imrespdx-blog/…
#NoonConference #meded this was a fascinating case that touched on multiple medicolegal and social themes encountered on the wards--We were also joined by two representatives from our wonderful OHSU social work team @OHSUSOM @OHSUNews
Incarcerated patients, when admitted, have certain considerations, rules, and legal protections that we should keep in mind. Remember, implicit and explicit biases by the entire care team must be carefully considered while administering treatment for this vulnerable populartion,
It’s an #InterviewDay and R2 Francis Phan is shaking it up with #NoonConference in a different format!
(Do you remember the last time he presented when he brought tons of BP cuffs and did hands on pulsus paradoxus testing incl breathing through straws?!)
(Do you remember the last time he presented when he brought tons of BP cuffs and did hands on pulsus paradoxus testing incl breathing through straws?!)
This is revealing itself to be an incredible systems-based and ethics case!
Don’t forget the difference between capacity and competency!
#ChiefResident blog #NoonConference #meded Flozin down that river of knowledge: a wild case of undifferentiated shock! THanks to Dr. Levin for this "choose your own adventure" case! imrespdx.com/imrespdx-blog/…
HT @thecurbsiders and @kidney_boy for providing a framework for our discussion on dissecting the acid-base distubances in this case!
ultimately this patient had euglycemic DKA from an SGLT-2 inhibitor!
#ChiefResident blog #NoonConference #Meded Noon Report: Hyponatremia Review w HT @thecurbsiders @kidney_boy for the hyponatremia algorithm discussed on the podcast! imrespdx.com/imrespdx-blog/…
Here's the link to the "Hyponatremia Deconstructed" episode
thecurbsiders.com/medical-educat…
thecurbsiders.com/medical-educat…
#NoonConference #meded Dr. Horton brought a great PICO question about hyponatremia as a prognostic marker for in-hospital mortality, using this article as part of the discussion--each ⬇️serum Na by 3mEq <140 was associated w increased risk mortality sciencedirect.com/science/articl…
#ChiefResident blog #WinoftheWeek! OHSU Podcasters!! @ReneeDversdal was interviewed on @thecurbsiders and @VinayPrasadMD launched @PlenarySessShow! imrespdx.com/imrespdx-blog/…
Here's the link to @ReneeDversdal @thecurbsiders episode discussing #POCUS thecurbsiders.com/internal-medic…
and here's the link to @VinayPrasadMD @PlenarySessShow where he interviewed faculty Dr. Adam Obley
soundcloud.com/plenarysession…
soundcloud.com/plenarysession…
#ChiefResident blog #NoonConference #meded Thanks to Dr. Nelson for a non-conventional case exploring capacity and ethics! "Tips to not feeling incapacitated by capacity assessments" imrespdx.com/imrespdx-blog/…
The questions were raised:
--Does this patient have capacity to make this decision?
--How does her underlying schizophrenia affect her capacity?
--What do you do when the patient’s wishes don’t align with your own or those of the patient’s family members?
--Does this patient have capacity to make this decision?
--How does her underlying schizophrenia affect her capacity?
--What do you do when the patient’s wishes don’t align with your own or those of the patient’s family members?
this is a great @NEJM article on assessing capacity
and remember, have confidence with capacity: This is not only something we can and should assess, it is something that the primary team is BEST suited to do.
nejm.org/doi/full/10.10…
and remember, have confidence with capacity: This is not only something we can and should assess, it is something that the primary team is BEST suited to do.
nejm.org/doi/full/10.10…
#ChiefResident blog #WINOFTHEWEEK: shoutouts to APD Drs. @katieiossi and Assistant PD @aoglasser who both made a splash this week online! imrespdx.com/imrespdx-blog/…
Dr. O'Glasser gave @OHSUSOM Dept of Medicine #GrandRounds on #medtwitter with a #tweetorial posted afterwards. it quickly went viral, gaining tremendous feedback as the "gold standard" for discussions about academic use of social media.
#ChiefResident blog #NoonConference #meded
even a seemingly "bread and butter" case can provide excellent learning--
"Be Still My Heart... A Case of Type I NSTEMI" imrespdx.com/imrespdx-blog/…
even a seemingly "bread and butter" case can provide excellent learning--
"Be Still My Heart... A Case of Type I NSTEMI" imrespdx.com/imrespdx-blog/…
don't forget the spectrum of ACS, including unstable angina, NSTEMI, and STEMI! #NoonConference #meded
Pearls from Dr. Hegarty: STE in aVR with diffuse ST depressions is a pattern we should recognize! #NoonConference #meded
#ChiefResident blog Weekly Evidence Update 7.30.18, stay tuned for article links in this thread... imrespdx.com/imrespdx-blog/…
from @accpchest "The Impact of Listening to Music During a High-Intensity Exercise Endurance Test in People With COPD" --> increased high-intensity exercise tolerance! @OHSUPulmCCM static1.squarespace.com/static/54ebbf4…
@AGSJournal "Centenarians’ End-of-Life Thoughts and Plans: Is Their Social
Network on the Same Page?" -->expectations surrounding end of life planning often differed between caregivers and patients
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Network on the Same Page?" -->expectations surrounding end of life planning often differed between caregivers and patients
static1.squarespace.com/static/54ebbf4…
#ChiefResident blog #EvidenceUpdate! Weekly Evidence Update 7.23.18
articles to follow imrespdx.com/imrespdx-blog/…
articles to follow imrespdx.com/imrespdx-blog/…
from a recent @NEJM "Procalcitonin-Guided Use of Antibiotics
for Lower Respiratory Tract Infection" --> did NOT lower antibiotic use compared to usual care static1.squarespace.com/static/54ebbf4…
for Lower Respiratory Tract Infection" --> did NOT lower antibiotic use compared to usual care static1.squarespace.com/static/54ebbf4…
from a recent @BloodJournal "Oral Bruton tyrosine kinase inhibitors selectively block atherosclerotic plaque–triggered thrombus formation
in humans" static1.squarespace.com/static/54ebbf4…
in humans" static1.squarespace.com/static/54ebbf4…
#ChiefResident blog #NoonConference #meded yearning for more after yesterday's awesome session involving dynamic pulsus paradoxus testing?? Here's the blog post about it! "Go Forth and PULSUS!" imrespdx.com/imrespdx-blog/…
In the age of echocardiography, it is easy to lose our pulsus paradoxus skills, but this is an important maneuver that should stay in our physical exam repertoire! #NoonConference #meded
Pulsus paradoxus is a phenomenon that was first described in 1873 by German physician Dr. Adolf Kussmaul (yes, the same Kussmaul as Kussmaul’s sign with JVP and Kussmaul breathing in DKA) #NoonConference #meded
en.wikipedia.org/wiki/Adolph_Ku…
en.wikipedia.org/wiki/Adolph_Ku…
#ChiefResident blog Weekly Evidence Update 7.16.18 imrespdx.com/imrespdx-blog/…
From @CochraneLibrary last month, looking at beta-blockers, ACE/ARB, and mineralocorticoid receptor antagonists in HFpEF static1.squarespace.com/static/54ebbf4…
Article 2--from @JAMA_current this month, a "JAMA Clinical Evidence Synopsis " looking at probiotics to prevent Cdiff infection static1.squarespace.com/static/54ebbf4…
#ChiefResident blog #NoonConference #meded Echinococcal Cyst? No! Chronic Cavitary Pulmonary AspergillOSIs! imrespdx.com/imrespdx-blog/…
we had a fantastic discussion re the differential for peripheral eosinophilia, which includes allergic, infectious, neoplastic, and immunologic etiologies. check out this great review article #NoonConference #meded imrespdx.com/s/Eosinophilia…
here's another great article that came up during our discussion, re diagnosis and treatment of pulmonary aspergillosis syndromes #meded #NoonConference static1.squarespace.com/static/54ebbf4…
#ChiefResident blog Weekly Evidence Updates 7.9.18 imrespdx.com/imrespdx-blog/…
let's start with hot off the press from @AnnalsofIM
"Cross-sex Hormones and Acute Cardiovascular Events in Transgender Persons"
Cross-sex hormone tx in transfeminine pts appears to be assoc w risk of VTE, ischemic stroke, & MI v cisgender controls bit.ly/2O3kIxe
"Cross-sex Hormones and Acute Cardiovascular Events in Transgender Persons"
Cross-sex hormone tx in transfeminine pts appears to be assoc w risk of VTE, ischemic stroke, & MI v cisgender controls bit.ly/2O3kIxe
and then this very recent @TheLancet study re sodium bicarb in severe metabolic acidemia
thelancet.com/journals/lance…
thelancet.com/journals/lance…
article 1, Metformin? CKD? lactic acidosis? Check out this @JAMAInternalMed article static1.squarespace.com/static/54ebbf4…
article 2. STEMI without heart failure? Aldosterone antagonist therapy? @JAMAInternalMed static1.squarespace.com/static/54ebbf4…
#ChiefResident blog #NoonConference #meded irAEs-ing (I'm raising) Awareness: Immune checkpoint inhibitors imrespdx.com/imrespdx-blog/…
check out this great @NEJM review "Immune-Related Adverse Events Associated
with Immune Checkpoint Blockade" nejm.org/doi/pdf/10.105…
with Immune Checkpoint Blockade" nejm.org/doi/pdf/10.105…
Immunotherapy for cancer and specifically immune check point inhibitors are being used and their side effects can be thought of as all the “itises”. Have a HIGH index of suspicion for their side effects when a patient presents with an inflammatory picture #NoonConference #meded
Introducing a new #ChiefResident blog feature! "Weekly Evidence Updates" this time with an @OHSUPulmCCM flair imrespdx.com/imrespdx-blog/…
This is the first articles in the blog post:
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static1.squarespace.com/static/54ebbf4…
and here's the second one!
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#ChiefResident blog #NoonConference #Meded Pulmonary Complications Following Stem Cell Transplant --> diffuse alveolar hemorrhage (DAH) in this case imrespdx.com/imrespdx-blog/…
see the awesome blog post to help you structure your differential based on pre-engraftment period (days 0-30), early post-engraftment (engraftment day-100days post engraftment), and post-engraftment (> 100 days) #NoonConference #meded
Here's one of the articles that helped our discussion #NoonConference #meded
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