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JoeUKHM
@JoeUkhm
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Husband and father of 3. Hospitalist. Director of UK Hospital Medicine Track. UK IMRP APD. ND class of 2005. All opinions/tweets are my own.
Kentucky, USA
Joined April 2018
@WrayCharles This is great and very helpful. Thx @WrayCharles! I also love #PresentationZen. I strongly recommend avoiding the laser pointer. It's distracting everyone. Talking through or visually indicating important info (as described above) is much, much more effective.
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@wclippertMD Yes, for sure. We (and many other programs) were emphasizing step 2 already since it HAS been shown to correlate with future performance.
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@romilchadha @GrahamCarlos @KshitijThakurMD @UKHospitalists The exponential growth of administrators in healthcare correlates pretty nicely with that data. (GenX was born 1960-1980, so hit medicine around 1985 or so.) I think these trends are all alarming.
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@JerMUSOM @stevenbollipo @ginorthshore @drkeithsiau @GI_Pearls @DCharabaty @BilalMohammadMD @AllonKahn @IrisWangMD @KapuriaMd @PerelmansPearls @Jonathansegal85 This color guide is great! I also think consistency is undervalued. Dark or "black" stool is a very common report, but if it's formed/solid, it's NOT melena.
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What a great honor from @SocietyHospMed. Awesome work along with @romilchadha & @wclippertMD. The impact of #TWDFNR is massive and I'm proud to be part of it!
Impressive work @wclippertMD @JoeUkhm @romilchadha! You all were so close to dethroning docusate! #TWDFNR
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I strive to be this type of old fashioned! These messages are desperately needed in #MedEd. Thx @medevidenceblog for sharing & @THilalMD for pointing this out.
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@GrahamCarlos from @EskenaziHealth and @IUSMDeptMed teaching us the chemical basis of resilience to combat #burnout here @UKHospitalists & @UK_HealthCare So amazing!!!
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Working Christmas & NY to finish out 2019. Some think non-traditional shifts (nights, wknds, holidays) contribute to HM burnout. Maybe. But these shifts are *PURE* Pt care & offer time to connect more deeply with Pts. They can be quite re-energizing! Happy New Year #medtwitter!
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@SuchitaSata @dukegme Great thread. Seems to be a pervasive issue in academic HM. We have services @UK_HealthCare that prefer an electronic order for non-urgent consults as it's less disruptive to them. Optimal is probably somewhere in the middle but we're struggling to find it. #UKHMT
@romilchadha
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New pet peeve: the dominos of PO iron (which I believe is mostly worthless): PO iron is started. Plus laxatives (b/c it's super constipating). Plus ascorbic acid (to acidify gut). In spite of the PPI/H2B they're also taking. Then my head explodes π€― #MedEd
#TWDFNR
#polypharmacy
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@romilchadha @UK_HealthCare @Starbucks That's either because you're sort of famous there or because you're always wearing a name badge at work. (I suspect the latter!) π
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After walking out a room on rounds the other day, my med student said to the other med student "Wow. This is the first time patients have really seen ME as their doctor " And she absolutely made my day. #bedsiderounds
#MedEd
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Dear oncologist(s), Yes, I want you to see my Pt before the bx is back. Why? To look them in the eyes. To talk thru the things that seem most likely. To show them a path foreward. Certainty isn't necessary to be a Dr. (or a human) for a person going thru a tough time. #MedEd
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RT @JHospMedicine: How do you ensure there's time for teaching on rounds? Check out this month's Leadership & Professional Development artiβ¦
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