Julio Nunes
@jcnunes_md
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Brazilian, Mexican, proud Latin American | MD @UNIRIO_Oficial | PGY3 @YalePsych | Former Research Fellow @SCCR_Stanford | 🇲🇽🇧🇷🇺🇸🇫🇷 (Opinions are my own)
New Haven, CT
Joined April 2022
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Pinned Tweet
This happened and I couldn’t be happier. All the tears 😭
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Hi
#medtwitter
and
#psychtwitter
! I am a psychiatry PGY1, IMG, and luckily on a lighter rotation right now. If you are IMG applying this year and need help reviewing your personal statement, DM me! I am able to help 3 people right now
@Inside_TheMatch
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One of the IMG struggles is securing a visa. So many programs won’t do a J1, let alone the H1B! Glad to be in a truly supportive program and getting that H1B!
#MedTwitter
if you have questions about visa types, comment here and I will happily try to help!
#PsychTwitter
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Hello
#MedTwitter
, I am an incoming PGY1 at
@YalePsych
, IMG from Brazil, currently a postdoc fellow
@SCCR_Stanford
, and will start talking about my experiences via
@Inside_TheMatch
. Happy to talk with incoming applicants and folks interested in research!
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2023: I finished first year of residency, published 9 papers, traveled to 5 countries, got 3 awards, BOUGHT A HOUSE, GOT MARRIED, saw my parents twice from Brazil, helped a lot of patients, learned a lot, exercised ~180 days, stayed healthy! So grateful🌟🌟
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Me and my partner got our first house and I couldn’t be happier. Dreams do indeed come true, my people! 🏡
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Believe in your dreams, my friends! They do come true! From a small university in Rio to postdoc
@SCCR_Stanford
to residency
@YalePsych
. These publications represent so much and so many people who helped me in my way!
#psychtwitter
#medtwitter
@StoriesImg
@Inside_TheMatch
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I got engaged to the love of my life! ❤️
(Ring says “vamos juntos”, or “let’s go together” in Portuguese!)
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Hey
#psychtwitter
#medtwitter
. I am a PGY1 at Yale Psych and God knows how much I valued asking questions to residents when I was applying and ranking programs. My DM is open and I promise answers will be honest. Ask away ;) I am also an IMG and happy to talk about this as well!
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Arrasado. A vida é um sopro. Descansa, Rafa!
Heartbroken with the premature loss of my brilliant friend
@Rafameed
. Rafa was only 31, he had just matched in IM at
@CUInternalMed
- his dream program. He grew up in Brazil, son of a tailor and a vendor, who worked hard to give him good education. He beat all the odds (cont)
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I am getting married to the love of my life today and he doesn’t have twitter to see this but oh man I am so lucky ❤️
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This is how to do it! Thank you for including IMGs too,
@MarkDSiegel1
!
@YalePsych
added to its flags this year too! One day hopefully this will be normal everywhere. And kudos to
@YaleMed
for allowing programs to sponsor visas other than J1 as well!
@StoriesImg
@IMG_Advocate
This year’s class will be our most diverse ever. Nearly a quarter of the interns identify as underrepresented in medicine and more than a third trained internationally. 5/13
@YaleIMed
@YaleIM_Chiefs
#Match2023
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Having a hard night shift with many admissions and agitated patients. My fiance shows up, unannounced, and surprises me with my favorite food from my home country: Brazilian beans and farofa (a yuca flour dish with eggs). It really is about the little things ❤️
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When I was applying to residency, visas were very confusing to me. H1B, J1, O1, EB? What do they mean? What is the best visa to pursue a US residency? I explain some visa-nuances on this post for
@Inside_TheMatch
, hope it helps!
#MedTwitter
@IMG_Advocate
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@alanadelaforce
Elizabeth Kubler-Ross as well! She was originally a nurse when she first wrote about the stages of grief and so much more in palliative care. But she wouldn’t be taken seriously by doctors. So she studied medicine and got her MD to be able to spread her work. A hero!
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One of the struggles in science is actually managing to get your work published out there. Too many barriers to count in the publication process. But today, a victory 🏆 PS. How rare is having a paper accepted “in its current form”?
#MedTwitter
#PsychTwitter
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It is my birthday you all. Flint is celebrating spontaneously without being forced at all!!! 🎉
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What happiness to receive such amazing news today. Thank you
@AAAP1985
for the John Renner Travel Award!
@JPDeAquinoMD
and
@YalePsych
thank you for the support!
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Incredibly happy and grateful celebrating my first 50 citations! When all the hard work is paying off 🤩
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Written with love to my fellow IMG friends, keep on fighting and believing in yourself! Thank you
@Inside_TheMatch
for the opportunity!
#MedTwitter
#PsychTwitter
Imposter Syndrome as an IMG: "When the impostor syndrome hits, remember you mission, why you chose medicine, and who you are ultimately working for". Incoming
@YalePsych
@jcnunes_md
provides tips to overcome
#ImposterSyndrome
as an
#IMG
:
#InsideTheMatch
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Grateful for another manuscript accepted for publication! Thank you
@SCCR_Stanford
@TheMahaf
!
#MedTwitter
#psychtwitter
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If you are a more senior doctor talking down on a fresh-grad PGY-0 who is very excited about being a doctor, making them feel like they are not a doctor… BREAKING NEWS: you are either a bad person or experiencing burnout and could benefit from mental health care 🌟
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Wait a second am I a PGY2 now? Am I done with off-service rotations? No more pre-rounding at 06:00 in the morning? 🎉😃
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@lcos3060
Imagina se todos concordássemos que aromaterapia deixa um cheirinho bom no quarto, que me deixa feliz, e ficar feliz é bom. Mas que se ficar doente é pra ir no médico e não cheirar óleo essencial de orégano? Ah que bom seria.
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At
#APAAM22
where the obvious is being brilliantly stated: race, ethnicity, culture, language, nationality and all social determinants of health are directly involved with quality of health care. Medicine is not just about surgical gadgets, folks!
@APAPsychiatric
#PsychTwitter
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At the
#AAAP2023
, presented about the impact of cannabis on OUD treatment outcomes. Turns out cannabis doesn’t seem to affect rates of opioid misuse. Decision to stop cannabis should be personalized. Full paper was accepted at the
@AJDAAJournal
. Amazing work by
@gabriel_pacosta
!
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Doing internal medicine rotations and got Covid. My program has a good backup program and a colleague was pulled to cover for me, which is great! However, feeling anxious and guilty about pulling someone else to cover me. Does that happen to everyone? Why?!!?
#medtwitter
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Hot out of the oven 🔥 Our paper investigating the relationship between childhood trauma and tolerance to THC just got published at the
@AAAP1985
journal: American Journal on Addictions. I am presenting this work at the AAAP meeting tomorrow!
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@hellooobritto_
@julianachaveso
I love the supportive environment at
@YalePsych
! I am an IMG and experienced all sorts of migration issues through my journey. Yale made me feel as if these were no-matters, and for the first time I have an institution that makes my visa life easy. I feel valued because of that!
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@moh19118
Hi Mohamed! My advice would be for you to focus on connections. You already have the credentials, now you need that mentor who is willing to make some calls and put in a good word for you! Work on identifying who your LOR writers will be! You definitely on the right track ☺️
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Addiction Psychiatry folks
@YalePsych
representing in this
@AAAP1985
! Proud to learn and thrive with this community. Thank you
#AAAP2023
for bringing us together (and for choosing a beautiful sunny site with a spa!!)
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I am packing my house as I get ready to move from CA to CT for residency. For lack of space, I had to get rid of some things. OH LORD IT FELT SO GOOD TO THROW AWAY MY FIRST AIDS 1-3. Bye forever Steps
#MedTwitter
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@olsonplanner
No. And most residency programs give minimal to no training regarding costs of healthcare. We don’t even have access to the cost of meds and procedures we prescribe on Epic. Which is a shame, because cost and social determinants of health play so much into treatment adherence.
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Hoje meu pai fez jantar pro meu namorado. Eu tinha muita dificuldade em imaginar que isso pudesse acontecer. Eu to feliz pra cacete. Esse é o tweet ❤️
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Had to contact the police to send my first patient to the psych ER against their will. Active threat to themselves and the community, episode of mania. The team agreed with the decision, and it was the right call for everyone’s safety. But oh boy, it is not easy.
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I had a bunch of projects accepted to the
@APAPsychiatric
meeting 2022. Unfortunately, I’ve been feeling sicker and sicker this week. I am supposed to get on a plane to New Orleans tomorrow. At least I am COVID negative. Please send your energies for a fast recovery today! Ty
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Mostar, Bosnia. Where windows look like paintings. Worth getting lost at when traveling the Balkans!
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Happiness on a Monday morning. Yet another paper accepted for publication this year! Incredibly grateful to
@SCCR_Stanford
and
@TheMahaf
for the work we’ve done together so far! Hopefully more to come 🍀
#MedTwitter
#psychtwitter
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This is a public health and women’s health crisis. What a nightmare.
What a nightmare of a day for everyone in this country with a uterus. They’ll come for Plan B and birth control next.
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@TolgaGidenerMD
In Brazil we call Internal Medicine something like “Clinical Medicine”. Which does not help with confusions either since all medicine is clinical 😅
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I am curious to hear from other IMGs on
#MedTwitter
. What do you think is the single most important barrier or hardship to getting in residency or progressing your scientific career? For me it was the scarcity of places willing to sponsor visas. You?
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@canadianaco
@DrChristineMann
@EricMoffitt6
@awsumpowers
I personally know
@awsumpowers
and he is a wonderful doctor and human being! Brings me joy to see these wonderful stories, and it sets an example. You must be fun at parties :)
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When you and your neurofriend
@VelosoVanessaMD
share the same taste in food and a view of your dream program
@YNHH
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@CalebCAtkinsMD
I respectfully disagree, specially concerning IMGs. Unfortunately, if you are an IMG, you ate better off applying to as many programs as you can.
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Today is Brazil presidential elections and I wish the rest of the world knew how important this is. It doesn’t affect just another latino country most people don’t care about. It affects the integrity of the Amazon forest, and that is 🔑 for humanity survival.
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An honor to have
@Inside_TheMatch
share this chronicle I wrote. If you are applying to psychiatry, I hope this gives you a taste on some of the difficult decisions we have to make everyday!
#psychtwitter
#medtwitter
@PsychSIGN
If you are applying to psychiatry, reflect on what the profession is about.
@jcnunes_md
shares his thoughts for
#Match2023
applicants!
#InsideTheMatch
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@Dr_amoytheemd
In some Latin American countries this is cultural, even for simpler things like high school scores, rankings, etc. In Brazil, e.g, people post their “national exam” scores all the time as they are proud and excited. Just would consider this specially if coming from an IMG
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6% of Latino/a doctors, 19% of Latinos/as. We gotta change that! Not enough Spanish speaking docs out there!
#nationallatinophysicianday
Beyond celebrating National Latino/a Physician Day on October 1st, Latinos must also unite at the local hospital level
At
@StanfordMed
we are launching Latino Faculty Advocacy Meetings (LFAM) - a coalition of Latino docs
LFAM will be helping celebrate NLPD!
@MichaelGalvezMD
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@MaxJordan_N
As a psychiatry resident, chaplancy notes often provide me with psychosocial information that nobody else gets. It is so helpful!!
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Congratulations to this year’s AAAP John Renner Travel Award recipients! ⭐️ This award is given to exceptional medical students, residents, and fellows who are interested in learning about substance use disorders and co-occurring psychiatric disorders. (1/2)
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My endless support to
@JakeGoodmanMD
, a fellow psychiatry resident, for using his platform to raise awareness and reduce stigma in psychiatry. I know that this kind of work saves lives and brings people in need to receive the care they deserve. Thanks for using your voice, Jake!
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Proud of this work with my friends from
@SCCR_Stanford
and
#ProjectBaseline
. Pre-print currently available and hopefully the manuscript will be out there soon!
Here's
@jcnunes_md
presenting a study that concluded overall higher SES risk scores were highly correlated w/ elevated anxiety scores. Also, it was shown that providers need to assess both the physical &
#SDoH
when considering treatment & interventions for care.
#ProjectBaseline
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Hot out of the press 🔥 Proud of another work published with
@gabriel_pacosta
, mentored by
@JPDeAquinoMD
@YalePsych
!
Cannabis has no evident effect on opioid addiction, a new
@AJDAAJournal
study of thousands of people being treated for opioid use disorder finds💊
@gabrielgcnut
@jcnunes_md
@JPDeAquinoMD
et al. call into question if it can help wean people off opioids👇🏽
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You know what is better than publishing a paper? When your mentee publishes one!!! Even better when we have a chain of mentorship
@JPDeAquinoMD
@gabriel_pacosta
Just got the fantastic news that my first paper got accepted at the
@AJDAAJournal
! This journey has been one of immense learning. A heartfelt thank you to
@JPDeAquinoMD
for the mentorship. Couldn’t have done it without you and without the invaluable support from
@jcnunes_md
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@macinmedicine
Welcome to Yale Psych Jada!!!! I am a current PGY1 and more than happy to talk and help with anything in this crazy moving process!! Congratulations again!!!
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Medicine is a broken system that needs to be renewed. Rest in peace, Nakita. I am sorry we couldn’t do better.
Another resident who loses their life to suicide.
We must do better.
This is my dear friend, Nakita.
Nakita and I were medical school classmates and both interns in New York City. Nakita tragically took her own life on May 26.
She is such a beautiful soul. She was so fun to be around. She was intelligent, charismatic, and confident. (1/x)
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🏆⭐️
Congratulations to
@jcnunes_md
of
#yalepsych
who has been chosen to receive a 2023 Diversity Scholars Travel Award from the
@NIDAnews
Office of Diversity and Health Disparities.
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My little cat ate a string and now has a severe bowel obstruction. About to get emergency surgery. Keep him on your thoughts, folks 😭
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I could not be happier than this! Just published at the Journal of Affective Disorders. There are complex associations between markers of socioeconomic status and anxiety and we demonstrated the directions of these correlations
#psychtwitter
#MedTwitter
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On
#nationallatinophysicianday
and
#HispanicHeritageMonth
residency applicants from PR and other regions affected by hurricanes Fiona and Ian might’ve had trouble submitting on ERAS. Proud to share
@YalePsych
message to applicants
#MedTwitter
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@hamzagul4660
@StoriesImg
@IMG_Advocate
No! This is not ok! These are several signs and symptoms of acute stress and possibly depression. You definitely need to consult a mental health professional (and possibly an optometrist!). Don’t let your career kill you in the process! (1/2)
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Thank you for the opportunity,
@CarlatPsych
!
@jcnunes_md
, left, and Dr. Noah Capurso of
#yalepsych
are co-authors of a paper in Carlat Report that discusses the use of Naltrexone in different addiction psychiatry syndromes.
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@awsumpowers
If anxiety starts to be too overwhelming, I would add: seek professional help! I sought psychiatry/psychology care during my application season and it was the best decision ever. CBT + SSRI for those 6 months really helped me out! Encourage everyone who needs it to do the same.
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The Nunes-Buschman family wishes everyone a Merry Christmas, Happy New Year, Feliz Natal, e Feliz Ano Novo!
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”Try to find out early what drives your happiness in medicine”. After all, if we don’t love what we are doing it is so hard to keep going. Fantastic words of wisdom from my dear friend
@VelosoVanessaMD
#MedTwitter
#IMG
#PsychTwitter
Going through the residency match process as an
#IMG
can be challenging. Incoming
@YaleNeurons
@NeurologyYale
resident
@VelosoVanessaMD
shares her match tips.
#InsideTheMatch
#Neurology
cc:
@MatchNeuro
@NMatch2023
@IMG_Advocate
@ImgJourney
@EricaSchuyler
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@Inside_TheMatch
Oh boy, we barely completed the season and the next one is already warming up? 😅
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Hi folks! I received a tornado of requests. I would love to be able to help everyone but unfortunately I can’t. If I responded your message you know what to do. For everybody else, I recommend asking help to residents of the programs you are interested in! Best of luck!
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@e_brietzke
Fora que soa tão bizarro pra quem segue medicina baseada em evidências. Imagina um movimento “anti-cardiologia”, “anti-nefrologia”? “Ah, esses nefrologistas estão usando dialise demais!!!” Psiquiatria é uma ciência médica e quando bem feita usa bem todos os seus recursos.
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A day to celebrate the successes of my mentee and friend
@gabriel_pacosta
!
Just received another piece of fantastic news: I'll be heading to Yale for a clinical elective later this year! Feeling grateful and excited for this opportunity.
Big shout to
@jcnunes_md
for all the support!
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I woke up today feeling so much better and I am headed to APA. Tweeting from the airplane waiting for departure ✈️
#APA2022
@APAPsychiatric
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@this_is_mallory
Not happy that you made me watch a coffee enema video, you went ahead and made me watch a second one. The horror. Make it stop please 😂
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#MedTwitter
#PsychTwitter
Steele Lab at
@YalePsych
has an open Research Assistant position in the fields of
#Addiction
and
#Neuromodulation
. Reach out to Dr. Steele if interested!!
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Children in CA foster care receive more antipsychotics than the average for all children. Many of them are not being screened for metabolic disorders and neither have proper authorizations to receive these medications. Proud to share this work with you!
#PsychTwitter
#MedTwitter
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Another amazing resident and friend is willing to help out some IMG applicants ☺️
@Inside_TheMatch
@StoriesImg
@IMG_Advocate
Hi
#MedTwitter
! I’m an IM PGY-1 at MGB Salem
@SalemIMres
. The application process can be overwhelming for IMGs. If you’re an IMG applying and need help with PS or ERAS app, DM me! I’d love to help!
@Inside_TheMatch
Big shoutout to
@jcnunes_md
and
@victorrvaz
who are also in this!
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@SaulLevinMD
@SaulLevinMD
, I appreciate the encouragement! But we also become PIs and Program Directors. We share our perspectives to make University Programs better equipped to deal with ever diversifying populations. IMGs will enrich rural and urban settings alike!
@IMG_Advocate
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Sem acreditar.
TW: Death
Our hearts are heavy this morning with the devastating news of
@Rafameed
's passing.
Rafa's enormous heart, contagious smile, and unwavering brightness touched every corner of the CPSolvers community and rippled far beyond.
We miss you, dear friend.
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Thank you for all the love and support
@SCCR_Stanford
! I would not be here if not for the opportunity to work with you.
Congratulations to
@jcnunes_md
, former SCCR research fellow, on the next step in your career – a psychiatry residency at
@YaleMed
! We wish you the best.
#SCCRSendoffs
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@hamzagul4660
@StoriesImg
@IMG_Advocate
Extra: get yourself adjusted with a ergonomic work station! The back pain will be made much worse by improper posture and lack of exercise. Exercise to relieve stress and improve mental fitness can go a long way too!! Never wasted time. Best of luck! And hit me up if you need!
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@e_brietzke
Fora o ódio à medicações absolutamente necessárias (por exemplo, estabilizadores de humor em mania!). Condenar uso de todas as medicações, ao meu ver, só perpetua estigma e causa exatamente o oposto do que essas pessoas parecem querer 😅 confuso.
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Antipsychotic drug use on California foster kids drops 58%, study finds. Thank you to the folks of
@TheImprintNews
for highlighting our study and sharing these findings!
#psychtwitter
#MedTwitter
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I had the pleasure of writing another piece for
@Inside_TheMatch
. Would love to hear your thoughts AMGs and IMGs alike, this tale is for all of you!
#MedTwitter
#PsychTwitter
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I submitted a paper 6m ago and not a single reviewer has accepted to peer-review it. The journal (very prestigious one!) has been transparent about the problem. Traditional publication in the sciences is in crisis 🆘
#MedTwitter
share your best(worst) publication times story…
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Whew, thank you for the warm welcome
#MedTwitter
! Started connecting with so many prospective applicants and research folks. I was asked to share a thread about my trajectory as an IMG to Yale. Where do I start? 🧵
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@SweatyPsychGuy
Hey man! PGY1 here. I did receive some interview invitations with dress code instructions specifically including a blazer. And everyone wore a blazer in every interview I went. As much as some amazing PDs might not care, you never know what people may believe. Don’t risk it!
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@julianachaveso
@Inside_TheMatch
@LatinasInMed
Oi, Juliana! Eu sou IMG formado no Rio. Hoje PGY1 em Yale, psiquiatria. O que eu puder ajudar, meu inbox esta as ordens! Torcendo por você!
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@julianachaveso
@HeitorSmiljanic
@Inside_TheMatch
@ECFMG_IMG
@StoriesImg
Juliana! Conta comigo pra ajudar vocês dois, viu? Pra brasileiro não se nega ajuda! Retribuam a alguém no futuro ☺️
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Here is the most important part of the message! Please reach out to the program and let them know if you’ve been affected.
@Inside_TheMatch
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@olsonplanner
He calls it a “smart financial investment” financing my future as a psychiatrist 😂 we just bought a house together and are pretty happy!!! That double income with a software engineer helping out has been a huge relief during training, I will be honest Tyler!
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Just watched an episode of ”The Resident” where a cardiothoracic surgeon reattaches a leg and anti-NDMA encephalitis is called an “infection of the brain”. Please hire an actual doctor as a consultant? 😅
#MedTwitter
#TheResident
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Proud to be a co-author of ENHANCE-AF, a Randomized Clinical Trial to Evaluate an Atrial Fibrillation Stroke Prevention Shared Decision‐Making Pathway. Presented as Late Breaking Science at the
#AHA2022
@SCCR_Stanford
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@DeynzerShelby
Some of the most brilliant physicians I know are DOs. Grateful to work and learn with you all! Speaking as a MD resident who has a lot of admiration for DO work and who is also an IMG, so I appreciate the “being the ugly duckling” feeling in US medicine. You guys rock 🤘
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