Jake Graff
@jjakegraff
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MS4 | #EmergencyMedicine | Interested in airway management, trauma, critical care, pain management and ED operations/health policy | @aaemrsa MSC Chair
Joined April 2022
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If there is one thing I’ve learned in the ED and on rotations is that everyone in the department is sick until proven otherwise!!!
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Making lists and researching Sub I locations for
#EmergencyMedicine
auditions in the summer! SO STOKED!!!! Hard to believe I’m getting to this point!
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Students want to be a part of the solution in
#EmergencyMedicine
!!! My hope is that the students applying understand EM and the problems facing the field so that they can show up ready to get great clinical training and work to be an asset.
#TakeEMback
@AAEMRSA
@aaeminfo
WINNER: Emergency Medicine.
The big story of Match Week 2023 was the 500+ EM positions available in the SOAP, caused by a rapid drop in EM applicants.
But this year, EM applicants are up 33% (driven mainly by increases in DO and IMG applicants).
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@hivalee22
Licensing exams shouldn’t be the metric used for competitiveness. It should all be based on sub is and clinical performance. I recognize that would require a complete change in our system.
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As a student applying
#EmergencyMedicine
in
#Match2025
I would LOVE to get help from people who have done it. I know it takes time and effort on your end and I'm so grateful for those willing to do it!
Navigating the Match on your own can be daunting!
Our goal is to connect med students who plan on entering the
#Match2025
cycle with mentors that took a similar path in
#EmergencyMedicine
.
Get involved as a mentee or mentor, here:
#EMBound
#MedTwitter
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Worth reading this from
@TakeMedBack
. Students need to be aware of the challenges facing not only
#EM
but medicine as a whole. Educate yourselves so you can maximize the next 40+ years of your career. Disregarding or failing to understand will lead to dissatisfaction!
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@jaskMS3
Reality is if licensing exams exist only to show competency for a license and not ability then they should all be P/F and criteria for matching should move more to Sub Is etc for selection. This would also reduce workload for programs and students.
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This is the narrative students NEED to be hearing about
#EmergencyMedicine
We know there are problems. But there is so much good in EM. It'll take great students to help alter course. We want to be part of the solution!!!
Starting PGY 26 and I'm right witcha, my brotha 👊🏻
Time to reverse this BS narrative about how horrible EM is. Plenty of people like me and
@Rick_Pescatore
out there who are thankful for the privilege of being an emergency physician
#EmergencyMedicine
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@AaronGoodman33
@grepmeded
Wild. 35 years from now you’ll still find me in the ED taking care of patients, and putting down enough
@redbull
to raise the dead.
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Listening to Drs.
@JulieTVieth
@drmeanface
@GaryGChimesIn
and
@MelanieHeniff
discuss workforce in Emergency Medicine and how we can protect the scope and practice of the EP. Nothing replaces the
@ABEMCert
EP.
#AAEM23
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This thread by Dr.
@ErinKarl_MD
is exceptional. As a student this helped me gain an even greater understanding of the challenges and various factors at play in EM. A must read for ALL
#EMBound
med students. Loved this. Thank you Dr. Karl!!!
Now that the
#Match2023
dust has settled, we have celebrated our newly matched M4s, and as
@CORD_EM
's
#CORDAA23
gets started, I wanted to put together some thoughts on the
#EM
#Match2023
, highlight some facts, and answer some questions. Buckle in folks, and let’s get started! 🧵
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#Emergencymedicine
still has problems and will continue to face those. However, if the
#EMbound
students I’ve met are any indication, the future is in good hands!
The results are in! We are thrilled to announce that over 3,000 new residents have joined the
#EmergencyMedicine
family in the 2024 Match!
Join us as we celebrate this milestone and embrace the journey ahead!
#Match2024
#ResidencyMatchSuccess
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Can't wait to work with
@AAEMRSA
and the Medical Student Council. Lots of incredible people at
@aaeminfo
and
@AAEMRSA
working to Champion the EP and
#EMBound
student.
#EmergencyMedicine
The 2023-2024 Board of Directors and Medical Student Council took their seats today. Join us in welcoming them!
#EmergencyMedicine
#MedTwitter
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@NotoriousS1Q3T3
The recovery of EM is the long game. Not much will change the short term. Hopefully EM orgs as well as
@ABEMCert
and the ACGME can work towards real solutions. EM is a fantastic field but students need to be aware of its problems rather than go in blind.
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@kelseyum2plus
For reals. I think learning basics of scholarly work is valuable but some of these pubs numbers are INSANE.
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Dr. Chien was instrumental in helping me prepare to apply medical school and helped my love for EM grow. He helped make the ED my favorite place and showed how to be a leader. Grateful there are physicians willing to stand up to PE in support of their patients and profession.
#medtwitter
- remember when medical director Jeff Chien MD was fired for advocating for safe staffing and hospital workers staged a walk-out in protest of
@USACSolutions
? Now a local democratic group has won the contract - and the former med Dir is there
#EndCorporateMedicine
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@kaylamellis_
Just got off my OB/GYN rotation and it was wild how pervasive this thinking was. Kinda shocked me haha
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Currently involved as a student with
@AAEMRSA
and am excited to maintain my involvement through the rest of medical School, into residency and onward. All students should join! Excited for Austin in April
@aaeminfo
AAEM's President Dr. Jonathan Jones encourages
#EmergencyMedicine
, board certified physicians to own their future in EM through nominating themselves and/or others for the open spots on the AAEM Board of Directors.
Learn more:
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I’ve watched Match Day since before medical school. To see all of the work, stress, tears and obstacles pay off for friends and mentors is inspiring. Can’t wait to see some of these new Interns in the ED this Fall!
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For any students looking to understand Private Equity and corporate practice of medicine and the impact it has on
#emergencymedicine
.
@aaeminfo
and
@TakeMedBack
doing great work advocating for the EP!
@AAEMRSA
doing this for all
#EMbound
. Great video!!!
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Incredible people and incredible opportunity!!!
We are here to support you through this new chapter in your EM journey. Knowing how daunting this step can feel, AAEM/RSA provides resources, advocacy, and networking to members so they never feel alone.
Join/Renew:
#EMBound
#Match2024
#EmergencyMedicine
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@ApparentLiMD
@angelagcai
@TakeMedBack
@RobertMcNamar12
@vickinortonmd
@aaeminfo
I had the pleasure of meeting them both in New Orleans for the
@aaeminfo
Scientific Assembly. My involvement with AAEM has been incredible thus far. I LOVE the movement. Needs to be done.
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Worth the read for all DO students.
@AOAforDOs
The “State of US DO” medical students is as strong as it’s ever been.
Here’s the data (2023)
Match Rate
US DO 91.6
US MD 93.7
Residency Placement Rate
US DO 98.1
US MD 97.7
(Thread)
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@revellegappy
100%. As students it'll be important for us to make sure we understand the problems facing EM and how that will impact us during and after residency. Sure, it will drive some students away. But the students who choose EM can work to be part of the solution and can effect change.
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The work
@aaeminfo
and
@AAEMRSA
does for Emergency Medicine physicians, residents and students is crucial to the protection of the specialty. Grateful to be a part of such a great organization! Students interested in
#emergencymedicine
should join
@AAEMRSA
Physicians: consider signing on to this petition to have a national ban on corporations owning our practices.
@aaeminfo
@AAEMRSA
@ACEPNow
@TakeMedBack
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The most impactful part of medical school thus far. ALL
#EMbound
students should join!!!
AAEM/RSA is fostering innovation, education, and advocacy for residents and students in
#EmergencyMedicine
. Take part in our mission to advance the EM specialty by becoming a member.
Join or Renew Today:
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All I know is I perform better on tests, in clinic and in life when I exercise regularly. Helps mitigate a lot of problems and a lot of cost!
I hated running.
Then I learned about Zone 2 training and exercising to specific heart rate zones.
It changed my life.
Here's why.
📕 Make Sure To Bookmark ✅
🧵👇
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@jonhagedornmd
1. Pass Step 1
2. Write clear, concise and professional notes and perfect the patient presentation to excel as a 3rd year.
2. Qualify for Boston
3. 5:10 or below half Ironman
4. Serve every day
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Important for
#EMbound
students to
Understand and recognize the changes implemented.
AAEM/RSA's latest statement on the new Certifying Exam is out. Higher standards, better care! Read all about it:
#EmergencyMedicine
#MedEd
#Healthcare
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@mackrophage_
You and me both. I felt stupid while taking that test. Surgery, OB felt easy compared to that.
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Pumped to go through this during
@aaeminfo
SA in Austin! Heard great things about it from the students who did it in New Orleans!
@AAEMRSA
always putting out great opportunities for
#EMbound
med students!
EM interns and 3rd/4th year medical students, this course is for you! Our goal is to ensure you are equipped to provide consistent, evidence-based care with the most up-to-date and relevant knowledge in
#CriticalCare
.
Learn more, here:
#MedTwitter
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Essential. As a student looking for programs n
#Match2025
I would absolutely look at these relationships.
**EMRA Advocacy Win**
Thanks to the initiative of
@emresidents
,
@ACEPNow
just adopted policy supporting EM resident physicians’ right of first refusal over non-physicians for procedures in the ED.
#EMRAAdvocacy
#EMbound
#Physicianledcare
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@PhDtoDO
@NationalSOMA
A massive issue in medicine that ALL students need to be aware of. The impact it can and will have on training and career is a reality that all need to consider when choosing a specialty. Glad you wrote this up.
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Great insights here. Worth the read for
#MS4
but also for all other med students!
#Match2024
If you are headed into Residency interviews, here are some of the most common questions asked and guidance on how you can organize your answers...
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Come hang out with
@stillmoore
and I, and some of the
@aaeminfo
and
@AAEMRSA
team and learn about why you should care about the corporate practice of medicine as a student and resident. While these problems seem far off, its never too early to learn.
#EmergencyMedicine
#EMBound
Last chance to register for the Advocacy Summit 2024!
Choose to join us in person or virtually and be part of the healthcare revolution:
#EmergencyMedicine
#MedEd
#PatientAdvocacy
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@KatyWyszynski
EM is hurting. There are a lot of problems due to internal mistakes and external factors/influence. It's important that students fully understand that or they are setting themselves up to be let down. However, it is a fantastic & noble field with exceptional people!!! Work to do!
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@KatyWyszynski
It’s a battery thing for me. Every time I forget I land and have like 15% battery left 😂
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@action_ap
Sharing true feelings is how you mitigate long term problems. If coresidents, students etc can be open it will fester and cause problems. Medical training is hard, being able to openly share without fear of judgement or retribution is HUGE!
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Pumped to see everyone in Austin this year at
#AAEM24
Ready to excel in emergency medicine?
#AAEM24
offers dynamic sessions like the Critical Care in EM course, Ultrasound Case Competition, and a Medical Student Session. Enhance your skills and network with the best in the field:
#EmergencyMedicine
#MedEd
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@kaylamellis_
TikTok was the biggest culprit I saw. Some of the ideas were literally crazy. Yet these “influencers” had followers in the millions and were making bank off of “expert courses”
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Last chance to join the Road to Match Program for
#Match2025
!
Whether it’s helping with certain aspects of the application or sharing interview tips, a mentor’s guidance can help medical students stand out from the crowd.
Become a mentee or mentor today:
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Would love to see
#EMbound
students and
#Emergencymedicine
residents at this. It’s easy to get focused on the next test, rotation, matching etc. However, understanding EM and the policy, legislation and factors influencing our future careers is PARAMOUNT! Excited to participate!
We are seeking passionate medical students and resident physicians to volunteer at CAL/AAEM & TMB's Advocacy Summit. Assist with registration and experience invaluable networking opportunities with top medical advocates.
Sign up here:
#PatientAdvocacy
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@PonziniF
Watching all the 4s do this makes me so stoked for my cohort. Love watching you guys get to do what you’ve been dreaming and praying for for the better part of a decade.
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@eringpark
The perpetual explanation they give to patients that they are not in fact chiropractors 😂
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@action_ap
Always good to hear this! Often times we as students can get caught up in the “prestige” game.
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@TPP_MD
Work for the sake of work and accomplishment does not lead to happiness or fulfillment. It’s not the years in your life but the life in your years!
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More examples of why CMGs should not impact resident education
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@DOcAthenaMasi
I get that.
I just try and focus on my tasks for the day and trust the process. Really helped for Step 1 and I feel good moving forward now!
YOU GOT THIS!!!
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LETS GO!!!
No. 4
@byurugby
overwhelms West No. 1 seed Central Washington 62-31 on the road in a CRAA Division 1A playoff quarterfinal. Cougars get winners of Saint Mary’s and Cal next; Gaels lead 21-12 at the half on The Rugby Network.
#CollegeRugby
x
#CRAAplayoffs
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@sara_dimeo
The
#EMbound
cohort of students really are incredible people who love the field and want to help improve it and work through the current problems facing it.
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@Hamp_The_Doc
@jordanlukens
@AAEMRSA
@aaeminfo
Absolutely. Corporate practice of Medicine has absolutely blasted emergency medicine. I've been getting a crash course on this via
@TakeMedBack
and
@ApparentLiMD
. It will be a long legal and legislative battle for sure.
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@ApparentLiMD
Glad to see that it got resurrected! Important debate to have. Thanks for the link
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@jonhagedornmd
Just because something is hard or not ideal doesn't mean it shouldn't be done. There is always enough time, we choose what we give priority.
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@Savannah_Dimick
@miaowlex
I 100% feel this. Came to med school set on EM, went through and am still in a surgery phase a little bit, but my absolute LOVE of the ED is there stronger than ever.
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@UrAvgMedStudent
Dying? Not a chance. No specialty can provide on demand acute/emergency care like an EP. Going through a rough patch? Sure but that is a far cry from dying.
#EM
is an essential part of the ENTIRE healthcare system and no one does it better.
#AnyoneAnythingAnytime
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@jordanlukens
I don't know if EM is "back" as much as programs have adjusted to ensure the absolute catastrophe of last year didn't repeat. Either way still the best specialty in the world. Stoked for you. Pumped to see where you end up on Friday!
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Can't Wait for this!
Learn about the important topics of
#CriticalCare
medicine through the Intro to Critical Care in
#EmergencyMedicine
course!
The course is limited to 30 participants. Sign up before spots are filled, here:
#MedTwitter
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@KatyWyszynski
Wild to hear that! Didn’t realize it was such tough pickings. Why do you think that is? That being said you are beyond qualified and whatever program you match with will hit the jackpot! Pulling for you Katy!
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@Hamp_The_Doc
@jordanlukens
The numbers mask the problems but this is definitely not the fantastic recovery a cursory glance gives. Getting "back" will take about a decade I imagine, if it ever gets "back". Students planning on
#EM
need to educate themselves and advocate.
@AAEMRSA
@aaeminfo
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@DuaLipoma
EM is wild! Extremely capable, efficient docs. PE and corporate medicine have created a terrible environment forcing this to be a reality.
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@scottyjones030
Absolutely. The day never ends for them and they pick up the slack. The real MVPs.
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@stillmoore
@TakeMedBack
Could it be the future? Sure. Should it be the future? Only if we want to dumb medicine down more and make it worse for everyone but those profiting at the top.
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@stillmoore
@AAEMRSA
@aaeminfo
I think thing we need to recognize as students and remember in residency is that THE EP IS THE COMMODITY. They are the specialist and no one does it better. It is paramount we realize the value we [will] provide & ensure we utilize that for ourselves,specialty patients!!!
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@maddy25e
You are more than capable. It’s a test written by humans. You can crush it. Also don’t resource overload. Sticking to a few resources was so helpful for my plan and sanity!
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@ValeriaOrtega
Everything that’s been said above regarding scholarships and grants to present research etc.
Also worth seeing if your school will fund you. Some schools will pay if you are presenting or have money set aside for students to attend at least one during med school.
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@JSinghDO
100%. Food service, bartending etc all have so much in common with EM. One of the reasons I love the ED!
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Stoked to be there!!!
#AAEM24
registration is now open! Join us in Austin (Apr 27-May 1). Utilize your CME allowance & register by Jan 19 for a chance to win FREE AAEM25 pass! Register now:
#EmergencyMedicine
#MedEd
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As a student, I LOVE THIS! Reps, reps, reps!!!!!
If you approach every low acuity call with the mindset of training for the high acuity patient, you will perform when it matters.
If you blow off the "BS calls" don't be surprised when you can't perform on the sick patient.
It's all practice and there's no substitute for reps
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