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R Logan Jones, MD FACP
@rloganjonesmd
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Leading #CBME & #EPA @OHSUSOM | #TeachDx #MedEd with @ohsu_dhm | Passion Projects include #ChangeMedEd #AI #CBME #Advocacy #Policy | Posts = my 🧠only
Portland, OR
Joined March 2009
Here's my evergreen advice to #medstudents going to their interview for residency #Match2022. CC: @OHSUIMRes @COREIMpodcast @FutureDocs @londyloo @joshmcgoo @jbcarmody @aoglasser @pedsmd2b @Inside_TheMatch @thecurbsiders
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@CoryRohlfsen @DavidDeutschOxf @ToKTeacher @perigean @AdamRodmanMD @techczech Do you have a hypothetical example? You thinking like - “advise give 450 mg of pistachios daily x21 days” and the person does well, but it can’t tell you why other than nuts are great, is that knowledge?
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@VPrasadMDMPH Different day, same song we’re singing
As an academician educator/policy guy, I loathe academics. The world needs fewer academicians, but better academicians. We train students to drink academician kook aid, we really need to say more often - being a damn good doc is better than being an academician and encourage.
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RT @DutchRojas: I asked ChatGPT: If I were the devil and wanted to systematically destroy independent medical practice, how would you do…
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RT @DrDiGiorgio: This is relevant for the discussion about paying for retirement, especially long-term care. Paying for long-term care is…
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@JeremyNguyenPhD @monotanus @emollick Crossover design : half class gets at one time period then swap. Make sure grade impact similar for both footprints. Have to make sure final includes content from both (maybe even ideally with a washout period prior to final)
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@francisdeng @awsumpowers End up chasing academics. We need more willingness to embrace, encourage, and mentor community medicine. Other issue is fellowship that req faculty get pubs so use fellows to do it and a lot end up staying academic. So 5+ yrs doing research to feed academic machine as “dues”
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@nealkhosla @CoryRohlfsen But back to OG post, it’s a false equivalence to assume ppl with CV dz need a cardiologist. If primary care trained FM/IM docs equipped to do 90+ of CV issues; it’s that they don’t have time to so gets punted to Cardio. Use AI and policy to Fix primary care = fixed the issue 🙂
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@nealkhosla @CoryRohlfsen Physicians are becoming highly skilled tradespeople, leaving a unified profession behind. AI will help, but it can’t fix a broken system. We must decide how AI fits into care: reimbursement, ethics, and policy. It’s patching a sinking Titanic. Crisis will = opportunity tho.
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@nealkhosla @CoryRohlfsen Depends on what level of evidence is compelling, and what you consider health outcomes. Compare US to many other countries and quickly see that for pop health, low access to western med has limited pop wide impact when there is a strong social fabric and low obesogenic factors.
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@nealkhosla @CoryRohlfsen I see your role is ai adjacent - AI will improve workforce crunch a bit. Also, we kinda need to drop metric/value based primary care that strap docs with tasks that actually don’t offer much health payback if a doc is doing them. Again 1ary prevention is not a doc level job
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