Eric Fox

@UHC United Healthcare I waited a week for a peer to peer on a complicated case. I was finally connected with a NP who told me no matter what I said the request would be denied as it is off label. How is this a peer to peer? This is just a rejection I waited a week to hear.

I remember as a medical student, a certain EMR was being launched in a hospital in which I was rotating. The EMR roll-out team was hosting a session with the doctors, explaining how the latest update added just a few clicks here and made things just a few seconds slower there. There were groans and consternation. The EMR representative couldn't understand why doctors were getting upset at just a few more clicks here and there. That was 14 years ago. I have had many more interactions with people who control how EMR functions. I'm still waiting for a meeting where they talk about clicks they've eliminated.

Things that may increase risk of burn out: - Expiring passwords - Two factor authentication - Secure emails - Sharepoint sites that email access codes

@AaronGoodman33 @MorieGertz MOC is a total fraud

@DavidACohen3 @Lankenau @PhillipJGaryMD @EBondarsky @tamer_khashab @mainlinehealth @swarthmoredoc @thecurbsiders @COREIMpodcast Go @PhillipJGaryMD !

Virtual Grand Rounds this Friday @Lankenau with former resident and chief resident @PhillipJGaryMD on Lung Ultrasound. @EBondarsky @tamer_khashab @EricStarFox @mainlinehealth @swarthmoredoc @thecurbsiders @COREIMpodcast

@doctorwes @ABIMcert Terrible

All "evidence" published before or after 1990 in support of MOC is little more than propaganda. In @ABIMCert 's own words:

Excellent Virtual Grand Rounds this AM on Immune Thrombocytopenias with @arnolddma1 from McMaster. @AaronGoodman33 @connors_md @acweyand @DoctorWatto @BrownJHM @AlishaMaity @EricStarFox @tamer_khashab @MacDeptMed @thecurbsiders @mainlinehealth

@DavidACohen3 @AaronGoodman33 @TTelvizian @AlishaMaity @thecurbsiders @COREIMpodcast @davidhenrymd @Hema_News @connors_md @RosovskyRachel Great talk despite the minor security interruption! @AaronGoodman33 !

Outstanding Virtual Grand Rounds this AM @ Lankenau with @AaronGoodman33 from UCSD on Monoclonal Gammopathies for the Internist. Never stop learning @TTelvizian @AlishaMaity @EricStarFox @thecurbsiders @COREIMpodcast @davidhenrymd @Hema_News @connors_md @RosovskyRachel

@drkeithsiau Lyme

Bullseye rash in a patient with fatigue and muscle aches. What’s the diagnosis?

@doctorwes @ABIMFoundation So corrupt

A history lesson: How MOC came to be, according to an interview with John A Benson, Jr, MD (excerpts and a link to the full interview for all to review) medtees.com/content/JohnAB… (The purpose for the $2.3 million condo for the @ABIMFoundation might also be revealed here)

@doctorwes @chadinabhan @ABIMcert Your work is appreciated. Keep it up

Regarding the podcast with @chadinabhan this AM, I must thank the support of so many people. First and foremost, my family, who has felt the stress of investigative reporting and watched the obsession of their father who was committed to revealing the truth regarding @ABIMCert /1

Exploitative organization at best. No data for MOC. This needs to stop

@chadinabhan @AaronGoodman33 @RichardBaron17 This is so tone deaf. They may delete this just like the “do MOC on vacation” tweet. Don’t enjoy hobbies (like photography) , do the thing that pays my salary instead.

This Tue AM, I host the epic discussion btw @AaronGoodman33 and @RichardBaron17 on the MOC of the ABIM exclusively on #HealthcareUnfiltered podcast. This is a clip from the pod that U will NOT want to miss. It all started with a petition, now with >11k signatures. watch it all

@ASkarbnik @Cigna Wtf, how

Hey @Cigna, what’s the deal with denying R-CHOP for a patient with DLBCL?? Are you guys insane? What do you suggest we treat with? Ginger? Prayer? The practice of medicine just keeps getting more ridiculous by the day.

Eliminate ABIMs MOC requirement - Sign the Petition! chng.it/BHVXyXqr via @Change

@ABIMcert This is horrible

@RichardBaron17 @chadinabhan @ABIMcert Can’t wait for this

@chadinabhan @ABIMcert Reading the questions/interest about the MOC program, I’m happy to discuss the evidence and value for MOC with you. ABIM is a listening organization that only improves by engaging with the community of physicians we serve. You can reach out to press@abim.org to schedule.

I invite @RichardBaron17 of @ABIMcert on #HealthcareUnfiltered 2 answer Qs all MDs have about the value of recertification. @AaronGoodman33 efforts R excellent and I urge all to put similar pressure on their own hospitals 2 not mandate the recertification for staff privileges.

The NBA has an epidemic of players trying to draw fouls instead of playing basketball.

@knowmedge Not a straightforward answer..

Q4: IVIG or glucocorticoids should be used in managing ITP when the platelet count is below what level? #ABIM #USMLE #NBME

@nihardesai7 What if this patient had night sweats and fatigue? I have many patients like this and I’m always challenged by whether it’s due to the cll or due to one of many other reasons!

Hey #medicine residents ! 63,♂️, is referred by his GP for lymphocytosis. Flow confirms CLL. He has no palpable nodes, no organomegaly, no cytopenias. Absolute lymphocyte count is 40,000 ! FISH shows del17p😮 Would you treat ? If not, why ? If yes, why ? #MedTwitter