David Bates

Chris Koller spoke today at BWH grand rounds. Financing for primary care is insufficient, and this level of support has been going down. Access has gotten much worse. The Massachusetts Senate has passed a bill that would require institutions to spend 15% on primary care.

@guttenbirder22 That is extreme!!!

“Hmmm I’m just not seeing anything. Did it fly?”

How I feel leading a field trip when my participants can’t locate a bird, even though it’s the only thing in the scope and it takes up 2/3 of the field of view.

@jeff_witters @evornithology @TheBirdist @guttenbirder22 @RyanFMandelbaum This is the best one in my opinion.

@evornithology @TheBirdist @guttenbirder22 @RyanFMandelbaum I went a year ago. Get this OG guide app, a bit clunky but really useful. Then pick up a hard copy of Helm Birds of EC Friele & Restall. Many of Restall’s illustrations are not great but they mostly work for ID. Have EC pack downloaded from Merlin, though it’s 50% useful, tops.

Got a trip to Ecuador coming up. Any recommendations for bird field guides? Any of the apps good? @TheBirdist @guttenbirder22 @RyanFMandelbaum

@guttenbirder22 I am always hoping for a nighthawk at such events!!

eBirding the Mumford and Sons concert

@evornithology Did this come down to a net? I only see them in the tiptop of trees.

Ceruley woo woo! 🩵

@dhitchcox I would be afraid to hear the recording!

Continuing my goal to record 200 species of birds in Maine, this Ruffed Grouse during the Downeast Birding Festival was a pretty easy addition

It’s a real honor to receive an honorary doctorate of science from @BrownUniversity . 😍

We've written about AI-induced physician deskilling that has already surfaced thelancet.com/journals/lance… @tberzin AI-induced never-skilling among newly trained doctors, while not yet proven, is a serious concern that needs to be addressed @NatureMedicine @nliulab nature.com/articles/s4159…

@dhitchcox That is great pickup!!

Picked up #416 for my Maine list at my favorite patch (Monhegan Island) during a field trip for the Acadia Birding Festival today! Also was my 3,200th county tick for Maine (notable as averaging 200 per county)

Today in @JAMANetworkOpen, my group @clai_group at Harvard/MGH reveals a massive 10-million-person blind spot in U.S. healthcare. 🧵 jamanetwork.com/journals/jaman…

@guttenbirder22 77

Give me a number between 1-131 and I’ll give you a species of tyrant flycatcher I’ve seen.

@guttenbirder22 Least

Empid quiz time. Locations around northeast Montana,

@guttenbirder22 Dusky

@guttenbirder22 Hammond’s

@guttenbirder22 Willow

@RyanFMandelbaum That is an awesome queens day! Impressed in particular with how many ducks and shorebirds you were able to find.

my friends invited me to their annual attempt to see as many birds as possible in the nyc borough of queens and we broke the county record with *153 species in a single day!* (a few sensitive breeding species left of the list) ebird.org/tripreport/522…

With predictable long term consequences for wealth, health, and happiness. Pediatricians ought to be in the vanguard of tracking this, publicizing it, and intervening.

NEJM: New research reveals a massive concentration in medical malpractice: just 1% of all physicians account for 32% of all paid claims🩺⚖️ It seems risk isn't random—it's highly concentrated among a small group of practitioners. Full study: nejm.org/doi/pdf/10.105… @EricTopol

We’re delighted to announce Pedro Delgado as CEO of ISQua, effective 1 Sept 2026 🤝Pedro brings 16+ years at the Institute for Healthcare Improvement, leading global work in quality improvement, patient safety & health equity. Find out More 👉 bit.ly/3OORSVG

@AJBloodMD He was an extraordinary figure, so many key contributions!!

Saddened to hear of the passing of the man, the myth, the legend Eugene Braunwald. Inspired by his incredible career and the sheer magnitude of his impact - teaching and authoring papers well into his 90s. I am fortunate to count myself as someone who learned from him! May his memory be a blessing. His emphasis that patient care, research, and education can - and should - be part of the highest quality medicine we can continually practice and learn from is something I will always carry with me. @BrighamFellows, @bwhcvls, @TIMIStudyGroup, @ankeetbhatt, @nauffal_victor, @DeepakAtriMD, @SunnyVMD, @ZaidAlMarzooq