Richie Cunningham
1.3K posts

Richie Cunningham
@HappyDays_EM
recovering west coast elite practicing community medicine in God’s country
Katılım Ekim 2020
254 Takip Edilen127 Takipçiler

120+ unfilled spots in ID fellowship this year highlight a troubling trend. Infectious diseases are critical to public health, yet the specialty faces significant recruitment challenges. How do we make ID more appealing to future trainees?
#infectiousdiseases #ID #fellowshipmatch
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@jasonryanmd Have no idea if the numbers are true but I’m certain 90+% of these publications contributed nothing meaningful to scientific literature
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@Dr_Oubre COPD and CHF seem to be similarly propagated.
“Do you have COPD?”
“People here tell me I do”
“Have you ever smoked?”
“No”
🤔
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“Can’t do MRI due to pacemaker.”
Just a simple line, right?
Until it gets carried forward for weeks.
No questions.
No confirmation.
Just blind trust.
Finally, someone digs in and discovers the truth:
The pacemaker IS MRI-compatible.
But it’s too late.
Patient care has already been delayed.
This is your reminder:
Your notes are not just for you.
They shape decisions and can harm patients.
Document with precision because people may take what YOU write as as gospel-truth.
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@jasonryanmd Also making standardized testing and medical school grades will only worsen the worthless research arms race and put students without wealthy backgrounds who went to “elite” institutions at further disadvantage.
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Medical school will always be harder for those without family/personal wealth because (1) you have to pay for it and (2) there isn’t enough free time to work. We shouldn’t make it even harder by requiring outrageous research experience for residency which favors those with money to take time off.
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@HomelanderMMA “He’s gonna lose his eye”
What kind of doctor did they have in there?
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@AnilMakam Australia/New Zealand are light years ahead of us
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This is the type of work NIH should be funding - generating rigorous evidence for everyday clinical practice
Paul Young@DogICUma
Funded by the @HRCNewZealand (& others). A great international collaboration #BALANCE Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections | New England Journal of Medicine nejm.org/doi/full/10.10…
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@BillKrackman Don’t act like a rich person if you aren’t one you twat
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@stengel Motherfucker if you are still counting votes your votes shouldn’t count
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@MyLatinLife Clothes in the sauna is for prudes and ameteurs
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This is why LatAm is trailing economically. No saunas.
vittorio@IterIntellectus
my european mind can’t comprehend why americans wear clothes in the sauna
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Richie Cunningham retweetledi

@JonahFights Oh the good old days when the commentators had no idea what the fuck they were talking about
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@sharghzadeh Damn this shit hits different. Explains why above average Europeans are mid af
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In some societies, it's safe to be an average person. Europe is the best example of this. If you have no personality, ambition, or interests, you will find yourself relatively healthy, cultured, and happy, more or less by default.
Your society, both at the government and family level, ensures your food is healthy. You are cultured to some basic standard. Any career provides growth and stability, health care, and vacation time. It's safe to be a normie, perhaps preferable.
America is not a society for normies. You have no choice but to excel. You will be fed poisonous slop. Your common culture doesn't draw from a sophisticated canon including Goethe and Dante—your brain will be fried by popular culture and TikTok. You won't get a good job, you'll be a cashier working the night shift without health care.
In many ways, America is a jungle, and Europe is a zoo. If you're in the jungle, you had better be ready to fight or die viciously. It's not pretty. No one tells you this, you either figure it out and fight, or you're torn to shreds by someone who did.
This is why so many low-ambition Americans crave Europe. They regret their ancestor's decision to get on the boat. Deep down they know Europe matches their energy.
The Sopranos is basically about this. There are lessons everywhere for those with ears to hear them.
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