Scott Fujimoto

Join me and this awesome cast of participants as I attempt to navigate the Tweetchat process🤣 #SIR2021

@TomShimoda Congratulations on your accomplishment! great place to train.

Matched into Cardiothoracic Surgery residency (I-6) at Loma Linda University! 🫀 Grateful for the incredible support and mentorship along the way. 🙏 It’s been a long journey and proud to have matched from Japan! 🇯🇵🇺🇸🇨🇦 Thank you, Yui, for always supporting me! #Match2026 #MatchDay @TheNRMP @ProjectImg @TSRA_official @hematoro1030

@ltyh_med @Jonas__Kruse @Yale_IR @TCUBurnettMed Congrats!

God is good!! Thank you to everyone: professors, mentors, family, friends 💖 this one's for you!! 🚀I'm going to @Yale_IR !! #Match2026 @TCUBurnettMed #IamIR #VIR

@nickmmark There’s probably a small percentage of accidental sticks that occur as a result of this and that’s not worth the cost of saving a few cents

I like the Wayne chest tube kit but I don’t understood why it has this little prison shiv of a scalpel. Was it too expensive to put an actual 11 blade in a $500 tray?

@Mishigamaw @txsportsdoc Elbow below shoulder on acceleration is set up for UCL injury esp throwing that hard

@txsportsdoc Can you explain why his form is bad? He actually has good form although it looks unorthodox coming from a low slot.

With this form, worry for early UCL tear coming soon. I’ve seen this many times. He throws so hard no one wants to address the form to protect his elbow.

@ross_prager Is it un-PC to call them a “black cloud” now?

During training I had a co-resident who liked to say they had the worst call karma. I was on call with them one night and finished what felt like a fairly routine shift. At handover they said, “Wow, that night was brutal, it’s just my bad call karma.” Over time, its become clear to me that what is labeled as “bad call karma” inefficiency, and sometimes gaps in competence, rather than bad luck.

@AmyPearlman1 Not necessarily guidelines but algorithms for sure do this. And unfortunately AI is going to accelerate this.

“Guidelines are designed to make bad doctors average and good doctors average” - just heard this quote. Do you agree or disagree?!

@Radonomix @DrLongissimus fb.watch/FcKPaZtI8k/?mi… Jenny Thompson is one

@DrLongissimus How many gold medalists anesthesiologists do you know? Because radiology has one en.wikipedia.org/wiki/Ben_Wildm…

If I had a dollar for every ex-Olympian I know who became an anesthesiologist, I'd have two dollars. Which isn't a lot, but it's weird that it's happened twice

@ZQHwriter @operationdanish @houmanhemmati I guarantee you there are several derm classes that are all women. Especially considering many derm programs are 2 or 3 residents per year

@operationdanish @houmanhemmati That 65% number does not accountant for race/ethnicity. There’s no Derm program out there that has all female Even all the ortho programs have at least one female But I do recall the podiatry Dekalb prog had all 5 female incoming residents 12 yrs ago

According to @houmanhemmati, there is reverse sexism at this program. His proof is that all 8 incoming residents are women. But, this is a great reminder that some people are just bad at statistics. Let’s use math to fight hyperbole. Statistically, what we’re talking about is a claim regarding a binomial draw from some underlying probability p: n = 8 residents p = probability a randomly selected resident (from the relevant pool) is a woman P(8 women) = Probability that all 8 residents in a program are women. If selection is “sex-neutral” with respect to the pool, the probability of 8 women is: P(8 women) = p^8 So the entire debate reduces to: what is p? Well, to calculate p, we need to look at what percentage of the baseline applicant pool are women. According to AAMC, women represent 55% of all applicants. If we say p is 0.55, the likelihood of one program having 8 female residents in 0.55^8 = 0.837%, which is 1 in 119. Seems rare… which is where hyperbole kicks in… BUT you have to take into account that there are lots of programs selecting residents every year! Let’s break it down: There are on the order of ~122 accredited ophthalmology residency programs in the US. Now apply basic multiplicity math. If each program has probability q = p^8 of producing an all-women class of 8, then the probability that at least one of N programs produces that outcome is: P(>1) = 1 - (1-q)^N Doing the math, P(>1) = 1 - (1-0.837%)^122 ≈ 65.1%. So, across the US, there is a 65.1% chance every year, that a program will have all female residents. Of course, not all programs have 8 spots and the applicant pool for optho matters, but both of those parameters would only increase this percentage, given that it is statistically easier to get an women class if there are less spots and women, on average, tend to apply to “lifestyle” residencies more than men. I’ll stop there and let the math speak for itself.

@operationdanish @houmanhemmati While your math is impressive, rank lists and the match are not random. there are so many more variables that make it more likely that a class is all female or all male

@AhmadRehanKhan I have no doubt that Dr. Coleman-Belin is supremely qualified. And I applaud the high achieving all-female class. Sometimes that’s how the match algorithm works. Goodness knows how many extremely gifted female residents I lost to UCLA.

@AhmadRehanKhan I’m a former residency PD. I cannot think of a single greater advantage for a medical student than having their parent be Chair at a high ranking institution. To claim this advantage as akin to others that “have local ties” is laughable.

Ophthalmology is one of the most competitive specialties in medicine, and UCLA is unquestionably among the top residency programs in the country. Seeing a class of 8 out of 8 female residents should not come as a surprise. Female medical students consistently demonstrate exceptional academic performance, leadership, and resilience. Some have raised concerns about one incoming intern being the daughter of the UCLA Ophthalmology Chair, Dr Coleman. Having worked in academic medicine, I can say this clearly, residency selection processes are highly regulated, multilayered, and scrutinized. It is simply not possible to match solely on the basis of lineage. Yes, having local ties, familiarity with the program, and mentorship can offer a degree of advantage, the same advantage many applicants benefit from in different forms. That alone should not be conflated with favoritism without evidence. Credit should go where it belongs, to the merit, hard work, and excellence of these residents. Best of luck to these eight outstanding young women as they begin their residency journeys.

@TheTrueVanguard LOAD"*”,8,1

Prove to me you’re an old gamer in one sentence. I’ll drop a like if I’m convinced.

@PatrickCPresent I think it has more to do with those 2 double shifting with 11 forwards dressed more than a huge change in the PK personnel

Carlsson killed for 17 seconds, and Terry killed for 18 seconds in this game. The coaching staff clearly overhauled their personnel deployment tonight, and got rewarded for it #FlyTogether

Will be attending @HLTHEVENT #hlth2025 would love to connect and chat about the latest in AI and healthcare innovations. Let me know if you’ll be there!

@drjohnnyd Thanks for this, i was going through the schedule and its overwhelming!

For all of the physicians going to @HLTH25, here are some great speakers and events.

@keithppereira @saherssabri @maninbsir @SIRspecialists @theAPDIR @SIRRFS @WashUIR @ABR_Radiology @francisdeng @roblookstein Keith you know there’s no easy way when it involves funding. Keep an eye out for the proposal for 14,000 new Medicare supported residency spots and apply for your increased complement ASAP if it gets passed!

@saherssabri @maninbsir @SIRspecialists @theAPDIR @SIRRFS @WashUIR @ABR_Radiology @francisdeng @roblookstein Agree. The demand for Integrated positions continues to be robust, and that's exactly the pool of applicants we looking at. Is there an easy way to convert these independent positions to integrated?

Only 48% of programs filled in Independent IR match. Where is it heading?. 146 spots-Only 94 applicants. How can programs handle this? Its a not straight swap for Independent/ Integrated spot. @SIRspecialists @theAPDIR @SIRRFS @WashUIR Any answers? @ABR_Radiology @francisdeng

@TherealDoctorJ Every time I’ve suggested this as a source I’ve been poo poo’ed by surgery that it definitely couldn’t be dropped stones

Dropped gallstones due to accidental perforation of the gallbladder wall during lap choles can be a nidus of infection with subsequent abscess formation. Most cases of complicated dropped stones required open surgical drainage.

@TitansMan97 Wish i were there!

I love it when work flies me back to the motherland! Sharing treatment solutions with physicians for patients with venous thromboembolism is my passion! (It also pays the bills so I can fly from CA to watch the #Titans during football season!) #SIR2025 #Nashville #InariMedical

@KyleCooperMD @DGlaucomflecken IO fellowship kills me. Most fellowships already are 90% IO wth you need another yr of training for

@IRDocFuji @DGlaucomflecken And they are talking more and more about post IR residency fellowships (vascular, IO etc etc). It never ends

This speaks to the hyperspecialization of medicine. I went to a residency program that prioritized training “general” ophthalmologists. The goal was to make you competent practicing right out the gate. If you wanted to do a fellowship, great, but it was not the expectation. Society needs 100x more “general”physicians than physicians who specialize in cone photoreceptors. This should be the goal for EVERY residency.