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Michael Jones
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Michael Jones
@Jonesy_MA
PGY-6 Hospitalist @EmoryHospMed /// S/p @EmoryMedicine @RWJMS @SmithSchool @4kForCancer /// #DxReasoning #WildyMed #TheSevenOff /// 🇬🇧 roots /// ✌️💙🚲
Atlanta, GA Katılım Şubat 2017
1.9K Takip Edilen1.4K Takipçiler
Michael Jones retweetledi
Michael Jones retweetledi
The solution to burnout for trainees is really straightforward. Give them time off
Adam Grant@AdamMGrant
Weekends shouldn’t be time to recover. They should be time to rejoice. Burnout cultures exhaust us through the week and force us to recharge on the weekends. Healthy cultures provide daily space to refuel. Places that continually deplete our energy don’t serve our well-being.
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Imagine 🤓
Grand rounds series re international providers + practices. Everyone doing annual checks, biannual dental, heavy statin rx etc? What are trends + outcomes with varied practice 🤓
I fear US based practice is and is becoming more defensive and financially incentivized
English
Michael Jones retweetledi
Most common mistake I see with PPI recommendations from non-esophagologist GIs: assuming all have equal potency. #DDW2023
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Michael Jones retweetledi
I argue against sodium restriction in acute heart failure. The line of reasoning is that:
(1) Current evidence suggests restriction is not helpful.
(2) And may be harmful.
(3) There is a solid pathophysiologic basis for this evidence
Guilherme@guipenteadoo
@NEJM Essa aqui eu queria ver gente grande discutindo, vou marcar vai que alguém vê: @vitorborin_, @josenalencar, @igoreckert, @lcos3060 This one I’d like to see doctors discussing, I'll tag some of them, maybe they can argue: @tony_breu, @Paddy_Barrett, @nickmmark
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Michael Jones retweetledi
TW: Death
Our hearts are heavy this morning with the devastating news of @Rafameed's passing.
Rafa's enormous heart, contagious smile, and unwavering brightness touched every corner of the CPSolvers community and rippled far beyond.
We miss you, dear friend.
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Michael Jones retweetledi
Michael Jones retweetledi
albumin-corrected calcium level is *less* accurate than the uncorrected total calcium level 🤯
I think we all know that that albumin-corrected calcium is junky and you need an iCal to really know the biologically active calcium level... but I didn't realize how bad it is 😬
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Diagnosis: H pylori gastritis
Poll 🤷♂️
Due to high clarithromycin resistance in the US, I skip triple therapy and RX quadruple therapy first line
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Michael Jones retweetledi
I am interested specifically in what is gained in an act of translation as opposed to what is lost. -C. Kent.
In new paper we found 99.62% of authors in CPSolving articles were from High-Income Countries...
Now that we know what is missing, excited to see what we can gain...
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Attempt to demystify conversion factors to oral morphine equivalents 🤷♂️ Anyone have better approaches? Feel like their should be a standardized way to go about conversion
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@Jonesy_MA thecurbsiders.com/teach-podcast/…
"Focus on the learner’s growth points– don’t spend 15 minutes taking a history in a morning report of primarily residents, instead focus on differential and management."
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I often find emphasis of case conferences centered on info gathering “what more Qs” “what labs” etc
Upfront focus on this leaves less spotlight + mental energy for data interpretation + synthesis
I see merit in the former but think we need a strong cognitive shift to the latter
English
Do any IM programs out there have dedicated rotations to clinical and diagnostic reasoning?
More than a morning report or grand rounds here and there?
English
Saturday AM ☕️ is better with clinical unknowns and masterful clinical reasoning 👏 Take a listen!
“Clinical reasoning isn’t about solving a problem, it’s about knowing which problem to solve” 🙌
Rabih Geha@rabihmgeha
The case from @AnnaFretz & @ViriGarcia__ set up a great clinical reasoning journey. Really enjoyed the dialogue with @Bob_Wachter - your clarifying questions help establish a level of clarity we don't see in other CPS exercises. Thanks to everyone involved!
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@the_matelski @zachary_c_owens I certainly do struggle sometimes though with the density and richness that medtwitter can be ie feeling overwhelmed with the amount of info and resources and wanting to keep up. Idk if others feel this but probably another role for lists here to filter one’s experience
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Just to get a sense, are people still using #MedTwitter for educational things? Has Twitter become unusable?
I’d like to get back to #DxRx pearls and cool cases but are we engaging here in the same way as back in the old days?
@zachary_c_owens @Jonesy_MA
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@the_matelski @zachary_c_owens 100%! I think the new recency algorithm makes the home feed challenging based on your follow count so I think #medtwitterlists is helpful to more so curate your experience
Aka retweet what @ASanchez_PS said 😂
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Michael Jones retweetledi
