P. Zhen Chan MD MBA (陈振友)

@BillOccham0 @lindendoss @VPrasadMDMPH @DGlaucomflecken Rightfully asked question. Like my question on why this then? 👉 beckersasc.com/anesthesia/ane…

@lindendoss @VPrasadMDMPH @DGlaucomflecken Uhh🤷🤷🤷

I see people are retweeting this in the wake of the assassination. That's in poor taste. Glaucomflecken is not actually a student of health policy. He doesn't understand insurance. Denying coverage does not increase their profits. That idea may have gotten someone murdered. Sad

@VPrasadMDMPH If denying coverage isn’t for the benefit of the bottom line, then why would a commercial payer CAP ANESTHESIA COVERAGE FOR SURGERIES?! If it’s not gonna benefit profits… and it’s definitely not gonna benefit patients, then why?! beckersasc.com/anesthesia/ane…

@DocDifferently Agreed!

@Zhen_MD Thanks for that, but I don’t buy any of their reasoning. Peds residents manage those same complex patients for 3 years. “Resource utilization” and “multidisciplinary care coordination” can be refined as junior faculty, rather than as underpaid fellows for 2-3 years.

Why are hospitalist fellowships forced on peds residents, but not IM residents? Same inpatient/outpatient ratio residency structure as far as I know. IMO, it’s easier to convince women that they don’t know enough (even when they do) and scam them into this redundant training.

@DocDifferently China too

U.S physicians can also practice in Canada, Israel, Australia, New Zealand, Bermuda, and Singapore.

@PedsHemeDoc “Should I eat it” would’ve crossed my mind 👀

Pulled a pair of shoes out from under my desk to wear at work and found an almond in one. Is that good luck or something?

@olsonplanner 💯

@Zhen_MD No research in an organized fashion though I definitely read a lot about it. The irony of how this has played out is so 🤦🏼‍♂️

As a financial advisor who is allowed to own a financial advisory firm, I find it absurd that a physician can’t be an owner of a hospital. 🤷🏼‍♂️ How was this ever conceded??

@jbcarmody 7 years through med school and residency and not a single red flag was raised????

Every now and again, I peruse the state board of medicine’s disciplinary notices. And every now and again, I see one that truly makes my jaw drop.

Don't recommend being the patient yourself. Still febrile and on bolus #2. Told them if I needed surgery, my coresidents better be allowed to do it😎

@kwilliams_2024 When you’re a first year attending and you feel dumb but it’s basically just your decision now.

when do i stop feeling dumb in this whole residency thing pls lmk

The other day I’m checking out at Whole Foods and bought wine. The guy who checked my ID just rounded my birth year up to 1999 cuz it’s easier to put than 1992. The AUDACITY.

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From an employer’s viewpoint, APPs are cheaper and can do a “good enough” job so they’ll always advocate for that. Private equity looking to flip a healthcare organization to make a return on their investment will also be interested in finding that more affordable solution. As for the training question, resident pediatricians ask that all the time. The best answer I have heard from only one person out of all the people I’ve asked (most who can’t give a clear answer), is that hospitalist medicine in peds is no longer the routine cases, it’s a lot of complex care coordination that requires that extra training. Now… I said best answer, not an awesome answer. My counterargument would be regardless of the care, residency is still mostly inpatient medicine and if you are training at an academic center, you’re seeing those complex care cases so why the need for an extra 2 years fellowship. I guess for someone coming out of a community hospital program, it could be helpful. Community hospitals don’t require their peds hospitalist to have done a hospitalist medicine fellowship as much as academic centers will require that training.

In case you needed further evidence that #pediatrics is an undervalued speciality, I just got off a call with a recruiter from @EagleTelemed offering me $16/hr to cover a 5 bed rural #PedsICU for 24 hrs via telemedicine due to a lack of in house physicians. $400. Flat rate. For 24 hrs. No additional compensation for time spent managing pts. $400 flat rate to be immediately available at any moment day or night to manage a critically ill child by a physician double board certified in pediatrics and pediatric critical care. That’s less than minimum wage in some states. I never expect to get paid well in peds, but that is insulting. #MedTwitter

@WendyHassonMD @EagleTelemed Absurd

@Zhen_MD @EagleTelemed It is, and she said it’s “non negotiable”

@jasonryanmd This must be what working in palliative care feels like

Alright, everyone. Election’s over. Time to go back to work.

Everytime @SteveKornacki apologized for a mistake, I actively said “it’s ok, Steve, keep up the good work.”