Thilan Wijesekera

Any rising IM PGY3 or chief residents looking to expand your #MedEd skills, please consider applying to the MedEd fellowship @yalemededfellow Grads include MedEd ✨s &trailblazers @katie_g_md @MedEdAnimation @thilanMD @FlourishingMD @CarolynAChan @drchefnate

Huge shout out to @thilanMD for organizing an amazing day of clinical reasoning teaching So much learning from @Gurpreet2015 (thanks for coming!), @ERoesslerPAC (uncertainty!), @sostfeldjohns (equity!), & @thilanMD (management reasoning!)

Part 2 How to Teach Management Reasoning via @WSUMedicine FAMER faculty development is 2/7 12:15PST with @andrewparsonsMD @thilanMD & @EmilyAbdoler Register here if you are an IM, FM faculty member in the PNW! form.asana.com/?k=CuxgjczMTou…

@ASanchez_PS yup! Yale was one of the sites for this study. Got to review a bunch of these cases with @abcmsankey and @sostfeldjohns

On Dx errors for hospitalized adults transferred to the ICU or who died in the hospital 📜 "The most prevalent diagnostic process fault were problems with assessment, access and presentation faults, and problems with testing." @thilanMD

Excited for “How to Teach Clinical Reasoning” @WSUMedicine FAMER faculty development series! TODAY @ 12:15 PST - diagnostic reasoning with @ProvSwedish hospitalist educator Dr. Wendy Hansen 2/7 @ 12:15PST - management reasoning with @andrewparsonsMD @thilanMD @EmilyAbdoler

Our Medical Education Career Panel was a great success last night! Big thanks to our panelists @thilanMD @hull_md Dr Joe Donroe, Dr Alfred Lee, and Dr Carmen Black and mentor Dr Janet Hafler. And shoutout to the rest of the organizing team - Ethan, Tyger, and Kyra!! #MedEd

Check out Dr Wijesekera @thilanMD sharing his & colleagues work x4 posters covering a WHOLE #SIDMCleveland2023 wall! #Impressive He & team are doing something right/great work at @YaleMed #MedTwitter @ImproveDX @ypc_chiefs @YaleIM_Chiefs @YaleIMed sidmconference.com/speaker/thilan…

Excellent session #AMEE with @andrewolsonmd @andrewparsonsMD @thilanMD and others, learning more about embodied, situated and distributed cognition, teaching and assessment. Session is overcrowded so for those not fitting in the room: Read more here: degruyter.com/document/doi/1…

Appreciate @jessdreicer @andrewparsonsMD @andrewolsonmd @JRencic et all keeping me honest about clinical reasoning and terminology! @ImproveDX #TeachDx #MedEd Framework and Schema are False Synonyms: Defining Terms to Improve Learning pmejournal.org/articles/10.53…

Had fun with @andrewparsonsMD, @EmilyAbdoler, @JRencic, @CookMedEd on this piece from @acphospitalist! Thinking about how you treat | acphospitalist.acponline.org/archives/2023/… #clinicalreasoning #MedEd @ImproveDX

We are currently seeking candidates for our fellowship for the 2024-2025 academic year! We are passionate clinician-educators who provide teaching, mentorship, and collaboration to foster medical education scholarship. We'd love to have you apply: medicine.yale.edu/intmed/genmed/…

Great primer on #ClinicalReasoning in patient care management: ➡️Develop a “management script” ➡️Discuss testing & treatment thresholds ➡️Engage in shared decision making ➡️Prioritize high-value care ➡️Embrace uncertainty #MedEd #MedTwitter #ManagementReasoning

👋 Welcome to tonight's #JHMChat! I'm @jenreadlynn & I'll be your moderator. Go ahead and introduce yourselves as we get going! 🤔 Let's get the convo flowing - what did you think you would do before med school vs. now? 📘 Article by Dr. @abcmsankey : bit.ly/41Zaowi

Are you a GIM clinician educator looking to build #MedEd scholarship skills? Apply for the @SocietyGIM Medical Education Scholarship Faculty Development Program! Led by @AagaardEva @ShobhinaC @katie_g_md @docrck Steve Haist & Donna Windish sgim.org/meded?_zs=UCVE…

1/ Why do trainees join clinician educator tracks (CETs) during residency? How do CETs contribute to educator development? Sharing paper in @JournalofGME co-authored with @katie_g_md & @abcmsankey, with 🔑 points in the following 🧵! #MedEd #MedTwitter doi.org/10.4300/JGME-D…

Don't miss your chance to enter posters and oral abstracts that contribute to and advance the diagnostic quality and safety field. Link: ow.ly/IsMq50Nzm2l @CristinaMDNYC @DanaLSegal @danberg947 @DrMaryDahm @harryhoariii @thilanMD @TinaCifra @vschaye

12/ @EmilyAbdoler @andrewparsonsMD @thilanMD & @JRencic have shared some strategies for tackling these issues. For example: 📐 Templating - to ensure completeness of management scripts ⏸️ The 'management pause' - to explore alternatives "out loud" pubmed.ncbi.nlm.nih.gov/36420532/

10/ 2⃣ “Identifying management options” Once a "problem" has been established, clinicians need to be able to generate a menu of potential management options. This pre-compiled list of actions activated by a working diagnosis is a management script. pubmed.ncbi.nlm.nih.gov/32349018/

4/ Fortunately, there's been an explosion of helpful publications & other resources over the past few years w/ specific tips on teaching management reasoning. I’ve highlighted a few here. I have drawn on these & many others to craft this thread, & added some of my own pearls.

Finding your niche is usually not a straight line. Great advice in @JHospMedicine by @chbmsankey and @MSBI_IM hospitalist Alfred Burger. Have a growth mindset, find your passion, be ready to pivot. @IcahnMountSinai @DOMSinaiNYC …mpublications.onlinelibrary.wiley.com/doi/10.1002/jh…