When you need to, will you cut the neck? 🔪 Here's how I stay prepared to perform HALO ( high-acuity low opportunity) procedures in the ICU. A 🧵 on preparing for high stakes yet r...

It is again this time of the year when I have to obtain recertification in Advanced Cardiovascular Life Support (ACLS). Will you help me read the modules and answer the questions...

🌟 A Thread About Best Next Steps for USMLE Questions and Real-Life Scenarios 🌟 Welcome to a guide for USMLE and real-life clinical decision-making. Here, we outline various clinic...

1/x. Been a while since I did a Pharma Reveal thread! Let me show you how doctors are SURGICALLY indoctrinated by Pharma. The keyword here is “SURGICAL”. Look at the short “insider...

Weekend learning: #POCUS guided lumbar puncture. Courtesy: Dr. Stone/Philips Healthcare 🧵 Step 1️⃣ #IMPOCUS #MedEd #FOAMed https://t.co/F860oN6JeK

You,an ER intern transfuse a 60yr ♀ with 2 units of blood🩸 5 hrs pass & youre about to leave for home,& she becomes severely breathless🥵 O2 sats〽️80% O/E 🔊Loud rales You shift he...

Some good news! We are now an approved center for TWO Gastroenterology & Hepatology (Medical) fellowship training seats by National Board of Examinations (DNB program, Post Graduat...

Optimising your echo windows: Do you stop when you get something vaguely like what you think it should look like? Or do you try and find something better every time? I’m forever...

🧵regarding some technical aspects of the needle holder and where to grip surgical needles, something you may not know about the packages they come in, and a comment about the ratch...

Echo is one of the more skilled ultrasound exams you can do. Having learnt it and now teaching it, I see the same mistakes being made over and over again. I have put together threa...

How I teach students & interns on rounds without 📜 & ✒️: 1) "You'll get an email summary at end of the day. Feel free to not take notes!" 2) Verbal teaching 5-10 minutes 3) Sen...

Cardiac Output by VTI! Summary slides from our next lecture, broken into 5 steps⤵️ @MGH_PCCM @HarvardPulm @MGHHCICU 1⃣ Overview & approach - and why you care. CO adds significan...

You get your A’s in high school. You decide you want to be the cliche neurosurgeon. You study medicine for 6 - 7 years as an undergraduate (factoring in Dr strikes, Lecturers strik...

@doc_on_the_run Yes, we have 12. There are 3-4 in the day, one at night. Resident cohort is 1–2 in the day, one at night, with a swing ER resident for some of the year.

Surgeons in training - be aware of context switching, attention residue and decision fatigue. Below is a near miss of mine I don't want you to repeat. #neurosurgery #training

@DrJMLuther @anna_burgner 1/ Agree that #POCUS training in #Nephrology is rudimentary at this time. Why? Main reasons: 1. Lack of trained faculty, 2. Lack of understanding of the u...

1/ Are you a new resident, fellow, or attending trying to improve your inpatient teaching skills? Then 👀 no further! This week, the @MedEdTwagTeam starts a 3-week summary of our...

You’re an intern called to review a patient with an isolated BP of 170/100. They're admitted with community-acquired pneumonia. Would you prescribe an antihypertensive? Open this...

31M presents for a routine health assessment. You notice a scar in the RLQ. What would you be thinking? Open this thread and I'll share my approach. @MedTweetorials #MedTwitter @...

20F presents with 1-week of sore throat, fever and malaise. You examine their throat and here's what you find. What would you be thinking? Open this thread and I'll share my appro...

1/ Potentially uncommon opinion in #MedEd: Illness scripts are helpful when teaching learners. However, I spent much of residency and fellowship training UN-learning illness scr...

1/12 Giving a talk to our UCLA IM Residents in the Med Ed Pathway @uclaimchiefs @PamelaTsing inspired me to make a thread on how to construct questions to maximize learning! Thanks...

Some prelim data from my MS4 project on Incorporating a Systematic Approach to Lab Derangements into @ColumbiaPS' curriculum: 50% of students after the medicine clerkship ("POST-IM...

On day 3 of #blocktober, we're changing gears to focus on the basics. One of my favorite parts of academics is watching a fledgling anesthesia resident grow their ultrasound skills...