Who orders low-value imaging or prescribes antipsychotics for patients with dementia? New 📝 JAMA Network Open led by 🌟RA/future MD Emma Chant unpacks sources of, and spending on, 40 low-value services within US health systems jamanetwork.com/journals/jaman…

If you'd asked me 15 years ago "What is the best quality for an academic physician to have?" - I would have answered: Intelligence. Ask me today, and my answer is: the ability to close (aka. can they get the job done) Junior faculty: don't underestimate finishing what you start

Really cool study, and I'm not biased because I work with these fine folks😁

1) Our new study, out last week The BMJ, tackles racial disparities in low-value care - services that offer patients little to no benefit yet can cause both direct and cascading harms and divert resources from needed care. (1)🧵👇

NEW in The BMJ w. Chris Moriates, MD. ⬇️ low-value care is SO important in health care…but it has to be done with an 👀 towards #HealthEquity. Commenting on brilliant work by Ishani Ganguli MD, MPH et al, we discuss why equity must be at the core of all value work. bmj.com/content/383/bm…

This is just going to be an angry rant, so feel free to skip. But read ahead if you want to know the real reason why no one goes into primary care or geriatrics. Because we get piled on by literally everyone in the system.

If you have ever tried to explain the US drug reimbursement system to anyone, then you know it is not easy In JMCP, Anna Hung and I have written an overview of the parties and transactions involved, accompanied by illustrative graphs jmcp.org/doi/epdf/10.18…

Super proud of Anita Leon-Jhong, a star Pitt General Internal Medicine physician, who has brought her dedication and expertise to creating this wonderful environment. post-gazette.com/news/social-se…

Attendings keyboard looking like this

"We must walk consciously only part way toward our goal, and then leap in the dark to our success." - Henry David Thoreau Planning, preparation, and execution will only take you 95% of the way there. The last 5% requires a leap of faith. Embrace it. - Sahil Bloom

Join us 2/21 for the cyberseminar “Use and Cost of Low-Value Health Services by Veterans in VA and non-VA Settings” by Thomas Radomski and C from @vaequity. 2pm ET. Learn more and register: veteransaffairs.webex.com/weblink/regist…

Every academic needs friends who have no idea what you research and don't care.

Hope to see you there!

Any board-certified and respected physician that reviews this read out of ⁦President Donald J. Trump⁩ most recent physical exam would agree its comprehensive, stated without bias and without red flags. Any effort to state the contrary won’t be driven by a credible medical voice.

#SGIM24 was fantastic. Can’t wait to co-chair next year’s #SGIM25 meeting in Florida. Let’s get it Dominique Cosco !

1/ ‼️ NEW in JAMA Internal Medicine. In our latest, @michelleskeller and I introduce a new research framework for older adults: “Deprescribing Equity.” A brief 🧵 on why this framework is needed and our recommendations for how we can achieve this goal. jamanetwork.com/journals/jamai…

Every American should get to see this clip of Vice President Harris Retweet so more can

NEW >> Vice President Harris releases her closing 2-minute ad - “Brighter Future” Centers the American people, not herself WATCH:

I'm proud to announce our new paper! Moving to a long-term care facility is a major late life decision. I know I've often benefitted from others' advice for my major life decisions. So I wondered: what advice is there for moving into an LTCF? agsjournals.onlinelibrary.wiley.com/doi/epdf/10.11…