Residents are telling me they're still being taught old billing rules. Reminder, since Jan 1, 2023: 🔶 HPI has no strict billing requirements. It simply needs to exist 🔶 Same for physical exam 🔶 ROS is no longer required 🔶 PMH, FH, SH are no longer required Also a reminder:

📄 20 studies that Internal Medicine Residents should read in the first year 👇 1/ 🏃‍♀️ RACE II trial: Lenient resting HR < 110 was non-inferior to a strict HR < 80 in patients with atrial fibrillation. 🧵

This is a new low in an endless stream of unconscionable violence. The repeated strikes on hospitals, ambulances, densely populated areas and refugee camps are disgraceful. How many people have to die before world leaders wake up and call for a ceasefire?

Not the right tibula!!!

How about a randomized clinical trial? Two hospitals: Sending out these "hospital and ER are full, discharge people faster" emails vs. Investing resources to make more clinical services/tests available 7 days/week instead of 5 Endpoint: Change in length of stay

Me, every year at this time

There is NO billing requirement for raw lab data to be pulled into your note without interpretation. (There might be some reasons for doing so, billing just isn't one of them)

No. No. People are sleeping on the streets HERE. People are going hungry HERE. Babies go to sleep at night in the cold HERE. Enough.

Simple twice a day walks for hospitalized patients was very effective at preventing declines in life space mobility. One of my favoriate Geriatrics studies jamanetwork.com/journals/jamai…

LA is entering the dreaded "it's significantly colder in your home than outside for reasons that remain elusive" season

excessive red tape surrounding methadone harms patients. even on the inpatient side, it's much easier to order high-dose IV hydromorphone than it is to order methadone.

I witnessed an LAPD officer giving an unhoused man a ticket for drinking in public. He said to the cop: "Well, of course I am drinking in public, I live in public and I'm poor. Where else can I drink if not here?" as the cop wrote up a ticket he'll never be able to pay.

How do you check iron deficiency?? Medicine residents!!!! Dont waste resources. Just do ferritin levels. It tells you stores of iron in body. Thats it. If its less than 50, replace iron oral/iv. If above expect iron levels are fine. However as ferritin is acute phase

#TipsForNewDocs If the only justification you can muster for ordering a test is "the results would be of academic interest” or “I just want to know,” then don't order the test. #kittlesonrules

Attending on the inpatient oncology consult service is such a harrowing experience. It reinforces to me every time I do it that humans with end stage cancer should not spend the end of their life in the hospital #onctwitter #MedTwitter

A reminder - someone with sickle cell disease cannot be diagnosed with diabetes using glycated haemoglobin or HbA1c. 🧵 The ‘A’ in HbA1c denotes HbA and people with sickle cell disease don’t make HbA they only make HbS. Now if you send an HbA1c sample to the lab anyway you

It's a match! 🎉 Welcome to the UCSD Pulmonary, Critical Care, Sleep, & Physiology family! Our incoming fellows beginning Summer 2025! #fellowship #MatchDay2024 #pccm ATS Scholar CHEST APCCMPD UC San Diego School of Medicine UCSD Internal Medicine Residency UC San Diego Health Sciences