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I am getting lots of questions about #measles. Here are some thoughts on measles vaccination, as a number of people are asking about boosters.

Sharing two quotes from Edgar Schein’s “Humble Inquiry” that I finished this weekend; they seem even more relevant in our current era.

Inspiring leaders play 3 key roles. … Visionaries give us meaning & purpose; exemplars provide us with passion & protection; and mentors bring us belonging & status. hbr.org/2025/03/what-s…

When trying to diagnose Jamestown Canyon virus disease, it is worth noting the high seroprevalence (prior exposure) in endemic states such as Massachusetts, Minnesota, and Wisconsin. I suspect that this is also true in Northern New England. academic.oup.com/cid/advance-ar…

Routine use of rifampin in not recommended for staphylococcal native valve endocarditis. But what if patient undergoes valvular surgical intervention? The answer is still no. Not only does rifampin combination therapy not help, it may cause harm. academic.oup.com/ofid/advance-a…

We have an exciting opportunity to join Dartmouth Health as the Chief of Infectious Diseases. Please message me if you have questions. This is a wonderful opportunity to lead an incredible team in a beautiful part of the country. dhcareers.org/job/section-ch…

Heard Institute for Healthcare Improvement (IHI) Leadership Alliance: 1. “Safety is a process of proactive risk mitigation” 2. “We need to understand work as it happens every day, not just when an event occurs” 3. “Let’s not buy new technology for a year and spend that money on optimizing technology that we have”

What about patient care will AI not replace: 1. Human connection at the bedside 2. Someone who truly cares and is worried about the outcome AI will challenge us to define what it means to be a human being.

Bonding capital is what you do within a community to create more affinity between people. Bridging capital is when you reach across communities to groups that are not part of your own. We need both to create stronger organizations and stronger societies. ihi.org/insights/how-b…

Next time you think to yourself, I miss paper charting, tell me if you read: 1. Frequent vs. Pregnant, 2. Positive vs. Routine, 3. Heparin 1000 units vs. 10000, 4. Hypertension vs. Hypotension, 5. Negative vs. Hepatitis

~18k patients hospitalized for injecting-related infections: 1 in 5 hospitalizations ended in patient-directed discharge. Less likely in those with severe disease & on opiate agonist therapy. Patient-directed discharge strongly associated with readmission. academic.oup.com/ofid/advance-a…

Starting OPAT w/o hospital admission can free up beds for those truly in need of inpatient acute care, many of whom experience delays due to demand > supply. Yet, there is a substantial burden of uncompensated labor a/w ambulatory OPAT. We need a change. academic.oup.com/ofid/advance-a…