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#HowWeHospitalist Society of Hospital Medicine

CHOP Pediatric Emergency Medicine pilot data shows diagnostic uncertainty (DU) is not recognized by clinicians in ~50% of patients who have change in Dx from admission to discharge​. Our team is working to improve awareness & communication of DU and reduce #dxerror via QI project funded by Society to Improve Diagnosis in Medicine

We don’t always know the exact reason for a patient’s problem, but we don’t acknowledge or communicate that well. Proud to be on the leadership team for this project to improve recognition and communication of diagnostic uncertainty! @kellyoohh @iritmd Anna Costello @VFairchildMD

Include generalists in clinical research and guidelines!! This became so clear during the pandemic. The generalists were the ones providing the care but never on authorship teams despite seeing the most MIS-C and acute COVID. Hoping to be a subspecialty ally in the future.

jamanetwork.com/journals/jama/… There is love in medicine

Like word games? Like magic? Check out Eddie Read’s first (free!) game available in the App Store!

How do clinical pathways influence clinical reasoning, #meded, patient safety, and more? Read this qualitative study of pediatric hospitalist & resident perspectives to find out! …mpublications.onlinelibrary.wiley.com/doi/epdf/10.10… Yasaman Fatemi, MD, MSHP @annatomiga Leora Lieberman @susancoffin

New study exploring attitudes around role and purpose of clinical pathways in clinical reasoning #VisualAbstract by Jen Readlynn, MD, FHM (she/her) Article: …mpublications.onlinelibrary.wiley.com/doi/epdf/10.10… Editorial: …mpublications.onlinelibrary.wiley.com/doi/epdf/10.10… Yasaman Fatemi, MD, MSHP Anna Costello Leora Lieberman @susancoffin

Tip for all doctors: Can't figure out a diagnosis? Order an ANA. If it comes back positive you can just refer them to rheumatology and it's their problem now. #lousrules

Join us for the next upcoming (SIDM) Community Event: Research into Practice Series! Topic: "Proof of Concept: Using active surveillance to identify recurrent missed diagnostic opportunities." When: Wednesday, August 22 @ 2pm EST. Register Here: ow.ly/kAWb50Pqntj

"The doctor hooked me up with a little steroid called prednisone, street name 'Pow Pow Juice,' and now I feel invincible. I’m indestructible. I’m a halfway-potty-trained God." mcsweeneys.net/articles/im-a-…

So excited to work with and learn from this crew!

Another successful #USSONAR2024 Fundamentals Course with our future Rheumatology Ultrasonographers! #RhMSUS #POCUS #MSUS Neha Chiruvolu Singh, DO, MS, RhMSUS Hung Vo Maryam Lemon (Ruoning) Ni, MD Alick Feng Nicole Leung, MD @cammaratamj Michael Thomashow @annatomiga Esraa Eloseily, MD

Very proud of Children's Hospital #pedsrheum fellow Dori Abel, MD MSHP for this beautifully written letter in@PhillyInquirer about the absolutely unconscionable rigamarole that is insurance prior authorization. inquirer.com/opinion/commen… American College of Rheumatology ACRheumDC CARRA

July is #JAAwareness Month and, together with our partners at the Arthritis Foundation, we’re spreading awareness that #KidsGetArthritisToo. There is no cure for juvenile arthritis – but there is help. Find resources and support at: arthritis.org/juvenile-arthr… #StrongerThanJA

So grateful to CARRA and Arthritis Foundation for this opportunity to study diagnostic delay in JIA and to start figuring out how to get kiddos with arthritis to diagnosis and treatment more quickly!

🙌 Congratulations to Anna Costello of Children's Hospital! Dr. Costello is the winner of a CARRA-Arthritis Foundation Mentored Career Development Award for her research entitled “Defining and Characterizing Diagnostic Delay in Juvenile Idiopathic Arthritis.”🌟#kidsgetarthritistoo #pedsrheum

Register now: USSONAR 2024-2025 Fundamentals of Musculoskeletal #Ultrasound Training Program. Excited to share an updated curriculum syllabus & cadaver lab for USguided injections is back! Fellows, APPs, & MD/DOs in clinical practice are eligible ussonar.org/training-progr…

NEW: AcademyHealth, with support from Moore Foundation, awarded four grants to study and address diagnostic inequities and improve patient outcomes in behavioral health, cardiology, pediatrics, and oncology. Read more: academyhealth.org/blog/2024-10/n…

So grateful for this opportunity from AcademyHealth and Moore Foundation to improve diagnosis for kiddos with rheumatic diseases (and excited to learn more from @UCSF_CoDEx)!!