In a family meeting, after you explained the situation is worse, I see many doctors ask, "What would he WANT?" I think this is a BAD question, although I'm aware it is well-intentioned. I will tell you why...(thread) 1/

When she was a child, her dream was to be an artist. She would chew her lip, and grip her crayon far too tightly as she tried to stay within the lines. “Be practical,” her father said. “Enjoy art in your spare time. Work hard. Then, maybe someday.” Maybe someday. 1/

If you set your mind to it, and you really want to hate your job and the patients you care for, you can blame almost every patient who comes in the hospital for making your day worse by making you work hard to take care of them. 1/10

We're excited to welcome Dr. Darwin Conwell as the new chair of internal medicine at the UK College of Medicine! Full announcement: med.uky.edu/news/dr-darwin…

The most dangerous mental errors (you don’t know you’re making):

In Kansas, Treat or you are breaking the law!!! Please retweet.

A year ago, a non-academic friend listened to a talk I gave. I thought it went great. My friend disagreed. She said that academics are experts at making interesting stuff boring—and that we should all take a speech class. So I did. And here are 6 most useful things I learned.

1/ Welcome back to another edition of #TweetorialTuesday from the @MedEdTwagTeam. Special S/O to our #MedEd & #MedTwitter friends! Over the last two weeks we have laid out the WHY and the WHAT of teaching communication. Today is the HOW. Let’s go!

1/ Attending: “Sam, what is the level of bilirubin at which scleral icterus is noticeable?” Sam thinking: [1. I can make a guess, but 2. Who cares?] Seem like a familiar scenario? Let’s help this attending ask a better question.

🚨A patient has their fingers in your face, voice raised, yelling personal insults at you. What do you do?🚨 Make a plan NOW of what to do in that situation. Actionable plan > 🤬Emotions My plan:

1/ "Do you have a second to chat?" (i.e., The phrase that results in almost a reflex cringe 😳...) We all want feedback, but we dread it at the same time. How can we deliver better feedback? Check out this week's thread for some tips!

Being a senior resident is stressful... but are you over-complicating it? 8 Tips for being a great senior resident (That don’t require knowing everything)

Check out our Division Head Marisha Burden, MD, MBA! 👏 We are so grateful to have her as a leader and as a role model in the #HospitalMedicine community. Keep up the great work! #CUDHM #CUAnschutz

Oct 1 marks my 6 years of being in academia. These years have had many memorable moments punctuated by frustrations and failures. Knowing these 6 concepts of academia earlier would have saved me a lot of frustration. #medtwitter #academictwitter #academicphysicianlife 🧵

1/ *Consult team room* A brand-new learner joins your consult team. You share details about a new consult & schedule ⏱️ to meet in the afternoon to staff. ⌛️ 5 minutes into their presentation you realize, "Oh no. I'm going to have to redo this consult, aren't I?"

“Not taking things personally is a superpower.” —James Clear 5 mental models to develop thick skin:

Congratulations to my nontweeting colleague Dr South, Dr. Lofwall and ⁦Laura Fanucchi⁩ Treating Opioid Use Disorder in Patients Who Are Incarcerated: Quandaries of a Hospitalist | Substance Use and Addiction Medicine | JAMA | JAMA Network jamanetwork.com/journals/jama/…

nick pulmcrit Robert Oubre, MD | The Doctor of Documentation I never understood the hashtags. I just use an actual numbered list. But I also don't normally batch diagnoses most of the time.