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Improve resident wellness. Mandatory wellness days off. Required time for health (dentists, Pap smears, annual check ups). Therapy outside of typical business hours. Increased pay. Affordable childcare. Create a space for residents to live more like their non-medical peers.

More than 50% reduction in use of prone positioning from high during the early #COVID19 pandemic to more recently. Inexpsive and proven. #LessIsMore @davidnhager Michelle Eakin, Ph.D. in Critical Care Medicine journals.lww.com/ccmjournal/Abs…

Welcoming our newest fellows and celebrating a year of growth and dedication from our amazing outgoing clinical fellows 🎉

Clinical year fellows celebrating independence Johns Hopkins University PCCM Fellowship

CVS/Caremark: $300 billion revenue per year Median physician salary: $208k The media: Why are physicians so greedy do they hate America?

TOTAL US physician compensation is roughly 220 billion, ~8% of US healthcare expenditure. 1 (ONE) PBM had a profit of 125 billion in 2022. Can we stop saying that physician (somebody that actually contributes value to patient care) compensation is the problem?

Can we just say it out loud - physician scientists aren’t valued? Otherwise we would pay them much better and protect their time. Where is the incentive? We will pay you 1/3 what you could make, work 2x the hours

The institution does not love you back

If I speak… nejm.org/doi/full/10.10…

“this bronchoscopy could have been an induced sputum” “this A-line could have been a cuff pressure” “this intubation for ‘airway protection’ could have been a sternal rub” “this swan could have been a POCUS” “this consult could have been a google search”

Academic clinician–scientists risk becoming an endangered species. World View from stephen o'rahilly (its pronounced O-RA-hill-EEE) Cambridge University nature.com/articles/s4159…

Congrats on DRatano on leading this new publication (years in the making). In silico trials offer a novel means to explore heterogeneity of treatment effect, assess feasibility, and develop tailored interventions in respiratory failure. link.springer.com/article/10.118…

The whole NIH grant system massively wastes time- institutional and individual. Seeing a glimpse of it drove me away screaming from the academic surgeon-scientist career path. We need a better way to allocate research funding.

A MUST read by my former co-resident Dr Woller - sharing an impossibly sad, shocking account of what happened to his family. A call to action — our work as a society in de-stigmatizing misinformation on the illness of addiction is nowhere near done nytimes.com/2024/08/04/opi…

Resuscitation before intubation for shock patients is the only way. This goes for medical and trauma patients alike. It is no longer acceptable for patients to code on induction because “Airway, Breathing, Circulation”.

If PSLF goes away or the IBR becomes ICR then for a lot of us in academic medicine it will no longer be feasible anymore when salaries are often substantially lower than non-academic jobs….

...🧵This is a thread about 8.4% sodium bicarbonate (aka bicarb amp) in critical care. This the first part in a series of three about sodium bicarbonate 🧂in critical care: 🧐I will get in deep to complexities, benefits, risks and clinical implications of this (overused) drug.

́𝐌𝐄_ 🌿 seperti nya ada campuran B2

Congratulations to the Class of 2025 🎉 The training you’ve completed asks you to be your best in some of the hardest moments of people’s lives. We are so proud of you and can’t wait to see the impact you’ll continue to make as colleagues and leaders in PCCM.