#JHMChat Transcript

Healthcare social media transcript of the #JHMChat hashtag.
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See #JHMChat Influencers/Analytics.

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Society of Hospital Medicine @SocietyHospMed
⏰ 🔟 minutes until the first #JHMChat of 2022! 👩‍⚕️ Tonight’s facilitator and guests: @michellebr00ks as @JHospMedicine, @gradydoc, @ShubAgrawalMD, and @YWimberlyMD. Don’t forget to use #JHMChat in all tweets! Need a refresher on how to join? 👀👇 https://t.co/zBfphdEO5i https://t.co/SoEJntTuzD
Journal of Hospital Medicine @JHospMedicine
RT @SocietyHospMed: ⏰ 🔟 minutes until the first #JHMChat of 2022! 👩‍⚕️ Tonight’s facilitator and guests: @michellebr00ks as @JHospMedicine, @gradydoc, @ShubAgrawalMD, and @YWimberlyMD. Don’t forget to use #JHMChat in all tweets! Need a refresher on how to join? 👀👇 https://t.co/zBfphdEO5i https://t.co/SoEJntTuzD
Erin Shaughnessy MD @EShaughnessyMD
RT @JHospMedicine: Only 1️⃣ hour until #JHMChat! Get the kiddos to bed on the East Coast! Finish up your daily notes on the West Coast! Fill up your #myJHMmug! This is NOT A DRILL! https://t.co/Cm79fmFSyN
Society of Hospital Medicine @SocietyHospMed
@michellebr00ks @JHospMedicine @GradyDoc @ShubAgrawalMD @YWimberlyMD We're so excited we didn't finish typing @gradydoctor's handle. 🤦 So excited for her and all our guests' insights tonight. #JHMChat
Michelle Brooks, MD @michellebr00ks
I’m ready! I think. Just did some thumb stretches. 👍🏽👍🏽 #JHMchat
Journal of Hospital Medicine @JHospMedicine
👋 Hi everyone! Welcome to the first #JHMChat of 2022! I'm @michellebr00ks, your moderator for tonight's #JHMChat. I'll be tweeting and interacting from the JHM account. 🤝 Go ahead and introduce yourself while we wait for people to join.
Society of Hospital Medicine @SocietyHospMed
🏥 Welcome to this month’s #JHMChat. We’re excited to start the year with a great conversation! 🔥 📢 Use #JHMChat on all replies. 📢 Introduce yourself. 📢 Engage with the prompts and each other. 📢 Refresh the latest tweets with the hashtag to stay up to date.
Society of Hospital Medicine @SocietyHospMed
@michellebr00ks #JHMChat right there with you https://t.co/MHQ7sClI3W
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: 👋 Hi everyone! Welcome to the first #JHMChat of 2022! I'm @michellebr00ks, your moderator for tonight's #JHMChat. I'll be tweeting and interacting from the JHM account. 🤝 Go ahead and introduce yourself while we wait for people to join.
Michelle Brooks, MD @michellebr00ks
It’s time!! #JHMChat
Society of Hospital Medicine @SocietyHospMed
@JHospMedicine @michellebr00ks We're so excited about this conversation! #JHMChat👏🙌
Kimberly D. Manning, MD @gradydoctor
Let's get this party STARTED!!!! And before you ask, YES you can #JHMChat and watch football at the same time. I mean, I'm a mom. So Duh.
Journal of Hospital Medicine @JHospMedicine
RT @SocietyHospMed: 🏥 Welcome to this month’s #JHMChat. We’re excited to start the year with a great conversation! 🔥 📢 Use #JHMChat on all replies. 📢 Introduce yourself. 📢 Engage with the prompts and each other. 📢 Refresh the latest tweets with the hashtag to stay up to date.
Ndidi Unaka MD, MEd @NdidiUnaka
@JHospMedicine @michellebr00ks I'm Ndidi, peds hospitalist at @CincyPHM. Excited for this #JHMChat
Anika Kumar, MD (she/her) @freckledpedidoc
@JHospMedicine @michellebr00ks Hello! Anika Kumar from Cleveland here #JHMChat
Society of Hospital Medicine @SocietyHospMed
@gradydoctor Mom and Hospitalist. She wears many hero capes🦸‍♀️#JHMChat
Journal of Hospital Medicine @JHospMedicine
🗣️ Don't forget to use the hashtag #JHMChat in your tweets! If you need a refresher on how to participate, check out our #JHMChat tutorial here: https://t.co/jUdq3zjM6H https://t.co/GYHHPfFd1s
Society of Hospital Medicine @SocietyHospMed
@freckledpedidoc @JHospMedicine @michellebr00ks Hi! Welcome! #JHMChat https://t.co/5EQj1vcbun
Yichi Zhang (张一弛) @YichiZzzzz
@JHospMedicine @michellebr00ks Hellooo #MedTwitter! Yichi here, MS3 #IM enthusiast, second-time #JHMChat-er. Happy to see everyone here again!
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: 🗣️ Don't forget to use the hashtag #JHMChat in your tweets! If you need a refresher on how to participate, check out our #JHMChat tutorial here: https://t.co/jUdq3zjM6H https://t.co/GYHHPfFd1s
Journal of Hospital Medicine @JHospMedicine
@gradydoctor Moms are QUEENS of multitasking. #JHMChat https://t.co/ZKEC0UcThD
Charlie M. Wray, DO, MS @WrayCharles
@JHospMedicine @michellebr00ks Hey everyone! I'm Charlie Wray, Hospitalist in SF. Really looking forward to tonight's #JHMChat. Also, big thanks to @michellebr00ks for organizing and putting together tonight's discussion
Ben Kinnear @Midwest_MedPeds
@JHospMedicine @michellebr00ks Hello! I'm a #MedPeds hospitalist @CincyPHM. Looking forward to the discussion! @JHospMedicine #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@JHospMedicine @michellebr00ks Hiiiii! I'm Jen Readlynn, an academic hospitalist in Rochester, NY. So excited to start the year off right with a #JHMChat!
Samir S. Shah @SamirShahMD
@JHospMedicine @michellebr00ks Hey. Samir Shah, @JHospMedicine editor in chief, signing on for #jhmchat
Society of Hospital Medicine @SocietyHospMed
@YichiZTulane @JHospMedicine @michellebr00ks Yay! Glad that you're back with us again. 😃 #JHMChat
Journal of Hospital Medicine @JHospMedicine
@YichiZTulane @michellebr00ks Welcome! Thanks for joining. #JHMChat
Renee Dversdal @DRsonosRD
@JHospMedicine @michellebr00ks Hi Michelle & #JHMchat friends! Renee Dversdal here, hospitalist educator and #POCUS nerd from Portland, OR.
Shub Agrawal, MD MBA @ShubAgrawalMD
@JHospMedicine @michellebr00ks Hey everyone! I'm @ShubAgrawalMD - an Emory PGY-3, so excited for my first #JHMChat
Melissa Plesac @MelissaPlesacMD
@JHospMedicine @michellebr00ks Hi everyone! I'm Melissa Plesac, hospitalist at University of Minnesota. Just finishing up a week of service and excited to reflect #JHMChat
Society of Hospital Medicine @SocietyHospMed
@Midwest_MedPeds @JHospMedicine @michellebr00ks @CincyPHM Welcome to the chat. Happy to have you here! Loved your recent piece on allyship for The Hospitalist. #JHMChat
Lanna Felde @LannaFelde
Woot woot! Lanna Felde, hospitalist @UTSWHospitalMed and proud digital media fellow @JHospMedicine Excited to get this partay started! #JHMChat
Bernardrdoom @doctorlaraber
#JHMChat hi, i'm Bernardo from México. I'm ready 4this
Journal of Hospital Medicine @JHospMedicine
We would like to welcome our guests/authors to #JHMChat. Thank you @gradydoctor @YWimberlyMD & @ShubAgrawalMD for your presence and participation! Read their perspectives piece on building trust through trustworthiness here: https://t.co/BBTcI21ips First topic coming up soon! https://t.co/yUX42xVLxr
Journal of Hospital Medicine @JHospMedicine
@freckledpedidoc @michellebr00ks Hello! Thanks for being here. #JHMChat
Ndidi Unaka MD, MEd @NdidiUnaka
@doctorlaraber Welcome! #JHMChat
Charlie M. Wray, DO, MS @WrayCharles
@YichiZTulane @JHospMedicine @michellebr00ks Glad you made it, Yichi #JHMChat
Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood
@JHospMedicine @michellebr00ks Sonya from @CincyPHM! I anticipate learning much from others, like @gradydoctor, so thinking I’ll be lurking more and tweeting less tonight! #JHMChat
Blair Golden @blairgolden
@JHospMedicine @michellebr00ks Hi! I’m a hospitalist at UW-Madison. Looking forward to tonight’s #JHMChat!
Charlie M. Wray, DO, MS @WrayCharles
@DRsonosRD @JHospMedicine @michellebr00ks Grea to see you here, Renee #JHMChat
Journal of Hospital Medicine @JHospMedicine
@MelissaPlesacMD @michellebr00ks We are thankful for YOU! #JHMChat
Journal of Hospital Medicine @JHospMedicine
Topic 1️⃣ : When engaging your patients on a difficult subject matter (e.g., vaccines), what tactics do you use to build trust? #JHMChat https://t.co/I9Mz2f4jaS
Journal of Hospital Medicine @JHospMedicine
@jenreadlynn @michellebr00ks Excited to hear your insights! #JHMChat
Kimberly D. Manning, MD @gradydoctor
@SamirShahMD @JHospMedicine @michellebr00ks What's up, boss? See? I didn't fall asleep before the #JHMChat!
Ndidi Unaka MD, MEd @NdidiUnaka
RT @JHospMedicine: We would like to welcome our guests/authors to #JHMChat. Thank you @gradydoctor @YWimberlyMD & @ShubAgrawalMD for your presence and participation! Read their perspectives piece on building trust through trustworthiness here: https://t.co/BBTcI21ips First topic coming up soon! https://t.co/yUX42xVLxr
Charlie M. Wray, DO, MS @WrayCharles
@MelissaPlesacMD @JHospMedicine @michellebr00ks So good to see you here, Melissa. Hope you're doing well! #JHMChat
Society of Hospital Medicine @SocietyHospMed
@STangGirdwood @JHospMedicine @michellebr00ks @CincyPHM @gradydoctor Welcome, we appreciate all #JHMChat participants, even the lurkers. 😉
Journal of Hospital Medicine @JHospMedicine
@DRsonosRD @michellebr00ks YAY! Excited that you're here! #JHMChat
Lauren Mazzurco @LaurenMazzurco
@JHospMedicine @michellebr00ks Hi! @LaurenMazzurco lurking on the #JHMChat tonight! #geriatrics #PalliativeCare
Daniel Wolfson @WolfsonD
#JHMChat Daniel Wolfson here. Excited article by @gradydoctor et al. Love the nonjudgmental approach - showing curiosity
Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids
Home just in time to join #JHMChat with new #MyJHMMug thanks to @SamirShahMD! #LeadingByExample #KidVengers https://t.co/p1eX3B0ykZ
Society of Hospital Medicine @SocietyHospMed
Topic 1 is live! Don't miss this #JHMChat!
Ndidi Unaka MD, MEd @NdidiUnaka
@gradydoctor @SamirShahMD @JHospMedicine @michellebr00ks LOL!!! I almost texted you! #JHMChat
Journal of Hospital Medicine @JHospMedicine
@ShubAgrawalMD @michellebr00ks What a way to celebrate your work! Glad you're here! #JHMChat
Melissa Plesac @MelissaPlesacMD
@WrayCharles @JHospMedicine @michellebr00ks Good to see you too, Charlie :) #JHMChat
Society of Hospital Medicine @SocietyHospMed
@MelissaPlesacMD @JHospMedicine @michellebr00ks Thank you for all you're doing in hospitals right now! ❤️#JHMChat
ABIM Foundation @ABIMFoundation
RT @SocietyHospMed: Topic 1 is live! Don't miss this #JHMChat!
ABIM Foundation @ABIMFoundation
RT @JHospMedicine: Topic 1️⃣ : Topic 1️⃣ : When engaging your patients on a difficult subject matter (e.g., vaccines), what tactics do you use to build trust? #JHMChat https://t.co/I9Mz2f4jaS
Lanna Felde @LannaFelde
A1: Open-ended questions. Sitting down (@blairgolden). Talking about less controversial topics first that allow me to align with the patient's interests #JHMChat
Christopher D. Jackson, MD @ChrisDJacksonMD
Chris Jackson checking in here from @UTHSC_Medicine #JHMChat
Charlie M. Wray, DO, MS @WrayCharles
@gradydoctor @SamirShahMD @JHospMedicine @michellebr00ks I had a reminder to remind you about tonight's #JHMChat. I lost the reminder 😂
Journal of Hospital Medicine @JHospMedicine
@LannaFelde @UTSWHospitalMed Hi my digital media sister! Thanks for the support! #JHMChat
Kimberly D. Manning, MD @gradydoctor
@JHospMedicine A1: 1. Build rapport. 2. See what's important to them. 3. Get permission. 4. Use living room language. 5. Don't preach. 6. Listen without judging. 7. More gratitude. #JHMChat
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@JHospMedicine @michellebr00ks Just in time! Dhruv Srinivasachar, PGY-1 in Med-Peds @WMUMedicine. Probably the most junior of those in #JHMChat tonight?
Journal of Hospital Medicine @JHospMedicine
@doctorlaraber Welcome! #JHMChat
Society of Hospital Medicine @SocietyHospMed
@DrJenChen4kids @SamirShahMD Welcome to the fun! #JHMChat https://t.co/H6XWizSZ4Q
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@STangGirdwood @JHospMedicine @michellebr00ks @CincyPHM @gradydoctor Writing champ right here! Does the #JHMChat count for the writing challenge! https://t.co/8ysFjqwWUj
Shitij Arora MD @arorashMD
@JHospMedicine Hi! Shitij Arora, academic Hospitalist, researcher and inpatient digital innovation lead at Montefiore, NYC #JHMchat
Journal of Hospital Medicine @JHospMedicine
@STangGirdwood @michellebr00ks @CincyPHM @gradydoctor Any way you participate is awesome...but we can learn a lot from your views too! #JHMChat
Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids
@JHospMedicine @michellebr00ks #JHMChat San Diego #tweetiatrician here, finished notes and got home just in time 😎 https://t.co/mUXsMnPlRv
Journal of Hospital Medicine @JHospMedicine
@blairgolden @michellebr00ks So exciting! #JHMChat
Society of Hospital Medicine @SocietyHospMed
@TheRealDSrini @JHospMedicine @michellebr00ks @WMUMedicine All hospitalists are welcome! Glad you could make it again--and right on time today! 😉 #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @gradydoctor: @JHospMedicine A1: @JHospMedicine A1: 1. Build rapport. 2. See what's important to them. 3. Get permission. 4. Use living room language. 5. Don't preach. 6. Listen without judging. 7. More gratitude. #JHMChat
Heather Hofmann, MD, FACP @HeatherNHofmann
Hello! Heather, hospitalist @CleClinicMD joining for #JHMChat, staying for the @gradydoctor wisdom and all things #trust and #communication
Journal of Hospital Medicine @JHospMedicine
RT @gradydoctor: @JHospMedicine A1: @JHospMedicine A1: 1. Build rapport. 2. See what's important to them. 3. Get permission. 4. Use living room language. 5. Don't preach. 6. Listen without judging. 7. More gratitude. #JHMChat
Society of Hospital Medicine @SocietyHospMed
@ChrisDJacksonMD @UTHSC_Medicine Welcome to the conversation! Happy to have you. #JHMChat
Kimberly D. Manning, MD @gradydoctor
@JHospMedicine A1: I also think it's important to never assume people don't understand. Many people know waaaaaay more than we give them credit for knowing. Can't find out unless we ask! #JHMChat
Lanna Felde @LannaFelde
I see you lurkers 👀@michellebr00ks #JHMChat https://t.co/lLopVZRx4t
Journal of Hospital Medicine @JHospMedicine
Listening is key! #JHMChat
Christopher D. Jackson, MD @ChrisDJacksonMD
Listen twice as much as I speak. #JHMChat
Journal of Hospital Medicine @JHospMedicine
@LaurenMazzurco @michellebr00ks We see you there! #JHMChat https://t.co/LX4e1uVxF0
Mark Shapiro, MD @ETSshow
@HeatherNHofmann @CleClinicMD @gradydoctor Mark Shapiro here! Hospitalist, host of Explore The Space Podcast & #FriendOfTheJournal here Delighted to follow along w/ #JHMChat
Charlie M. Wray, DO, MS @WrayCharles
@gradydoctor @JHospMedicine Going deeper. I've found that it's so important to show that I'm "on their team" and that ultimately we both (usually) want the same thing. Health and happiness #JHMChat
Society of Hospital Medicine @SocietyHospMed
@HeatherNHofmann @CleClinicMD @gradydoctor Thanks for joining us! #JHMChat
Journal of Hospital Medicine @JHospMedicine
@WolfsonD @gradydoctor Welcome! Thanks for being in this space with us. #JHMChat
Ndidi Unaka MD, MEd @NdidiUnaka
@JHospMedicine A1: I often do a poor job facilitating difficult conversations if I have preconceived notions of what patients and families may be thinking or how they may react. So instead of thinking about the worse-case scenario, I force myself to think the opposite! #JHMChat
Society of Hospital Medicine @SocietyHospMed
@ETSshow @HeatherNHofmann @CleClinicMD @gradydoctor Glad you're here, Mark! #JHMChat
Heather Hofmann, MD, FACP @HeatherNHofmann
@jenreadlynn @STangGirdwood @JHospMedicine @michellebr00ks @CincyPHM @gradydoctor Pretty sure @WrayCharles and @aoglasser have thoughts on getting the most out of your work lol #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@JHospMedicine A1: I learned that I have a lot more I could be doing from the article, but I try to sit down, make eye contact, repeat back what they say to me, and ask permission to ask them why they are making a decision. The whole "don't think about your response" is hard. #JHMChat
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@JHospMedicine A1: Time is of the essence. Building trust is a journey and can be lost in one fell swoop. Always make your efforts about, for, & with the patient in mind. Though @gradydoctor's A1 is mine in more exact terms. #JHMChat
Journal of Hospital Medicine @JHospMedicine
@DrJenChen4kids @SamirShahMD WE COULD NOT LOVE THIS MORE! You totally understood the assignment. #JHMChat
Mark Shapiro, MD @ETSshow
RT @SocietyHospMed: @ETSshow @HeatherNHofmann @CleClinicMD @gradydoctor Glad you're here, Mark! #JHMChat
Blair Golden @blairgolden
@LannaFelde Yes to sitting! I also like to have more challenging conversations take place over multiple encounters so that no one feels rushed and we all have time to reflect between conversations, but that can be SO hard in the inpatient setting. #JHMChat
Ben Kinnear @Midwest_MedPeds
@ChrisDJacksonMD TLR! @JHospMedicine #JHMChat https://t.co/X5oQ9ou3Sc
Melissa Plesac @MelissaPlesacMD
@JHospMedicine A1: Before I even start an interaction, I try to take a quick self-assessment about my head space and the energy/vibe I am bringing in. Do I feel angry, stressed, rushed? And I try to reset that before I walk in. #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @TheRealDSrini: @JHospMedicine A1: @JHospMedicine A1: Time is of the essence. Building trust is a journey and can be lost in one fell swoop. Always make your efforts about, for, & with the patient in mind. Though @gradydoctor's A1 is mine in more exact terms. #JHMChat
Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood
@JHospMedicine For patients who have been hospitalized a long time or multiple times, trying to know as much of their past history as possible. I learned this the hard way during a care conf when a patient’s family mentioned a significant event in the past that I didn’t know about. #JHMChat
Ndidi Unaka MD, MEd @NdidiUnaka
RT @MelissaPlesacMD: @JHospMedicine A1: @JHospMedicine A1: Before I even start an interaction, I try to take a quick self-assessment about my head space and the energy/vibe I am bringing in. Do I feel angry, stressed, rushed? And I try to reset that before I walk in. #JHMChat
Shub Agrawal, MD MBA @ShubAgrawalMD
@JHospMedicine A1. Listen, listen, listen! And finding common ground are the two things I've found most helpful #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @NdidiUnaka: @JHospMedicine A1: @JHospMedicine A1: I often do a poor job facilitating difficult conversations if I have preconceived notions of what patients and families may be thinking or how they may react. So instead of thinking about the worse-case scenario, I force myself to think the opposite! #JHMChat
Anika Kumar, MD (she/her) @freckledpedidoc
@JHospMedicine A1. I try to understand others’ perspectives. @gradydoctor & colleagues’ Step 4 & 5 (Listening & Common Ground) are 🔑!! As a Pediatric Hospitalist, I’ve encountered vaccine hesitancy for my entire medical career & the authors highlighted strategies that often work well. #JHMChat
Kimberly D. Manning, MD @gradydoctor
@WrayCharles @JHospMedicine That is so true. When I am rushed I make assumptions and that's when I miss the mark. #JHMChat
Bernardrdoom @doctorlaraber
#JHMChat A1. 1 me presento , le pregunto cómo quiere que lo llame y como puede llamarme. Para posterior Preguntar su mayor inquietud respecto al tema. 2. Siempre contacto visual y no hacer gestos faciales, modulando la voz de forma agradable
Lanna Felde @LannaFelde
love all of this and another thing i learned from @gradydoctor: find something you have in common with the patient even if it's "I hate being admitted to the hospital too" #jhmchat
Journal of Hospital Medicine @JHospMedicine
@TheRealDSrini @gradydoctor Welcome back @TheRealDSrini! #JHMChat
I Got A Man(uscript) 📝 @maryannscience1
#JHMChat Hi folks! I’m Mary Ann, a medical writer supporting hospitalists in Emory’s Division of Hospital Medicine. Psyched to get some @gradydoctor wisdom!
Ndidi Unaka MD, MEd @NdidiUnaka
RT @gradydoctor: @JHospMedicine A1: @JHospMedicine A1: I also think it's important to never assume people don't understand. Many people know waaaaaay more than we give them credit for knowing. Can't find out unless we ask! #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @LannaFelde: love all of this and another thing i learned from @gradydoctor: love all of this and another thing i learned from @gradydoctor: find something you have in common with the patient even if it's "I hate being admitted to the hospital too" #jhmchat
Journal of Hospital Medicine @JHospMedicine
@ChrisDJacksonMD @UTHSC_Medicine Welcome! Thank you for taking the time to be here! #JHMChat
Charlie M. Wray, DO, MS @WrayCharles
@ChrisDJacksonMD @vineet_chopra & @sanjaysaint have a great @JHospMedicine about the TLR (Talking to Listening Ratio). Magic number (if I recall correctly) was 0.7 (listen 70% of the time, talk 30% of the time) #JHMChat https://t.co/WdQlcRmOcl
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@gradydoctor @JHospMedicine Thanks for that Dr. Manning. I realize I often make assumptions about what I think families are going to do in a goals of care discussion and am often surprised. It's so much more helpful to listen and learn and then plan with them. #JHMChat
Society of Hospital Medicine @SocietyHospMed
@maryannscience1 @gradydoctor Welcome! Happy to have you here. #JHMChat
Kimberly D. Manning, MD @gradydoctor
@TheRealDSrini @JHospMedicine Totally. But sometimes we can speed the process through our body language, intonation, and nonverbal communication skills. A little goes a long way. People hate to feel rushed. #JHMChat
Ndidi Unaka MD, MEd @NdidiUnaka
RT @gradydoctor: @JHospMedicine A1: @JHospMedicine A1: 1. Build rapport. 2. See what's important to them. 3. Get permission. 4. Use living room language. 5. Don't preach. 6. Listen without judging. 7. More gratitude. #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @WrayCharles: @ChrisDJacksonMD @vineet_chopra & @sanjaysaint have a great @JHospMedicine about the TLR (Talking to Listening Ratio). Magic number (if I recall correctly) was 0.7 (listen 70% of the time, talk 30% of the time) #JHMChat https://t.co/WdQlcRmOcl
Journal of Hospital Medicine @JHospMedicine
@TheRealDSrini @michellebr00ks @WMUMedicine I don't think you are! But we're glad you're here! #JHMChat
Shub Agrawal, MD MBA @ShubAgrawalMD
@jenreadlynn @JHospMedicine I agree - the non-verbal cues are so important! And go such a long way, especially these days when everyone is in a rush and often covered in PPE #JHMchat
Kimberly D. Manning, MD @gradydoctor
@MelissaPlesacMD @JHospMedicine OMG this is so clutch. My own bias landmines often make things go left. Am I tired? Hungry? Stressed? You hit the nail on the head, Melissa! #JHMChat
Journal of Hospital Medicine @JHospMedicine
@jenreadlynn @STangGirdwood @michellebr00ks @CincyPHM @gradydoctor gosh we hope so. #JHMChat
Lanna Felde @LannaFelde
Wow bienvenidos! genial que participes en español! #jhmchat
Journal of Hospital Medicine @JHospMedicine
@DrJenChen4kids @michellebr00ks YAY! Great to have you. #JHMChat
Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids
#JHMChat A1 🗣Ask what they’ve heard, provide better sources 🙋🏻‍♀️Use myself/family/staff as personal examples 💕Emphasize that we ask because we care! ❔Leave an opening eg “If you have more questions…” for future conversations - it’s almost never a one-time discussion
Society of Hospital Medicine @SocietyHospMed
📟 Our #JHMChat is happening NOW with guests @gradydoctor, @ShubAgrawalMD, and @YWimberlyMD. We’re talking about building trust through trustworthiness. 🤝 You don’t want to miss this important conversation with these incredible hospitalists. 💪 @JHospMedicine @michellebr00ks
Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood
@NdidiUnaka @JHospMedicine Such a great idea! That worst-case scenario thinking amps me up and I’m sure the anxiety is palpable and felt by the family, making it even more uncomfortable for everyone to be open. #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @DrJenChen4kids: #JHMChat A1 🗣Ask what they’ve heard, provide better sources 🙋🏻‍♀️Use myself/family/staff as personal examples 💕Emphasize that we ask because we care! ❔Leave an opening eg “If you have more questions…” for future conversations - it’s almost never a one-time discussion
Erin Shaughnessy MD @EShaughnessyMD
@JHospMedicine @michellebr00ks Hi from Birmingham AL! #JHMChat
Journal of Hospital Medicine @JHospMedicine
@HeatherNHofmann @CleClinicMD @gradydoctor Please post another dog picture...#JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @WrayCharles: @gradydoctor @JHospMedicine Going deeper. I've found that it's so important to show that I'm "on their team" and that ultimately we both (usually) want the same thing. Health and happiness #JHMChat
Daniel Wolfson @WolfsonD
First order priority is building a respectful & trusting relationship. By showing curiosity it shows you empathize with me.
Erin Shaughnessy MD @EShaughnessyMD
RT @DrJenChen4kids: Home just in time to join #JHMChat with new #MyJHMMug thanks to @SamirShahMD! #LeadingByExample #KidVengers https://t.co/p1eX3B0ykZ
Society of Hospital Medicine @SocietyHospMed
@ErinShaughness4 @JHospMedicine @michellebr00ks Welcome! Thanks for joining the conversation 🏥#JHMChat
Kimberly D. Manning, MD @gradydoctor
@freckledpedidoc @JHospMedicine Yes, I love thinking about the unique perspectives of pediatricians, too. @YWimberlyMD works with adolescents in Peds and the skillset calls for something intentional for sure. #JHMChat
Heather Hofmann, MD, FACP @HeatherNHofmann
When you’re too busy reading hospitalists’ answers that you don’t want to interrupt with your own A1 response... #JHMChat https://t.co/uWW8wl2PB8
Samir S. Shah @SamirShahMD
RT @DrJenChen4kids: Home just in time to join #JHMChat with new #MyJHMMug thanks to @SamirShahMD! #LeadingByExample #KidVengers https://t.co/p1eX3B0ykZ
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@WrayCharles @gradydoctor @JHospMedicine Yes! We want you to get better and get out of the hospital or whatever the goal may be. We're both working toward that. I think sometimes we (at least I) forget to include the patient as a team member when things are busy (like now). #JHMChat
Journal of Hospital Medicine @JHospMedicine
@ETSshow @HeatherNHofmann @CleClinicMD @gradydoctor Honored by your presence! #JHMChat
Charlie M. Wray, DO, MS @WrayCharles
@LannaFelde @gradydoctor Great point @LannaFelde. Reminds me of the #OneSmallStep initiative that I heard about yesterday https://t.co/nGXgdcYCXe Find that common ground #JHMChat
Anika Kumar, MD (she/her) @freckledpedidoc
@gradydoctor @JHospMedicine 4️⃣ is 🔑! I tell my trainees all the time that everyone speaks English, only the medical team speaks Medical-ese. However, I really like your term “Living Room Language.” #JHMChat
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@gradydoctor @JHospMedicine I still feel like it's hard for me to develop trust in a single visit. I am in awe of those who can. #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @jenreadlynn: @JHospMedicine A1: @JHospMedicine A1: I learned that I have a lot more I could be doing from the article, but I try to sit down, make eye contact, repeat back what they say to me, and ask permission to ask them why they are making a decision. The whole "don't think about your response" is hard. #JHMChat
Kimberly D. Manning, MD @gradydoctor
@ShubAgrawalMD @JHospMedicine Hard cosign! #JHMChat
Society of Hospital Medicine @SocietyHospMed
@HeatherNHofmann So much wisdom is flying already! #JHMChat https://t.co/dNDoRW5PtS
Shub Agrawal, MD MBA @ShubAgrawalMD
@MelissaPlesacMD @JHospMedicine Vibe checks are everything! #JHMchat
Ben Kinnear @Midwest_MedPeds
@jenreadlynn @gradydoctor @JHospMedicine Makes me think of "the illusion of asymmetric insight". We often think we can read others, but they can't read us. @Gladwell wrote about it in his book Talking to Strangers. #JHMChat https://t.co/cGp8gkUup5
Journal of Hospital Medicine @JHospMedicine
RT @ShubAgrawalMD: @jenreadlynn @JHospMedicine I agree - the non-verbal cues are so important! And go such a long way, especially these days when everyone is in a rush and often covered in PPE #JHMchat
Journal of Hospital Medicine @JHospMedicine
@blairgolden @LannaFelde No chairs 🪑 anywhere! #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @MelissaPlesacMD: @JHospMedicine A1: @JHospMedicine A1: Before I even start an interaction, I try to take a quick self-assessment about my head space and the energy/vibe I am bringing in. Do I feel angry, stressed, rushed? And I try to reset that before I walk in. #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @gradydoctor: @MelissaPlesacMD @JHospMedicine OMG this is so clutch. My own bias landmines often make things go left. Am I tired? Hungry? Stressed? You hit the nail on the head, Melissa! #JHMChat
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@freckledpedidoc @gradydoctor @JHospMedicine And even with that, not everyone is comfortable in English as their first language...use interpreters when appropriate! #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @STangGirdwood: @JHospMedicine For patients who have been hospitalized a long time or multiple times, trying to know as much of their past history as possible. I learned this the hard way during a care conf when a patient’s family mentioned a significant event in the past that I didn’t know about. #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @ShubAgrawalMD: @JHospMedicine A1. Listen, listen, listen! And finding common ground are the two things I've found most helpful #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @freckledpedidoc: @JHospMedicine A1. I try to understand others’ perspectives. @gradydoctor & colleagues’ Step 4 & 5 (Listening & Common Ground) are 🔑!! As a Pediatric Hospitalist, I’ve encountered vaccine hesitancy for my entire medical career & the authors highlighted strategies that often work well. #JHMChat
HealthCommunication @Comm_in_Care
RT @gradydoctor: @JHospMedicine A1: @JHospMedicine A1: 1. Build rapport. 2. See what's important to them. 3. Get permission. 4. Use living room language. 5. Don't preach. 6. Listen without judging. 7. More gratitude. #JHMChat
Journal of Hospital Medicine @JHospMedicine
Only one topic in, and I can tell that this #JHMChat is 🔥. Topic 2️⃣ coming up shortly...
Kimberly D. Manning, MD @gradydoctor
@freckledpedidoc @JHospMedicine We go to our language when we are under pressure. But that's when our patients lose us. You're so right! #JHMChat
Melissa Plesac @MelissaPlesacMD
@Midwest_MedPeds @jenreadlynn @gradydoctor @JHospMedicine @Gladwell I love that there is a name for it! I can't wait to reference this haha #JHMChat
Mark Shapiro, MD @ETSshow
RT @JHospMedicine: @ETSshow @HeatherNHofmann @CleClinicMD @gradydoctor Honored by your presence! #JHMChat
Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids
@MelissaPlesacMD @JHospMedicine #JHMChat: definitely important to make sure team is not hangry or needs to rush to the bathroom before having something like a family meeting 😅
Journal of Hospital Medicine @JHospMedicine
RT @doctorlaraber: #JHMChat A1. 1 me presento , le pregunto cómo quiere que lo llame y como puede llamarme. Para posterior Preguntar su mayor inquietud respecto al tema. 2. Siempre contacto visual y no hacer gestos faciales, modulando la voz de forma agradable
Journal of Hospital Medicine @JHospMedicine
RT @gradydoctor: @TheRealDSrini @JHospMedicine Totally. But sometimes we can speed the process through our body language, intonation, and nonverbal communication skills. A little goes a long way. People hate to feel rushed. #JHMChat
Mark Shapiro, MD @ETSshow
RT @gradydoctor: @ShubAgrawalMD @JHospMedicine Hard cosign! #JHMChat
Kimberly D. Manning, MD @gradydoctor
@DRsonosRD @JHospMedicine You had me at #appreeciativeinquiry. #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: Only one topic in, and I can tell that this #JHMChat is 🔥. Topic 2️⃣ coming up shortly...
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@JHospMedicine @HeatherNHofmann @CleClinicMD @gradydoctor He's sleeping right now. #JHMChat https://t.co/e0XDh4RhSH
Journal of Hospital Medicine @JHospMedicine
RT @DrJenChen4kids: #JHMChat A1 🗣Ask what they’ve heard, provide better sources 🙋🏻‍♀️Use myself/family/staff as personal examples 💕Emphasize that we ask because we care! ❔Leave an opening eg “If you have more questions…” for future conversations - it’s almost never a one-time discussion
Lanna Felde @LannaFelde
Looking forward to see how @ETSshow will tie MedLasso into this topic #JHMChat
Temple Ratcliffe, MD, MS-HPEd @templeratcliffe
Evening all! Joining a bit late from San Antonio, TX! #JHMchat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@blairgolden @LannaFelde Agree with multiple encounters. If I come in with an agenda, it's so disappointing not to get an answer. But difficult decisions take time, and I need to remember to give the patient/family and myself that time. #JHMChat
Alex 💜✊ ICU LCSW @groenlachen
RT @JHospMedicine: Topic 1️⃣ : Topic 1️⃣ : When engaging your patients on a difficult subject matter (e.g., vaccines), what tactics do you use to build trust? #JHMChat https://t.co/I9Mz2f4jaS
Ndidi Unaka MD, MEd @NdidiUnaka
@STangGirdwood @JHospMedicine Yes, I completely agree Sonya! #JHMChat
Journal of Hospital Medicine @JHospMedicine
Topic 2️⃣ : What are some difficult topic areas in which you struggle to engage your patients? How do you overcome them? #JHMChat https://t.co/cLDlQWVtkA
Society of Hospital Medicine @SocietyHospMed
@templeratcliffe Thanks for joining! Happy to have you with us for this #JHMChat
Journal of Hospital Medicine @JHospMedicine
@STangGirdwood @NdidiUnaka #JHMChat https://t.co/owmhIdGDJp
Mark Shapiro, MD @ETSshow
RT @LannaFelde: Looking forward to see how @ETSshow will tie MedLasso into this topic #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
RT @MelissaPlesacMD: @JHospMedicine A1: @JHospMedicine A1: Before I even start an interaction, I try to take a quick self-assessment about my head space and the energy/vibe I am bringing in. Do I feel angry, stressed, rushed? And I try to reset that before I walk in. #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: Topic 2️⃣ : Topic 2️⃣ : What are some difficult topic areas in which you struggle to engage your patients? How do you overcome them? #JHMChat https://t.co/cLDlQWVtkA
Journal of Hospital Medicine @JHospMedicine
RT @gradydoctor: @freckledpedidoc @JHospMedicine Yes, I love thinking about the unique perspectives of pediatricians, too. @YWimberlyMD works with adolescents in Peds and the skillset calls for something intentional for sure. #JHMChat
Charlie M. Wray, DO, MS @WrayCharles
@DrJenChen4kids @MelissaPlesacMD @JHospMedicine This is key! I have literally gone to eat lunch and answer an email/call before I go have that "big" conversation. Removing any barriers I'll have to shorten the conversation #JHMChat *Yes, your attendings get hungry too
Journal of Hospital Medicine @JHospMedicine
@HeatherNHofmann Hey - you do you with #JHMChat! We just love to see you guys here.
Ndidi Unaka MD, MEd @NdidiUnaka
RT @JHospMedicine: Topic 2️⃣ : Topic 2️⃣ : What are some difficult topic areas in which you struggle to engage your patients? How do you overcome them? #JHMChat https://t.co/cLDlQWVtkA
Journal of Hospital Medicine @JHospMedicine
RT @jenreadlynn: @WrayCharles @gradydoctor @JHospMedicine Yes! We want you to get better and get out of the hospital or whatever the goal may be. We're both working toward that. I think sometimes we (at least I) forget to include the patient as a team member when things are busy (like now). #JHMChat
Temple Ratcliffe, MD, MS-HPEd @templeratcliffe
RT @WrayCharles: @ChrisDJacksonMD @vineet_chopra & @sanjaysaint have a great @JHospMedicine about the TLR (Talking to Listening Ratio). Magic number (if I recall correctly) was 0.7 (listen 70% of the time, talk 30% of the time) #JHMChat https://t.co/WdQlcRmOcl
Journal of Hospital Medicine @JHospMedicine
RT @WrayCharles: @LannaFelde @gradydoctor Great point @LannaFelde. Reminds me of the #OneSmallStep initiative that I heard about yesterday https://t.co/nGXgdcYCXe Find that common ground #JHMChat
Vineet Chopra @vineet_chopra
RT @WrayCharles: @ChrisDJacksonMD @vineet_chopra & @sanjaysaint have a great @JHospMedicine about the TLR (Talking to Listening Ratio). Magic number (if I recall correctly) was 0.7 (listen 70% of the time, talk 30% of the time) #JHMChat https://t.co/WdQlcRmOcl
I Got A Man(uscript) 📝 @maryannscience1
#JHMchat when i’m near melting down I always HALT and ask myself am I hungry? Angry? Lonely? Tired? Hangry? Angrilonely? Tangry? Hmm maybe I need a more nuanced acronym
Journal of Hospital Medicine @JHospMedicine
RT @freckledpedidoc: @gradydoctor @JHospMedicine 4️⃣ is 🔑! I tell my trainees all the time that everyone speaks English, only the medical team speaks Medical-ese. However, I really like your term “Living Room Language.” #JHMChat
Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship
@JHospMedicine A1. From a pharmacy stewardship perspective, we recommend to try using shared decision making when having difficulty conversations about when to use antibiotics or not. #JHMchat
Anika Kumar, MD (she/her) @freckledpedidoc
@TheRealDSrini @gradydoctor @JHospMedicine Absolutely! A Certified interpreter! Not the patient’s family member! #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @Midwest_MedPeds: @jenreadlynn @gradydoctor @JHospMedicine Makes me think of "the illusion of asymmetric insight". We often think we can read others, but they can't read us. @Gladwell wrote about it in his book Talking to Strangers. #JHMChat https://t.co/cGp8gkUup5
Erin Shaughnessy MD @EShaughnessyMD
RT @JHospMedicine: Topic 2️⃣ : Topic 2️⃣ : What are some difficult topic areas in which you struggle to engage your patients? How do you overcome them? #JHMChat https://t.co/cLDlQWVtkA
Heather Hofmann, MD, FACP @HeatherNHofmann
Remember the pop culture ad? Yeah, well this ad just popped up on my #JHMChat page. Yes, this chat is a survival method 🤣 https://t.co/HEhsFYUnGU
Lauren Mazzurco @LaurenMazzurco
A1: love using the #PalliativeCare questions of “what are you hoping for?” “What are you worried about?” Gives a lot of info and guides discussion to meet wherever he/she/they are starting from #JHMChat
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@freckledpedidoc @gradydoctor @JHospMedicine The question then arises of what to do when a patient insists on a family member interpreting...#JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @jenreadlynn: @blairgolden @LannaFelde Agree with multiple encounters. If I come in with an agenda, it's so disappointing not to get an answer. But difficult decisions take time, and I need to remember to give the patient/family and myself that time. #JHMChat
Lanna Felde @LannaFelde
@templeratcliffe Woohoo San Antonio, future home of our host @michellebr00ks 👏👏👏 #JHMChat welcome!
Journal of Hospital Medicine @JHospMedicine
RT @WrayCharles: @DrJenChen4kids @MelissaPlesacMD @JHospMedicine This is key! I have literally gone to eat lunch and answer an email/call before I go have that "big" conversation. Removing any barriers I'll have to shorten the conversation #JHMChat *Yes, your attendings get hungry too
Society of Hospital Medicine @SocietyHospMed
@HeatherNHofmann @michellebr00ks @jenreadlynn @SamirShahMD Do they know something we don't? #JHMChat https://t.co/6w7yEbe4i5
Kimberly D. Manning, MD @gradydoctor
@JHospMedicine A2: I find it hard when people have strong convictions rooted in faith-related beliefs or negative experiences. My strategy? Listen. Meet you where you are. Reflect back what I've heard & probe. Me: "Is it possible that this could also be a part of God's plan?" #JHMChat
Journal of Hospital Medicine @JHospMedicine
@WrayCharles @DrJenChen4kids @MelissaPlesacMD #JHMChat https://t.co/TFONg50uRU
Stefan 🇺🇦 Kertesz, MD @StefanKertesz
@JHospMedicine Topic 2️⃣ : Difficult topic areas, really… 1. Where will you be able to go after this? 2. We have a long series of steps you *might choose* but they might not lead to the healing we hope will happen 3. Alcohol..? Cocaine? Approaches in next tweet #JHMChat
Erin Shaughnessy MD @EShaughnessyMD
@JHospMedicine 2. Not doing tests or interventions that most likely won’t help can sometimes be a challenging thing for families. I think moving away from the specific test/ intervention and discussing/ agreeing on goals can help so much with this topic. #JHMChat
Melissa Plesac @MelissaPlesacMD
@jenreadlynn @blairgolden @LannaFelde Yes! I feel like I spend so much of my time being result oriented! that is so hard to turn off and remember that not every meaningful encounter has to have a result or some tangible change #JHMChat
Journal of Hospital Medicine @JHospMedicine
@LannaFelde @templeratcliffe @michellebr00ks T-2 weeks...#JHMChat https://t.co/24ScvXOMOX
Kimberly D. Manning, MD @gradydoctor
@JHospMedicine A2: I also like to affirm where they are. I acknowledge what is true. Me: "I can see how you'd feel that way given what you told me." it opens a door for more discussion. #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@Midwest_MedPeds @gradydoctor @JHospMedicine @Gladwell I keep wracking up books to read (let's be honest, listen to) today! Thanks for the tip! It's true. A patient once told a nurse that they didn't like my face and that's why they didn't trust me (pre-COVID), and I think all of my stress was showing. #JHMChat
Journal of Hospital Medicine @JHospMedicine
Pure gold from our guest/author @gradydoctor. #JHMChat
Anika Kumar, MD (she/her) @freckledpedidoc
@JHospMedicine A2. For me it’s often connecting with my adolescent patients with chronic illnesses on the topics of preventative care and long-term care. I often use my own challenges as a former adolescent, now adult with a chronic illness to connect with them. #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @StefanKertesz: @JHospMedicine Topic 2️⃣ : @JHospMedicine Topic 2️⃣ : Difficult topic areas, really… 1. Where will you be able to go after this? 2. We have a long series of steps you *might choose* but they might not lead to the healing we hope will happen 3. Alcohol..? Cocaine? Approaches in next tweet #JHMChat
Karyn Baum (she/her) @karynbaum
@JHospMedicine Ack. #JHMChat
Charlie M. Wray, DO, MS @WrayCharles
@LaurenMazzurco This is great. I hear my palliative care colleagues (@EWidera, @lynnmomdoc, @AlexSmithMD) use this language all the time around EOL. Have learned to adapt it to these "difficult conversations" #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @ErinShaughness4: @JHospMedicine 2. Not doing tests or interventions that most likely won’t help can sometimes be a challenging thing for families. I think moving away from the specific test/ intervention and discussing/ agreeing on goals can help so much with this topic. #JHMChat
Lauren Mazzurco @LaurenMazzurco
Also use the @WesElyMD(?) strategy WAIT(Why Am I Talking?) bc we should listen more than we talk ☺️ #JHMChat
Ndidi Unaka MD, MEd @NdidiUnaka
@JHospMedicine A2: For me, it is not so much the topic of discussion. I find that I struggle most in situations in which the road the family would like to take to achieve a shared goal (e.g. improved health, quality of life) is different than the road I would recommend. It's tough. #JHMChat
Heather Hofmann, MD, FACP @HeatherNHofmann
A2: Difficult topic areas for me are ones that are complicated. Not necessarily life threatening, just complicated. Ones that require comprehensive care…So many steps and layers of understanding that we need to help our patients reach. #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @NdidiUnaka: @JHospMedicine A2: @JHospMedicine A2: For me, it is not so much the topic of discussion. I find that I struggle most in situations in which the road the family would like to take to achieve a shared goal (e.g. improved health, quality of life) is different than the road I would recommend. It's tough. #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@JHospMedicine @blairgolden @LannaFelde I sit on garbage can lids, radiators, foot of the bed, etc. Squatting makes my feet go numb too quickly. #JHMChat
Stefan 🇺🇦 Kertesz, MD @StefanKertesz
@JHospMedicine Difficult topic areas, approaches… 1. Housing/dispo: underscore commitment to recovery 2. Prognosis & decisions. Enlist the best person on our team who is “feeling ready” Go very slow 3. Substances: ask about all of a person’s life and then *say* I won’t be judging #JHMChat
Erin Shaughnessy MD @EShaughnessyMD
RT @gradydoctor: @JHospMedicine A2: @JHospMedicine A2: I also like to affirm where they are. I acknowledge what is true. Me: "I can see how you'd feel that way given what you told me." it opens a door for more discussion. #JHMChat
Journal of Hospital Medicine @JHospMedicine
Strong. #JHMChat
Jessica Markham @jmarks614
@JHospMedicine @michellebr00ks Hi everyone! Jess Markham from Childrens Mercy in Kansas City. #JHMChat
Anika Kumar, MD (she/her) @freckledpedidoc
@WrayCharles @DrJenChen4kids @MelissaPlesacMD @JHospMedicine For me it is “yes, your attending is ALWAYS hungry too .” #JHMChat https://t.co/9JbSuuyKdu
Journal of Hospital Medicine @JHospMedicine
RT @StefanKertesz: @JHospMedicine Difficult topic areas, approaches… 1. Housing/dispo: underscore commitment to recovery 2. Prognosis & decisions. Enlist the best person on our team who is “feeling ready” Go very slow 3. Substances: ask about all of a person’s life and then *say* I won’t be judging #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @HeatherNHofmann: A2: A2: Difficult topic areas for me are ones that are complicated. Not necessarily life threatening, just complicated. Ones that require comprehensive care…So many steps and layers of understanding that we need to help our patients reach. #JHMChat
Heather Hofmann, MD, FACP @HeatherNHofmann
As some have said for A1 discussion - it helps to have multiple convos (#howwehospitalist!), and collaborate with many others to strategize. #JHMChat
Society of Hospital Medicine @SocietyHospMed
Meeting patients where they're at and finding connections. That is #HowWeHospitalist! 👏 #JHMChat
Journal of Hospital Medicine @JHospMedicine
@jmarks614 @michellebr00ks Welcome! #JHMChat
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@JHospMedicine A2: I haven't really experienced the struggling to engage part in my limited personal experience...I guess the most difficult is the internal voice trying to scream at a patient who doesn't seek care or get preventative maintenance...but trying to probe "why" helps #JHMChat
Kimberly D. Manning, MD @gradydoctor
@freckledpedidoc @JHospMedicine This is so important. We should draw on our lived experiences to help us build connection. It's key to humanistic care! #JHMChat
Renee Dversdal @DRsonosRD
@JHospMedicine A2) hmmm, this one is tough! I guess I sort of embrace difficult discussions, as in my personal healthcare life (w parents), many were done poorly. Prob the hardest are where a family member is very clearly (based on other info) putting their desires before patient's. #JHMchat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@TheRealDSrini @freckledpedidoc @gradydoctor @JHospMedicine Something that's so important and often overlooked. I've also had interpreters fill me in on some cultural subtleties or even the patient's history/past experiences because the interpreters get to know them so well. It helps to deepen understanding in so many ways. #JHMChat
Journal of Hospital Medicine @JHospMedicine
@jenreadlynn @blairgolden @LannaFelde Which could lead to you being on fall precautions. #JHMChat https://t.co/iQfCy2cnkT
Journal of Hospital Medicine @JHospMedicine
RT @jenreadlynn: @TheRealDSrini @freckledpedidoc @gradydoctor @JHospMedicine Something that's so important and often overlooked. I've also had interpreters fill me in on some cultural subtleties or even the patient's history/past experiences because the interpreters get to know them so well. It helps to deepen understanding in so many ways. #JHMChat
Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids
#JHMChat A2: vaccines were a hot topic even pre-COVID but sometimes it’s harder convincing families the kid does NOT need a test/X-ray/med “just because” (or such a test/med doesn’t even exist) 🙃 I offer sx to look for in future so the parents feel they have a follow-up plan
Journal of Hospital Medicine @JHospMedicine
RT @DRsonosRD: @JHospMedicine A2) hmmm, this one is tough! I guess I sort of embrace difficult discussions, as in my personal healthcare life (w parents), many were done poorly. Prob the hardest are where a family member is very clearly (based on other info) putting their desires before patient's. #JHMchat
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@freckledpedidoc @JHospMedicine Yep! A topic I hope to make my career once I finish residency! #JHMChat
Lanna Felde @LannaFelde
@jenreadlynn @Midwest_MedPeds @gradydoctor @JHospMedicine @Gladwell Oh wow, so grateful for masks because I too have a horrible game face #jhmchat https://t.co/tbMJNz3ulH
Anika Kumar, MD (she/her) @freckledpedidoc
@TheRealDSrini @gradydoctor @JHospMedicine I still always call the interpreter. I explain to the family the interpreter is for me. #JHMChat
Society of Hospital Medicine @SocietyHospMed
⏲️ The conversation is bumping! Join #JHMChat before it ends. Hop in and share your insight on building trust: the challenges and rewards. 🤔 ✅ Connect with your hospitalist community ✅ Share advice ✅ Learn tips Use #JHMChat on all replies to be part of the conversation!
Lauren Mazzurco @LaurenMazzurco
@NdidiUnaka @JHospMedicine Yes.. absolutely! Often find myself using “what else can we hope for/plan for(whatever makes sense) can get to shared agreement of something reasonable #JHMChat
Bernardrdoom @doctorlaraber
#jhmchat A2. Tristemente en mi país hay varias, el paciente se vuelve violento al malinterpretar la inquietud y atencion en su salud . La estrategia es con respeto y diciéndole que nadie lo cuestiona, que nos permita ayudar a buscar lo mejor para el.
Kimberly D. Manning, MD @gradydoctor
@ErinShaughness4 @JHospMedicine Gosh this is tough for patients of all ages. When I was seeing kids, though, it seemed especially hard because people are often so afraid when it comes to their children. I love that strategy you offer. #JHMChat
Yolanda H. Wimberly, MD, MSc, FAAP @YWimberlyMD
@MelissaPlesacMD @JHospMedicine You are so right about this. I do find my mindset affects the way I listen and respond. #jhmchat
Heather Hofmann, MD, FACP @HeatherNHofmann
But that’s also what’s so great about this @JHospMedicine piece by @gradydoctor & team have achieved: engaging the patient by building their understanding also brings their insight into solutions. That helps lower the difficulty. #patientcentered #teamwork #jhmchat
Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood
@gradydoctor @JHospMedicine As someone who actively practices the Christian faith, I find conversations when the family makes decisions based on their Christian faith that I would not have made based on my faith very difficult. I don’t want to be seen as faith-less. I love this approach & question. #JHMChat
Journal of Hospital Medicine @JHospMedicine
@jenreadlynn @Midwest_MedPeds @gradydoctor @Gladwell 😂😂🤣 #JHMChat We think your face is lovely.
Journal of Hospital Medicine @JHospMedicine
RT @DrJenChen4kids: #JHMChat A2: #JHMChat A2: vaccines were a hot topic even pre-COVID but sometimes it’s harder convincing families the kid does NOT need a test/X-ray/med “just because” (or such a test/med doesn’t even exist) 🙃 I offer sx to look for in future so the parents feel they have a follow-up plan
Journal of Hospital Medicine @JHospMedicine
Thanks for sharing all your difficult situations and strategies. Learning from my peers is one of my favorite things about #JHMChat, and one of the things that makes me wish I had discovered #MedTwitter earlier in my career! Topic 3️⃣ up in a few...
Jess Dreicer, MD @jessdreicer
@JHospMedicine A2. I've had success with pts who want to get testing that I don't think is necessary (e.g. CT chest for asthma exacerbation from URI) by making a follow up plan. "I'll come back this afternoon. If you're worse, we'll get the CT, if you're improving we'll hold off." #JHMChat
Kimberly D. Manning, MD @gradydoctor
@TheRealDSrini @JHospMedicine #WhatsYourWhy is always the right question! #JHMChat
Yichi Zhang (张一弛) @YichiZzzzz
@DRsonosRD @JHospMedicine On peds rotation right now, and can attest that this is even more frustrating when the patient is vulnerable and unable to stand up for his/herself!! #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @HeatherNHofmann: But that’s also what’s so great about this @JHospMedicine piece by @gradydoctor & team have achieved: But that’s also what’s so great about this @JHospMedicine piece by @gradydoctor & team have achieved: engaging the patient by building their understanding also brings their insight into solutions. That helps lower the difficulty. #patientcentered #teamwork #jhmchat
Journal of Hospital Medicine @JHospMedicine
RT @SocietyHospMed: ⏲️ The conversation is bumping! Join #JHMChat before it ends. Hop in and share your insight on building trust: the challenges and rewards. 🤔 ✅ Connect with your hospitalist community ✅ Share advice ✅ Learn tips Use #JHMChat on all replies to be part of the conversation!
Maha @Arhait
@JHospMedicine A2 Their ability to care from themselves when they lack the resources that I can’t help with like medical insurance. #JHMChat
Anika Kumar, MD (she/her) @freckledpedidoc
@gradydoctor @JHospMedicine Sometimes sharing your own vulnerabilities with patients allows them to be more vulnerable with you. #JHMChat
Kimberly D. Manning, MD @gradydoctor
@STangGirdwood @JHospMedicine Sonya, do you disclose your faith? I often do. Just curious of your approach. I also am of Christian faith. #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @freckledpedidoc: @gradydoctor @JHospMedicine Sometimes sharing your own vulnerabilities with patients allows them to be more vulnerable with you. #JHMChat
Journal of Hospital Medicine @JHospMedicine
Topic 3️⃣ : What techniques do you use to be a good listener for your patients? #JHMChat https://t.co/1Ih7fohnfZ
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@ErinShaughness4 @JHospMedicine And also making clear that #TWDFNR maybe should not be offered if it may lead to overtesting/poor utilization of resources... #JHMChat
Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids
@STangGirdwood @gradydoctor @JHospMedicine As another Christian physician, agree w both of you - was sometimes helpful to consult w hospital chaplains on such cases (and then they could also offer additional spiritual support to the families) #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: Topic 3️⃣ : What techniques do you use to be a good listener for your patients? #JHMChat https://t.co/1Ih7fohnfZ
Heather Hofmann, MD, FACP @HeatherNHofmann
@jessdreicer @JHospMedicine Love how proactive this is. I joke we as hospitalists have to have like plan A-Z up our sleeve! #JHMChat
Stefan 🇺🇦 Kertesz, MD @StefanKertesz
@gradydoctor @TheRealDSrini @JHospMedicine Is #WhatsYourWhy perhaps a reminder? Sometimes “why do you” (coming form a doctor) sounds reproachful. But “what are some reasons you are thinking that?” conveys our curiosity #JHMchat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@JHospMedicine A2: Agree w/ what others have said. Not a particular topic but more when I have recommendations that are very different from pt/family goals/expectations, especially when faith is involved. Overcome = listening, asking for more information or prior experience #JHMChat
Temple Ratcliffe, MD, MS-HPEd @templeratcliffe
A3: Sitting down = Magic #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
RT @NdidiUnaka: @JHospMedicine A2: @JHospMedicine A2: For me, it is not so much the topic of discussion. I find that I struggle most in situations in which the road the family would like to take to achieve a shared goal (e.g. improved health, quality of life) is different than the road I would recommend. It's tough. #JHMChat
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@StefanKertesz @gradydoctor @JHospMedicine Or maybe "Tell me more about your thoughts on that." #JHMChat
Stefan 🇺🇦 Kertesz, MD @StefanKertesz
RT @SocietyHospMed: ⏲️ The conversation is bumping! Join #JHMChat before it ends. Hop in and share your insight on building trust: the challenges and rewards. 🤔 ✅ Connect with your hospitalist community ✅ Share advice ✅ Learn tips Use #JHMChat on all replies to be part of the conversation!
Ndidi Unaka MD, MEd @NdidiUnaka
@JHospMedicine A2: I try and overcome this by remembering that every patient/ family is on a journey and I have a duty to listen and make room for meaningful discourse. Trust is not built overnight - it takes time. #JHMChat
Kimberly D. Manning, MD @gradydoctor
@StefanKertesz @TheRealDSrini @JHospMedicine Hey Stefan! I was actually referencing a line in our paper but totally agree with you. This more probes why a person feels as they do. #JHMChat
Shitij Arora MD @arorashMD
@JHospMedicine A3- Clean 👂 and an open mind. :) #jhmchat
Karyn Baum (she/her) @karynbaum
@JHospMedicine A3 Reflection and mirroring, so they know I listened and can also correct me if I got it wrong. #JHMChat
Journal of Hospital Medicine @JHospMedicine
May you always find a🪑chair. #JHMChat
Melissa Plesac @MelissaPlesacMD
@JHospMedicine A3: its so small, but besides just sitting I make sure that the TV is off, the patient has their glasses or hearing aids, is positioned comfortably, etc etc. I think about it like a procedure, preparation is a HUGE part of success #JHMChat
Yichi Zhang (张一弛) @YichiZzzzz
@JHospMedicine A3: Bring myself down to the same level, always. Before I try to say anything, intentionally pause to give the patient a chance to finish elaborating. Often those 3 seconds allow the patient time to provide a key piece of info that vivids your clinical picture greatly! #JHMChat
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@JHospMedicine A3: Sit down, lean in, open up, and shut your mouth...let the patient talk. But try to find appropriate points to acknowledge the patient's experience and feelings. It's a delicate balancing act... #JHMChat
Heather Hofmann, MD, FACP @HeatherNHofmann
@jessdreicer @JHospMedicine Also, #JHMChat please say 👋🏻 to another #healthcarecommunication champion, @jessdreicer!
Journal of Hospital Medicine @JHospMedicine
RT @NdidiUnaka: @JHospMedicine A2: @JHospMedicine A2: I try and overcome this by remembering that every patient/ family is on a journey and I have a duty to listen and make room for meaningful discourse. Trust is not built overnight - it takes time. #JHMChat
Anika Kumar, MD (she/her) @freckledpedidoc
@gradydoctor @ErinShaughness4 @JHospMedicine It goes back to Step 5 of your process @gradydoctor, common ground. Reaching Common Ground and approaching diagnosis & treatment with Shared Decision Making is what allows patients trust us. It reminds them, and us, that humanity is present in medicine #JHMChat
Erin Shaughnessy MD @EShaughnessyMD
@gradydoctor @JHospMedicine Yes. And that love can help them make the best decisions when the choice is framed around what they most want for their child #JHMChat
Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood
@gradydoctor @JHospMedicine Not usually during a difficult conversation. I have no qualms about telling families about my faith when it comes up naturally in conversation - ie I might say my husband is a pastor or I serve at church- but I don’t think I have when someone tells me that God will…XYZ #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@YichiZTulane @JHospMedicine Great point! It's so hard to feel helpless and limited. I don't have advice but just see things changing for the better and encourage you to be part of that change where it best fits for you. #JHMChat
G. Ahmed,M.D @AhemdDr
RT @StefanKertesz: @gradydoctor @TheRealDSrini @JHospMedicine Is #WhatsYourWhy perhaps a reminder? Sometimes “why do you” (coming form a doctor) sounds reproachful. But “what are some reasons you are thinking that?” conveys our curiosity #JHMchat
Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids
@STangGirdwood @gradydoctor @JHospMedicine Should note this applies to pts of ANY faith background - offering to have their spiritual leader come in (when appropriate) if your hospital doesn’t have the equivalent person (rabbi, iman, monk, etc) can be really meaningful for the pt/family #JHMChat
Jessica Markham @jmarks614
@YichiZTulane @JHospMedicine It’s so important to consider social determinants of health but sometimes these can be challenging and vulnerable topics for families. I try to normalize that many families have unmet needs but would love to learn how others address this with pts/families. #JHMChat
Kimberly D. Manning, MD @gradydoctor
@JHospMedicine A3: 1. Hands in my lap. 2. Full eye contact. 3. Reflect back what I hear and clarify what isn't clear. 4. Probe for more. I also like to reflect back something they told me before. Like: Me: "Did your youngest son get his driver's license?" #JHMChat
Blair Golden @blairgolden
@templeratcliffe I find that for me, sitting is not just about body language but also helps me be more comfortable & relaxed and so I can more present and focused on my patient #JHMChat
Journal of Hospital Medicine @JHospMedicine
@HeatherNHofmann @jessdreicer Welcome @jessdreicer! Thanks for joining us! #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @LannaFelde: love all of this and another thing i learned from @gradydoctor: love all of this and another thing i learned from @gradydoctor: find something you have in common with the patient even if it's "I hate being admitted to the hospital too" #jhmchat
Society of Hospital Medicine @SocietyHospMed
RT @jmarks614: @YichiZTulane @JHospMedicine It’s so important to consider social determinants of health but sometimes these can be challenging and vulnerable topics for families. I try to normalize that many families have unmet needs but would love to learn how others address this with pts/families. #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @gradydoctor: @JHospMedicine A3: 1. Hands in my lap. 2. Full eye contact. 3. Reflect back what I hear and clarify what isn't clear. 4. Probe for more. I also like to reflect back something they told me before. Like: Me: "Did your youngest son get his driver's license?" #JHMChat
Bernardrdoom @doctorlaraber
#JHMChat A3. Ser tolerante, contacto visual siempre y parafrasear sus ultimas palabras Be tolerant, always eye contact and repeat the last words. (paraphrase)
Erin Shaughnessy MD @EShaughnessyMD
@blairgolden @templeratcliffe Great point. 🪑 #JHMChat
I Got A Man(uscript) 📝 @maryannscience1
#JHMChat reading these tips reminds me of advice for dealing with small children—a lot boils down to showing folks that you respect and believe them, no matter how much taller you are
Stefan 🇺🇦 Kertesz, MD @StefanKertesz
A3: Much Wisdom here - physically at same level as patient (or lower). Wait Wait As a listener I like to tap my inner story-seeker. I enjoy it! Patients recognize it. I also restate what I just heard and ask “gosh did I get that right or bungle it?” #JHMchat
Ndidi Unaka MD, MEd @NdidiUnaka
@JHospMedicine A3: I try and make sure my non verbal cues signal that I am actually listening (sit down, stay quiet, put my phone on silent etc.). I also try to repeat back what patients/ families share and acknowledge their point-of view. #JHMChat
Kimberly D. Manning, MD @gradydoctor
@YWimberlyMD @JHospMedicine Sit on your hands! Me, too, Yolanda! #JHMChat
Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood
@gradydoctor @JHospMedicine I think it’s because I worry they may think my faith is weak if I don’t agree or they bring up Scripture I don’t know. I mean I’m supposed to believe if we have faith as big as a mustard seed, we can move mountains, right? This could be a whole other topic for #JHMChat
Renee Dversdal @DRsonosRD
@YichiZTulane @JHospMedicine Unfortunately many people return to this stage later in life as well...so I think of us all as being patient advocates, whether a minor or an elder. #JHMchat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@TheRealDSrini @freckledpedidoc @gradydoctor @JHospMedicine I actually learned from one our mandatory trainings (😲I know, bear with me), to bring an interpreter for you, not the patient if they insist on a family member. Family is there for the patient, interpreter is there as staff interpreter. #JHMChat
Kimberly D. Manning, MD @gradydoctor
@MelissaPlesacMD @JHospMedicine Dang Melissa you dropping all the pearls. #JHMChat
Charlie M. Wray, DO, MS @WrayCharles
@templeratcliffe Unfortunately, turns out we don't do it as much as we should... https://t.co/XoVRGy4y4z via @blairgolden #JHMChat
Melissa Plesac @MelissaPlesacMD
@JHospMedicine A3: Would also say I try really hard to think about and then practice how different it feels when you listen to respond vs listen to truly hear. It just feels different to me, and I always try to talk to my team about that #JHMChat
Jess Dreicer, MD @jessdreicer
@JHospMedicine A3. I sit down, start with an open ended question, and let the patient completely finish answering my question. (Unless they have mania, then I gently redirect). #JHMChat
Journal of Hospital Medicine @JHospMedicine
Almost in tears at some of these answers - yes. "Humanity is present in medicine." @freckledpedidoc #JHMChat
Journal of Hospital Medicine @JHospMedicine
Had to share this from the article and confess... Sometimes it is difficult for me to listen without any agenda. Planning what I'm going to say next is an ongoing struggle for me to fully engage. With topic 4️⃣, we will dive a little deeper into this... #JHMChat https://t.co/DmBTIpjmSY
Anika Kumar, MD (she/her) @freckledpedidoc
@YichiZTulane @DRsonosRD @JHospMedicine That’s where open conversation and common ground is most important. I know there are several pediatric hospitalists on this #JHMChat who would agree. @NdidiUnaka @STangGirdwood @ErinShaughness4 @DrJenChen4kids @SamirShahMD
Heather Hofmann, MD, FACP @HeatherNHofmann
A3: reflective listening is 🔑 #JHMChat.
Shub Agrawal, MD MBA @ShubAgrawalMD
@jessdreicer @JHospMedicine I love this approach! #JHMChat
Charlie M. Wray, DO, MS @WrayCharles
@gradydoctor @MelissaPlesacMD @JHospMedicine Yeah, she's good #JHMChat
Journal of Hospital Medicine @JHospMedicine
3 seconds seems like a long time, but I love the idea of that intentional space! #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@SocietyHospMed @HeatherNHofmann @michellebr00ks @SamirShahMD I just keep getting NFL ads (I don't watch football) and decluttering ads. #JHMChat Maybe they do know something. 🤔
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: Had to share this from the article and confess... Sometimes it is difficult for me to listen without any agenda. Planning what I'm going to say next is an ongoing struggle for me to fully engage. With topic 4️⃣, we will dive a little deeper into this... #JHMChat https://t.co/DmBTIpjmSY
Journal of Hospital Medicine @JHospMedicine
Great checklist! #JHMChat
Melissa Plesac @MelissaPlesacMD
@JHospMedicine Not to say I do it successfully all the time. But try to catch myself when I am listening to respond and wind back the tape #JHMChat
Journal of Hospital Medicine @JHospMedicine
@jenreadlynn @SocietyHospMed @HeatherNHofmann @michellebr00ks @SamirShahMD I swear the phones are listening to us. #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
RT @LaurenMazzurco: A1: A1: love using the #PalliativeCare questions of “what are you hoping for?” “What are you worried about?” Gives a lot of info and guides discussion to meet wherever he/she/they are starting from #JHMChat
Stefan 🇺🇦 Kertesz, MD @StefanKertesz
RT @JHospMedicine: Had to share this from the article and confess... Sometimes it is difficult for me to listen without any agenda. Planning what I'm going to say next is an ongoing struggle for me to fully engage. With topic 4️⃣, we will dive a little deeper into this... #JHMChat https://t.co/DmBTIpjmSY
Journal of Hospital Medicine @JHospMedicine
RT @NdidiUnaka: @JHospMedicine A3: @JHospMedicine A3: I try and make sure my non verbal cues signal that I am actually listening (sit down, stay quiet, put my phone on silent etc.). I also try to repeat back what patients/ families share and acknowledge their point-of view. #JHMChat
Anika Kumar, MD (she/her) @freckledpedidoc
@JHospMedicine A3. 1️⃣ 🪑 seated at 👁 level 2️⃣ 👀 contact 3️⃣ active listening with “mmhmm” and “tell me more” 4️⃣ recapping to make sure “I heard correctly” #JHMChat
Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids
#JHMChat A3: 👀 Eye contact is key (luckily I can type w/out looking) 👂If I absolutely have to check something else (eg get paged) then ask pt to excuse me 🤐 If I feel I want to interrupt, have to actively block myself to let pt/family finish their train of thought
Society of Hospital Medicine @SocietyHospMed
RT @DrJenChen4kids: #JHMChat A3: 👀 Eye contact is key (luckily I can type w/out looking) 👂If I absolutely have to check something else (eg get paged) then ask pt to excuse me 🤐 If I feel I want to interrupt, have to actively block myself to let pt/family finish their train of thought
Journal of Hospital Medicine @JHospMedicine
RT @DrJenChen4kids: #JHMChat A3: 👀 Eye contact is key (luckily I can type w/out looking) 👂If I absolutely have to check something else (eg get paged) then ask pt to excuse me 🤐 If I feel I want to interrupt, have to actively block myself to let pt/family finish their train of thought
Society of Hospital Medicine @SocietyHospMed
RT @freckledpedidoc: @JHospMedicine A3. 1️⃣ 🪑 seated at 👁 level 2️⃣ 👀 contact 3️⃣ active listening with “mmhmm” and “tell me more” 4️⃣ recapping to make sure “I heard correctly” #JHMChat
Charlie M. Wray, DO, MS @WrayCharles
@gradydoctor @JHospMedicine I love this, Kimberly! When someone describes something/someone non-specifically (e.g., "My son and I went on a trip..."), I'll often ask "What's your son's name?". Shows I'm interested (and helps me connect dots) #JHMChat
Heather Hofmann, MD, FACP @HeatherNHofmann
@JHospMedicine @jenreadlynn @SocietyHospMed @michellebr00ks @SamirShahMD That’s it. I’m just going to start texting patients and wait for the autocorrect to tell us what to say #JHMchat
Lauren Mazzurco @LaurenMazzurco
Oops A3: and not just listen but allow people to feel heard and respected in their own voice
Journal of Hospital Medicine @JHospMedicine
Hubby just updated that the CFP Championship has all been field goals, so you're not missing much. #JHMChat https://t.co/lL57bvJjyV
Stefan 🇺🇦 Kertesz, MD @StefanKertesz
Really smart thoughts on listening as a clinician :
Bernardrdoom @doctorlaraber
RT @JHospMedicine: Had to share this from the article and confess... Sometimes it is difficult for me to listen without any agenda. Planning what I'm going to say next is an ongoing struggle for me to fully engage. With topic 4️⃣, we will dive a little deeper into this... #JHMChat https://t.co/DmBTIpjmSY
Jessica Markham @jmarks614
@JHospMedicine Sit down, relax, eye contact, pre-COVID an encouraging/gentle smile, and asking follow-up questions to show I’m engaged and want to hear their story!! #JHMChat
Shub Agrawal, MD MBA @ShubAgrawalMD
@Arhait @JHospMedicine I really struggle with this too - I've found becoming more familiar with local resources and community organizations is a step that helps me make a plan with my patients. Also - acknowledging this struggle rather than ignoring it has gone such a long way building trust #JHMChat
Renee Dversdal @DRsonosRD
@JHospMedicine A3) love many of the other replies here. I honestly have noticed that at time my 🧠 is the truest barrier to really listening. Learned from an ID doc to try and take the hand hygiene moment as a time to reset self, take a deep breath, and enter open. #JHMchat
Lauren Mazzurco @LaurenMazzurco
Oops A3: and not just listen but allow people to feel heard and respected in their own voice #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@gradydoctor @freckledpedidoc @JHospMedicine It's so funny because I feel like my early training was to be neutral and not reveal too much of myself. It didn't sit right and I'm glad to see the opposite encouraged. One of the things that stood out to me from the article was sharing your own why with the patient. #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @DRsonosRD: @JHospMedicine A3) love many of the other replies here. I honestly have noticed that at time my 🧠 is the truest barrier to really listening. Learned from an ID doc to try and take the hand hygiene moment as a time to reset self, take a deep breath, and enter open. #JHMchat
Society of Hospital Medicine @SocietyHospMed
RT @ShubAgrawalMD: @Arhait @JHospMedicine I really struggle with this too - I've found becoming more familiar with local resources and community organizations is a step that helps me make a plan with my patients. Also - acknowledging this struggle rather than ignoring it has gone such a long way building trust #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @LaurenMazzurco: Oops A3: Oops A3: and not just listen but allow people to feel heard and respected in their own voice #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @jenreadlynn: @gradydoctor @freckledpedidoc @JHospMedicine It's so funny because I feel like my early training was to be neutral and not reveal too much of myself. It didn't sit right and I'm glad to see the opposite encouraged. One of the things that stood out to me from the article was sharing your own why with the patient. #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @DRsonosRD: @JHospMedicine A3) love many of the other replies here. I honestly have noticed that at time my 🧠 is the truest barrier to really listening. Learned from an ID doc to try and take the hand hygiene moment as a time to reset self, take a deep breath, and enter open. #JHMchat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@JHospMedicine @blairgolden @LannaFelde I mean I'm pretty clumsy. I should probably always be on fall precautions. #JHMChat
Heather Hofmann, MD, FACP @HeatherNHofmann
@DrJenChen4kids These are great. For many of us, it takes effort to listen. It’s nice to see so many #JHMChat with similar approaches, as @gradydoctor & team presented
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@jmarks614 @JHospMedicine Smizing works even with masks! #JHMChat
Society of Hospital Medicine @SocietyHospMed
@TheRealDSrini @jmarks614 @JHospMedicine Tyra would be proud! #JHMChat https://t.co/4NBxdL8M0J
Lanna Felde @LannaFelde
@DRsonosRD @JHospMedicine #jhmchat
Journal of Hospital Medicine @JHospMedicine
Topic 4️⃣ : How do you react when a patient choose a plan that differs from your recommendations? How might you redefine success in those situations? #JHMChat https://t.co/8T2KuIFhj9
Kimberly D. Manning, MD @gradydoctor
@DRsonosRD @JHospMedicine My goodness I love this answer. A personal reset while sanitizing hands. Yes and yes. #JHMChat
Anika Kumar, MD (she/her) @freckledpedidoc
@jenreadlynn @gradydoctor @JHospMedicine Jen, I was taught the same. I find that when I am struggling to connect with patients, my vulnerability helps to bridge the gap. #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: Topic 4️⃣ : How do you react when a patient choose a plan that differs from your recommendations? How might you redefine success in those situations? #JHMChat https://t.co/8T2KuIFhj9
Melissa Plesac @MelissaPlesacMD
@WrayCharles @gradydoctor @JHospMedicine Have learned so much from being part of this community ❤️ has truly made me a better doctor and educator #JHMchat https://t.co/YKZQ3u5l6P
Charlie M. Wray, DO, MS @WrayCharles
@jenreadlynn @gradydoctor @freckledpedidoc @JHospMedicine I'm with you, Jen. Felt like I was trained to not reveal "who I am" and remain objective (whatever that means). Took me years to realize that was wrong and that "who I am" helps me connect with my patients #JHMChat
Jessica Markham @jmarks614
@TheRealDSrini @JHospMedicine Yes yes it does!! #JHMChat https://t.co/H6uCQ1m6Tm
Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids
@YWimberlyMD @JHospMedicine Have to wonder why they came to see you in the first place! Sometimes just have to acknowledge that you’re not going to convince that pt at least that time 🤷🏻‍♀️ “These are my recs, you can choose to follow them or not, but if not then you need to watch out for this…” #JHMChat
Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood
@jenreadlynn @gradydoctor @freckledpedidoc @JHospMedicine So true! I do remember being told as a medical student not to share personal info but I learned quickly that I connected best with my patients when we had shared common interest (often the football game of the week back then). #JHMChat
Journal of Hospital Medicine @JHospMedicine
Last topic is up! We are almost out of time! I cannot believe how fast this went by. #JHMChat
Heather Hofmann, MD, FACP @HeatherNHofmann
Let’s acknowledge that we are building good, effective habits for conversation. Many of us never thought this needed to be taught at the graduate or post-graduate/faculty levels. But here we are. Because we care. That’s the hospitalist #why. #jhmchat @gradydoctor
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
RT @maryannscience1: #JHMChat reading these tips reminds me of advice for dealing with small children—a lot boils down to showing folks that you respect and believe them, no matter how much taller you are
Society of Hospital Medicine @SocietyHospMed
The #JHMChat community is such a special place ❤️
Yichi Zhang (张一弛) @YichiZzzzz
@JHospMedicine A4: Understand the Why! The patient's explanation can often inspire you to create an even better, more personalized, and comprehensive third plan that neither of you thought of before! #JHMChat
Karyn Baum (she/her) @karynbaum
@JHospMedicine A4 Look, as long as they understand, I communicated well, gave them space to make the decision, and it's not motivated by lack of resource, it's all fine. We all have different values and imperatives. This isn't a contest. It's me giving an adult info and a choice #JHMChat
Lanna Felde @LannaFelde
A4: I try to be cognizant of other small successes for my patient, my team and myself. For example ✅we made the patient feel heard ✅the team learned from this #JHMChat
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@JHospMedicine A4: The recommendations I give are those that I feel give the most benefit with the least risk...if a patient wants to take on risk or cannot afford the optimum treatment, I redefine success as getting to a treatment plan that has benefit and the patient can stick to...#JHMChat
Journal of Hospital Medicine @JHospMedicine
So many of us have come to the same conclusions. Connecting with people is 🔑. #howwehospitalist
Charlie M. Wray, DO, MS @WrayCharles
RT @HeatherNHofmann: Let’s acknowledge that we are building good, effective habits for conversation. Many of us never thought this needed to be taught at the graduate or post-graduate/faculty levels. But here we are. Because we care. That’s the hospitalist #why. #jhmchat @gradydoctor
Maha @Arhait
@JHospMedicine A3 summarize what they say and say it back to them. I ask if I got it right ? This really helps with the patients family & advocates. #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @LannaFelde: A4: A4: I try to be cognizant of other small successes for my patient, my team and myself. For example ✅we made the patient feel heard ✅the team learned from this #JHMChat
Erin Shaughnessy MD @EShaughnessyMD
RT @SocietyHospMed: ⏲️ The conversation is bumping! Join #JHMChat before it ends. Hop in and share your insight on building trust: the challenges and rewards. 🤔 ✅ Connect with your hospitalist community ✅ Share advice ✅ Learn tips Use #JHMChat on all replies to be part of the conversation!
Kimberly D. Manning, MD @gradydoctor
@JHospMedicine A4: I let them know that even though my rec differs, the decision is ultimately theirs. I make sure they understand potential consequences. Then, leave the door open. Me: "Sounds like you've thought a lot about this. Feel free to chat with me if anything changes." #JHMChat
Charlie M. Wray, DO, MS @WrayCharles
RT @LannaFelde: A4: A4: I try to be cognizant of other small successes for my patient, my team and myself. For example ✅we made the patient feel heard ✅the team learned from this #JHMChat
Stefan 🇺🇦 Kertesz, MD @StefanKertesz
@JHospMedicine A4: “How do you react when a patient choose a plan that differs from your recommendations?” I ask “why” in a way that is respectful of their autonomy. Don’t fail to ask why (@SaulWeiner & I have a podcast episode on a time I failed to ask) #JHMchat https://t.co/9RCQfa2yx9
Journal of Hospital Medicine @JHospMedicine
RT @karynbaum: @JHospMedicine A4 Look, as long as they understand, I communicated well, gave them space to make the decision, and it's not motivated by lack of resource, it's all fine. We all have different values and imperatives. This isn't a contest. It's me giving an adult info and a choice #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
RT @MelissaPlesacMD: @JHospMedicine A3: @JHospMedicine A3: Would also say I try really hard to think about and then practice how different it feels when you listen to respond vs listen to truly hear. It just feels different to me, and I always try to talk to my team about that #JHMChat
Shub Agrawal, MD MBA @ShubAgrawalMD
@JHospMedicine A3: Deep breath to reset before I walk in the room and finding somewhere to put my hands. In clinic, making sure I check in with the patient before I log on to the EMR #JHMChat
Melissa Plesac @MelissaPlesacMD
I love these are markers of success . . . "we made the patient feel heard." Going to remember this and remind myself and my teams #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @gradydoctor: @JHospMedicine A4: I let them know that even though my rec differs, the decision is ultimately theirs. I make sure they understand potential consequences. Then, leave the door open. Me: "Sounds like you've thought a lot about this. Feel free to chat with me if anything changes." #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @MelissaPlesacMD: I love these are markers of success . . . "we made the patient feel heard." Going to remember this and remind myself and my teams #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@JHospMedicine A3: Sitting, intentionally not crossing my arms (somehow my natural state is always crossed), leaning in, repeat back. #JHMChat
Anika Kumar, MD (she/her) @freckledpedidoc
@JHospMedicine A4. I think I do my best to educate my patients. If families choose an option that I may not 💯 agree with, I thank them for allowing me to participate in the care & pledge to do what we collectively agree is the plan for the child. #JHMChat
Kimberly D. Manning, MD @gradydoctor
@JHospMedicine That open door is so clutch. I can't count how many people looped back just because they could. I also reflect on the MANY decisions I make based on what I think. It is the patient's right to have their own opinion. I can respect that. #JHMChat
Ndidi Unaka MD, MEd @NdidiUnaka
@JHospMedicine A4: This can be situation-dependent. However, I always acknowledge how challenging it must be for patients/ families to make health-related decisions (especially during an admission) and that I know they are approaching the decision wanting the best for their child #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @freckledpedidoc: @JHospMedicine A4. I think I do my best to educate my patients. If families choose an option that I may not 💯 agree with, I thank them for allowing me to participate in the care & pledge to do what we collectively agree is the plan for the child. #JHMChat
Christopher D. Jackson, MD @ChrisDJacksonMD
A4 I appreciate the therapeutic alliance that starts when a patient feels comfortable expressing a decision that differs from my recommendation #JHMChat
Kimberly D. Manning, MD @gradydoctor
@freckledpedidoc @JHospMedicine Gratitude is so key. Love this. #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @gradydoctor: @JHospMedicine That open door is so clutch. I can't count how many people looped back just because they could. I also reflect on the MANY decisions I make based on what I think. It is the patient's right to have their own opinion. I can respect that. #JHMChat
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@JHospMedicine Also, keep in mind that if the recommendation relates to admission to a hospital, caregiving is a factor...people often resist admission simply because there's no one to take care of the kids, or parents, or pets...#JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @NdidiUnaka: @JHospMedicine A4: @JHospMedicine A4: This can be situation-dependent. However, I always acknowledge how challenging it must be for patients/ families to make health-related decisions (especially during an admission) and that I know they are approaching the decision wanting the best for their child #JHMChat
Yolanda H. Wimberly, MD, MSc, FAAP @YWimberlyMD
@JHospMedicine A4: I respect what their decision. It is their decision and their body. I may schedule a follow up depending on how the conversation went and if I think there is a chance for more dicussion with a different decision. #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@JHospMedicine This is me too! Constantly trying to plan what to say next. Always lose something important that way. This was a great reminder. #JHMChat
Journal of Hospital Medicine @JHospMedicine
Thank you for your participation and a wonderful discussion. And a special thanks to our guests/authors - @gradydoctor @YWimberlyMD @ShubAgrawalMD It's time for closing thoughts! #JHMChat
A WOMANS DAY @sondrawomen
RT @StefanKertesz: A3: A3: Much Wisdom here - physically at same level as patient (or lower). Wait Wait As a listener I like to tap my inner story-seeker. I enjoy it! Patients recognize it. I also restate what I just heard and ask “gosh did I get that right or bungle it?” #JHMchat
Renee Dversdal @DRsonosRD
@JHospMedicine A1) wow, great topics tonight! Success to me is the patient and/or family making a truly educated decision. I don't have to like the decision, but I have to give 100% of my effort to give all the pertinent info in an understandable way, and then respect their autonomy. #JHMchat
Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids
@gradydoctor @JHospMedicine I’ll often start follow-up visits with “Last time you told me…, how are things going now?” Clearly documenting things like siblings’ names (even if sibs haven’t been my patient) also helps the family feel I’m more connected to all of them 😁 #JHMChat
Melissa Plesac @MelissaPlesacMD
@JHospMedicine A4: My primary goal when this happens is to make sure the patient knows that this doesn't change how I feel about them, or the care I will provide for them. Am always thinking of ways to communicate that effectively and worry I fall short sometimes #JHMChat
Kimberly D. Manning, MD @gradydoctor
@TheRealDSrini @JHospMedicine I love the humanism in this approach, Dhruv! #JHMChat
Anika Kumar, MD (she/her) @freckledpedidoc
@JHospMedicine I often ask my team to share their feedback with me a privately reflect on the interaction. In my own medical journey I’ve disagreed with my physicians, doesn’t mean we can’t move forward in our relationship and partner in my care. #jhmchat
Charlie M. Wray, DO, MS @WrayCharles
@NdidiUnaka @JHospMedicine I really like this answer, Ndidi. As it acknowledges that decisions (however straightforward we see them as physicians) aren't as easy for our patients. They're struggling with this too! #JHMChat
Maha @Arhait
@JHospMedicine A4 time for a consult - unnecessary one 🤪 #JHMChat
Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood
@JHospMedicine My initial reaction is disappointment, likely followed by venting (not in front of family). But I do thank the family for engaging w/me. For our longer-term patients whom I will see again the next time on service, I define success as the family willing to engage again #JHMChat
Michael Cosimini @MichaelCosimini
@JHospMedicine A3: lots of good stuff already posted. -I was taught once that when using computer point you knees at patient even if you cannot fully direct body at patient. Need to look up data on that. #JHMChat
Erin Shaughnessy MD @EShaughnessyMD
RT @LannaFelde: A4: A4: I try to be cognizant of other small successes for my patient, my team and myself. For example ✅we made the patient feel heard ✅the team learned from this #JHMChat
ABIM Foundation @ABIMFoundation
RT @LannaFelde: A4: A4: I try to be cognizant of other small successes for my patient, my team and myself. For example ✅we made the patient feel heard ✅the team learned from this #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @YWimberlyMD: @JHospMedicine A4: @JHospMedicine A4: I respect what their decision. It is their decision and their body. I may schedule a follow up depending on how the conversation went and if I think there is a chance for more dicussion with a different decision. #JHMChat
Lanna Felde @LannaFelde
Strong work @michellebr00ks thanks for moderating! #JHMChat https://t.co/nERAKVpvOl
ABIM Foundation @ABIMFoundation
RT @JHospMedicine: Topic 4️⃣ : How do you react when a patient choose a plan that differs from your recommendations? How might you redefine success in those situations? #JHMChat https://t.co/8T2KuIFhj9
Society of Hospital Medicine @SocietyHospMed
Thank you all for being a part of this #JHMChat. 🙏 As we wind down, please take some time to fill out our brief feedback form. 📝 We want to 👂 from you on topics of interest and how we can continue to improve #JHMChat! 👀 https://t.co/k9nukavP9F
Journal of Hospital Medicine @JHospMedicine
RT @STangGirdwood: @JHospMedicine My initial reaction is disappointment, likely followed by venting (not in front of family). But I do thank the family for engaging w/me. For our longer-term patients whom I will see again the next time on service, I define success as the family willing to engage again #JHMChat
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@YWimberlyMD @JHospMedicine As one of my attendings @WMUMedicine opines...patients have the power to make decisions we think are bad...but at the same time...parents cannot make martyrs of their kids...delicate balancing act there...#JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @SocietyHospMed: Thank you all for being a part of this #JHMChat. 🙏 As we wind down, please take some time to fill out our brief feedback form. 📝 We want to 👂 from you on topics of interest and how we can continue to improve #JHMChat! 👀 https://t.co/k9nukavP9F
Society of Hospital Medicine @SocietyHospMed
@LannaFelde @michellebr00ks She did that! #JHMChat https://t.co/JHSiKg8Ep6
Kimberly D. Manning, MD @gradydoctor
@WrayCharles @NdidiUnaka @JHospMedicine It also acknowledges that it often isn't black and white. Doctors don't always agree with each other! #JHMChat
Heather Hofmann, MD, FACP @HeatherNHofmann
RT @ChrisDJacksonMD: A4 I appreciate the therapeutic alliance that starts when a patient feels comfortable expressing a decision that differs from my recommendation #JHMChat
Lauren Mazzurco @LaurenMazzurco
@JHospMedicine A4: ultimately people make choices that reflect their values/preferences(which sometimes are divergent to that which we feel is “appropriate” in medicine) validate and educate to ensure they have info in they way they understand to make best choice for themselves/family #JHMChat
Erin Shaughnessy MD @EShaughnessyMD
@doctorlaraber Bienvenidos a #JHMChat!
Journal of Hospital Medicine @JHospMedicine
RT @LaurenMazzurco: @JHospMedicine A4: @JHospMedicine A4: ultimately people make choices that reflect their values/preferences(which sometimes are divergent to that which we feel is “appropriate” in medicine) validate and educate to ensure they have info in they way they understand to make best choice for themselves/family #JHMChat
Ndidi Unaka MD, MEd @NdidiUnaka
@gradydoctor @WrayCharles @JHospMedicine TRUTH #JHMChat
Heather Hofmann, MD, FACP @HeatherNHofmann
@ChrisDJacksonMD Look at that building rapport appreciation! #jhmchat
Charlie M. Wray, DO, MS @WrayCharles
If you participated in tonight's #JHMChat, can you take a few moments to give us some feedback? We're always looking to do better
Society of Hospital Medicine @SocietyHospMed
RT @WrayCharles: If you participated in tonight's #JHMChat, can you take a few moments to give us some feedback? We're always looking to do better
Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood
@jenreadlynn @gradydoctor @freckledpedidoc @JHospMedicine And to bring it back to @gradydoctor’s question about whether I disclose my faith when families make faith-based decisions, I was explicitly told as a med student not to disclose my faith nor wear jewelry that indicated my faith. So it’s taken time to unlearn that. #JHMChat
Ndidi Unaka MD, MEd @NdidiUnaka
RT @SocietyHospMed: Thank you all for being a part of this #JHMChat. 🙏 As we wind down, please take some time to fill out our brief feedback form. 📝 We want to 👂 from you on topics of interest and how we can continue to improve #JHMChat! 👀 https://t.co/k9nukavP9F
Yichi Zhang (张一弛) @YichiZzzzz
@JHospMedicine @gradydoctor @YWimberlyMD @ShubAgrawalMD Thank you again #JHMChat @JHospMedicine for this incredible platform! It's always a joy to see the best of #IMProud gathered at this virtual table to share their wisdom. It's been another unforgettable #teachingrounds for me. Cheers everyone, and good night!! https://t.co/WBIUy8oOOx
Shub Agrawal, MD MBA @ShubAgrawalMD
@JHospMedicine A4: I try to explore their reasoning, clarify where our preferred plans differ and then tell them my job is to help support them even if we disagree. I also try and walk through both plans - the plan that reflects their path and another that reflects a compromise #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @ShubAgrawalMD: @JHospMedicine A4: @JHospMedicine A4: I try to explore their reasoning, clarify where our preferred plans differ and then tell them my job is to help support them even if we disagree. I also try and walk through both plans - the plan that reflects their path and another that reflects a compromise #JHMChat
Lauren Mazzurco @LaurenMazzurco
Appreciate the #JHMChat tonight! Jumped in from lurking to participating! What a fantastically supportive community !
Journal of Hospital Medicine @JHospMedicine
RT @YichiZTulane: @JHospMedicine @gradydoctor @YWimberlyMD @ShubAgrawalMD Thank you again #JHMChat @JHospMedicine for this incredible platform! It's always a joy to see the best of #IMProud gathered at this virtual table to share their wisdom. It's been another unforgettable #teachingrounds for me. Cheers everyone, and good night!! https://t.co/WBIUy8oOOx
Journal of Hospital Medicine @JHospMedicine
🎬 That's a wrap! So lovely to see everyone online. 👏 👏 👏 Thanks for this opportunity to moderate a wonderful #JHMChat.
Renee Dversdal @DRsonosRD
@gradydoctor @WrayCharles @NdidiUnaka @JHospMedicine Yessssss! The saying that always pops into my head is the only certain things in life are death and taxes, but obvi that's not the best in the hospital 😂🤦‍♀️. Sometimes I say if you asked 3 of my peers you'd get 3 answers. Would love any other tips or sayings folks use! #JHMchat
Society of Hospital Medicine @SocietyHospMed
RT @YichiZTulane: @JHospMedicine @gradydoctor @YWimberlyMD @ShubAgrawalMD Thank you again #JHMChat @JHospMedicine for this incredible platform! It's always a joy to see the best of #IMProud gathered at this virtual table to share their wisdom. It's been another unforgettable #teachingrounds for me. Cheers everyone, and good night!! https://t.co/WBIUy8oOOx
Society of Hospital Medicine @SocietyHospMed
RT @JHospMedicine: 🎬 That's a wrap! So lovely to see everyone online. 👏 👏 👏 Thanks for this opportunity to moderate a wonderful #JHMChat.
Anika Kumar, MD (she/her) @freckledpedidoc
Thank you for another great #JHMChat! Grateful for this community and all that they share and teach me every chat. https://t.co/CLIWfYeF9Z
Journal of Hospital Medicine @JHospMedicine
@LaurenMazzurco So glad you were here! Thank you! #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@ShubAgrawalMD @Arhait @JHospMedicine Yes! Working on a project to increase screening and was reminded from other work to make sure we have a plan for what to do if we get more positives. We have some great local projects on food insecurity that I try to learn about and utilize. It's progress. #JHMChat
Journal of Hospital Medicine @JHospMedicine
RT @jenreadlynn: @ShubAgrawalMD @Arhait @JHospMedicine Yes! Working on a project to increase screening and was reminded from other work to make sure we have a plan for what to do if we get more positives. We have some great local projects on food insecurity that I try to learn about and utilize. It's progress. #JHMChat
Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship
RT @JHospMedicine: Topic 4️⃣ : How do you react when a patient choose a plan that differs from your recommendations? How might you redefine success in those situations? #JHMChat https://t.co/8T2KuIFhj9
Shub Agrawal, MD MBA @ShubAgrawalMD
@StefanKertesz @JHospMedicine @SaulWeiner A4: Totally agree! So important to ask and not assume #JHMChat
Dhruv Srinivasachar MD (he/el/ele.) @TheRealDSrini
@JHospMedicine Thanks for having us!!!! #JHMChat
Charlie M. Wray, DO, MS @WrayCharles
@LaurenMazzurco So glad you were here and brought you palliative care insights and knowledge, Lauren. We love the cross-contamination and learning from our peers #JHMChat
Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship
RT @DrJenChen4kids: #JHMChat A3: 👀 Eye contact is key (luckily I can type w/out looking) 👂If I absolutely have to check something else (eg get paged) then ask pt to excuse me 🤐 If I feel I want to interrupt, have to actively block myself to let pt/family finish their train of thought
Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids
#JHMChat A4: there’s some frustration but really need to understand the pt/family’s WHY. Try to break down care barriers (eg LEP, finances, lack of transport), offer reasonable alternatives if situation not life threatening Success: pt/family agrees to try something/follow up!
Kimberly D. Manning, MD @gradydoctor
@ShubAgrawalMD @JHospMedicine Explore their reasoning and then let them know your role as a supporter. I think that really builds trust. Ultimately you co-create a plan. #JHMChat
Ndidi Unaka MD, MEd @NdidiUnaka
RT @gradydoctor: @ShubAgrawalMD @JHospMedicine Explore their reasoning and then let them know your role as a supporter. I think that really builds trust. Ultimately you co-create a plan. #JHMChat
Society of Hospital Medicine @SocietyHospMed
RT @LaurenMazzurco: Appreciate the #JHMChat tonight! Jumped in from lurking to participating! What a fantastically supportive community !
Journal of Hospital Medicine @JHospMedicine
RT @DrJenChen4kids: #JHMChat A4: #JHMChat A4: there’s some frustration but really need to understand the pt/family’s WHY. Try to break down care barriers (eg LEP, finances, lack of transport), offer reasonable alternatives if situation not life threatening Success: pt/family agrees to try something/follow up!
Heather Hofmann, MD, FACP @HeatherNHofmann
This.
Society of Hospital Medicine @SocietyHospMed
That’s a wrap on the first #JHMChat of 2022 with @gradydoctor, @ShubAgrawalMD, and @YWimberlyMD. A huge thank you to them for this important and uplifting conversation. 🙌 🎉 Kudos to @michellebr00ks for leading the discussion as @JHospMedicine. See you all next month!
Shub Agrawal, MD MBA @ShubAgrawalMD
@karynbaum @JHospMedicine I love that you include 'not motivated by a lack of resources' - so important to see if there are any mitigating factors! #JHMChat
Charlie M. Wray, DO, MS @WrayCharles
Can't leave tonight's chat without thanking @michellebr00ks for organizing and putting together tonight's #JHMChat https://t.co/4K6fd9ecPy
Kimberly D. Manning, MD @gradydoctor
@LannaFelde @JHospMedicine Lanna, this is awesome. And great for morale in these difficult times. #JHMChat
Renee Dversdal @DRsonosRD
@TheRealDSrini @YWimberlyMD @JHospMedicine @WMUMedicine Wow, that is powerful, thank you for sharing. Don't care for kids any longer, but that very much spoke to me. #JHMchat
Teresa Hartman @thartman2u
RT @SocietyHospMed: Thank you all for being a part of this #JHMChat. 🙏 As we wind down, please take some time to fill out our brief feedback form. 📝 We want to 👂 from you on topics of interest and how we can continue to improve #JHMChat! 👀 https://t.co/k9nukavP9F
Dr. Jennifer Chen, MD FAAP 林 明 堯 @DrJenChen4kids
@JHospMedicine Great job @michellebr00ks and excellent GIF use 😂 #JHMChat https://t.co/ox3yLe1ZKi
Journal of Hospital Medicine @JHospMedicine
RT @SocietyHospMed: That’s a wrap on the first #JHMChat of 2022 with @gradydoctor, @ShubAgrawalMD, and @YWimberlyMD. A huge thank you to them for this important and uplifting conversation. 🙌 🎉 Kudos to @michellebr00ks for leading the discussion as @JHospMedicine. See you all next month!
Journal of Hospital Medicine @JHospMedicine
RT @TheRealDSrini: @YWimberlyMD @JHospMedicine As one of my attendings @WMUMedicine opines...patients have the power to make decisions we think are bad...but at the same time...parents cannot make martyrs of their kids...delicate balancing act there...#JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@JHospMedicine A4: It's hard, but ultimately it's their life and their values. I still try to show support and tell them I'm still going to care for them. Or even if a patient leaves earlier than planned, they are always welcome back to receive care. Keeping the connection is #1. #JHMChat
Shub Agrawal, MD MBA @ShubAgrawalMD
@YWimberlyMD @JHospMedicine @gradydoctor Couldn't agree more! #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
@gradydoctor @freckledpedidoc @JHospMedicine I love how the article modeled gratitude to both open and close the conversation. Keeps the patient first. #JHMchat
Kimberly D. Manning, MD @gradydoctor
@STangGirdwood @jenreadlynn @freckledpedidoc @JHospMedicine Same. When our identities intersect, I think it's okay relating to patients using our overlap. Not to manipulate but to let them know I get it. LIke, if you quote scripture, I may even probe based on my understanding. Especially if it is an important decision. #JHMChat
Michelle Brooks, MD @michellebr00ks
Omg this is more of the content I need. #JHMChat
Michelle Brooks, MD @michellebr00ks
@LannaFelde Too kind @LannaFelde. The bar is always set high by you! Now I have to figure out how to have my blog post written in like 24 hours. 😂 #JHMChat
Jen Readlynn, MD, FHM (she/her) @jenreadlynn
RT @HeatherNHofmann: Let’s acknowledge that we are building good, effective habits for conversation. Many of us never thought this needed to be taught at the graduate or post-graduate/faculty levels. But here we are. Because we care. That’s the hospitalist #why. #jhmchat @gradydoctor
#JHMChat content from Twitter.