#dermJC Transcript
Healthcare social media transcript of the #dermJC hashtag.
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See #dermJC Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Dermatology Journal Club @DermatologyJC Hey guys, To start, introduce yourselves and discuss any relevant conflicts of interest. Use the hashtag #dermjc for every tweet! |
 | Patrick Rush @DrPatrickRush Here for #dermjc , anyone else here? |
 | Allison Larson, MD @AllisonLarsonMD Glad to be joining #DermJC tonight. I’m an assistant professor at Boston University |
 | Roxana Daneshjou MD/PhD @RoxanaDaneshjou Hi! I'm a resident at Stanford. COI: consultant for Enspectra health and former consultant for MiNDERA. #Dermjc |
| Patrick Rush @DrPatrickRush Dermpath in Virginia @vtcsom , no COI #dermjc |
| Dermatology Journal Club @DermatologyJC #Dermjc: Here's a link to the paper again in case anyone needs it! Thanks to @JAMADerm for providing the link to the paper: https://t.co/yyyQklIb15 |
 | Ade Adamson, MD MPP @AdeAdamson Are there full time dermatology hospitalists at your institution #dermjc |
| Ade Adamson, MD MPP @AdeAdamson RT @DermatologyJC: #Dermjc: #Dermjc: Here's a link to the paper again in case anyone needs it! Thanks to @JAMADerm for providing the link to the paper: https://t.co/yyyQklIb15 |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou So what do people think about the paper? Do you guys do inpatient consults often? #dermjc |
| Allison Larson, MD @AllisonLarsonMD @AdeAdamson No full-time derm hospitalists. We split the consult service equally. #dermjc |
 | Osward Carrasquillo, MD, MPH @OswardYadiel Hi! I'm a resident at University of Puerto Rico. COI: none #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson Not fulltime, but there are several attendings who split between supportive dermato-oncology and the inpatient service. The weekend service is shared across all attending. #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson I will say that if you call a #dermatology consult at our hospital, you WILL be seen in a timely manner. We take our inpatient service very seriously. I did my intern year somewhere where that wasn't available, and I can see the benefit! #dermjc |
| Ade Adamson, MD MPP @AdeAdamson Same at our institution, which is different from the first institution in which i was an attending.. #dermjc |
| Patrick Rush @DrPatrickRush @RoxanaDaneshjou Inpatient consults get split here #dermjc |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: Are there full time dermatology hospitalists at your institution #dermjc |
| Ade Adamson, MD MPP @AdeAdamson That's one question I have. Is it a dedicated dermatology hospitalist or is it just he service that is the important factor #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou Interestingly though, I will say that we usually don't get consulted for cellulitis UNLESS something is behaving abnormally -- not responding to antibiotics, etc. And yet, according to the paper, about 30% of people were misdiagnosed by the medicine team. #medtwitter #dermjc |
| Osward Carrasquillo, MD, MPH @OswardYadiel @RoxanaDaneshjou At our institution residents are on-call at least once a week. We see consults from at least 6-7 hospitals and they range somewhere between 2-6 consults per day. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @OswardYadiel: @RoxanaDaneshjou At our institution residents are on-call at least once a week. We see consults from at least 6-7 hospitals and they range somewhere between 2-6 consults per day. #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @OswardYadiel Are your attendings the same or not? #dermjc |
| Dermatology Journal Club @DermatologyJC @AllisonLarsonMD @AdeAdamson I also wonder about the misdiagnosis rate outside of a large academic center. Those places are high volume and you would think they are going to be less likely to misdiagnose cellulitis. What might the misdiagnosis rate be outside? #dermjc |
| Allison Larson, MD @AllisonLarsonMD @RoxanaDaneshjou I agree. We are usually consulted for cellulitis if there is a complicating factor. That said, a decent % of those are not cellulitis. The numbers seem about right to me #dermjc |
| Osward Carrasquillo, MD, MPH @OswardYadiel @RoxanaDaneshjou Attendings split consult time. They change monthly or bi-weekly depending if they are full or part time. #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou Hey #medtwitter #MedEd #FOAMed - follow #dermjc for the next hour to learn about consulting #dermatology for cellulitis and how that affects outcomes!! |
 | Sona Jesrani @SonaJesrani RT @RoxanaDaneshjou: Hey #medtwitter #MedEd #FOAMed - follow #dermjc for the next hour to learn about consulting #dermatology for cellulitis and how that affects outcomes!! |
| Ade Adamson, MD MPP @AdeAdamson What did folks think about the potential cost savings from this intervention? #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou Here are the outcomes - no change in length of stay, no change in readmission. Derm consult = shorter duration of antibiotics and greater clinical improvement in 2 weeks . So do you think #cellulitis should get a #dermatology consult every time or in specific cases? #dermjc https://t.co/lesZTHRKhY |
 | Goran Micevic MD/PhD @gmicevic @RoxanaDaneshjou For me, two things were striking: 1) the misdiagnosis rate of 30.7%, and 2) most patients receiving >10 days of antibiotics despite guidelines #dermjc |
| Dermatology Journal Club @DermatologyJC RT @gmicevic: @RoxanaDaneshjou For me, two things were striking: @RoxanaDaneshjou For me, two things were striking: 1) the misdiagnosis rate of 30.7%, and 2) most patients receiving >10 days of antibiotics despite guidelines #dermjc |
| Dermatology Journal Club @DermatologyJC RT @RoxanaDaneshjou: Here are the outcomes - no change in length of stay, no change in readmission. Derm consult = shorter duration of antibiotics and greater clinical improvement in 2 weeks . So do you think #cellulitis should get a #dermatology consult every time or in specific cases? #dermjc https://t.co/lesZTHRKhY |
| Dermatology Journal Club @DermatologyJC RT @AllisonLarsonMD: @RoxanaDaneshjou I agree. We are usually consulted for cellulitis if there is a complicating factor. That said, a decent % of those are not cellulitis. The numbers seem about right to me #dermjc |
| Ade Adamson, MD MPP @AdeAdamson RT @gmicevic: @RoxanaDaneshjou For me, two things were striking: @RoxanaDaneshjou For me, two things were striking: 1) the misdiagnosis rate of 30.7%, and 2) most patients receiving >10 days of antibiotics despite guidelines #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson Depends - how much $$ does it cost to consult #dermatology vs cost saved from less antibiotics given (less SEs, less resistance) and faster clinical improvement? #dermjc |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: What did folks think about the potential cost savings from this intervention? #dermjc |
| Ade Adamson, MD MPP @AdeAdamson This study was at one institution, and arguably a reputable one but I'm not sure if every time a consult is required. #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson I agree. I think #dermatology consultation for #cellulitis should be limited to patients who are not responding to antibiotics appropriately or have abnormal presentations ("bilateral cellulitis"). #dermjc #medtwitter #FOAMEd |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: This study was at one institution, and arguably a reputable one but I'm not sure if every time a consult is required. #dermjc |
 | Daniel Butler MD @DanielButlerMD @RoxanaDaneshjou @AdeAdamson major consideration. So much of consultative derm is de-escalating concern/workup. Cellulitis is great example but that’s just tip. #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou Maybe #dermatology hospitalists should be giving talks to medicine residents/programs about cellulitis presentations and appropriate antibiotic use. And then discussing when is a good time to consult dermatology if help is needed. #dermjc #medtwitter #meded |
| Allison Larson, MD @AllisonLarsonMD Yes, and those with a complex #derm history with concomitant ‘cellulitis’ #dermjc |
| Osward Carrasquillo, MD, MPH @OswardYadiel @RoxanaDaneshjou At our residency program we have a registry of the consulted patients. Last year (2017-2018) we got a really low rate of consults to rule out or to treat cellulitis #dermjc |
| Patrick Rush @DrPatrickRush RT @DermatologyJC: @AllisonLarsonMD @AdeAdamson I also wonder about the misdiagnosis rate outside of a large academic center. Those places are high volume and you would think they are going to be less likely to misdiagnose cellulitis. What might the misdiagnosis rate be outside? #dermjc |
| Dermatology Journal Club @DermatologyJC RT @OswardYadiel: @RoxanaDaneshjou At our residency program we have a registry of the consulted patients. Last year (2017-2018) we got a really low rate of consults to rule out or to treat cellulitis #dermjc |
| Dermatology Journal Club @DermatologyJC RT @AllisonLarsonMD: Yes, and those with a complex #derm history with concomitant ‘cellulitis’ #dermjc |
 | Joseph Susa, DO @CutisViaLux RT @RoxanaDaneshjou: Hey #medtwitter #MedEd #FOAMed - follow #dermjc for the next hour to learn about consulting #dermatology for cellulitis and how that affects outcomes!! |
| Dermatology Journal Club @DermatologyJC RT @RoxanaDaneshjou: Maybe #dermatology hospitalists should be giving talks to medicine residents/programs about cellulitis presentations and appropriate antibiotic use. And then discussing when is a good time to consult dermatology if help is needed. #dermjc #medtwitter #meded |
| Dermatology Journal Club @DermatologyJC RT @DanielButlerMD: @RoxanaDaneshjou @AdeAdamson major consideration. So much of consultative derm is de-escalating concern/workup. Cellulitis is great example but that’s just tip. #dermjc |
| Patrick Rush @DrPatrickRush RT @RoxanaDaneshjou: Hey #medtwitter #MedEd #FOAMed - follow #dermjc for the next hour to learn about consulting #dermatology for cellulitis and how that affects outcomes!! |
| Ade Adamson, MD MPP @AdeAdamson To me I was impressed by 2 week follow up #dermjc https://t.co/OB3Wq1ab87 |
| Sona Jesrani @SonaJesrani RT @RoxanaDaneshjou: Maybe #dermatology hospitalists should be giving talks to medicine residents/programs about cellulitis presentations and appropriate antibiotic use. And then discussing when is a good time to consult dermatology if help is needed. #dermjc #medtwitter #meded |
 | Aaron Drucker @aaron_drucker @RoxanaDaneshjou @AdeAdamson Aaron at U Toronto (no conflicts). It’s not just the cost of individual consults. In our system we don’t bill a lot for an individual consult. To make a dedicated hospitalist service sustainable the system would have to put up $ for a dermatologist’s time as a whole #DermJC |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @DanielButlerMD @AdeAdamson Yup! Honestly, most of the inpatient consults we get are: -Rule out SJS/TEN -Rule out DRESS -Rule out erythema multiforme -Rule out disseminated zoster Which I can understand are hard to do if it's not something you regularly see or think about. #dermjc |
| Ade Adamson, MD MPP @AdeAdamson This is an excellent point! What you are paying for is specificity, NOT sensitivity. #dermjc 👇🏾👇🏾👇🏾 |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: This is an excellent point! What you are paying for is specificity, NOT sensitivity. #dermjc 👇🏾👇🏾👇🏾 |
| Dermatology Journal Club @DermatologyJC RT @aaron_drucker: @RoxanaDaneshjou @AdeAdamson Aaron at U Toronto (no conflicts). It’s not just the cost of individual consults. In our system we don’t bill a lot for an individual consult. To make a dedicated hospitalist service sustainable the system would have to put up $ for a dermatologist’s time as a whole #DermJC |
| Ade Adamson, MD MPP @AdeAdamson RT @RoxanaDaneshjou: @DanielButlerMD @AdeAdamson Yup! Honestly, most of the inpatient consults we get are: -Rule out SJS/TEN -Rule out DRESS -Rule out erythema multiforme -Rule out disseminated zoster Which I can understand are hard to do if it's not something you regularly see or think about. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: To me I was impressed by 2 week follow up #dermjc https://t.co/OB3Wq1ab87 |
| Ade Adamson, MD MPP @AdeAdamson @aaron_drucker @RoxanaDaneshjou For academic practices in the US, this means that non-hospitalist derm attendings have to subsidize the hospitalist attending in order to make the math work. #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @aaron_drucker @AdeAdamson And I can see how this might be particularly beneficial at an academic or tertiary center where you are dealing with cutaneous chemo reactions, GVHD, SJS/TEN, DRESS, and other #dermsaveslives type diagnoses. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: @aaron_drucker @RoxanaDaneshjou For academic practices in the US, this means that non-hospitalist derm attendings have to subsidize the hospitalist attending in order to make the math work. #dermjc |
 | Sara Shalin @MightyDermPath RT @RoxanaDaneshjou: Maybe #dermatology hospitalists should be giving talks to medicine residents/programs about cellulitis presentations and appropriate antibiotic use. And then discussing when is a good time to consult dermatology if help is needed. #dermjc #medtwitter #meded |
| Sara Shalin @MightyDermPath RT @gmicevic: @RoxanaDaneshjou For me, two things were striking: @RoxanaDaneshjou For me, two things were striking: 1) the misdiagnosis rate of 30.7%, and 2) most patients receiving >10 days of antibiotics despite guidelines #dermjc |
| Patrick Rush @DrPatrickRush RT @RoxanaDaneshjou: Here are the outcomes - no change in length of stay, no change in readmission. Derm consult = shorter duration of antibiotics and greater clinical improvement in 2 weeks . So do you think #cellulitis should get a #dermatology consult every time or in specific cases? #dermjc https://t.co/lesZTHRKhY |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @aaron_drucker @AdeAdamson Just curious - what is the inpatient #dermatology service like at University of Toronto? #dermjc |
| Dermatology Journal Club @DermatologyJC RT @RoxanaDaneshjou: @aaron_drucker @AdeAdamson And I can see how this might be particularly beneficial at an academic or tertiary center where you are dealing with cutaneous chemo reactions, GVHD, SJS/TEN, DRESS, and other #dermsaveslives type diagnoses. #dermjc |
 | Dorothy N. Charles, MD @dn_charles RT @RoxanaDaneshjou: Here are the outcomes - no change in length of stay, no change in readmission. Derm consult = shorter duration of antibiotics and greater clinical improvement in 2 weeks . So do you think #cellulitis should get a #dermatology consult every time or in specific cases? #dermjc https://t.co/lesZTHRKhY |
| Dorothy N. Charles, MD @dn_charles RT @RoxanaDaneshjou: Maybe #dermatology hospitalists should be giving talks to medicine residents/programs about cellulitis presentations and appropriate antibiotic use. And then discussing when is a good time to consult dermatology if help is needed. #dermjc #medtwitter #meded |
| Dorothy N. Charles, MD @dn_charles RT @RoxanaDaneshjou: Interestingly though, I will say that we usually don't get consulted for cellulitis UNLESS something is behaving abnormally -- not responding to antibiotics, etc. And yet, according to the paper, about 30% of people were misdiagnosed by the medicine team. #medtwitter #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou I'm also curious what the most common things people get consulted for at their respective hospitals. As I think has been mentioned, many people don't get consulted for cellulitis. #dermjc |
| Dorothy N. Charles, MD @dn_charles RT @DanielButlerMD: @RoxanaDaneshjou @AdeAdamson major consideration. So much of consultative derm is de-escalating concern/workup. Cellulitis is great example but that’s just tip. #dermjc |
| Dorothy N. Charles, MD @dn_charles RT @RoxanaDaneshjou: @DanielButlerMD @AdeAdamson Yup! Honestly, most of the inpatient consults we get are: -Rule out SJS/TEN -Rule out DRESS -Rule out erythema multiforme -Rule out disseminated zoster Which I can understand are hard to do if it's not something you regularly see or think about. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @RoxanaDaneshjou: I'm also curious what the most common things people get consulted for at their respective hospitals. As I think has been mentioned, many people don't get consulted for cellulitis. #dermjc |
| Dorothy N. Charles, MD @dn_charles RT @AdeAdamson: This is an excellent point! What you are paying for is specificity, NOT sensitivity. #dermjc 👇🏾👇🏾👇🏾 |
| Ade Adamson, MD MPP @AdeAdamson Drug rash, drug rash, drug rash. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: Drug rash, drug rash, drug rash. #dermjc |
| Dorothy N. Charles, MD @dn_charles RT @RoxanaDaneshjou: @AdeAdamson I agree. I think #dermatology consultation for #cellulitis should be limited to patients who are not responding to antibiotics appropriately or have abnormal presentations ("bilateral cellulitis"). #dermjc #medtwitter #FOAMEd |
| Dorothy N. Charles, MD @dn_charles RT @DermatologyJC: @AllisonLarsonMD @AdeAdamson I also wonder about the misdiagnosis rate outside of a large academic center. Those places are high volume and you would think they are going to be less likely to misdiagnose cellulitis. What might the misdiagnosis rate be outside? #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @OswardYadiel What are you most often consulted for? #dermjc |
| Patrick Rush @DrPatrickRush RT @DanielButlerMD: @RoxanaDaneshjou @AdeAdamson major consideration. So much of consultative derm is de-escalating concern/workup. Cellulitis is great example but that’s just tip. #dermjc |
| Osward Carrasquillo, MD, MPH @OswardYadiel @RoxanaDaneshjou Rule out SJS/TEN, DRESS, or other drug eruptions like fixed drug eruption Rule out deep fungal infections (Heme/Onc consult our service a lot for this) Rule out SSSS, Bullous impetigo, severe atopic dermatitis (at the pediatric hospital) #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou Also curious - how often do you do telederm inpatient consults (look at a picture?). We have a policy of always seeing the patients in person within a day. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @OswardYadiel: @RoxanaDaneshjou Rule out SJS/TEN, DRESS, or other drug eruptions like fixed drug eruption Rule out deep fungal infections (Heme/Onc consult our service a lot for this) Rule out SSSS, Bullous impetigo, severe atopic dermatitis (at the pediatric hospital) #dermjc |
| Patrick Rush @DrPatrickRush RT @RoxanaDaneshjou: @DanielButlerMD @AdeAdamson Yup! Honestly, most of the inpatient consults we get are: -Rule out SJS/TEN -Rule out DRESS -Rule out erythema multiforme -Rule out disseminated zoster Which I can understand are hard to do if it's not something you regularly see or think about. #dermjc |
| Dorothy N. Charles, MD @dn_charles RT @DermatologyJC: Looking forward to #dermjc about #dermsaveslives #skinserious @JAMADerm paper on Wed Sept 19 at 9 PM EST/6 PM Pacific. #Dermatology consultation for inpatient cellulitis. Great topic for #MedEd #FOAMEd #medtwitter #dermatologia. Special open access link: https://t.co/yyyQklIb15 https://t.co/bFuBPgvCpa |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou I'll be honest, I'm not familiar with how billing works with inpatient dermatology hospitalist teams. Sounds like it has to be subsidized by the outpatient service. Therefore is it even feasible for places outside academic centers? #dermjc |
| Ade Adamson, MD MPP @AdeAdamson Teleconsults are probably underutilized for inpatient dermatology #dermjc Policy is different based on institutions I've been affiliated with. |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @AdeAdamson I can imagine teleconsults could also allow more inpatient dermatology consults to hospitals that are more remote or don't have a large enough case load to have a full time dermatology hospitalist service. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: Teleconsults are probably underutilized for inpatient dermatology #dermjc Policy is different based on institutions I've been affiliated with. |
 | Steven Chen 陳持威, MD, MPH, MHPEd @DrStevenTChen @RoxanaDaneshjou Sorry I’m late to the party! To answer your question, yes, in most places, outpatient practice probably subsidizes. Sometimes you can convince other specialties or the hospital itself to subsidize if you can demonstrate the value you bring. #dermjc |
| Osward Carrasquillo, MD, MPH @OswardYadiel @RoxanaDaneshjou Probably drug eruptions (SJS/TEN, DRESS, etc) and rule out deep fungal infections. We get a lot of consults of rare cases because we are the only hospital/center in the island with dermatology service #dermjc |
| Allison Larson, MD @AllisonLarsonMD @RoxanaDaneshjou Agree with drug rash. Also flares of severe hidradenitis, worsening wounds of various kinds, blistering diseases, eczema herpeticum, progressing cutaneous malignancies and other concerns related to the clinical niches of our faculty and, as a consequence, their patients. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @DrStevenTChen: @RoxanaDaneshjou Sorry I’m late to the party! To answer your question, yes, in most places, outpatient practice probably subsidizes. Sometimes you can convince other specialties or the hospital itself to subsidize if you can demonstrate the value you bring. #dermjc |
| Osward Carrasquillo, MD, MPH @OswardYadiel @RoxanaDaneshjou Telederm is not allowed here. We have the same policy of ALWAYS seeing the patients in person. #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @DrStevenTChen Kinda sad when you really think about it, especially since helping rule out SJS/TEN or diagnosing GVHD is much more clinically valuable than freezing an AK or wart. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @AllisonLarsonMD: @RoxanaDaneshjou Agree with drug rash. Also flares of severe hidradenitis, worsening wounds of various kinds, blistering diseases, eczema herpeticum, progressing cutaneous malignancies and other concerns related to the clinical niches of our faculty and, as a consequence, their patients. #dermjc |
| Dermatology Journal Club @DermatologyJC RT @OswardYadiel: @RoxanaDaneshjou Probably drug eruptions (SJS/TEN, DRESS, etc) and rule out deep fungal infections. We get a lot of consults of rare cases because we are the only hospital/center in the island with dermatology service #dermjc |
| Steven Chen 陳持威, MD, MPH, MHPEd @DrStevenTChen @RoxanaDaneshjou Yes, agreed! But I’m obviously preaching to the choir.... I seem to recall that highest earning services are usually onc (transplant) and cards, so one strategy is to make your consult team indispensable to these teams/services! #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @DrStevenTChen But because of this, there is less incentive for people to do derm hospitalist jobs unless they are really passionate about it, and I feel like it's an important and underserved area. #dermjc |
| Steven Chen 陳持威, MD, MPH, MHPEd @DrStevenTChen @RoxanaDaneshjou @OswardYadiel Haha... I work at Mgh, where this work was done, so we get a much higher cellulitis consult rate given the studies performed here. But definitely an outlier nationally I’m sure. #dermjc |
| Roxana Daneshjou MD/PhD @RoxanaDaneshjou @DrStevenTChen @OswardYadiel Do you think your cellulitis consult rate went up after people saw the 30% misdiagnosis rate? #dermjc |
| Dermatology Journal Club @DermatologyJC RT @DrStevenTChen: @RoxanaDaneshjou @OswardYadiel Haha... I work at Mgh, where this work was done, so we get a much higher cellulitis consult rate given the studies performed here. But definitely an outlier nationally I’m sure. #dermjc |
| Ade Adamson, MD MPP @AdeAdamson Thank you for another informative #dermjc. I'm looking forward to the next installment!!! https://t.co/yMLrvAorO0 |
| Dermatology Journal Club @DermatologyJC RT @AdeAdamson: Thank you for another informative #dermjc. I'm looking forward to the next installment!!! https://t.co/yMLrvAorO0 |
| Patrick Rush @DrPatrickRush Got to go for the night #dermjc was great to tune in for, thanks! |
| Steven Chen 陳持威, MD, MPH, MHPEd @DrStevenTChen @RoxanaDaneshjou Yes! There is a push by the @DermHospitalist (SDH) to spread the news about our value! These articles are the start; we need to keep demonstrating our value in literature! I think the best way to improve our stature is to show the rest of the med community were needed. #dermjc |
| Dermatology Journal Club @DermatologyJC We're always happy to take paper recommendations if there is something that people are really interested in discussing. And yes, you can suggest your own paper or a colleague's! #dermjc |
| Dermatology Journal Club @DermatologyJC RT @DrStevenTChen: @RoxanaDaneshjou Yes! There is a push by the @DermHospitalist (SDH) to spread the news about our value! These articles are the start; we need to keep demonstrating our value in literature! I think the best way to improve our stature is to show the rest of the med community were needed. #dermjc |
| Steven Chen 陳持威, MD, MPH, MHPEd @DrStevenTChen @RoxanaDaneshjou @OswardYadiel Yes, but to be honest, it also came from other articles (eg the ALT70 paper) where derm consult is recommended based on a score. If you put a score in front of the ED, I feel it’s going to be used ;) #dermjc |
| Patrick Rush @DrPatrickRush RT @DrStevenTChen: @RoxanaDaneshjou Yes! There is a push by the @DermHospitalist (SDH) to spread the news about our value! These articles are the start; we need to keep demonstrating our value in literature! I think the best way to improve our stature is to show the rest of the med community were needed. #dermjc |
| Goran Micevic MD/PhD @gmicevic @RoxanaDaneshjou In my experience, derm is rarely consulted here for cellulitis not responding to initial antibiotics - it would more likely result in an infectious disease consult on our general medicine floors. Dermatology does get consulted if there is suspicion of other skin entities #dermjc |
| Steven Chen 陳持威, MD, MPH, MHPEd @DrStevenTChen @RoxanaDaneshjou We do this! But it seems no matter how much we talk about it, there are always more cases to be seen. In other words, I haven’t seen an appreciable decrease in consults because of an educational intervention (which hurts my #MedEd feelings). #dermjc |
| Dermatology Journal Club @DermatologyJC RT @DrStevenTChen: @RoxanaDaneshjou We do this! But it seems no matter how much we talk about it, there are always more cases to be seen. In other words, I haven’t seen an appreciable decrease in consults because of an educational intervention (which hurts my #MedEd feelings). #dermjc |
| Dermatology Journal Club @DermatologyJC RT @gmicevic: @RoxanaDaneshjou In my experience, derm is rarely consulted here for cellulitis not responding to initial antibiotics - it would more likely result in an infectious disease consult on our general medicine floors. Dermatology does get consulted if there is suspicion of other skin entities #dermjc |
| Dermatology Journal Club @DermatologyJC #dermjc |
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