#jhmchat Transcript
Healthcare social media transcript of the #jhmchat hashtag.
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See #jhmchat Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Journal of Hospital Medicine @JHospMedicine Let's get started! I'm @WrayCharles your moderator for tonight's #JHMChat covering @andrewolsonMD & colleagues' recent article on feedback during handoffs (aka. The Loop Project): https://t.co/gTOfBeG2X6 Go ahead and introduce yourself while we wait for others to join... https://t.co/wkTrAdOWQC |
 | Society to Improve Diagnosis in Medicine @ImproveDX RT @JHospMedicine: Let's get started! I'm @WrayCharles your moderator for tonight's #JHMChat covering @andrewolsonMD & colleagues' recent article on feedback during handoffs (aka. The Loop Project): https://t.co/gTOfBeG2X6 Go ahead and introduce yourself while we wait for others to join... https://t.co/wkTrAdOWQC |
| Journal of Hospital Medicine @JHospMedicine Don't forget to tag your tweets with #JHMChat! We have 3 discussion topics for tonight's chat. Topic 1 up in a moment… #JHMChat |
 | Gopi Astik @gopiastik I'm Gopi and i'm an academic hospitalist in Chicago and current @ImproveDX fellow. #JHMChat #teachDX |
 | Jen Readlynn, MD, FHM (she/her) @jenreadlynn @JHospMedicine @WrayCharles @andrewolsonmd Jen Readlynn - academic hospitalist in Rochester, NY. So excited for tonight's chat! #jhmchat #teachdx |
 | Andrew Olson, MD @andrewolsonmd @JHospMedicine @WrayCharles Thanks, @WrayCharles - excited to be here. I'm @andrewolsonmd - clinician-educator @umnmedschool and convener of #teachDX chats! Excited for this! #JHMChat |
 | Annie Massart @Annie_Massart_ @JHospMedicine @WrayCharles @andrewolsonmd Hi everyone! I'm Annie, an academic hospitalist in Atlanta. I'm looking forward to chatting with y'all! #JHMChat #TeachDx |
| Journal of Hospital Medicine @JHospMedicine Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation for bringing you #JHMChat tonight. Don't forget to grab CME here after the chat --> https://t.co/MLkS3Taaoa |
 | Brian McGillen, MD @BMcGillenMD I'm Brian - academic hospitalist in Hershey, PA. Looking forward to this! #JHMChat |
| Andrew Olson, MD @andrewolsonmd RT @JHospMedicine: Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation for bringing you #JHMChat tonight. Don't forget to grab CME here after the chat --> https://t.co/MLkS3Taaoa |
| Andrew Olson, MD @andrewolsonmd @gracefarris @JHospMedicine @WrayCharles And @gracefarris is off and running with the amazing art! #teachDX #JHMChat |
 | Jennifer Caputo-Seidler, MD @jennifermcaputo @JHospMedicine @WrayCharles @andrewolsonmd I’m Jen, hospitalist in Tampa #JHMChat |
| Journal of Hospital Medicine @JHospMedicine We're excited to be partnering with our colleagues at @ImproveDx tonight and looking for some great cross-pollination between groups #JHMChat |
| Andrew Olson, MD @andrewolsonmd @HannahRAbrams @JHospMedicine @WrayCharles Welcome, @HannahRAbrams -longtime friend of #teachDX ! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @bmcgillen26 glad to have on-board, Brian #JHMChat |
 | Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @JHospMedicine @WrayCharles @andrewolsonmd Sonya, #PedsHM fellow from @CincyPHMFellows #JHMChat |
| Andrew Olson, MD @andrewolsonmd @JHospMedicine @ImproveDX And we are excited and grateful for the collaboration from @ImproveDX ! #JHMChat #teachDX |
 | Mona Krouss MD @kroussMD @JHospMedicine @WrayCharles @andrewolsonmd I'm Mona Krouss, hospitalist in NYC. Looking forward! #JHMCHAT |
 | Society of Hospital Medicine @SocietyHospMed Welcome to our #JHMChat, everyone! Meet your moderator, @WrayCharles, and guest, @andrewolsonmd for tonight's discussion: the Importance of Hospital Medicine 👋 Stay tuned here and #JHMChat & #teachDX for the latest from our discussion with Dr. Olson & @ImproveDX |
| Journal of Hospital Medicine @JHospMedicine Let's get started...Topic 1 for tonight's #JHMChat https://t.co/pVS8SYAxQo |
| Andrew Olson, MD @andrewolsonmd @thilanMD @JHospMedicine @WrayCharles @ImproveDX welcome @thilanMD -delighted to have you! #JHMChat #teachDX |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: Welcome to our #JHMChat, everyone! Meet your moderator, @WrayCharles, and guest, @andrewolsonmd for tonight's discussion: the Importance of Hospital Medicine 👋 Stay tuned here and #JHMChat & #teachDX for the latest from our discussion with Dr. Olson & @ImproveDX |
| Journal of Hospital Medicine @JHospMedicine @kroussMD @WrayCharles @andrewolsonmd Welcome aboard, Mona! Glad you could make it #jhmchat |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @JHospMedicine: Let's get started...Topic 1 for tonight's #JHMChat https://t.co/pVS8SYAxQo |
| Andrew Olson, MD @andrewolsonmd A1: Excited to hear ideas, but I'll weigh in. We view handovers as barriers - but can we seem them as opportunities for learning? It's kind of amazing that every patient gets an automatic second opinion now! #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @thilanMD @WrayCharles @andrewolsonmd @ImproveDX Glad you could make it, Thilan! #jhmchat #improvedx |
| Society of Hospital Medicine @SocietyHospMed RT @andrewolsonmd: @JHospMedicine @WrayCharles Thanks, @WrayCharles - excited to be here. I'm @andrewolsonmd - clinician-educator @umnmedschool and convener of #teachDX chats! Excited for this! #JHMChat |
 | Chris Moriates, MD @ChrisMoriates Hi #JHMChat - Chris from @DellMedSchool and @CostsofCare joining from hotel bar in Denver, with one eye on the World Series and the other on #JHMChat. Looking forward to learning w you |
| Jennifer Caputo-Seidler, MD @jennifermcaputo @JHospMedicine @andrewolsonmd Night admissions are when residents are making their most autonomous clinical decisions, w/o effective #feedback mechanism we are missing huge learning opportunity to advance those clinical decision making skills #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @andrewolsonmd I have never heard of a handover as an "automatic second opinion"? What a great way of reconceptualizing this... #jhmchat |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @andrewolsonmd: A1: A1: Excited to hear ideas, but I'll weigh in. We view handovers as barriers - but can we seem them as opportunities for learning? It's kind of amazing that every patient gets an automatic second opinion now! #teachDX #JHMChat |
 | TouqeerMir @drtokir RT @JHospMedicine: Let's get started! I'm @WrayCharles your moderator for tonight's #JHMChat covering @andrewolsonMD & colleagues' recent article on feedback during handoffs (aka. The Loop Project): https://t.co/gTOfBeG2X6 Go ahead and introduce yourself while we wait for others to join... https://t.co/wkTrAdOWQC |
| Gopi Astik @gopiastik A1: Handoff is the perfect opportunity to give and obtain feedback. You can leverage these inherent transitions to critically evaluate decisions that were made by other physicians and ask for feedback as well. #JHMChat #teachDX |
| Society of Hospital Medicine @SocietyHospMed @jennifermcaputo @JHospMedicine @WrayCharles @andrewolsonmd Welcome to the #JHMChat Jen! Is this your first Chat with us? |
| Brian McGillen, MD @BMcGillenMD @jennifermcaputo @JHospMedicine @andrewolsonmd Definitely agree with this. We have dedicated #nocturnists in our group, but their overnights can be brutally busy. Feedback from daytime attendings to admitting overnight residents is a must. #JHMChat |
| Andrew Olson, MD @andrewolsonmd @jennifermcaputo @JHospMedicine So agree with you! And lost opportunity if there isn't learning with these. #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @andrewolsonmd: A1: A1: Excited to hear ideas, but I'll weigh in. We view handovers as barriers - but can we seem them as opportunities for learning? It's kind of amazing that every patient gets an automatic second opinion now! #teachDX #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @JHospMedicine @andrewolsonmd Feedback allows for the admitter to refine their differential diagnosis, reconsider findings that were initially deemed as not relevant/contributory, and see how someone else would handle the information. #JHMChat #teachdx |
| Andrew Olson, MD @andrewolsonmd @bmcgillen26 @jennifermcaputo @JHospMedicine And remember they will get it right most of the them = fun feedback to get. #teachDX #JHMChat |
| Jennifer Caputo-Seidler, MD @jennifermcaputo @JHospMedicine @andrewolsonmd Too often I’m asked “how were my overnight admissions” at the end of a 1 or 2 week stretch and honestly unless there was something egregious, my response is a less than helpful “fine”. Feedback needs to specific and timely to work #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @bmcgillen26 @jennifermcaputo @andrewolsonmd Importantly, though...how do you build this into the day-to-day...? #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @andrewolsonmd: @jennifermcaputo @JHospMedicine So agree with you! And lost opportunity if there isn't learning with these. #teachDX #JHMChat |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @andrewolsonmd Agreed! Whenever I am receiving handoffs as an overnight attending, I use the opportunity to ask clarifying questions...not to cast doubt on the diagnosis, but for me to understand better and learn. And sometimes it helps the physician signing out think thru things too. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @jenreadlynn @JHospMedicine @WrayCharles @andrewolsonmd Hi Jen! Welcome to the Chat! Is this your first #JHMChat? |
| Andrew Olson, MD @andrewolsonmd YES!! This is calibration in action. It is pretty easy to think my batting average is 100% if I never hear differently. #teachDX #JHMChat (And yes that was a #WorldSeries2019 reference) |
 | Paul Shaniuk @PShaniuk @JHospMedicine @WrayCharles @andrewolsonmd I’m Paul. Academic hospitalist at the @ClevelandVAMC #JHMChat excited for the discussion! |
| Society of Hospital Medicine @SocietyHospMed @STangGirdwood @JHospMedicine @WrayCharles @andrewolsonmd @CincyPHMFellows Welcome, Sonya! So happy you could join us tonight. We hope you have some questions or thoughts to share with us #JHMChat #teachDX |
| Mona Krouss MD @kroussMD @JHospMedicine @bmcgillen26 @jennifermcaputo @andrewolsonmd Certainly easier when night float presents directly to the attendings in the morning, but there isn't always time for feedback then. #JHMchat |
 | Agnieszka Solberg MD @AgnesSolberg @JHospMedicine @andrewolsonmd #JHMChat A1 - I’m VIR, but we always go over cases during sign out and talk about what we would have done differently... sometimes different approaches are not incorrect, but we can always learn a different way! @Gnarlynickb #irad #TwittIR @RadiologyChicks |
| Journal of Hospital Medicine @JHospMedicine @PShaniuk @WrayCharles @andrewolsonmd @ClevelandVAMC Welcome, Paul! Glad you could make it #jhmchat |
| Annie Massart @Annie_Massart_ A1: We've observed intern nightly handoffs using feedback rubrics. Interns received immediate feedback on their signout, including guidance for how to improve it. It's a different part of inpatient care, but still w/ the hope of improving patient care. #JHMChat #TeachDX |
| Andrew Olson, MD @andrewolsonmd @jennifermcaputo @JHospMedicine So true - occurs for so many reasons. That's why in the study we standardized the form to make "fine" not an option. #teachDX #JHMChat |
 | Vinny Arora MD MAPP @FutureDocs RT @andrewolsonmd: @JHospMedicine @WrayCharles Thanks, @WrayCharles - excited to be here. I'm @andrewolsonmd - clinician-educator @umnmedschool and convener of #teachDX chats! Excited for this! #JHMChat |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @jenreadlynn: @JHospMedicine @andrewolsonmd Feedback allows for the admitter to refine their differential diagnosis, reconsider findings that were initially deemed as not relevant/contributory, and see how someone else would handle the information. #JHMChat #teachdx |
| Brian McGillen, MD @BMcGillenMD @JHospMedicine @jennifermcaputo @andrewolsonmd Made a template note in my EMR. Started sending e-messages to overnight admitting residents each day. Always available to them via secure text if they have questions. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Let's get started! I'm @WrayCharles your moderator for tonight's #JHMChat covering @andrewolsonMD & colleagues' recent article on feedback during handoffs (aka. The Loop Project): https://t.co/gTOfBeG2X6 Go ahead and introduce yourself while we wait for others to join... https://t.co/wkTrAdOWQC |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @JHospMedicine @bmcgillen26 @jennifermcaputo @andrewolsonmd Personally, I set aside time after an admitting shift to review my patients 1-2 days out to see what happened. I don't see residents doing this anymore at my institution (their shifts are insanely busy), so I think building it into your practice is important. #jhmchat #teachdx |
| Andrew Olson, MD @andrewolsonmd @Annie_Massart_ Love this - is there a way to give feedback further back in the process? #teachDX #JHMChat |
| Jennifer Caputo-Seidler, MD @jennifermcaputo @JHospMedicine @bmcgillen26 @andrewolsonmd I think something electronic like this project utilized is key given on opposite time schedules with very limited face to face contact #JHMChat |
| Society of Hospital Medicine @SocietyHospMed And we're off! Here is the first topic of the night: How can we use feedback to improve patient care during handoffs? Don't forget to use the hashtags: #JHMChat & #teachDX so that everyone can see your tweets & chime in! |
 | Ryan Bonner @RWBonner91 @JHospMedicine @WrayCharles @andrewolsonmd Ryan - PGY2 in Boston. Great topic! #JHMChat |
| Journal of Hospital Medicine @JHospMedicine The Loop Project was aimed at Interns -- but would such a project/intervention be helpful for more seasoned clinicians as well? #jhmchat #improveDx |
| Andrew Olson, MD @andrewolsonmd @jenreadlynn @JHospMedicine @bmcgillen26 @jennifermcaputo This is great - and studies show this happens rarely. https://t.co/eQCgq0nXOI #JHMChat #teachDX |
| Vinny Arora MD MAPP @FutureDocs Better late than never on #JHMChat. @wraycharles flying solo...managing bedtime...handoffs..now i just need feedback. what else is new? |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: The Loop Project was aimed at Interns -- but would such a project/intervention be helpful for more seasoned clinicians as well? #jhmchat #improveDx |
| Gopi Astik @gopiastik @jenreadlynn @JHospMedicine @bmcgillen26 @jennifermcaputo @andrewolsonmd I've started asking patients if I can "chart-stalk" them to see what happens. Nobody has ever said no and it gives me peace of mind to review it later. #JHMChat #teachDX |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @andrewolsonmd And when I’m signing out, if I have an uncertain diagnosis, a new term we’ve started in our division, I use the opportunity to provide more details so I can process out loud and get some feedback on what I have done and ideas of what to do next.#JHMChat Q1 |
| Journal of Hospital Medicine @JHospMedicine Love the multidisciplinary engagement on this chat. Feedback during transitions isn't a #hospitalist issue alone... #jhmchat |
| Paul Shaniuk @PShaniuk @jennifermcaputo @JHospMedicine @andrewolsonmd Agree with this 100%. I sometimes send an email to residents when I’m either very impressed or disagree 180 degrees. I don’t do this enough. The residents seem to universally appreciate the feedback. I’d love to see this standardized more! #JHMChat |
| Andrew Olson, MD @andrewolsonmd @JHospMedicine We talked a lot about this - and actually tried with faculty in a pilot way too. Short answer YES - but has to be part of culture. Our friend @rltrowb had sone work on this @MaineMed #teachDX #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @andrewolsonmd: @JHospMedicine We talked a lot about this - and actually tried with faculty in a pilot way too. Short answer YES - but has to be part of culture. Our friend @rltrowb had sone work on this @MaineMed #teachDX #JHMChat |
| Mona Krouss MD @kroussMD @STangGirdwood @andrewolsonmd I love this idea! It is very helpful to know when the diagnosis is less certain as it automatically makes the receiving provider think about the case in a different light. #JHMCHAT |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @JHospMedicine Absolutely! None of us our perfect and need to continue to refine our clinical reasoning skills. We hold case conferences for just our attendings where we talk through some confusing or difficult cases. It's so helpful to hear your colleagues think out loud. #jhmchat #teachdx |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @STangGirdwood: @andrewolsonmd And when I’m signing out, if I have an uncertain diagnosis, a new term we’ve started in our division, I use the opportunity to provide more details so I can process out loud and get some feedback on what I have done and ideas of what to do next.#JHMChat Q1 |
| Andrew Olson, MD @andrewolsonmd @PShaniuk @jennifermcaputo @JHospMedicine yes yes yes - they are hungry to learn. (and btw, shouldn't faculty be too?) #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine @ben_geisler @WrayCharles @andrewolsonmd Glad you could make it, Ben! #jhmchat |
| Jennifer Caputo-Seidler, MD @jennifermcaputo @JHospMedicine At our institutions it’s senior residents doing the overnight admissions and consistently they say they want more feedback, so I think this would be a valuable tool to apply at all levels of training #JHMChat |
| Andrew Olson, MD @andrewolsonmd @jenreadlynn @JHospMedicine And this is my feeling only (no evidence) but this is when joy comes in the job for me too. #teachDX #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @jenreadlynn says that feedback allows for differential diagnosis, reconsidering findings, and exploring additional perspectives... Do you agree? Chime in to #JHMChat now! 🤓⬇️ |
 | Harry (Hyung Jin) Cho, MD @HarryChoMD RT @JHospMedicine: Let's get started! I'm @WrayCharles your moderator for tonight's #JHMChat covering @andrewolsonMD & colleagues' recent article on feedback during handoffs (aka. The Loop Project): https://t.co/gTOfBeG2X6 Go ahead and introduce yourself while we wait for others to join... https://t.co/wkTrAdOWQC |
| Andrew Olson, MD @andrewolsonmd @SocietyHospMed @jenreadlynn It's been said that with shifts there is a danger in knowing only the beginning, middle, or end of an illness script. #teachDX #JHMChat |
| Chris Moriates, MD @ChrisMoriates @jenreadlynn @JHospMedicine @bmcgillen26 @jennifermcaputo @andrewolsonmd With handoffs we have disrupted the natural feedback loop of seeing what happened over the course of the first 30 hours of admission so I think important to encourage these practices to develop understanding of what happened to build experiential knowledge #jhmchat |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @jenreadlynn @JHospMedicine @bmcgillen26 @jennifermcaputo @andrewolsonmd Oh, I thought this was the norm. I always f/u on patients I’ve admitted from night shift or who are still hospitalized after my week of service. Many attendings seem to do this b/c we will ask one another how patients are doing. I also keep an “interesting patient” list. #JHMchat |
| Society of Hospital Medicine @SocietyHospMed @PShaniuk @jennifermcaputo @JHospMedicine @andrewolsonmd Welcome to the #JHMChat tonight, Paul! Glad you could be here to share your feedback/thoughts with us! #teachdx |
| Journal of Hospital Medicine @JHospMedicine While your institution may not have The Loop project formally implemented, @PShaniuk with the poor-man's version of offering feedback after a night admission #jhmchat #improveDx cc: @andrewolsonmd |
| Andrew Olson, MD @andrewolsonmd @ChrisMoriates @jenreadlynn @JHospMedicine @bmcgillen26 @jennifermcaputo Agreed -although I don't think I learned much when I'd been up for 30 hours. That said as in previous tweet - we have to learn the natural history somehow! #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: @jenreadlynn says that feedback allows for differential diagnosis, reconsidering findings, and exploring additional perspectives... Do you agree? Chime in to #JHMChat now! 🤓⬇️ |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @kroussMD @andrewolsonmd Our “uncertain diagnosis” flag has come out of some great work done by Dr. Ipsaro, @Hagedorn_MD, @TMarshall_MD, @spatelDO #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Great discussion so far! We'll have Topic 2 coming up momentarily...#jhmchat #improveDx |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @andrewolsonmd @SocietyHospMed It's so true. I ask about patients after I go off service. I heard @CPSolvers recommend calling a patient about a week after discharge just to check in and see how they're doing. I did it this week and it was a lovely follow-up. #jhmchat #teachdx |
| Andrew Olson, MD @andrewolsonmd @SocietyHospMed @FutureDocs @WrayCharles there is an art to the timing of feedback, of course. Welcome @FutureDocs - #teachDX has never had a @NASEM_Health member before! #teachDX #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @AgnesSolberg @JHospMedicine @andrewolsonmd @Gnarlynickb @RadiologyChicks Thanks for joining us tonight, and for chiming in Agnes! Have you taken part in a #JHMChat before? |
| Andrew Olson, MD @andrewolsonmd @STangGirdwood @kroussMD @Hagedorn_MD @TMarshall_MD @spatelDO YES! This is a great project to bring uncertainty into the open and lean into it! #teachDX #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @andrewolsonmd @SocietyHospMed @WrayCharles @NASEM_Health Awww shucks ! #JHMChat #teachdx |
| Journal of Hospital Medicine @JHospMedicine Topic 2 for tonight's #jhmchat & #improveDx: https://t.co/GM4LLwft9U |
| Paul Shaniuk @PShaniuk @JHospMedicine @andrewolsonmd better feedback would allow for in the moment critical thinking about the differential, which is better and efficient for pts. always seems that on service, half the patients are admitted by night float? We’re intentional about critically evaluating their assessment/plan #JHMchat |
| Andrew Olson, MD @andrewolsonmd @AgnesSolberg @SocietyHospMed @JHospMedicine @Gnarlynickb @RadiologyChicks welcome! #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @jenreadlynn: @andrewolsonmd @SocietyHospMed It's so true. I ask about patients after I go off service. I heard @CPSolvers recommend calling a patient about a week after discharge just to check in and see how they're doing. I did it this week and it was a lovely follow-up. #jhmchat #teachdx |
| Andrew Olson, MD @andrewolsonmd @PShaniuk @JHospMedicine So true - we talk about it on rounds, but how to share this super key discussion with the night float? #teachDX #JHMChat |
| Andrew Olson, MD @andrewolsonmd RT @JHospMedicine: Topic 2 for tonight's #jhmchat & #improveDx: Topic 2 for tonight's #jhmchat & #improveDx: https://t.co/GM4LLwft9U |
| Journal of Hospital Medicine @JHospMedicine @andrewolsonmd @SocietyHospMed @FutureDocs @WrayCharles @NASEM_Health We figured she was out celebrating. But nope, she's here with her tribe #jhmchat #improveDx |
| Society of Hospital Medicine @SocietyHospMed @jenreadlynn @JHospMedicine @WrayCharles @andrewolsonmd You're a seasoned veteran to the #JHMChat! Love that 😎 Thanks for spending time with us on Twitter often!! |
| Journal of Hospital Medicine @JHospMedicine RT @andrewolsonmd: @PShaniuk @JHospMedicine So true - we talk about it on rounds, but how to share this super key discussion with the night float? #teachDX #JHMChat |
| Gopi Astik @gopiastik A2: I was taught if you teach a topic, they'll remember for a day. If you teach about a patient, they will remember forever. Be direct, specific, give examples and making it a positive teaching/learning point. #JHMChat #teachDX |
| Andrew Olson, MD @andrewolsonmd @gopiastik So true. Thanks @gopiastik who is doing AMAZING work in this space. #teachDX #JHMChat |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @JHospMedicine: Topic 2 for tonight's #jhmchat & #improveDx: Topic 2 for tonight's #jhmchat & #improveDx: https://t.co/GM4LLwft9U |
| Agnieszka Solberg MD @AgnesSolberg @JHospMedicine #JHMchat A2: Feedback needs to be constructive. I usually point out something positive; then feedback or question - suggest some reading; then wrap up with something positive. 👍 I make sure residents and med studs have enough time to read what I assigned. #Meded #RadChicks |
| Society of Hospital Medicine @SocietyHospMed @AgnesSolberg @JHospMedicine @andrewolsonmd @Gnarlynickb @RadiologyChicks Yahoo! Well, welcome :) We hope this won't be your last, either! #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Fantastic example of centering your feedback on the patient and not the topic. Does this always work...? #jhmchat #improveDx |
| Andrew Olson, MD @andrewolsonmd @AgnesSolberg @JHospMedicine Wait, so not effective to assign like 15 articles? #teachDX #JHMChat |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @gopiastik: A2: A2: I was taught if you teach a topic, they'll remember for a day. If you teach about a patient, they will remember forever. Be direct, specific, give examples and making it a positive teaching/learning point. #JHMChat #teachDX |
| Andrew Olson, MD @andrewolsonmd @JHospMedicine I think this is all about context - ie this patient had pneumonia because X, Y, Z rather than pneumonia looks like A, B, C... #teachDX #JHMChat |
| Annie Massart @Annie_Massart_ @JHospMedicine A2: It's important to hear the thought process behind decisions we disagree with so we can localize the error and focus feedback on that. I try to normalize mistakes, acknowledge the intense effort put forth. #JHMChat #Teach Dx |
| Journal of Hospital Medicine @JHospMedicine @andrewolsonmd @AgnesSolberg As long as they're @JHospMedicine articles, we're ok with this teaching method? #jhmchat #improveDx |
| Vinny Arora MD MAPP @FutureDocs @JHospMedicine @andrewolsonmd @SocietyHospMed @WrayCharles @NASEM_Health I wish you could see my form of celebration 😂😂😂#jhmchat #teachdx bedtime is achieved ! |
| Annie Massart @Annie_Massart_ @JHospMedicine A2: I've also learned to use "we/our" rather than "you/your" to avoid isolating a learner in the midst of formative feedback. #JHMChat #TeachDx |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @Annie_Massart_: @JHospMedicine A2: @JHospMedicine A2: It's important to hear the thought process behind decisions we disagree with so we can localize the error and focus feedback on that. I try to normalize mistakes, acknowledge the intense effort put forth. #JHMChat #Teach Dx |
| Andrew Olson, MD @andrewolsonmd @thilanMD @JHospMedicine True. My favorite hypothesis is that the diagnostic safety of an institution is directly related to how comfortable people are saying "I don't know." #teachDX #JHMChat |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @jenreadlynn @JHospMedicine @bmcgillen26 @jennifermcaputo @andrewolsonmd If there was a major change in management or the patient became acutely sick whether or not the diagnosis changed, I will often send a “heads up” email to residents to let them know before they come back to their next shift. I invite them to meet with me if interested #JHMchat |
| Agnieszka Solberg MD @AgnesSolberg @andrewolsonmd @JHospMedicine In radiology we have Radiographics journal which is FULL of excellent topic reviews. Is there something like this for IM exc UpToDate? #jhmchat #RadChicks |
| Vinny Arora MD MAPP @FutureDocs RT @Annie_Massart_: @JHospMedicine A2: @JHospMedicine A2: I've also learned to use "we/our" rather than "you/your" to avoid isolating a learner in the midst of formative feedback. #JHMChat #TeachDx |
| Andrew Olson, MD @andrewolsonmd @Annie_Massart_ @JHospMedicine RT x 1000 here. Our learners (even at night) are NEVER alone. I use "you" with successes and "me/I" with failures often. #teachDX #JHMChat |
| Paul Shaniuk @PShaniuk @Annie_Massart_ @JHospMedicine Right! Night float is still part of the team! It’s not “you” it’s “us!” #JHMChat |
| Andrew Olson, MD @andrewolsonmd RT @PShaniuk: @Annie_Massart_ @JHospMedicine Right! Night float is still part of the team! It’s not “you” it’s “us!” #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Great mantra to remember when thinking about giving #feedback! #jhmchat #improveDx |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @jenreadlynn @JHospMedicine @bmcgillen26 @jennifermcaputo @andrewolsonmd If there are minor changes, we have opportunity to share the feedback to senior residents during designated time after their block of overnights. #JHMChat |
| Society of Hospital Medicine @SocietyHospMed #JHMChat x #teachDX conversation is up & running 👋 Follow us here tonight for the latest from @andrewolsonmd, @JHospMedicine, @ImproveDX, and our incredible participants shaping tonight's conversation! (*Cough* @gopiastik) |
| Andrew Olson, MD @andrewolsonmd @STangGirdwood @jenreadlynn @JHospMedicine @bmcgillen26 @jennifermcaputo Love this - and how to 1) make this systematic and 2) get your colleagues to do it? #teachDX #JHMChat |
 | Thilan Wijesekera @thilanMD @JHospMedicine I offer areas where I struggle with that particular case or similar cases. Can help (at least I hope) ease the learners worries and show we're all learning together #teachDX #JHMChat |
| Jennifer Caputo-Seidler, MD @jennifermcaputo @JHospMedicine A2 Feedback should be frequent, timely, specific, and should be given for positives as well as to address errors #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @JHospMedicine Biggest thing I have to tell myself over & over again is that it's about a behavior & not a judgement. Making this part of the culture would remove the biggest barriers so everyone knows that this truly trying to help improve skills, just like practicing procedures. #jhmchat |
| Vinny Arora MD MAPP @FutureDocs This goes out to every night float on call tonight. You are part of the care team #JHMChat #teachDX |
| Journal of Hospital Medicine @JHospMedicine @alvinseattle @WrayCharles @andrewolsonmd Welcome, Alvin. Glad you could join! #jhmchat #improveDx |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @thilanMD: @JHospMedicine I offer areas where I struggle with that particular case or similar cases. Can help (at least I hope) ease the learners worries and show we're all learning together #teachDX #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @jennifermcaputo: @JHospMedicine A2 Feedback should be frequent, timely, specific, and should be given for positives as well as to address errors #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @andrewolsonmd: @thilanMD @JHospMedicine True. My favorite hypothesis is that the diagnostic safety of an institution is directly related to how comfortable people are saying "I don't know." #teachDX #JHMChat |
| Andrew Olson, MD @andrewolsonmd @jenreadlynn @JHospMedicine I think feedback has gotten a bad rap because people equate with grades. Instead, can we move to a coached model? #teachDX #JHMChat |
| Andrew Olson, MD @andrewolsonmd @FutureDocs So true. #teachDX #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @andrewolsonmd: @jenreadlynn @JHospMedicine I think feedback has gotten a bad rap because people equate with grades. Instead, can we move to a coached model? #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: This goes out to every night float on call tonight. You are part of the care team #JHMChat #teachDX |
| Journal of Hospital Medicine @JHospMedicine RT @jenreadlynn: @JHospMedicine Biggest thing I have to tell myself over & over again is that it's about a behavior & not a judgement. Making this part of the culture would remove the biggest barriers so everyone knows that this truly trying to help improve skills, just like practicing procedures. #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @jennifermcaputo: @JHospMedicine A2 Feedback should be frequent, timely, specific, and should be given for positives as well as to address errors #JHMChat |
 | Temple Ratcliffe, MD, MS-HPEd @templeratcliffe Checking in late from San Antonio — looking forward to catching up! #JHMChat #TeachDx |
| Vinny Arora MD MAPP @FutureDocs @andrewolsonmd @jenreadlynn @JHospMedicine I think the feedback sandwich also killed it #JHMChat #teachdx |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: #JHMChat x #teachDX conversation is up & running 👋 Follow us here tonight for the latest from @andrewolsonmd, @JHospMedicine, @ImproveDX, and our incredible participants shaping tonight's conversation! (*Cough* @gopiastik) |
| Andrew Olson, MD @andrewolsonmd @templeratcliffe Welcome to longtime #teachDX friend @templeratcliffe #teachDX #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @JHospMedicine I agree with @gopiastik. Centering on the patient helps us remember the information but also why we're receiving/giving feedback in the first place. It's all about the patient. #jhmchat #teachdx |
| Andrew Olson, MD @andrewolsonmd @FutureDocs @jenreadlynn @JHospMedicine So true. Made it feel like a game rather than something so integral to our learning. #teachDX #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @SocietyHospMed: #JHMChat x #teachDX conversation is up & running 👋 Follow us here tonight for the latest from @andrewolsonmd, @JHospMedicine, @ImproveDX, and our incredible participants shaping tonight's conversation! (*Cough* @gopiastik) |
| Andrew Olson, MD @andrewolsonmd @jenreadlynn @JHospMedicine @gopiastik This is why we did patient-centered feedback in the #loop study. Was well-received despite being an extra step. #teachDX #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @jenreadlynn: @JHospMedicine I agree with @gopiastik. Centering on the patient helps us remember the information but also why we're receiving/giving feedback in the first place. It's all about the patient. #jhmchat #teachdx |
| Brian McGillen, MD @BMcGillenMD @jenreadlynn @JHospMedicine @gopiastik ...and to dovetail on @andrewolsonmd , this is about coaching better physicians. Feedback needs to be centered on helping learners improve, rather than pointing out faults. #JHMChat #clinicalreasoning |
| Vinny Arora MD MAPP @FutureDocs RT @gopiastik: A2: A2: I was taught if you teach a topic, they'll remember for a day. If you teach about a patient, they will remember forever. Be direct, specific, give examples and making it a positive teaching/learning point. #JHMChat #teachDX |
| Journal of Hospital Medicine @JHospMedicine Great conversation so far. We've got Topic 3 coming up in a few minutes...#jhmchat #improveDx |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @Annie_Massart_ @JHospMedicine Have been working on this more this year with my resident teams. Trying to think out loud more. I had a resident this past week who would reflect on what we possibly could have done to prevent deterioration. It was such a brave and great discussion for a new upper level. #jhmchat |
| Andrew Olson, MD @andrewolsonmd @rltrowb welcome @rltrowb #teachDX #JHMChat Glad to see you are giving it another whirl :) |
 | Alvin Calderon, MD, PhD, FACP @alvinseattle @JHospMedicine @andrewolsonmd #JHMChat A1: As a routine, we CC: the admission teams on DC summaries. This is a way of keeping the admission team informed regarding the outcome of their admissions. |
| Paul Shaniuk @PShaniuk RT @JHospMedicine: Let's get started! I'm @WrayCharles your moderator for tonight's #JHMChat covering @andrewolsonMD & colleagues' recent article on feedback during handoffs (aka. The Loop Project): https://t.co/gTOfBeG2X6 Go ahead and introduce yourself while we wait for others to join... https://t.co/wkTrAdOWQC |
| Andrew Olson, MD @andrewolsonmd @jenreadlynn @Annie_Massart_ @JHospMedicine And wow what an example for everyone on the team. #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Getting into the nuances of #coaching vs. #feedback in tonight's #jhmchat with #improvedx... |
 | Margaret Fleming @mlsfleming2 RT @gopiastik: A2: A2: I was taught if you teach a topic, they'll remember for a day. If you teach about a patient, they will remember forever. Be direct, specific, give examples and making it a positive teaching/learning point. #JHMChat #teachDX |
 | Kathleen Lane @klanemd @bmcgillen26 @jenreadlynn @JHospMedicine @gopiastik @andrewolsonmd Absolutely! And there is value in positive reinforcement too -- all of it is good for ongoing calibration. #JHMChat #teachDX |
| Journal of Hospital Medicine @JHospMedicine RT @alvinseattle: @JHospMedicine @andrewolsonmd #JHMChat A1: As a routine, we CC: @JHospMedicine @andrewolsonmd #JHMChat A1: As a routine, we CC: the admission teams on DC summaries. This is a way of keeping the admission team informed regarding the outcome of their admissions. |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @JHospMedicine When we do feedback w/our seniors who finish a block of nights, we usually ask them if they had any questions about admissions or why we changed management on rounds. They usually have many ?’s. I know I did when I was a senior. So, they’re inviting you to give feedback. #jhmchat |
| Gopi Astik @gopiastik @jenreadlynn @Annie_Massart_ @JHospMedicine Normalizing the #debriefs is key. Those are another perfect opportunity for feedback in the right environment. #JHMChat #teachDX |
| Vinny Arora MD MAPP @FutureDocs @alvinseattle @JHospMedicine @andrewolsonmd That is very cool - do people appreciate ? #JHMCHAT #teachdx |
 | Manpreet Malik @medmanny @JHospMedicine Feedback should be a 2 way street. If you provide constructive feedback, ask for some also.. always. #jhmchat |
| Thilan Wijesekera @thilanMD @Annie_Massart_ @JHospMedicine A2: Trust the process. Piggybacking off of that, I try to generalize the teaching point to future cases that learners might see. Makes it feel less like they're being graded on that particular case as opposed to empowering them with strategies moving forward #teachDX #JHMChat |
| Annie Massart @Annie_Massart_ @jenreadlynn @JHospMedicine That's awesome! Those conversations are how we can collectively raise the bar of excellent patient care. #JHMChat #TeachDx |
| Chris Moriates, MD @ChrisMoriates RT @alvinseattle: @JHospMedicine @andrewolsonmd #JHMChat A1: As a routine, we CC: @JHospMedicine @andrewolsonmd #JHMChat A1: As a routine, we CC: the admission teams on DC summaries. This is a way of keeping the admission team informed regarding the outcome of their admissions. |
| Andrew Olson, MD @andrewolsonmd @gracefarris @jenreadlynn @JHospMedicine It means to me that you set it up. "I'll be giving you feedback every day about X, Y, Z. I want to see you improve based on it and meet goals A, B, C. If we do that together you'll succeed." #teachDX #JHMChat |
| Society of Hospital Medicine @SocietyHospMed #TeamworkMakesTheDreamWork ☺️ Agreed! @Annie_Massart @PShaniuk (Take for example: tonight's #JHMChat with #ImproveDX) |
| Andrew Olson, MD @andrewolsonmd RT @Annie_Massart_: @jenreadlynn @JHospMedicine That's awesome! Those conversations are how we can collectively raise the bar of excellent patient care. #JHMChat #TeachDx |
| Journal of Hospital Medicine @JHospMedicine Topic 3 for tonights #jhmchat with #improveDx: https://t.co/7UHfwubU8t |
| Journal of Hospital Medicine @JHospMedicine RT @Annie_Massart_: @jenreadlynn @JHospMedicine That's awesome! Those conversations are how we can collectively raise the bar of excellent patient care. #JHMChat #TeachDx |
| Journal of Hospital Medicine @JHospMedicine RT @andrewolsonmd: @gracefarris @jenreadlynn @JHospMedicine It means to me that you set it up. "I'll be giving you feedback every day about X, Y, Z. I want to see you improve based on it and meet goals A, B, C. If we do that together you'll succeed." #teachDX #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @STangGirdwood: @JHospMedicine When we do feedback w/our seniors who finish a block of nights, we usually ask them if they had any questions about admissions or why we changed management on rounds. They usually have many ?’s. I know I did when I was a senior. So, they’re inviting you to give feedback. #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @thilanMD: @Annie_Massart_ @JHospMedicine A2: @Annie_Massart_ @JHospMedicine A2: Trust the process. Piggybacking off of that, I try to generalize the teaching point to future cases that learners might see. Makes it feel less like they're being graded on that particular case as opposed to empowering them with strategies moving forward #teachDX #JHMChat |
| Andrew Olson, MD @andrewolsonmd A3: Clearly I'm biased, but I think the MOST effective strategy is feedback. Otherwise easy to believe I am 100% good at pneumonia because NO ONE has told me I've been wrong for years. #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @andrewolsonmd: A3: A3: Clearly I'm biased, but I think the MOST effective strategy is feedback. Otherwise easy to believe I am 100% good at pneumonia because NO ONE has told me I've been wrong for years. #teachDX #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @alvinseattle @JHospMedicine @andrewolsonmd Great to hear #jhmchat #teachdx seems like easy to implement w #ehr |
| Andrew Olson, MD @andrewolsonmd @medmanny @JHospMedicine Totally - and change because of it. Best feedback: Dr Olson, you talk too much. #teachDX #JHMChat |
 | Maria Jose Hernandez Woodbine @Mariajose_hw RT @gopiastik: A2: A2: I was taught if you teach a topic, they'll remember for a day. If you teach about a patient, they will remember forever. Be direct, specific, give examples and making it a positive teaching/learning point. #JHMChat #teachDX |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @JHospMedicine: Topic 3 for tonights #jhmchat with #improveDx: Topic 3 for tonights #jhmchat with #improveDx: https://t.co/7UHfwubU8t |
| Andrew Olson, MD @andrewolsonmd @FutureDocs @alvinseattle @JHospMedicine Some awesome work happening this space to close these loops but also esp focus on diagnosis changes. #teachDX #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @sucharitakher Hi Sucharita! In case we didn't get a chance to say hello and welcome... Hello & welcome! Happy to have you here #JHMChat #teachDX |
 | Trisha Marshall @TMarshall_MD @STangGirdwood @kroussMD @andrewolsonmd @Hagedorn_MD @spatelDO Labeling uncertain diagnoses helps remove the stigma of not knowing, there is uncertainty in almost every aspect of medicine and embracing it can certainly only help #JHMChat |
| Maria Jose Hernandez Woodbine @Mariajose_hw 😍😍 |
| Jennifer Caputo-Seidler, MD @jennifermcaputo @JHospMedicine A3 As others have mentioned, role modeling, talking through your reasoning process in front of the team so they see how you arrived at x diagnosis or treatment plan. #JHMChat |
| Maria Jose Hernandez Woodbine @Mariajose_hw RT @Annie_Massart_: @JHospMedicine A2: @JHospMedicine A2: I've also learned to use "we/our" rather than "you/your" to avoid isolating a learner in the midst of formative feedback. #JHMChat #TeachDx |
| Vinny Arora MD MAPP @FutureDocs While not night float, I recently passed off 16 patients - 10 new / 6 old and definitely epic stalked to find out what happened to the new admits...useful form of feedback #Jhmchat #teachdx |
| Andrew Olson, MD @andrewolsonmd @TMarshall_MD @STangGirdwood @kroussMD @Hagedorn_MD @spatelDO It's #eras season and NO ONE has every applied to IM or peds saying "I really like treating cellulitis." We all love the puzzles, so embrace 'em. #teachDX #JHMChat |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @TMarshall_MD: @STangGirdwood @kroussMD @andrewolsonmd @Hagedorn_MD @spatelDO Labeling uncertain diagnoses helps remove the stigma of not knowing, there is uncertainty in almost every aspect of medicine and embracing it can certainly only help #JHMChat |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood RT @TMarshall_MD: @STangGirdwood @kroussMD @andrewolsonmd @Hagedorn_MD @spatelDO Labeling uncertain diagnoses helps remove the stigma of not knowing, there is uncertainty in almost every aspect of medicine and embracing it can certainly only help #JHMChat |
| Ryan Bonner @RWBonner91 @alvinseattle @JHospMedicine @andrewolsonmd Awesome idea. Some folks have brought up the idea of keeping a case log to track the course of admissions and tricky clinical decisions in general, and this step would lower the “activation energy” to doing so #JHMChat #TeachDx |
| Journal of Hospital Medicine @JHospMedicine RT @jennifermcaputo: @JHospMedicine A3 As others have mentioned, role modeling, talking through your reasoning process in front of the team so they see how you arrived at x diagnosis or treatment plan. #JHMChat |
| Thilan Wijesekera @thilanMD @JHospMedicine Modeling. More than just saying "that's reasonable", our learners want to hear how we would make problem representations, prioritize differentials, and make management decisions. #teachDX #JHMChat |
| Jennifer Caputo-Seidler, MD @jennifermcaputo @JHospMedicine A3 cont and also role modeling diagnostic uncertainty and tolerance for ambiguity #JHMChat |
| Andrew Olson, MD @andrewolsonmd @FutureDocs Agreed - although I have a tendency to look at the ones I'm curious/worried about rather than those that totally would surprise me. This also falls off when I get busy... #teachDX #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @RWBonner91 @alvinseattle @JHospMedicine @andrewolsonmd Hi there, Ryan! Welcome to the #JHMChat with @ImproveDX :) Thanks for tuning in tonight! |
| Journal of Hospital Medicine @JHospMedicine Interesting ways of improving your diagnostic skills being proposed in tonight's #jhmchat with #improveDx... Do others have experiences in this method? |
| Gopi Astik @gopiastik A3: I think feedback is the best way but on rounds I like team learning with cases where students are teamed with residents and we reason through cases together. It takes the pressure off because they answer together. #JHMChat #teachDX |
 | Rebecca Jaffe, MD @RJmdphilly @alvinseattle @JHospMedicine @andrewolsonmd Cool idea #JHMchat #lateArrival |
 | Jon Lim, MD 🏳️🌈 @JonLimMD Lurking/catching the second half of #teachDX #JHMChat hailing from Houston, TX! Go Astros! |
| Andrew Olson, MD @andrewolsonmd @thilanMD @JHospMedicine #MedEd is odd - imagine telling someone else in your life that something is "reasonable." "Why yes, thanks chef, dinner was reasonable..." #teachDX #JHMChat |
| Mona Krouss MD @kroussMD @JHospMedicine Taking even "simple" cases and challenging them if x happened, what are you thinking and why? Anticipatory guidance is so important! #JHMCHAT |
| Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: While not night float, I recently passed off 16 patients - 10 new / 6 old and definitely epic stalked to find out what happened to the new admits...useful form of feedback #Jhmchat #teachdx |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @JHospMedicine Unpopular opinion: as an overnight admitting intern, I liked staying for rounds the next morning to present patients so I could talk thru our differential and management, and learned from the ensuing discussion about what others thought. Interns don’t stay anymore. #jhmchat |
| Andrew Olson, MD @andrewolsonmd @gracefarris RIGHT!!!! I think we aren't talking about 30 minute sit -downs. We are talking about micro-moments focused on specific tasks. #teachDX #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @RWBonner91 @alvinseattle @JHospMedicine @andrewolsonmd For the tough diagnostic dilemma cases I keep them on a list to see if things materialize as outpatients. Sometimes it takes time to complete a workup and some patients don’t meet inpatient criteria to get worked up in house #jhmchat #teachdx |
| Rebecca Jaffe, MD @RJmdphilly A3 -show your work (Though as with @andrewolsonmd this does sometimes lead to the feedback that I talk too much) #JHMChat |
| Society of Hospital Medicine @SocietyHospMed One of our #JHMChat x #teachDX participants encourages us to embrace the unknown in medicine 🙌 Do you agree with @TMarshall_MD? Join us with @andrewolsonmd, @ImproveDX for our #JHMchat - there's still ~20 minutes to chime in! |
| Annie Massart @Annie_Massart_ A3: As others said, I try to share my own diagnostic reasoning in a coherent way (which is sometimes a challenge!). Also, I share the reasoning of those smarter than myself. I use my iPad to share @CPSolvers' diagnostic schema, tweetorials from @tony_breu, etc. #JHMChat #TeachDx |
| Vinny Arora MD MAPP @FutureDocs @andrewolsonmd True I def like the idea of the forcing feedback function #TeachDx #jhmchat |
| Jon Lim, MD 🏳️🌈 @JonLimMD A3: we recently started a twilight admitting shift for residents. The first hour is protected without admissions for a dedicated, structured reflection tool to look back at prior admissions. Rather than feedback, this teaches self-directed learning #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine We're lucky at JHM to have in-house graphic artist @gracefarris to capture the nuances (and hilarity) in being a doctor. Especially around the topic of #feedback... #jhmchat #improveDx |
| Society of Hospital Medicine @SocietyHospMed @RJmdphilly @alvinseattle @JHospMedicine @andrewolsonmd Hi Rebecca! (#LateArrival, but there's still plenty of #TimeOnTheClock) Welcome! #JHMchat #teachDX |
| Temple Ratcliffe, MD, MS-HPEd @templeratcliffe A3: Ask learners to identify aspects of a case that don’t fit their leading Dx. No case is a perfect fit. #JHMChat #TeachDx |
| Vinny Arora MD MAPP @FutureDocs RT @JonLimMD: A3: A3: we recently started a twilight admitting shift for residents. The first hour is protected without admissions for a dedicated, structured reflection tool to look back at prior admissions. Rather than feedback, this teaches self-directed learning #teachDX #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @andrewolsonmd @Annie_Massart_ @JHospMedicine Seriously! I was so impressed. The senior and I just sat and talked in front of the whole team about what we learned or would have done differently - all initiated by her. I wrote it down as something to keep doing. #jhmchat #teachdx |
 | Herman Scholtz @hscholtz RT @JHospMedicine: Interesting ways of improving your diagnostic skills being proposed in tonight's #jhmchat with #improveDx... Do others have experiences in this method? |
| Andrew Olson, MD @andrewolsonmd TOTALLY agree with this. #teachDX #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @JonLimMD Do you mind sharing what the hours of “twilight” are? #JHMChat #TeachDx |
| Jon Lim, MD 🏳️🌈 @JonLimMD The structure reflection is also supposed to be facilitated by faculty for built in collaborative reflection and feedback. That is to say, I think promoting practice based learning and improvement and self-directed learning can also improve diagnostic reasoning #teachDX #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @gracefarris Hahahahaha Grace that is me. I can’t help myself #jhmchat |
| Journal of Hospital Medicine @JHospMedicine RT @FutureDocs: @RWBonner91 @alvinseattle @JHospMedicine @andrewolsonmd For the tough diagnostic dilemma cases I keep them on a list to see if things materialize as outpatients. Sometimes it takes time to complete a workup and some patients don’t meet inpatient criteria to get worked up in house #jhmchat #teachdx |
| Journal of Hospital Medicine @JHospMedicine RT @RJmdphilly: A3 -show your work (Though as with @andrewolsonmd this does sometimes lead to the feedback that I talk too much) #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @TMarshall_MD: @STangGirdwood @kroussMD @andrewolsonmd @Hagedorn_MD @spatelDO Labeling uncertain diagnoses helps remove the stigma of not knowing, there is uncertainty in almost every aspect of medicine and embracing it can certainly only help #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: One of our #JHMChat x #teachDX participants encourages us to embrace the unknown in medicine 🙌 Do you agree with @TMarshall_MD? Join us with @andrewolsonmd, @ImproveDX for our #JHMchat - there's still ~20 minutes to chime in! |
| Journal of Hospital Medicine @JHospMedicine RT @Annie_Massart_: A3: A3: As others said, I try to share my own diagnostic reasoning in a coherent way (which is sometimes a challenge!). Also, I share the reasoning of those smarter than myself. I use my iPad to share @CPSolvers' diagnostic schema, tweetorials from @tony_breu, etc. #JHMChat #TeachDx |
| Andrew Olson, MD @andrewolsonmd @FutureDocs @JonLimMD I would love to hear more too - and also do you collect these reflections? Are you using after Mamede et al? #JHMChat #teachDX |
| Kathleen Lane @klanemd @jennifermcaputo @JHospMedicine I think it's incredibly powerful to tell our trainees "I don't know" and also share how our heuristics may be coloring our diagnostic decision making. #JHMChat #teachDX |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @Annie_Massart_: A3: A3: As others said, I try to share my own diagnostic reasoning in a coherent way (which is sometimes a challenge!). Also, I share the reasoning of those smarter than myself. I use my iPad to share @CPSolvers' diagnostic schema, tweetorials from @tony_breu, etc. #JHMChat #TeachDx |
| Rebecca Jaffe, MD @RJmdphilly @kroussMD @JHospMedicine Great technique -taking the case one step farther, adding different variables...#jhmchat |
| Trisha Marshall @TMarshall_MD @andrewolsonmd @STangGirdwood @jenreadlynn @JHospMedicine @bmcgillen26 @jennifermcaputo I would love to receive more peer feedback from my colleagues in HM, but would also really value a mechanism that allows bidirectional feedback and follow-up with other specialties, especially the ED and the ICU. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @andrewolsonmd @RWBonner91 @alvinseattle @JHospMedicine I should have known - study done by my once co intern 😂 @sumantranji #JHMChat #TeachDx |
| Andrew Olson, MD @andrewolsonmd @jenreadlynn @Annie_Massart_ @JHospMedicine Amazing moment for her and clearly as @thilanMD mentioned - great learning environment must be present. #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @TMarshall_MD: @andrewolsonmd @STangGirdwood @jenreadlynn @JHospMedicine @bmcgillen26 @jennifermcaputo I would love to receive more peer feedback from my colleagues in HM, but would also really value a mechanism that allows bidirectional feedback and follow-up with other specialties, especially the ED and the ICU. #JHMChat |
| Temple Ratcliffe, MD, MS-HPEd @templeratcliffe @klanemd @jennifermcaputo @JHospMedicine Humility is key. As is pointing out both the power and potential diwnsides of heuristics in clinical reasoning. #JHMChat #TeachDx |
| Alvin Calderon, MD, PhD, FACP @alvinseattle @JHospMedicine I have residents express their diagnostic certainty as a probability. Kind of like the probability of a win in a game. Then after each "diagnostic maneuver" which maybe a test or a treatment, we re-declare our diagnostic probability. This can evolve over time. #JHMChat https://t.co/eSgbwyKfof |
| Kathleen Lane @klanemd @templeratcliffe I love doing this too. You can adapt the Red Team Blue Team challenge from Australia and even assign other learners to play the devil's advocate. #JHMChat #teachDX |
| Andrew Olson, MD @andrewolsonmd @FutureDocs @RWBonner91 @alvinseattle @JHospMedicine @sumantranji Who was my attending too :) #teachDX #JHMChat |
| Gopi Astik @gopiastik @klanemd @jennifermcaputo @JHospMedicine I agree. There are plenty of times on rounds that i'm stumped and we take a "field trip" to a white board or computer to look up/write out ideas. The 5 mins it takes shows the team its OK not to know everything and it also engages the team much more in the plan. #JHMChat #teachDX |
| Andrew Olson, MD @andrewolsonmd @klanemd @templeratcliffe And WELCOME to the LOOP study lead author @klanemd #teachDX #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @gracefarris I bust it out in rounds. I think formalizing the process can help some learners. We don’t usually do math - just identify the variables. Sometimes it’s a lightbulb moment. Sometimes not...#jhmchat |
| Journal of Hospital Medicine @JHospMedicine @alvinseattle Alvin, I do believe you just made a fan in @andrewolsonmd #jhmchat #improveDx |
| Sonya Tang Girdwood 鄧 智佳, MD, PhD @STangGirdwood @TMarshall_MD @andrewolsonmd @jenreadlynn @JHospMedicine @bmcgillen26 @jennifermcaputo I’ve been advocating for buddy attendings!! Receive feedback in real time after rounds. That’s what I loved about first year of fellowship. #JHMChat |
| Andrew Olson, MD @andrewolsonmd @alvinseattle @JHospMedicine This is calibration in action (and sweet baseball reference) #teachDX #JHMChat |
| Rebecca Jaffe, MD @RJmdphilly @alvinseattle @JHospMedicine 💯 #jhmchat |
| Kathleen Lane @klanemd @templeratcliffe @jennifermcaputo @JHospMedicine Humility and vulnerability are powerful tools when teaching about diagnostic decision making. #JHMChat #TeachDX |
 | Venk Bellamkonda, MD @VenkBellamkonda RT @STangGirdwood: @kroussMD @andrewolsonmd Our “uncertain diagnosis” flag has come out of some great work done by Dr. Ipsaro, @Hagedorn_MD, @TMarshall_MD, @spatelDO #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @JHospMedicine A3: I encourage & model practicing. I tell them I listen to @CPSolvers, @thecurbsiders, @COREIMpodcast and use @hdx to keep up my own skills. Sometimes, I try to change one part of the case in a patient we're seeing and ask if that would change things for them. #jhmchat #teachdx |
| Vinny Arora MD MAPP @FutureDocs @andrewolsonmd @RWBonner91 @alvinseattle @JHospMedicine @sumantranji Small world 🌎 #JHMChat #TeachDx Like all IM residents who weren’t applying to subspecialty fellowship we wondered if we were abnormal and at least we were not alone 😂😂😂 |
 | Jimmy beck @Jbbeck7 A3. #jhmchat #teachDX. So each night when I check in with my overnight sr resident, I ask them which admissions from the prior night, do they want to talk about. |
| Rebecca Jaffe, MD @RJmdphilly @JonLimMD @estewart2099 @JeffIMchiefs this is a brilliant structural change to improve learning. Great idea.#jhmchat |
| Andrew Olson, MD @andrewolsonmd @Jbbeck7 This is fantastic - and we also have found key to ask the day teams which patients they want to GIVE feedback about too. Not completely overlapping Venn Diagram. #teachDX #JHMChat |
| Society of Hospital Medicine @SocietyHospMed Before we get the #JHMChat started 👀 SHM's Accreditation & Designation Statement: Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians: https://t.co/aJ76JeTpml |
| Journal of Hospital Medicine @JHospMedicine We've got about 10 min left in tonight's co-#jhmchat & #improveDx chat... Wanted to leave these last few minutes open for general comments on: Feedbacks, Handoffs, and Diagnostic Reasoning... |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: Before we get the #JHMChat started 👀 SHM's Accreditation & Designation Statement: Before we get the #JHMChat started 👀 SHM's Accreditation & Designation Statement: Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians: https://t.co/aJ76JeTpml |
| Andrew Olson, MD @andrewolsonmd @FutureDocs @RWBonner91 @alvinseattle @JHospMedicine @sumantranji It appears you have done ok. #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @jenreadlynn: @JHospMedicine A3: @JHospMedicine A3: I encourage & model practicing. I tell them I listen to @CPSolvers, @thecurbsiders, @COREIMpodcast and use @hdx to keep up my own skills. Sometimes, I try to change one part of the case in a patient we're seeing and ask if that would change things for them. #jhmchat #teachdx |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @JHospMedicine: We've got about 10 min left in tonight's co-#jhmchat & #improveDx chat... Wanted to leave these last few minutes open for general comments on: Feedbacks, Handoffs, and Diagnostic Reasoning... |
| Jimmy beck @Jbbeck7 #jhmchat #teachdx. I ask that question before I ‘run the list’ of established patients - which is my subtle way of giving feedback. |
| Alvin Calderon, MD, PhD, FACP @alvinseattle @JHospMedicine Here's my favorite article: diagnostic accuracy of residents: 66%. Diagnostic accuracy of attendings (who built on residents' assessements) : 78%. Accuracy changes over time and with added information. #JHMChat https://t.co/F6EIBpZfrq |
| Journal of Hospital Medicine @JHospMedicine RT @templeratcliffe: @klanemd @jennifermcaputo @JHospMedicine Humility is key. As is pointing out both the power and potential diwnsides of heuristics in clinical reasoning. #JHMChat #TeachDx |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @alvinseattle: @JHospMedicine Here's my favorite article: diagnostic accuracy of residents: @JHospMedicine Here's my favorite article: diagnostic accuracy of residents: 66%. Diagnostic accuracy of attendings (who built on residents' assessements) : 78%. Accuracy changes over time and with added information. #JHMChat https://t.co/F6EIBpZfrq |
| Society of Hospital Medicine @SocietyHospMed Important lessons being taught here tonight with @JHospMedicine, @ImproveDX, and @klanemd ☺️ What are other powerful tools or resources for how you teach diagnostic decision making? Chime in here: #JHMChat #teachDX (...There's still 10 minutes!) |
| Andrew Olson, MD @andrewolsonmd @alvinseattle @JHospMedicine This is a classic - and the whole point of our study was that diagnoses change and we have a duty to make sure people know that after they handover. #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: Important lessons being taught here tonight with @JHospMedicine, @ImproveDX, and @klanemd ☺️ What are other powerful tools or resources for how you teach diagnostic decision making? Chime in here: #JHMChat #teachDX (...There's still 10 minutes!) |
 | Vasudha Goel MD, MS @PainDocGoel RT @andrewolsonmd: A1: A1: Excited to hear ideas, but I'll weigh in. We view handovers as barriers - but can we seem them as opportunities for learning? It's kind of amazing that every patient gets an automatic second opinion now! #teachDX #JHMChat |
| Society of Hospital Medicine @SocietyHospMed @Jbbeck7 (Welcome to the #JHMChat tonight, Jimmy!) |
| Venk Bellamkonda, MD @VenkBellamkonda RT @andrewolsonmd: A1: A1: Excited to hear ideas, but I'll weigh in. We view handovers as barriers - but can we seem them as opportunities for learning? It's kind of amazing that every patient gets an automatic second opinion now! #teachDX #JHMChat |
| Vinny Arora MD MAPP @FutureDocs I like twilight shift better than what we call “bridge” in hosp medicine -sounds so calming ironically #JHMChat #TeachDx |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @templeratcliffe: @klanemd @jennifermcaputo @JHospMedicine Humility is key. As is pointing out both the power and potential diwnsides of heuristics in clinical reasoning. #JHMChat #TeachDx |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: We've got about 10 min left in tonight's co-#jhmchat & #improveDx chat... Wanted to leave these last few minutes open for general comments on: Feedbacks, Handoffs, and Diagnostic Reasoning... |
| Andrew Olson, MD @andrewolsonmd @FutureDocs sign me up for the twilight shift! #teachDX #JHMChat |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @andrewolsonmd @Jbbeck7 This is a great way to get those "surprise" diagnoses that the admitting team thought was a slam dunk. #jhmchat #teachdx |
| Jon Lim, MD 🏳️🌈 @JonLimMD Other powerful tools to teach diagnostic decision making is having a shared mental model of milestones in this competency. What does a year 1 vs 2 vs 3 vs master clinician look like. How are you yet/not yet there. I think will be forthcoming in 2.0 milestones. #JHMchat #TeachDx |
| Kathleen Lane @klanemd @gopiastik @jennifermcaputo @JHospMedicine That's great! I'll also bring up Isabel and talk about what variables we should input, and discuss the diagnoses it suggests. And show learners how we all Google things behind the scenes. #JHMChat #TeachDX |
| Andrew Olson, MD @andrewolsonmd @jenreadlynn @Jbbeck7 So true. This happened to me recently in a patient who I was *sure* had a PE.... Heparin treats pneumonia too, right? #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine Appreciate everyone showing up for tonight's #JHMChat and #ImproveDx with @andrewolsonMD and the @ImproveDX team! Stellar conversation that we hope was enlightening and thought-provoking... |
| Andrew Olson, MD @andrewolsonmd @JonLimMD They are a big step forward. #teachDX #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @andrewolsonmd @RWBonner91 @alvinseattle @JHospMedicine @sumantranji Yes we both did:) still amazing how much career uncertainty one has early in training #JHMChat #teachdx |
| Journal of Hospital Medicine @JHospMedicine @klanemd @gopiastik @jennifermcaputo Glad we were able to get you in the #jhmchat conversation, @klanemd |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Appreciate everyone showing up for tonight's #JHMChat and #ImproveDx with @andrewolsonMD and the @ImproveDX team! Stellar conversation that we hope was enlightening and thought-provoking... |
| Society to Improve Diagnosis in Medicine @ImproveDX @JHospMedicine @andrewolsonmd Great conversation tonight! Thanks to @SocietyHospMed/@JHospMedicine for hosting this chat! #TeachDx #JHMChat |
| Jimmy beck @Jbbeck7 #jhmchat #teachDX. Does anyone belong to a division that has a built in mechanism for providing peer to peer feedback? |
| Society of Hospital Medicine @SocietyHospMed RT @JHospMedicine: Appreciate everyone showing up for tonight's #JHMChat and #ImproveDx with @andrewolsonMD and the @ImproveDX team! Stellar conversation that we hope was enlightening and thought-provoking... |
| Journal of Hospital Medicine @JHospMedicine RT @klanemd: @gopiastik @jennifermcaputo @JHospMedicine That's great! I'll also bring up Isabel and talk about what variables we should input, and discuss the diagnoses it suggests. And show learners how we all Google things behind the scenes. #JHMChat #TeachDX |
| Vinny Arora MD MAPP @FutureDocs RT @Jbbeck7: #jhmchat #teachDX. Does anyone belong to a division that has a built in mechanism for providing peer to peer feedback? |
| Vinny Arora MD MAPP @FutureDocs RT @ImproveDX: @JHospMedicine @andrewolsonmd Great conversation tonight! Thanks to @SocietyHospMed/@JHospMedicine for hosting this chat! #TeachDx #JHMChat |
| Andrew Olson, MD @andrewolsonmd Thanks for the invitiation and the collaboration. SO much work to do in this space. Thanks to all! Also some nice resources for diagnosis here at https://t.co/PinVrXVCvF and join us for our DEM conference next month! #JHMChat #teachDX |
| Society of Hospital Medicine @SocietyHospMed RT @ImproveDX: @JHospMedicine @andrewolsonmd Great conversation tonight! Thanks to @SocietyHospMed/@JHospMedicine for hosting this chat! #TeachDx #JHMChat |
| Journal of Hospital Medicine @JHospMedicine RT @alvinseattle: @JHospMedicine Here's my favorite article: diagnostic accuracy of residents: @JHospMedicine Here's my favorite article: diagnostic accuracy of residents: 66%. Diagnostic accuracy of attendings (who built on residents' assessements) : 78%. Accuracy changes over time and with added information. #JHMChat https://t.co/F6EIBpZfrq |
| Journal of Hospital Medicine @JHospMedicine RT @andrewolsonmd: Thanks for the invitiation and the collaboration. SO much work to do in this space. Thanks to all! Also some nice resources for diagnosis here at https://t.co/PinVrXVCvF and join us for our DEM conference next month! #JHMChat #teachDX |
| Gopi Astik @gopiastik @Jbbeck7 This is my current research project! I hope to have some results in the coming months! #JHMChat #teachDX |
| Andrew Olson, MD @andrewolsonmd We piloted a few years back and @rltrowb has for years - glad to share more, Jimmy! #teachDX #JHMChat |
| Jimmy beck @Jbbeck7 #jhmchat #teachdx. Three days after I go off service I always email the attending who took over for me. Asking for feedback. But most of the time I don’t get much feedback 😔 |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @andrewolsonmd: Thanks for the invitiation and the collaboration. SO much work to do in this space. Thanks to all! Also some nice resources for diagnosis here at https://t.co/PinVrXVCvF and join us for our DEM conference next month! #JHMChat #teachDX |
| Journal of Hospital Medicine @JHospMedicine RT @gopiastik: @Jbbeck7 This is my current research project! I hope to have some results in the coming months! #JHMChat #teachDX |
| Gopi Astik @gopiastik @andrewolsonmd @jenreadlynn @Jbbeck7 My current project came to be because I missed a PE in a flu patient. #lifelonglearning #teachDX #JHMChat |
| Andrew Olson, MD @andrewolsonmd @Jbbeck7 True dat. Has become part of my practice too and excited when mentees like @klanemd do the same. #teachDX #JHMChat |
| Journal of Hospital Medicine @JHospMedicine We're working on our next #JHMChat topic -- so stay tuned for dates and time in the coming weeks. Thanks again, everyone! |
| Annie Massart @Annie_Massart_ @Jbbeck7 We tried launching peer observation of teaching attendings a few years back. It dissolved after about 18 months bc of a lack of interest. I'm still trying to think of ways to generate enthusiasm for it bc I think it's an incredible faculty development tool. #JHMChat #TeachDx |
| Vinny Arora MD MAPP @FutureDocs Closing thought -love the LOOP as a way to improve education and care on night or admitting rotations. Our prior work has shown night work can be very isolating so this def provides a way to stay connected to team and patients #JHMChat #TeachDX |
| Vinny Arora MD MAPP @FutureDocs RT @andrewolsonmd: Thanks for the invitiation and the collaboration. SO much work to do in this space. Thanks to all! Also some nice resources for diagnosis here at https://t.co/PinVrXVCvF and join us for our DEM conference next month! #JHMChat #teachDX |
| Kathleen Lane @klanemd @andrewolsonmd @Jbbeck7 Taking inspiration from Wes Miller and @andrewolsonmd ! Practice what we preach and spread the culture change. #JHMChat #teachDX |
| Andrew Olson, MD @andrewolsonmd @FutureDocs Thanks for your support @FutureDocs - much work to do but a good step. Night shifts aren't going anywhere so let's embrace them to make them great learning opps. #teachDX #JHMChat |
| Society of Hospital Medicine @SocietyHospMed Thank you to everyone who participated in tonight's #JHMChat + #teachDX discussion w @JHospMedicine & @ImproveDX! 🍂 We'd also like to thank our guest expert @AndrewOlsonMD & JHM moderator, @WrayCharles for leading the discussion. We learned so much! 'Til next time! 👋 |
| Society to Improve Diagnosis in Medicine @ImproveDX RT @SocietyHospMed: Thank you to everyone who participated in tonight's #JHMChat + #teachDX discussion w @JHospMedicine & @ImproveDX! 🍂 We'd also like to thank our guest expert @AndrewOlsonMD & JHM moderator, @WrayCharles for leading the discussion. We learned so much! 'Til next time! 👋 |
| Journal of Hospital Medicine @JHospMedicine RT @SocietyHospMed: Thank you to everyone who participated in tonight's #JHMChat + #teachDX discussion w @JHospMedicine & @ImproveDX! 🍂 We'd also like to thank our guest expert @AndrewOlsonMD & JHM moderator, @WrayCharles for leading the discussion. We learned so much! 'Til next time! 👋 |
| Jen Readlynn, MD, FHM (she/her) @jenreadlynn @SocietyHospMed @JHospMedicine @ImproveDX @andrewolsonmd @WrayCharles Thank you so much for this chat! It was so great and I have way too many ideas floating around my head now! Hope to meet at least some of you in Chicago this week for #midwesthospmed! #jhmchat |
| Vinny Arora MD MAPP @FutureDocs RT @jenreadlynn: @SocietyHospMed @JHospMedicine @ImproveDX @andrewolsonmd @WrayCharles Thank you so much for this chat! It was so great and I have way too many ideas floating around my head now! Hope to meet at least some of you in Chicago this week for #midwesthospmed! #jhmchat |
| Andrew Olson, MD @andrewolsonmd @SimaPendharkar I think that ok that 44% changed - but a tragedy that without feedback people think 0% changed.... #teachDX #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @SocietyHospMed: Thank you to everyone who participated in tonight's #JHMChat + #teachDX discussion w @JHospMedicine & @ImproveDX! 🍂 We'd also like to thank our guest expert @AndrewOlsonMD & JHM moderator, @WrayCharles for leading the discussion. We learned so much! 'Til next time! 👋 |
| Society of Hospital Medicine @SocietyHospMed RT @jenreadlynn: @SocietyHospMed @JHospMedicine @ImproveDX @andrewolsonmd @WrayCharles Thank you so much for this chat! It was so great and I have way too many ideas floating around my head now! Hope to meet at least some of you in Chicago this week for #midwesthospmed! #jhmchat |
| Alvin Calderon, MD, PhD, FACP @alvinseattle @JHospMedicine #jhmchat #improveDx I ask my residents NOT "are you sure?" (yes/no), rather, "how sure are you?" (%). The follow up questions: What will make you change your mind? They don't have to be "confident," altho they have to know how "confident they are." |
| Journal of Hospital Medicine @JHospMedicine @jenreadlynn @SocietyHospMed @ImproveDX @andrewolsonmd @WrayCharles Glad you enjoyed it, Jen! #jhmchat #improveDx |
| Journal of Hospital Medicine @JHospMedicine RT @alvinseattle: @JHospMedicine #jhmchat #improveDx I ask my residents NOT "are you sure?" (yes/no), rather, "how sure are you?" (%). The follow up questions: What will make you change your mind? They don't have to be "confident," altho they have to know how "confident they are." |
| Brian McGillen, MD @BMcGillenMD Thanks to @WrayCharles for moderating! Great work @klanemd and @andrewolsonmd . Really enjoyed this work, and it's already changed my practice. #JHMChat |
 | Abby Spencer, MD, MS, FACP @abbyWUim RT @JonLimMD: Other powerful tools to teach diagnostic decision making is having a shared mental model of milestones in this competency. What does a year 1 vs 2 vs 3 vs master clinician look like. How are you yet/not yet there. I think will be forthcoming in 2.0 milestones. #JHMchat #TeachDx |
| Society of Hospital Medicine @SocietyHospMed A reminder: You still have time to claim CME from this #JHMChat 📚 Credit available until 11:59 PM ET (10.22) 👉 This way to claim: https://t.co/I7yAwFP16X https://t.co/FIWP84gPBN |
 | Lekshmi Santhosh, MD MAEd @LekshmiMD @JHospMedicine I'm a big fan of asking "What ifs?" In a more "straightforward" case. What if they also had bad R heart failure? What if this was their third admission for this same problem? #JHMChat #teachDx |
 | R Logan Jones, MD FACP @rloganjonesmd @JHospMedicine A3) instill lifelong excellence: 1️⃣ditch the paper 2️⃣emphasize long term pt tracking (emphasize behaviors, not knowledge) 3️⃣try calling 1 pt a week to see how they’re doing (follow up) 4️⃣do so respecting pt privacy & autonomy #JHMChat #teachdx @andrewolsonmd @FutureDocs https://t.co/YIqkOGcLon |
| Andrew Olson, MD @andrewolsonmd RT @rloganjonesmd: @JHospMedicine A3) instill lifelong excellence: 1️⃣ditch the paper 2️⃣emphasize long term pt tracking (emphasize behaviors, not knowledge) 3️⃣try calling 1 pt a week to see how they’re doing (follow up) 4️⃣do so respecting pt privacy & autonomy #JHMChat #teachdx @andrewolsonmd @FutureDocs https://t.co/YIqkOGcLon |
 | Emily Fridenmaker @emily_fri RT @LekshmiMD: @JHospMedicine I'm a big fan of asking "What ifs?" In a more "straightforward" case. What if they also had bad R heart failure? What if this was their third admission for this same problem? #JHMChat #teachDx |
 | Brian may @Bmayzing RT @alvinseattle: @JHospMedicine Here's my favorite article: diagnostic accuracy of residents: @JHospMedicine Here's my favorite article: diagnostic accuracy of residents: 66%. Diagnostic accuracy of attendings (who built on residents' assessements) : 78%. Accuracy changes over time and with added information. #JHMChat https://t.co/F6EIBpZfrq |
| Journal of Hospital Medicine @JHospMedicine RT @rloganjonesmd: @JHospMedicine A3) instill lifelong excellence: 1️⃣ditch the paper 2️⃣emphasize long term pt tracking (emphasize behaviors, not knowledge) 3️⃣try calling 1 pt a week to see how they’re doing (follow up) 4️⃣do so respecting pt privacy & autonomy #JHMChat #teachdx @andrewolsonmd @FutureDocs https://t.co/YIqkOGcLon |
 | Chris Moreland @cjmoreland @Jbbeck7 @FutureDocs Our @UTHealthHospMed division implemented peer obs of teaching w/ good results, though hard to maintain w/ clinical volume. Needs sustained engagement & shared mental model, w/ someone (eg, staff member) driving regular connections & f-up on peer observations. #MedEd #JHMChat |
#jhmchat content from Twitter.