#womeninmedicine Transcript
Healthcare social media transcript of the #womeninmedicine hashtag.
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| Profile | Tweet |
|---|---|
 | #WomenInMedicine Chat @womeninmedchat Welcome to #WomenInMedicine chat! We'll get started in 8 mins with Q1. Please introduce yourselves and make sure to use #WomenInMedicine for all your tweets for tonight's chat on shared decision making with my, @petradMD's, amazing co-moderator, @jessiebryce. https://t.co/ZcTlYCxA4c |
 | TempleGME @TempleGME RT @OwlWomenFaculty: Great turnout for the LKSOM Fall Meet & Greet for current faculty to welcome new women to @templemedschool! Impressiv… |
 | The Chakra @ChakraNews Be interesting to see such surveys in various nations. #Malaysia #WomensRights #WomenForBernie #WomenInMedicine #WomensHealth #WomensRights @WomenintheWorld @WomensHealthMag |
 | Christina Cardy, DNP, AGACNP-BC @ccardyDNP @womeninmedchat @petradMD @jessiebryce Christina, Acute Care APRN practicing in cardiology in Tampa, FL #WomenInMedicine |
 | Annie Massart @Annie_Massart_ @womeninmedchat @petradMD @jessiebryce Hi everyone! I'm Annie, an academic hospitalist in Atlanta. I'm looking forward to chatting with y'all! #WomenInMedicine |
 | TheHealthPolicyGroup @healthpolicygrp RT @cclareMDMPH: #BlackWomeninMedicine https://t.co/uqXdhf3jv2 |
| #WomenInMedicine Chat @womeninmedchat Tonight for #WomenInMedicine chat we have 4 questions, so just a guideline to keep us organized. Questions will be labelled Q1, Q2, etc. Please answer with the corresponding A1, A2, etc. at the beginning of your tweet. https://t.co/sLjZcyGVXM |
 | Catherine Lynch @LoreenAshlynn RT @JenniferTich: Amazing how quickly the days go by when you’re having fun. Loving the peds life! #MedTwitter #MedStudentTwitter #WomenInM… |
| #WomenInMedicine Chat @womeninmedchat Attention: Calling ALL potential co-moderators! #WomenInMedicine chat needs UR help 2 keep our weekly chats going. So if you have a topic you are interested in please DM @petradMD about how to become a co-moderator for a chat! She will even help you craft your questions! https://t.co/ld2XNaBYfp |
 | Shreya P. Trivedi MD @ShreyaTrivediMD @womeninmedchat @petradMD @jessiebryce Hi all! Shreya, a #twitternist in NYC Hoping all the #womeninmedicine and #heforShe had a restful week. One of the NYC skies this week 👇🏽 https://t.co/1wG9xA25ry |
 | Rakhee K. Bhayani, MD @RakheeBhayaniMD @womeninmedchat @petradMD @jessiebryce Hi, I’m Rakhee, an internist working in an academic institution. Looking forward to the chat tonight. #WomenInMedicine |
 | Shreeya Popat @SPopatMD @womeninmedchat @petradMD @jessiebryce Hello! Shreeya, PGY4 urology resident from Houston, TX. Looking forward to discussing this very important topic! #WomenInMedicine |
 | Shireen Heidari @ShireenNHeidari Hi all, Shireen, palliative doc in California. Looking forward to chatting. #womeninmedicine |
| #WomenInMedicine Chat @womeninmedchat Please feel free to keep introducing yourselves while we get started with Q1: How do you define shared decision making with patients? On the job, how does that look for you? #WomenInMedicine https://t.co/JmE2svVQ4a |
 | Kaishauna Guidry, MD @DrMamaKai @womeninmedchat @petradMD @jessiebryce Hello #WomenInMedicine I’m (Kay-Sha-Na) a hospice physician in sunny Southern California 😎 |
 | Farrah @fairyburger Hello! FM doc in CA—looking forward to this chat! :] #WomenInMedicine |
| Kaishauna Guidry, MD @DrMamaKai RT @womeninmedchat: Welcome to #WomenInMedicine chat! We'll get started in 8 mins with Q1. Please introduce yourselves and make sure to… |
 | Kira Newman, MD, PhD @KiraNewmanMDPhD @womeninmedchat A1. Shared decision making for me is usually about presenting patients with the options, some information about what each would entail, and then having a discussion about their goals and preferences. Decision aids are very helpful for some of these! #WomenInMedicine |
 | S Faiz @sfaiz212 Learned a lot from these diverse and expert faculty discussing cultural and religious sensitivity and integrating beliefs in medical care #CHESTPalCare #CHEST2019 #WomenInMedicine Proud of my former #PCCM @McGovernPulmCC fellow now faculty Dr Alisha Young https://t.co/DUGFE5uUHu |
 | Dr. Bowser, M.D. 🔥 @Dr_Bowser @womeninmedchat @petradMD @jessiebryce Hello Vascular Surgeon here 👋🏼#WomenInMedicine |
 | Lynn E. Fiellin, M.D. @LFiellin RT @KaminskiMed: First time I gave a talk about the Role of Men in Fighting Gender Inequality and Sexual Harassment in Healthcare. Thanks @… |
 | Allison macerollo @MacerolloMD @womeninmedchat A1 shared decision making is something I do in EVERY patient encounter. The patient and I discuss options, consider risks and benefits and I help them make decisions. I am the expert in health, but they are the expert in themselves. #WomenInMedicine |
 | E Wickersham, MD, MS @Wickersham_Eliz @womeninmedchat A1: The patient and I both have views on an issue or series of issues: What’s most important to address, in what order, etc. The idea is to stand next to the patient and look at the problems together, trying to piece together what’s best to do. #WomenInMedicine |
| Rakhee K. Bhayani, MD @RakheeBhayaniMD @MacerolloMD @womeninmedchat Great reply that encapsulates what my thoughts are on this subject as well! #WomenInMedicine |
| Farrah @fairyburger @womeninmedchat A1: For me, it’s usually presenting my patient with the different options available, with some info on what each would entail, then exploring their goals/expectations and going from there. #WomenInMedicine |
| Shreya P. Trivedi MD @ShreyaTrivediMD @MacerolloMD @womeninmedchat I love your last point: I am an expert in health, but they are the expert in themselves. #WomeninMedicine |
 | Natasha Dhawan, MD @NatashaDhawanMD @womeninmedchat @petradMD @jessiebryce Hi ladies - I'm Natasha, palliative medicine fellow at Dartmouth. #womeninmedicine |
| Shireen Heidari @ShireenNHeidari #WomenInMedicine A1: it feels like the crux of palliative care philosophy is shared decision making - that is, figuring out what's important to the patient & family, what the options are, & whether any of those options align with the hopes and worries of said patient #hpm #hapc |
 | Tania K. Arora, MD @TaniaKArora Hi! Surgical oncologist in Georgia @MCG_Surgery A1. It is often a lengthy dialogue about what we know, what we don’t know and where we could go from here with lots of pauses for questions, overwhelmed sighs or check ins to see where we are #WomenInMedicine |
| Kira Newman, MD, PhD @KiraNewmanMDPhD @womeninmedchat While many decisions my patients and I make fall into this framework, some of the biggies are around cancer screening and medications (which to start, when to start). #WomenInMedicine |
| Annie Massart @Annie_Massart_ @womeninmedchat A1: As a hospitalist, most decisions are for acute problems. In addition to explaining the pros/cons & rationale for plans of care, I think it's very important to learn patients' preferred communication styles & who else needs to be involved (i.e. family, POA). #WomenInMedicine |
 | Devika Das,MD @DevikaDasMD @womeninmedchat A1 Oncologist here. Shared decision making is the most critical part of my job. Always offer every option, suggest what you think is best but respect the patient’s decision to choose ! Quality vs Quantity is personal #womeninmedicine |
| Allison macerollo @MacerolloMD @womeninmedchat I have personally been on the receiving end of this with my mom and in the end I needed the experts opinion as the decision was so complex. We can make decisions about whether wewant treatment but not always what that treatment is. #WomenInMedicine |
 | Jane van Dis @janevandis RT @KaminskiMed: First time I gave a talk about the Role of Men in Fighting Gender Inequality and Sexual Harassment in Healthcare. Thanks @… |
| Devika Das,MD @DevikaDasMD @womeninmedchat @petradMD @jessiebryce Hi ! Devika here - academic medial oncologist, educator #oncmeded #womeninmedicine |
| Kira Newman, MD, PhD @KiraNewmanMDPhD @Annie_Massart_ @womeninmedchat Knowing who the patient wants to have involved in decision making is a great point. So often there's someone else whose opinion matters to the patient. #WomenInMedicine |
| Dr. Bowser, M.D. 🔥 @Dr_Bowser @womeninmedchat A1 #WomenInMedicine It involves presenting the patient and their family with the issue at hand in plain language (often with pictures) with the options and corresponding risks / benefits and finally with my recommendations. |
 | Jessica Bryce @jessiebryce RT @womeninmedchat: Please feel free to keep introducing yourselves while we get started with Q1: How do you define shared decision making… |
 | Nusheen Ameenuddin MD MPH MPA FAAP🧕🏽👩🏽⚕️ @namd4kids @womeninmedchat A1: SDM is really about listening & tailoring advice when a situation is unclear or there’s more than 1 reasonable option. What works best for the family unit & child in peds that’s within guidelines i.e. no abx for viruses! But how can we support you if you BrF #WomenInMedicine |
 | Nina Vincoff MD @NinaVincoffMD @womeninmedchat A1 Shared decision making requires making an effort to understand the cultural, religious and socioeconomic factors that weigh into a patient’s healthcare decisions #WomenInMedicine |
| Natasha Dhawan, MD @NatashaDhawanMD @womeninmedchat A1 - #SDM involves: - Understand pt's goals - Talk about viable tx options - Asking the PATIENT how they prefer to make decisions - its a spectrum, some pts want to make their decisions and others want docs to make it - Discussing tx in the context of pt goals #womeninmedicine |
 | MedEdBot @MedEdBot RT @RakheeBhayaniMD: Terrific tweetorial for anyone in #MedEd. #LearningStyles and #TeachingModalities. #medtwitter #WomenInMedicine #Wome… |
 | Jillian Bybee, MD @LifeandPICU @womeninmedchat A1: For me, it is laying out all of the info:options for the patient’s family (since I take care of kids) and patient if old enough. We then walk through the options together to determine the right course. Also means be transparent when information changes. #WomenInMedicine |
| Shireen Heidari @ShireenNHeidari A1 part 2 #WomenInMedicine also, shared decision making can become tricky (in any specialty) when the patient and family choose a different path than what the clinician wants to recommend. But at the end of the day, we have to figure out a way forward together. |
 | Brinda Desai, MD @mdbdesai @womeninmedchat A1: Shared decision to me is listening, understand their priorities, and barriers to their healthcare. From there, I like to establish realistic goals with their active participation. #WomenInMedicine |
 | aMcD @a_donna RT @womeninmedchat: Please feel free to keep introducing yourselves while we get started with Q1: How do you define shared decision making… |
| Annie Massart @Annie_Massart_ @KiraNewmanMDPhD @womeninmedchat Definitely. And the sooner they get involved, the smoother communication tends to go. Many patients really benefit from having those personal sounding boards to help consider the options. #WomenInMedicine |
| Allison macerollo @MacerolloMD Important topic in #MedEd |
| Christina Cardy, DNP, AGACNP-BC @ccardyDNP @womeninmedchat A1 #WomenInMedicine Shared decisión making is patient/family-centered (rather than physician-dictated) with ample education of risks and benefits associated with each treatment option. It is the best option for the patient’s individual goals. |
 | Yogen @SatyeVarta RT @ChakraNews: Be interesting to see such surveys in various nations. #Malaysia #WomensRights #WomenForBernie #WomenInMedicine #WomensHeal… |
| Kira Newman, MD, PhD @KiraNewmanMDPhD @ShireenNHeidari Agreed! Setting expectations for what are viable options within the way medical care is delivered in the current system is important to accomplish this. #WomenInMedicine |
| Kaishauna Guidry, MD @DrMamaKai @womeninmedchat A1: Shared decision making essentially starts with me communicating well with my patients, ENSURING that they understand thoroughly each option on the table. Only then can they make the best decision for their health. #WomenInMedicine |
| Kira Newman, MD, PhD @KiraNewmanMDPhD @Annie_Massart_ @womeninmedchat Yes! There are so many times where I wish I'd started off by asking about who else someone wanted to have involved before launching into a long discussion (or sometimes monologue :( ) of the different options. #WomenInMedicine |
| Devika Das,MD @DevikaDasMD @NatashaDhawanMD @womeninmedchat Great point ! Patients often have thoughts on who/ how are involved in decision making #womeninmedicine |
| #WomenInMedicine Chat @womeninmedchat Great responses everyone! Now it's time for Q2: Does shared decision making take more time? What are ways we can do it effectively and efficiently? #WomenInMedicine https://t.co/ib7boZ9IYk |
 | Priya Kantesaria @pskantesaria @womeninmedchat @petradMD @jessiebryce Hello! I'm Priya, an MS3 whose starting her peds GI elective (and a tiny bit nervous!). So excited to chat with everyone at the #WomenInMedicine chat today. |
| Jillian Bybee, MD @LifeandPICU RT @RakheeBhayaniMD: Terrific tweetorial for anyone in #MedEd. #LearningStyles and #TeachingModalities. #medtwitter #WomenInMedicine #Wome… |
| Natasha Dhawan, MD @NatashaDhawanMD @NinaVincoffMD @womeninmedchat A1: Totally agree. All the factors you listed definitely impact how a patient may make decisions. Also important to consider is the same factors may lead to biases in how we, as docs, interact with patients. #womeninmedicine |
| Kira Newman, MD, PhD @KiraNewmanMDPhD @womeninmedchat A2: #WomenInMedicine It can take more time, but having to repeat the conversation because it wasn't a shared model and the patient is confused, unhappy, or disengaged takes more. |
 | Aarat Patel, MD @PatelAarat RT @DrKanikaMonga: #SjögrensSyndrome 👉autoimmune dz attacks glands that make tears/saliva 🇺🇸 ~4 M Americans 💧dryness, fatigue, nerve pain,… |
| Kaishauna Guidry, MD @DrMamaKai @womeninmedchat A2: I almost mentioned this in A1, YES❗️ It takes more time depending on each patients’ health literacy. #WomenInMedicine |
| Tania K. Arora, MD @TaniaKArora A2. Not necessarily. All decisions are really the patients. I guide, I inform. Pictures help bridge understanding faster. Engaging caregivers is essential. #WomenInMedicine |
| Kaishauna Guidry, MD @DrMamaKai RT @womeninmedchat: Great responses everyone! Now it's time for Q2: Does shared decision making take more time? What are ways we can do it… |
| Allison macerollo @MacerolloMD @womeninmedchat A2 Shared decision making is my responsibility and should improve outcomes through adherence and trust in medical system. In the end shared decision making reduces overall time, costs and possibly unnecessary intervention. #WomenInMedicine |
| Christina Cardy, DNP, AGACNP-BC @ccardyDNP @womeninmedchat A2 #WomenInMedicine SDM May be more time consuming upfront (at the actual bedside), but on the backend I receive fewer phone calls from patients/families regarding treatment and plan of care bc they feel empowered, informed, and involved in the decision-making process. |
| Kaishauna Guidry, MD @DrMamaKai RT @womeninmedchat: Please feel free to keep introducing yourselves while we get started with Q1: How do you define shared decision making… |
| E Wickersham, MD, MS @Wickersham_Eliz @womeninmedchat A2: Sometimes it does take more time. But it is time invested in a relationship over (hopefully) numerous touch points, to allow us to be able to understand each other in the context of the families and situations. This is #FamilyMedicine at its best. 😊 #WomenInMedicine |
| Jessica Bryce @jessiebryce RT @womeninmedchat: Great responses everyone! Now it's time for Q2: Does shared decision making take more time? What are ways we can do it… |
| Devika Das,MD @DevikaDasMD @womeninmedchat Q2 Incorporation into #meded training early on helps ! Requires a skill set where you can read verbal and non verbal cues during patient encounters. Allow for time to process and ask questions. Practice is key ! #womeninmedicine |
| Shireen Heidari @ShireenNHeidari A2 #WomenInMedicine: misconception that shared decision making takes more time, as in the end it saves time. Much more effective to start out by asking what pt is hoping for & what they've heard so far, rather than launching into monologue only to realize 10 min in not helpful... |
 | Monica Verduzco-Gutierrez, MD @MVGutierrezMD @womeninmedchat A2/ It may take more time initially, but then for future visits/decisions, it won’t. - You will know goals - You will know decision makers - You will have established rapport #WomenInMedicine |
| Natasha Dhawan, MD @NatashaDhawanMD @namd4kids @womeninmedchat Good point - there usually is more than one reasonable option and that may vary greatly patient to patient. #womeninmedicine |
| Jillian Bybee, MD @LifeandPICU @womeninmedchat A2: Ultimately, takes time up-front. But builds trust and allows for goal setting that saves time in the end. I try to set expectations for coming back after rounds at a certain time to talk in-depth which saves time during rounds and lets me be efficient. #WomenInMedicine |
| Priya Kantesaria @pskantesaria @womeninmedchat A2: I think it is more time consuming. What I found helpful (esp when discussing birth control with adolescents or how a precedure is done) is using diagrams that are simple with the key figures. This won't work in every case, but I think it can help. #WomenInMedicine |
| Annie Massart @Annie_Massart_ @womeninmedchat A2: Any one discussion may take a while but informing, engaging, and activating patients in their own care will ultimately save time. SDM has many pieces but it starts with intentionally structuring the decision as a dialogue. #WomenInMedicine |
 | Ilana Krumm @IlanaKrumm @womeninmedchat A2: Shared decision making can take more time up front but I think in the long run it saves time. Having the care team (provider, patient, family) on the same page is so important for advancing care and helps prevent future road blocks. #WomeninMedicine |
| Nina Vincoff MD @NinaVincoffMD @womeninmedchat A2 It’s about asking open ended questions. This might feel like it adds time, but in the end it saves time because it avoids misunderstandings that need to be corrected later. #WomenInMedicine |
| Shreya P. Trivedi MD @ShreyaTrivediMD @womeninmedchat 2/ Its most effective when done with #visuals. I often wish the white boards were bigger in front of patient beds so I could draw more the different options for ex. the pros and cons of different anti-coagulation, etc. #Womeninmedicine |
| TheHealthPolicyGroup @healthpolicygrp RT @MVGutierrezMD: @womeninmedchat A2/ It may take more time initially, but then for future visits/decisions, it won’t. - You will know go… |
| Jillian Bybee, MD @LifeandPICU @womeninmedchat Once I do this once. I don’t have to do it every day because we have already built a foundation. But families know they can ask me to talk any time, which happened to me today. #WomenInMedicine |
| TheHealthPolicyGroup @healthpolicygrp RT @ShireenNHeidari: A2 #WomenInMedicine: misconception that shared decision making takes more time, as in the end it saves time. Much more… |
| Dr. Bowser, M.D. 🔥 @Dr_Bowser @womeninmedchat #WomenInMedicine A2 I tend to spend a lot of time on this. It is important to me that my patients understand what they are deciding and that they trust me and are comfortable with me and routinely get positive feedback from patients and their families for this. |
| TheHealthPolicyGroup @healthpolicygrp RT @mdbdesai: @womeninmedchat A1: Shared decision to me is listening, understand their priorities, and barriers to their healthcare. From t… |
 | AB Alraiyes @ahalraiyes RT @sfaiz212: Learned a lot from these diverse and expert faculty discussing cultural and religious sensitivity and integrating beliefs in… |
| Brinda Desai, MD @mdbdesai @womeninmedchat A2: I struggled with time the most. In the clinic, it often got me very behind schedule - so I started prioritizing 1 or 2 things a visit and scheduling more follow-up, but this was not always possible for many patients. I also tried utilizing phone appointments. #WomenInMedicine |
| Shireen Heidari @ShireenNHeidari A2 part 2 #WomeninMedicine I wish I had learned this earlier. Spending 5-10 min asking how people like medical info, who they want in room, what they're hoping for & worried about ultimately means we can actually make a recommendation informed by values. This is key #hpm #hapc |
| TheHealthPolicyGroup @healthpolicygrp RT @namd4kids: @womeninmedchat A1: SDM is really about listening & tailoring advice when a situation is unclear or there’s more than 1 reas… |
| TheHealthPolicyGroup @healthpolicygrp RT @NinaVincoffMD: @womeninmedchat A1 Shared decision making requires making an effort to understand the cultural, religious and socioecono… |
 | Tracy L. Finlayson @FinlaysonTracy RT @Dr_Hempenstall: Mentorship vs Sponsorship 🤷🏻♀️ 💁🏽♀️Mentor: provides advice & perspective on your career 🙋🏼♀️Sponsor: advocates &… |
| Shreya P. Trivedi MD @ShreyaTrivediMD @DevikaDasMD @womeninmedchat Yep i think the earlier in training one gets #rolemodeling and practices shared-decision making, the less "time-consuming" it will be bc its becomes a norm of practicing medicine #WomeninMedicine |
| Natasha Dhawan, MD @NatashaDhawanMD @womeninmedchat A2 - short answer: Yes Long answer: with time and repetition, it becomes faster. I am in awe of my attendings at times because they're able to predict what a patient/family may say/express at various times in the convo - making it smoother and inevitably, faster. #womeninmedicine |
 | (((Liz Ditz))) @lizditz RT @ShireenNHeidari: A2 part 2 #WomeninMedicine I wish I had learned this earlier. Spending 5-10 min asking how people like medical info, w… |
| Devika Das,MD @DevikaDasMD @ShreyaTrivediMD @womeninmedchat The current paternalistic model of medicine needs to go away #cultureshift #womeninmedicine |
| Farrah @fairyburger A2: It often can take more time, but I think it’s definitely worth it in the long run, especially when you’re establishing a relationship with that patient, as it can help with future visits too. Patient education is super important and should be done more. #WomenInMedicine |
| Rakhee K. Bhayani, MD @RakheeBhayaniMD @womeninmedchat A2. It can take more time in the short run, but it’s time well spent. It can also help create meaningful relationships with patients. #WomenInMedicine |
| Nusheen Ameenuddin MD MPH MPA FAAP🧕🏽👩🏽⚕️ @namd4kids @womeninmedchat A2: it might take more time to explain options, evidence behind it & rationale, but that’s our job as MDs. That’s part of relationship building & development of trust. I spent a fair bit of time debunking myths my patients heard, but worth it to do right thing. #WomenInMedicine |
| Shireen Heidari @ShireenNHeidari A2, p3 #WomenInMedicine : there are times patients/families look to us to help make decisions, where they're asking for our medical recommendation. But that rec is far more powerful when informed by what's important to the patient and family, as opposed to because we say so. |
 | Melinda Willingham @mwillingham7 @namd4kids @SterlingHaring @jballs1908 @FelicityEnders @drkateyun @PadmaGloHealth @anacm0602 @anisai @QaaliHussein1 @ShawnteJamesMD @RheaBoydMD @LanreFalusi @DrNwando @KimChangMDMPH @KimMukerjee @DrHeardGarris @ShaqBell @BethDH @catjacarol01 @DoctoraEdith Thanks for the mention & introducing me to other talented #WomenInMedicine!👩🏻⚕️💼 |
| Kira Newman, MD, PhD @KiraNewmanMDPhD @womeninmedchat Shared decision making conversations are a part of medicine that I really enjoy because it is a time to get to know my patient better, hear about their goals and aspirations, and align with them. I love the opportunity to connect in those ways #WomenInMedicine |
| Kaishauna Guidry, MD @DrMamaKai @IlanaKrumm @womeninmedchat Absolutely. After all of the training we survived, we should be able to skillfully handle a “difficult patient.” It’s a poor reflection of the physician & their lack of cultural competence when this is on a patient’s chart. #CulturalHumility #WomenInMedicine |
| #WomenInMedicine Chat @womeninmedchat Interesting ideas everybody, now it's time for Q3: What are some tools you use to explain concepts/ideas/treatment options to patients in your care setting? #WomenInMedicine https://t.co/zqMvggSFEt |
| Jessica Bryce @jessiebryce RT @womeninmedchat: Interesting ideas everybody, now it's time for Q3: What are some tools you use to explain concepts/ideas/treatment opti… |
| Brinda Desai, MD @mdbdesai @womeninmedchat I also always find it to be the most effective when I utilize the entire healthcare team including the bedside nurses, interpreters, and other members of the team. When it is a collective effort by the entire team, I find that fewer things are missed. #womeninmedicine |
 | Janiece Staton 🍑 #BoycottNRA & #BoycottRepublican @JanieceStaton RT @womeninmedchat: Welcome to #WomenInMedicine chat! We'll get started in 8 mins with Q1. Please introduce yourselves and make sure to… |
| Allison macerollo @MacerolloMD @womeninmedchat A3 Pictures are my favorite. Bad drawings still are very effective. You don’t need to be a Picasso to get the point across. Limit graphs and statistics as they can be challenging with low health literacy. #WomenInMedicine |
| Kira Newman, MD, PhD @KiraNewmanMDPhD @womeninmedchat A3: #WomenInMedicine I love a good decision tool or handout. For some less time-sensitive decisions, I'll send my patient home with a decision tool that we've already talked through and make a plan to follow up about what questions they have and/or their choice. |
| Christina Cardy, DNP, AGACNP-BC @ccardyDNP @womeninmedchat A3 #WomenInMedicine I try to draw for my patients when I can. Cardiac anatomy can be very confusing without visualization. We have clinical nurse specialists for one-on-one pt education for certain diseases (CHF, structural heart, DM, etc.). YouTube has great short videos too! |
 | Atari Metcalf @atari84 I wish I could say I was surprised about the blatant sexual objectification of women in this (2014 edition!) surgical textbook. We still have a long way to go in addressing misogyny in medicine #OperateWithRespect |
 | FemTech_🖥👩🏽💻 @femtech_ RT @atari84: I wish I could say I was surprised about the blatant sexual objectification of women in this (2014 edition!) surgical textbook… |
 | Susan Moeschler MD @SMoeschlerMD RT @DrMStiegler: #WomenInMedicine - who wants to be the next Editor In Chief of International Anesthesiology Clinics? @sbjonesmd is stepp… |
| Kira Newman, MD, PhD @KiraNewmanMDPhD @MacerolloMD @womeninmedchat Completely agree about statistics. I'm very cautious with them. I do like drawing flow-charts to show possible scenarios. #WomenInMedicine |
| Nusheen Ameenuddin MD MPH MPA FAAP🧕🏽👩🏽⚕️ @namd4kids @womeninmedchat A3: I almost always pull up their chart from our EMR & explain what growth charts represent, where their kids are & what that means. May pull up pics of rashes so they can compare. I can’t draw well, but that would be a great go to 😉 #WomenInMedicine |
| Brinda Desai, MD @mdbdesai @womeninmedchat White Boards, Google images, my own poorly done instructions, interpreters. For medications, I also like utilizing outpatient pharmacy follow-up appointments to make picture med charts for certain patients #WomenInMedicine |
| Dr. Bowser, M.D. 🔥 @Dr_Bowser @womeninmedchat #WomenInMedicine A3 I most often draw pictures on a white board or scrap paper. I like using a pamphlet or print out that goes into more detail so they can review it later or when they talk to family not present. |
| Shireen Heidari @ShireenNHeidari A3 #WomenInMedicine: some of my favorite tools for exploring treatment prefs are the Serious Illness Conversation Guide and Best Case Worst Case Most Likely. Really helps to have a sense of hopes/worries but also visual of different potential outcomes https://t.co/wcsyyWutsB |
| Devika Das,MD @DevikaDasMD @womeninmedchat A3 Educational videos, simple handouts . pictorials, explaining data in non medical jargon, asking them to explain back ( to gauge understanding ) , encourage questions,repetition at multiple visits #womeninmedicine ( screen for vision / hearing / literacy ) |
| Annie Massart @Annie_Massart_ @womeninmedchat A3: Very non-medical language. If images are helpful, I draw them on the whiteboard in the room. If decisions are being guided by specialists, I'll be with them at the bedside to ensure we are all on the same page and that the patient has space for questions. #WomenInMedicine |
 | WomenEd US @WomenEd_US RT @broad_science: This headline sucks, it should read... 'gender discrimination holds women back in academia' #WomenInSTEM #Diversityand… |
| Janiece Staton 🍑 #BoycottNRA & #BoycottRepublican @JanieceStaton RT @womeninmedchat: Please feel free to keep introducing yourselves while we get started with Q1: How do you define shared decision making… |
| Jillian Bybee, MD @LifeandPICU @womeninmedchat A3: I end up drawing a lot of pictures for families in order to add clarity. I also sit down and go through imaging with them (with a consultant when it’s helpful). I find a picture is more helpful than words. #WomenInMedicine |
 | colleen christmas @CchristmColleen @womeninmedchat #WomenInMedicine I love a good analogy to best use the patient’s frame of reference |
| Kira Newman, MD, PhD @KiraNewmanMDPhD @ccardyDNP @womeninmedchat Cardiology is so nice because there are wonderful analogies of pumps throughout the natural and built environment! I have patients who still hold on to the diagrams from their cardiology team. #WomenInMedicine |
| Annie Massart @Annie_Massart_ @ShireenNHeidari I'm also a huge fan of the Serious Illness Conversation Guide! I teach it to our interns regularly. It's really invaluable. #WomenInMedicine |
 | Chris Wallace Brandon @hdpr2016 RT @atari84: I wish I could say I was surprised about the blatant sexual objectification of women in this (2014 edition!) surgical textbook… |
| Ilana Krumm @IlanaKrumm @womeninmedchat A3: Pictures!! I’m a big fan of visuals. (I’m a multimodal learner and don’t assume everyone can process audio info) I avoid jargon and take breaks multiple times to ask what questions they have. Talking through something new can be overwhelming. #WomeninMedicine |
 | Abby Spencer, MD, MS, FACP @abbyCCim RT @abbyCCim: Love this #WomenInMedicine email translator. Thanks @danidonovan for sharing! #MedEd https://t.co/qzc498eDq9 |
| Kira Newman, MD, PhD @KiraNewmanMDPhD @Annie_Massart_ @ShireenNHeidari Is that like the @vitaltalk App? #WomenInMedicine |
| E Wickersham, MD, MS @Wickersham_Eliz @womeninmedchat A3: analogies. Lots and lots of analogies. I did not realize that I used so many until a resident pointed it out. Now I laugh at myself for it. Also motivational interviewing/patient activation, anything that works??🤷🏼♀️ #WomenInMedicine |
| Kaishauna Guidry, MD @DrMamaKai @womeninmedchat A3: A great tool is our friend Google. I search the topic (typically their problematic body part) on my computer or iPad & click Google images tab. There’s always a photo available for patient teaching. I’ll even ask them to pull out their phone & search. #WomenInMedicine |
| TheHealthPolicyGroup @healthpolicygrp RT @IlanaKrumm: @womeninmedchat A3: Pictures!! I’m a big fan of visuals. (I’m a multimodal learner and don’t assume everyone can process au… |
 | Dr. Neelum T. Aggarwal @DoctorADDA @ReluctantWalker @LEAD_Coalition Message here is to do Something! @walkwithadoc #CEERIAS @RushMedical walk, run, dance #brainhealth #WomenInMedicine @rushalzheimers @KrocChicago @Villagechi |
| Shreeya Popat @SPopatMD @MacerolloMD @womeninmedchat A3: Yes! I have a pre-drawn diagram of kidneys, ureters, bladder, and urethra, so I can quickly draw the pathology on it. I like sending each patient home with something from our visit, so they can review and hopefully remember our conversation #WomenInMedicine |
| Farrah @fairyburger @womeninmedchat A3: I try to draw things out (not the best artist but E for effort?) so they’ll have visuals, or I find/put together handouts for them. (1/2) #WomenInMedicine |
| Natasha Dhawan, MD @NatashaDhawanMD @MacerolloMD @womeninmedchat Yes! I recall talking a patient through why she needed CT surgery with the use of my drawing of a square heart and identifying how her MV had narrowed to a critical level, causing severe pulm symptoms - her "seeing" it provided comfort and reassurance. #womeninmedicine |
 | Mamata Majmundar @MajmundarMD @womeninmedchat A3: 1. patient friendly handouts from UpToDate and AAFP 2. Videos for procedures 3. Show instruments and how it will be used in exam - very helpful for patients first pelvic or anoscope procedure. #WomenInMedicine |
| TheHealthPolicyGroup @healthpolicygrp RT @Annie_Massart_: @womeninmedchat A3: Very non-medical language. If images are helpful, I draw them on the whiteboard in the room. If dec… |
| TheHealthPolicyGroup @healthpolicygrp RT @ShireenNHeidari: A3 #WomenInMedicine: some of my favorite tools for exploring treatment prefs are the Serious Illness Conversation Guid… |
| TheHealthPolicyGroup @healthpolicygrp RT @namd4kids: @womeninmedchat A3: I almost always pull up their chart from our EMR & explain what growth charts represent, where their kid… |
| Kira Newman, MD, PhD @KiraNewmanMDPhD @Wickersham_Eliz @womeninmedchat Reading "Illness as Metaphor" by Susan Sontag made me more cautious with analogies. Do you have favorites? #WomenInMedicine |
| Rakhee K. Bhayani, MD @RakheeBhayaniMD @womeninmedchat A3. Drawing pictures. Explain mechanisms in every day language like blood flow as water flowing through pipes, etc. Also, discuss consequences of various options like a flow chart. Meet the patient where they are and determine the best way to explain your point #WomenInMedicine |
| Farrah @fairyburger @womeninmedchat A3: There’s often a lottt of info covered and it’s hard to remember everything, so I like to send all my pts home w/ something tangible so they can remember what’s been discussed + know when to call/schedule follow-up. (2/2) #WomenInMedicine |
| Kira Newman, MD, PhD @KiraNewmanMDPhD @SPopatMD @MacerolloMD @womeninmedchat So smart! Is it printed on paper or digital? #WomenInMedicine |
| Natasha Dhawan, MD @NatashaDhawanMD @womeninmedchat A3: Going back to #SDM, ask the patient how they would best understand the info. Do they prefer pictures, stats, specifics, or big pictures? As adults, we've been through enough to know how we understand things - why not use that experience to everyones benefit? #womeninmedicine |
| Devika Das,MD @DevikaDasMD @Wickersham_Eliz @womeninmedchat Specially while getting consents ! #womeninmedicine |
| Shireen Heidari @ShireenNHeidari @KiraNewmanMDPhD @Annie_Massart_ @vitaltalk And if anyone's looking for a visual of best case / worst case here's a diagram from one of their pubs https://t.co/EEIivxML0w - helpful to draw it out - we all hope for best case but important to put in context of what could happen and what's most likely. #WomeninMedicine A3 |
| Annie Massart @Annie_Massart_ @KiraNewmanMDPhD @ShireenNHeidari @vitaltalk I'm not familiar w/ that app in particular. The SICG was developed by Ariadne Labs as a guide to help approach goals of care. They've crafted language based on patient feedback. #WomenInMedicine https://t.co/QFKAzqhZQi |
| Mamata Majmundar @MajmundarMD @womeninmedchat A2: This is a great foundation to the patient care relationship at first visit. Sets up expectations from the beginning and you learn how to work together. Time well spent. #WomenInMedicine |
| #WomenInMedicine Chat @womeninmedchat And last, but not least it's time for Q4: What are your favorite go-to resources for up to date, relevant, and evidenced based information that helps you with patient care? (feel free to share resources you've designed as well) #WomenInMedicine https://t.co/FlAn9hzkHc |
| Kaishauna Guidry, MD @DrMamaKai RT @womeninmedchat: And last, but not least it's time for Q4: What are your favorite go-to resources for up to date, relevant, and evidence… |
 | Vinny Arora MD MAPP @FutureDocs interesting to see Google took out a 2 page ad in NYT about unplugging from tech ironically to get #sleep! look forward to seeing what’s on horizon in health there w @KBDeSalvo as new chief health officer. Congratulations! #WomenInMedicine #wellness https://t.co/VI0HitqNKa |
| Shreeya Popat @SPopatMD @KiraNewmanMDPhD @Annie_Massart_ @womeninmedchat A1: When a patient comes alone but mentions a close family member, I’ve started to call the family member on speaker to include them in the conversation. I’ve gotten some great responses! #WomenInMedicine |
 | Angela @AlbirdwellDO RT @dina_khateebDO: How to successfully negotiate as #WomenInMedicine #WomenandPulmonary #CHEST2019 #CHESTWomen https://t.co/KGEXscm2Eq |
| Mamata Majmundar @MajmundarMD @womeninmedchat A4: UpToDate and AAFP are my top resources. #WomenInMedicine |
| Natasha Dhawan, MD @NatashaDhawanMD @womeninmedchat I still use uptodate regularly. For medications, Lexicomp. For journal articles, I LOVE QxMD! General information, twitter has been a fantastic tool to keep up with new studies/commentaries/opinion pieces. #womeninmedicine |
| Devika Das,MD @DevikaDasMD @womeninmedchat A4 https://t.co/h8KbXDMtHO , https://t.co/Gqc2cyxMKS ( for oncology ) #womeninmedicine |
| Nusheen Ameenuddin MD MPH MPA FAAP🧕🏽👩🏽⚕️ @namd4kids @womeninmedchat A4: I find almost every subject that comes up for pediatric pts @healthychildren or more general topics at https://t.co/jutkb8HItx Family Media Use Plan at: https://t.co/IURw1YB8Bh I know the intensive & extensive vetting that goes into @AmerAcadPeds guidelines #WomenInMedicine |
| Allison macerollo @MacerolloMD @womeninmedchat Oops #WomenInMedicine |
 | Darilyn Moyer @DarilynMoyer RT @FutureDocs: interesting to see Google took out a 2 page ad in NYT about unplugging from tech ironically to get #sleep! look forward… |
 | Leonor Vásquez MD @LeitoVr RT @MacerolloMD: @womeninmedchat A2 Shared decision making is my responsibility and should improve outcomes through adherence and trust in… |
| TheHealthPolicyGroup @healthpolicygrp RT @womeninmedchat: And last, but not least it's time for Q4: What are your favorite go-to resources for up to date, relevant, and evidence… |
| Kaishauna Guidry, MD @DrMamaKai @womeninmedchat A4: My go to resource is @Epocrates In residency I used Up-to-Date @UpToDate since it was free, but I preferred @DynaMed_EBSCO #WomenInMedicine |
| Brinda Desai, MD @mdbdesai @MajmundarMD @womeninmedchat A4: Yes, the Patient info on UpToDate is great! We also have built-in instructions for certain things within the EMR that I find helpful for patients. I do wish we had more resources for non-English speaking patients #womeninmedicine |
| TheHealthPolicyGroup @healthpolicygrp RT @namd4kids: @womeninmedchat A4: I find almost every subject that comes up for pediatric pts @healthychildren or more general topics at h… |
| Kira Newman, MD, PhD @KiraNewmanMDPhD @womeninmedchat A4. #WomenInMedicine I like to walk through the @ACCinTouch ASCVD risk estimator with my patient to talk about modifiable risk factors and possible approaches to management. https://t.co/au7DcxsAOA |
| Nusheen Ameenuddin MD MPH MPA FAAP🧕🏽👩🏽⚕️ @namd4kids @womeninmedchat @healthychildren @AmerAcadPeds Disclosure: I now chair the council that wrote our media guidelines. We hold ourselves to incredibly strict standards, so when I share recs w pts, I explain the background of why we make the recs we do. My job is to provide the best info so they can make the best #WomenInMedicine |
| Christina Cardy, DNP, AGACNP-BC @ccardyDNP @womeninmedchat A4 #WomenInMedicine fortunately, cardiology is an extremely guideline-heavy field. I also work in academics and have some incredibly dedicated senior faculty who manage to stay on top of everything cutting edge. Up-to-date and the literature are helpful for obscure content. |
| Shireen Heidari @ShireenNHeidari A4 #WomenInMedicine - many of resources folks have already mentioned UptoDate, for onc patients https://t.co/ZBTieWqlPO - and when it's something I don't see as often, talk to colleagues who specialize in that field to see what patient facing info they turn to. #foreverlearning |
 | Palivizumab @Experiential_Dr Also, once literacy and health literacy are gained, physicians will have to really respect decisions made by the hitherto disenfranchised, as those decisions may not fit docs’ cultural or socio-political sensibilities. #WomenInMedicine |
| Palivizumab @Experiential_Dr Sitting back to learn from today’s #WomenInMedicine chat. I have seen two worlds. One is where very involved families and caregivers take extensive notes, can articulate their own goals well. The other is where they don’t know the name of the disease that ails them. |
| Palivizumab @Experiential_Dr So there’s a lot of ground to cover in the latter. Literacy and health literacy are pre-requisites in that world before shared decision making can become a reality. #WomenInMedicine |
| Dr. Bowser, M.D. 🔥 @Dr_Bowser @womeninmedchat A4 #Womeninmedicine - @VascularSVS https://t.co/vie6lRjEwQ has great resources for patients as well as an app with the published SVS guidelines. I do my best to stay up to date on the latest literature daily. I participate in discussions with colleagues on social media and IRL. |
 | Camille A. Clare MD MPH @cclareMDMPH @womeninmedchat @acog @apgonews #WomeninMedicine #BlackWomeninMedicine @aamc for #diversityjob |
| E Wickersham, MD, MS @Wickersham_Eliz @womeninmedchat A4: Honestly, I used to use the Epic pt handouts. Then changed to the University where we use Centricity & I am lost. So, apps: CDC has many, ASCVD risk calculator, Choosing Wisely, Epocrates, GoodRx, and UpToDate. It’s not always super current but decent. #WomenInMedicine |
| TheHealthPolicyGroup @healthpolicygrp RT @cclareMDMPH: @womeninmedchat @acog @apgonews #WomeninMedicine #BlackWomeninMedicine @aamc for #diversityjob |
| TheHealthPolicyGroup @healthpolicygrp RT @Dr_Bowser: @womeninmedchat A4 #Womeninmedicine - @VascularSVS https://t.co/vie6lRjEwQ has great resources for patients as well as an ap… |
| Nusheen Ameenuddin MD MPH MPA FAAP🧕🏽👩🏽⚕️ @namd4kids @womeninmedchat @healthychildren @AmerAcadPeds 3/ decision for them. We don’t expect perfection, but I want them to understand the WHY. It makes a huge difference when I explain vs just spouting recs like a drill sergeant. To me SDM is ensuring that pts have a full, accurate picture & can weigh outcomes. #WomenInMedicine |
| Farrah @fairyburger @womeninmedchat A4: AAFP, UpToDate, CDC and Epocrates. For reproductive health, @RHAP1 has awesome handouts that have been translated into a number of different languages! #WomenInMedicine |
| TheHealthPolicyGroup @healthpolicygrp RT @Experiential_Dr: Sitting back to learn from today’s #WomenInMedicine chat. I have seen two worlds. One is where very involved families… |
| TheHealthPolicyGroup @healthpolicygrp RT @Experiential_Dr: So there’s a lot of ground to cover in the latter. Literacy and health literacy are pre-requisites in that world befor… |
| TheHealthPolicyGroup @healthpolicygrp RT @ShireenNHeidari: A4 #WomenInMedicine - many of resources folks have already mentioned UptoDate, for onc patients https://t.co/ZBTieWqlP… |
| TheHealthPolicyGroup @healthpolicygrp RT @KiraNewmanMDPhD: @womeninmedchat A4. #WomenInMedicine I like to walk through the @ACCinTouch ASCVD risk estimator with my patient to ta… |
| Rakhee K. Bhayani, MD @RakheeBhayaniMD @womeninmedchat A4. UpToDate & CDC have good resources. EPIC also has some patient resources in the wrap up sections that can be printed for the patient to take home. #WomenInMedicine |
| Devika Das,MD @DevikaDasMD @MajmundarMD @mdbdesai @womeninmedchat Such an important point ! We need materials that cater for languages, literacy, visual impairments etc #womeninmedicine |
| Nusheen Ameenuddin MD MPH MPA FAAP🧕🏽👩🏽⚕️ @namd4kids @womeninmedchat @healthychildren @AmerAcadPeds 4/ I would be doing an absolute disservice to my patients if I didn’t tell them that screen time at an early age has been linked to cognitive & behavioral issues, but I understand the realities of a busy, stressful world Again, my job is to give them best info #WomenInMedicine |
| #WomenInMedicine Chat @womeninmedchat TYVM 2allofU #WomenInMedicine ppl 4participating2nite! TYVM2 @jessiebryce 4her grt Qs! I hope 2CUall back next week 4another grt chat! If U've DM'd me, @petradMD, about co-moderating I WILL get back 2U, but plz B patient, as I am only 1 person! Have a lovely week! https://t.co/Jt2nHLkcWe |
| Nusheen Ameenuddin MD MPH MPA FAAP🧕🏽👩🏽⚕️ @namd4kids @womeninmedchat @healthychildren @AmerAcadPeds 5/ MDs are more sherpas than dictators, or we should be 😊 #WomenInMedicine |
| TheHealthPolicyGroup @healthpolicygrp RT @DrMamaKai: @womeninmedchat A4: My go to resource is @Epocrates In residency I used Up-to-Date @UpToDate since it was free, but I pref… |
| TheHealthPolicyGroup @healthpolicygrp RT @ShireenNHeidari: @KiraNewmanMDPhD @Annie_Massart_ @vitaltalk And if anyone's looking for a visual of best case / worst case here's a di… |
| TheHealthPolicyGroup @healthpolicygrp RT @NatashaDhawanMD: @womeninmedchat A3: Going back to #SDM, ask the patient how they would best understand the info. Do they prefer pictur… |
 | iWIN International Women in Intensive Care Network @iWIN_2020 RT @WomenFacultyMD: Thank you @ASALifeline for the opportunity to engage men and women about the challenges on career paths in medicine. My… |
| Vinny Arora MD MAPP @FutureDocs @womeninmedchat @JHospMedicine A4 #jhmchat is a novel way to keep up with what’s new in hospital medicine. I am one of the moderators and we give cme too. Join us and follow @JHospMedicine this Tuesday 9p ET as we discuss improving clinical reasoning through handoffs and feedback #Womeninmedicine |
| Shireen Heidari @ShireenNHeidari #WomeninMedicine thanks @jessiebryce and @petradMD - the hour always flies by 😊 hope everyone has a wonderful week. |
 | Susanta Senaverathna @SusantaSenaver1 RT @sfaiz212: Learned a lot from these diverse and expert faculty discussing cultural and religious sensitivity and integrating beliefs in… |
| Brinda Desai, MD @mdbdesai @womeninmedchat @jessiebryce @petradMD TY for a great conversation! Love being able to participate in #WomenInMedicine chats. |
 | Femi Akindipe @FAkindipe RT @KaminskiMed: First time I gave a talk about the Role of Men in Fighting Gender Inequality and Sexual Harassment in Healthcare. Thanks @… |
 | Emily Evans @EmilyEvs @womeninmedchat #womeninmedicine I always carry a pocket-size sketch book to draw things out! |
 | John W. Patton III, MD, MBA @drjohnpatton RT @KarenSibertMD: #ANES19 Dr Linda Mason gave shout-out to @CSAHQ for governance redesign & to @LindaHertzberg for leadership of Ad Hoc WI… |
| TheHealthPolicyGroup @healthpolicygrp @emily_fri Good resources via @Pallimed @hpmchat #Hospice and #PalliativeCare #HaPC Professionals covering #Palliative Medicine News, Research and Opinion. #SeriousIllnessCareChat #hpm #WomenInMedicine |
| Palivizumab @Experiential_Dr Thanks for the very informative chat session @womeninmedchat Learned a lot and it was great how some unmet needs (e.g. paucity of resources in non-English languages) were brought out in the course of the chat. #WomenInMedicine |
 | Mellissa Naidoo @DrMelNaidoo RT @Nishaobgyn: Occasionally you meet a bright-eyed, bushy tailed young med student & see yourself. @RheaNavani Meeting you was one such m… |
 | Tom Varghese Jr. MD, MS, FACS @TomVargheseJr RT @RozyKhanDO: Congrats to all the new FCCPs! Wonderful to see so many #WomenInMedicine on stage! #chest2019 https://t.co/5Pa2b1mNX5 |
 | Fibrosis @FibrosisInstit RT @KaminskiMed: First time I gave a talk about the Role of Men in Fighting Gender Inequality and Sexual Harassment in Healthcare. Thanks @… |
 | Nasreen @GhaziNasreen RT @womeninmedchat: And last, but not least it's time for Q4: What are your favorite go-to resources for up to date, relevant, and evidence… |
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