Army GI @CRDAMC | Asst Prof of Med @USUhealthsci Husband | Girl Dad x2 | Interests: 26.2, QI, & #MedEd via @SAUSHEC_GI @IUMedSchool & @WheatonCollege
Joined April 2012
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1 May 2023
1/ Collated thread for new GI fellows
⭐️GI Fellow Resources ⭐️
▪️Websites
▪️Guidelines
▪️Apps
▪️Podcasts
▪️Textbooks
▪️Board study
▪️Social media
📲 bit.ly/3KwqCVG (hyperlinked 📄)
#GITwitter
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Jun 7
Great weekend at @AmCollegeGastro Early Career Leadership Course ‘26! Honored to take part!
Highly recommend introspective assessments like:
▪️ Ikigai
▪️Hogan assessment
▪️Goleman leadership styles
Thank you @TrieuMD, @DrBloodandGuts, & @NeenaSAbrahamMD for an amazing course!
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May 29
“MIRacle Sign” ➡️ inducible reversible blanching on EGD with CO2 insufflation. Clue to diagnose borderline or overt gut ischemia
Upper gastrointestinal (GI) endoscopy or esophagogastroduodenoscopy (EGD) continues to be an extremely useful diagnostic tool for perspicuous macroscopic findings.
Read the full case: thepracticingendoscopist.com…
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Carl Kay, MD retweeted
May 27
Lately, I keep hearing that IFX is the only drug with clinical trial in perianal Crohn’s...🧐
So, I’ve updated my cheat sheet on medical therapy trials in perianal CD, summarizing 15 RCTs into just one page. Hope it’s useful! Surgical part coming soon
(If any is missing please let me know and I will add it)
⏳➡️ibd-eii.com/cheat-sheet/
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Carl Kay, MD retweeted
The 'pits' on the polyp are base or openings of the crypts.
This paper (bookmark!) details the 3D dimension of the crypts: link.springer.com/article/10…
As the cells proliferate, the gland architecture distorts, so does the pit pattern.
Used in Kudo, JNET, NICE classification
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Carl Kay, MD retweeted
May 9
AI is not gonna replace physicians. However, physicians who don’t utilize AI will be replaced. When I am sick I want AI going through all my data and then render an opinion and an excellent clinician doing the same. Then the two of them can work together to fix me.
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Carl Kay, MD retweeted
#CGH4ALL @AGA_CGH
📣 Exciting data in #EoE: A potential step toward restoring dietary freedom while maintaining disease control in EoE.
🔹Open-label pilot study, patients (6–25 yrs) w/ milk/egg/soy/wheat-triggered EoE
🔹Dupilumab for 3 months, followed by stepwise food reintroduction up to 12 months
🔹All completers successfully reintroduced ≥1 trigger food, and many expanded diets every 3 months
#GITwitter #MedTwitter
🔗cghjournal.org/article/S1542…
Reported by @AasthaBharwad
@EdoardoSavarino, @NdeBortoli, @SebastianZeki, @stevenbollipo, @DrCJudge, @my_ueg, @virgisolitano, @eathar_s, @DaniyalAbbasMD
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Carl Kay, MD retweeted
✨ Thank you @gastroendonews for having @JosephHabibi_MD and myself 🗣️ about our latest 📝 on building your social media brand as a GI trainee 🎙️
Grateful to all our coauthors! 🙏🏻 @BilalMohammadMD @CarlKayMD
The hard copy is out! Read it today 🫵
📜 l1nq.com/yku7lfq
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Carl Kay, MD retweeted
May 2
First double-blind, placebo-controlled RCT in @TheLancet showing that SEMAGLUTIDE reduces ALCOHOL intake in people with BMI >25.
Potentially practice-changing.
shorturl.at/B45aU
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Apr 28
AI in GI training key points
▪️Set competencies & policies
▪️Delay use in endoscopy
▪️Taper autonomy & turn AI off at times
▪️Clinic scribes help; verify output
▪️LLMs are not stand alone
▪️Use evidence tools & cross-check
▪️AI is adjunct not decision maker
Keep convo going!
How I Approach It: A Roadmap for AI in GI Fellowship Training
Sewell, et al.
📕 doi.org/10.14309/ajg.0000000…
@GIMedEd @AlexLStrauss @MLongMD @JasmohanBajaj
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Carl Kay, MD retweeted
Apr 16
ACG Governors and the Early Career Leadership Program are here for #ACGAdvocacyDay in DC, advocating for GI physicians and patients on key issues like preventive service coverage and prior authorization challenges!
Follow along as we check in with them throughout the day. 🧵
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Carl Kay, MD retweeted
Apr 16
💬 Viewpoint: Mandatory annual training modules consume millions of physician‑hours each year, yet their largely passive formats may offer limited educational value while contributing to administrative burden and clinician burnout.
ja.ma/4vvyvBm
ALT A JAMA viewpoint article titled \"Mandatory Training Modules in Health Care\u2014Time to Reassess\" by Michael Gottlieb, MD\u00B9, published online April 16, 2026, doi: 10.1001/jama.2026.3969.
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Apr 16
Traded the endoscopy suite for Capitol Hill today. @AmCollegeGastro Advocacy Day is a reminder that the best outcomes start long before the colonoscopy - sometimes in a congressional office. 🏛️
#GITwitter
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Carl Kay, MD retweeted
Great fun writing this article on landmark papers in decomp cirrhosis and CSPH.
Thanks @ReibergerThomas and Prof Tsochatzis for being co-authors and @FrontGastro_BMJ for publishing! Check out 👇
doi.org/10.1136/flgastro-202…
@EASLedu @BASLedu @BSGTrainees @AASLDtweets #livertwitter
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Carl Kay, MD retweeted
Apr 11
Love this paper
1. Checking ANA in everyone with elevated ALT is unhelpful, sometimes harmful, usually confusing
2. Biopsy when ALT <100 but ANA elevated is not useful
3. Autoimmune hepatitis is a clinical diagnosis and frequently made DESPITE biopsy findings
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Carl Kay, MD retweeted
Oral Vancomycin Is an Effective Therapy in Adult Patients With Inflammatory Bowel Disease and Primary Sclerosing Cholangitis - Gastro Hep Advances ghadvances.org/article/S2772…
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Carl Kay, MD retweeted
Mar 15
🤔 Should we be doing routine terminal ileal intubation during colorectal cancer screening colonoscopy? 🔦
💡 No, according to the results of a newly published meta-analysis 👇
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Carl Kay, MD retweeted
The Augmented Colonoscopy With Computer-Aided Polyp Characterization Study: Prospective Study Comparing the Diagnostic Reliability of Optical Diagnosis of Trainees With Experts Without Artificial Intelligence
Bernhofer & Prosenz, et al.
📕 doi.org/10.14309/ajg.0000000…
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Carl Kay, MD retweeted
“You may choose not to use OpenEvidence or GPT… You may choose not to play around with Claude… but to not be intrigued by it, by the possibilities, to even explore whether it might help you or your patients, to me, at some point begins to border on malpractice.” @Bob_Wachter
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Carl Kay, MD retweeted
@CarlKayMD doing what he does best and inspiring all of us here at @UTHealthGastro to use social media intentionally and responsibly! Glad to have you back at Thursday conference giving such an important (often ignored) aspect of GI practice!
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Carl Kay, MD retweeted
Feb 19
Might be the beginning of the end for the systematic review field.
I always knew it was only a matter of time before AI started taking this over.
Feb 19
If you run systematic reviews in academia, biotech, or pharma, we built a new platform that'll help you do the end-to-end workflow — in minutes to hours
Try it for free here: Scholara.AI
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