Want to put your absolute BEST foot forward for #Match2024? Join @CoachesMd first cohort, specifically focused on residency interviewing! Special discount and interview resources for ASP members that join! HURRY! The first cohort starts in a few weeks. #ERAS2024 #MedTwitter

Hi, immunologist here. No, people shouldn’t have a different vaccine schedule based on their race. RFK Jr doesn’t know basic science concepts and certainly doesn’t understand complex immunology.

Elon Musk is NOT: - An elected official - An appointee confirmed by the Senate - Or even a legit fed So why the hell has he been given access to fire federal employees, sensitive gov data, and federal payment systems. He must be stopped.

“So, you want to build a hospital. Yeah, you know, for sick people. But wait—before you get ahead of yourself—you need a Certificate of Need. That’s right, because someone, somewhere, thinks there’s a surplus of healthcare. Imagine if the fire department worked like this. ‘Sorry, your house is burning down, but we’ve met our fire quota this month… maybe call again next month?’ It’s healthcare. We don’t need fewer hospitals… unless the plan is to make people so mad they just get better out of spite.” Certificate of Need exists in 33 states and Washington D.C. Not #healthcare

A resident reached out to me: "I've worked 122 hours this week. Had a 36-hour shift, a 50-hour shift, & no days off. We just got an email from our program director that we aren't working hard enough." Residents are human beings & deserve reasonable hours, sleep, & appreciation.

Doctor’s visit recap: Health care is definitely broken. But it’s NOT the doctors. I’M SAYING THIS LOUD AND CLEAR. I just exited the doctor’s visit where I was so angry about filling out 7000 papers, having the MA ask me everything all over again, and so much more. But the doctor was amazing. Like, simply incredible. She looked me in the eye, she showed me empathy, and she was human. These doctors are incredibly overworked. They are victims of this disgustingly predatory system. I cannot say this loudly enough. I have been there as both a physician AND a patient and can very confidently say that our system is effed up and that it is not the doctors’ fault.

Not sure what your next steps are? Consider @CoachesMd program specifically catered to #unmatched Gain clarity and prepare to put your best foot forward next season. First cohort starts this week - special discount for ASP members! #Match2024 #Scramble2024 #TrainMoreDoctors

Yep. I left. I didn’t leave because I was a “bad” doctor. I left because primary care doctors aren’t treated well. You can’t restrict our career-airway and expect us to “breathe easy” going to work. Part of the solution, IMO: doctorsonsocialmedia.com/pri… #medtwitter #MEDed #somedocs

Can you imagine working hard your entire life, completing medical school, taking > 200K in debt & not being able to get a spot in a REQUIRED apprenticeship for licensure & practice because there are NOT enough residency spots for # of medical students in the US? This isn't right.

Program directors, What is preventing you from providing graduating residents with comprehensive resources for contract review and negotiation as they find their first jobs? If it’s not your responsibility, whose is it?

I understand that many practicing docs do regard a supervised license for unmatched DOs/MDs as a problem. The same docs are already supervising others in the system! Don’t get it! Unmatched docs can play a vital role at different entry points in the care delivery system!

Unmatched numbers are in! Comparing 2024 with 2023, there are more unmatched doctors with a similar unmatched %. The percentage of unmatched applicants is 11% for US applicants, 40% for US IMGs & 47% for Non-US IMGs!👇

You look at the academic trajectory of the docs who are SOAPn, then you ask yourself why? This is not a about entitlement! You get applicants who applied to 200 programs, cleared step 3, applied only to a primary care specialty, 3 yrs of research, then what else to prove?

Man it really bothers me when people label certain specialty residency programs as “easy.” All it does is invalidate any mental/physical challenges trainees may have, and it’s just flat out wrong.

One thing about medicine is we will hold onto stigma like our life depends on it — whether it’s stigma associated with mental health, board failure, SOAPing, pregnancy during residency, DO bias, etc. When are we going to finally end this toxic cycle and be decent human beings?

CW: suicide The program director called the father of a resident who had attempted suicide, and his only concern was when the resident would be coming back to work. This is what it looks like when medicine loses its humanity.

Medicine is the profession where when the canary in the coal mine dies, leaders just ask: "Why can't we get more resilient canaries?" #burnout

Good luck to those as the rounds of #SOAP2024 go through! Today will be a long day and an emotional roller coaster. After all rounds of offers go through, #Scramble2024 will officially start - good luck to everyone! #Match2024 #TrainMoreDoctors

When I wrote an article for @Medscape on why I chose to leave clinical medicine behind, I got some nasty comments written underneath which so perfectly defined the toxic nature of our profession. Medicine thinks we should “tough it out”, regardless of how abusive the system gets.