Still one of the best pod episodes I've ever listened to!!!!

One of the best podcasts I've ever listened to; @thecurbsiders With @MKIttlesonMD thecurbsiders.com/podcast/23… Love the emphasis on patient centres outcomes! #NurseTwitter

Let's stop boring medical education

JAMA, you tried so hard and almost nailed it! The reason why the evidence gap is >14 years in clinical medicine is you are publishing breaking reviews on techniques and approaches that were all the rage… 14 years ago. B-lines - incredibly valuable. IVC collapsibility or IJ ultrasound alone are not the right approach. We are assessing complex physiology, not checking oil levels of cars!!

What is evidence-based diagnosis? AKA Bayesian clinical reasoning Watch my 2 minute pitch for why doctors should care

How can a 99% accurate medical test give you a 9% chance of having the disease if it comes back positive? 🤔 If you are in medicine this is the SINGLE most important diagnostic testing concept to know. Welcome to the difference between specificity and positive predictive value. Sensitivity & specificity are fixed test properties. These do not factor how common a disease is (prevalence) Positive Predictive Value (probability a positive test reflects having a disease) factors in prevalence and is actually more important to clinicians than sens/spec. It is harder to figure out though because we need to have a gestault for how prevalent a disease is for the EXACT patient we are seeing. If you have very low prevalence, even with a great test, most positives are false positives. This is why screening low-risk patients can result in many false positives and harm To master this, just play with the calculator yourself and you will see!!!!👇

Mentorship has been crucial for my own development. I realize not all trainees find mentors they connect with. I want to help. I am not sure if this will work... but I am starting a virtual mentor group for trainees (medical students or residents) from anywhere in the world. To join, complete this form! app.youform.com/forms/zammez… Please retweet this so all trainees see and have the chance to join! 🙏 I won't be able to accommodate everyone in this first group but I will try my best. I might also find other mentors who are interested in leading a group if the demand is high enough. As always, my DMs are open!

Soapbox rant of the day 😤 There is more to an Echo report than EF ‼️ I see far too many patients labelled as "HFpEF" when their reported EF is normal, despite a HOST of other more significant cardiac pathology that is driving their presentation and physiology 🤦‍♀️ 🧵

EMCrit Wee - @Ross_Prager on 10 Heuristics for the New ICU Attending. We took an amazing tweetorial and made it into a podcast. Fantastic tips for Resus and Crit Care [#FOAMed] emcrit.org/qus8

(1/x) Here's our paper on the medico-legal risks of #pocus 🧑‍⚖️ A better title: How not to get sued performing POCUS. A 🧵 Teaser: You can be sued performing #pocus... Please share to help spread best #pocus practices 🙏 theultrasoundjournal.springe… @arntfield @derwuk @NephroP @ArgaizR #medtwitter #foamed #foamus #meded

Use of point-of-care ultrasound in rural British Columbia. Read a story of how #pocus went viral? Now in 90% of #ruralBC ERs, influencing care 50% of the time it's used. We need to revamp #ugme and residency with longitudinal POCUS curriculum. cfp.ca/content/70/2/109

Pure gold in this thread

reposting this if one in case anyone missed this legend's tweetorial

Checkout is not a time for chit chatting it is a time for rapid fire transfer of information followed by immediate home going.

because you feel unseen. If the management types were actually any good, they would know you and know they didn't have to micromanage you ....but then they couldn't justify their continued employment

A diagnostic accuracy study produces a receiver operator curve (ROC) that shows an AUC of 0.72! So... is that a good test? What is a ROC and why do we need them? How come some of them are jagged and others are smooth? Here's a simple explanation: simplesage.io/blog/roc_curve…

#POCUS spaced rep: The Mickey mouse sign on this leg (screen L to R) is GSV-CFV-FA Mickey's ear looks like it has a cerumen impaction here

UltraRounds: The Apical 4 Chamber View #FOAM #POCUS #Ultrasouond

Welcome back to UltraRounds. Today we're reviewing up the Parasternal Short Axis View today Share with someone who you think would learn from this! #Echo #FOAM #FOAMED #EmergencyMedicine #CriticalCare #Resuscitation

Come join the 2024 Clinician Educator Incubator! • LITFL EOIs close Feb 2nd 2024. Join us if you want to develop as a clinician educator in the ANZ critical care setting, apply best practices, and help lead 21st century critical care education. litfl.com/come-join-the-2024…