12 Sep 2024
We honor our past, present, & future. Big shout outs to our incredible mentors & especially Dr Jeff Kohlwes who poured heart & soul creating this amazing series & unique space
#ExpandingHorizons #MedTwitter #ClinicalReasoning #ManagementReasoning
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26 Jul 2024
Continuing our new academic year teaching inspiration... top episodes for #outpatientmedicine and #teaching in the clinic!
@EmilyAbdoler @Gurpreet2015 @AlakaRay @SvickMD @MGVanstone #precepting #ManagementReasoning #ClinicalReasoning #FOAMed
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15 Jul 2024
#ClinicalReasoning #Remediation tips from this week's episode thecurbsiders.com/teach
#hypothesisGeneration #PrematureClosure #Synthesis #ManagementReasoning
ALT Chart titled Clinical Reasoning Remediation with 2 columns Primary Area of Concern and Dx/Tx Hypothesis generation/Premature Closure: Observe Clinical Encounter, review documentation, or role play Prioritization: Play buy a semantic qualifer, use OMP or SNAPPS when precepting synthesizing: chart out diagnoses and key features to compare and contrast Management Plan: Make contingencies and define expected outcomes
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12 Apr 2024
Going to #AIMW24?
Stop by our innovative workshop on how to gamify orientation to #PrimaryCare clinic!
Prizes, fun, team-based learning, community building, & best practices in teaching #managementreasoning will abound.
What's not to like???
@ADreessen21 @alexsorrick
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24 Sep 2023
A 🧵 on screening and diagnosis of diabetes mellitus 💉 all based on our @CPSolvers #managementreasoning VMR yesterday! @rabihmgeha @DxRxEdu @Sharminzi @SaklawiMD @jasbajwa18 @reguram_reshma @sarazhous @davserantes @MadellenaC @mendesthiagob
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23 Aug 2023
💡#MayoMGR today w/ Dr. David Cook
"Management Reasoning: Moving Beyond the Diagnosis"
👉Understanding how you think will enable education & systems to help you #thinkbetter
@MayoClinicGIM @KarthikGhoshMD @Dr_Vijay_Shah
#ManagementReasoning #DiagnosticReasoning #MedEd #MedTwitter
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20 May 2023
Great primer on #ClinicalReasoning in patient care management:
➡️Develop a “management script”
➡️Discuss testing & treatment thresholds
➡️Engage in shared decision making
➡️Prioritize high-value care
➡️Embrace uncertainty
#MedEd
#MedTwitter
#ManagementReasoning
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8 Mar 2023
Amped for the privilege of hosting @Gurpreet2015 for Grand Rounds this week!
Also honored to learn "how to teach #managementreasoning" from the best as he leads this workshop for the senior cohort of our health educator track (HEAL).
Big week !🧠💪🔥
unmc.edu/intmed/education/re…
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4 May 2022
MedTweetorial: #Tweetorial
Author: @JenniferSpicer4
Type: #MedEd
Specialty:
Topics: #ClinicalReasoning #DiagnosticReasoning #ManagementReasoning #TeachingDiagnosticReasoning
1/During case conference (& on rounds), we often see master clinicians come up w/ brilliant diagnoses before the HPI is even finished.
But how did they get there?
And how can you teach yourself & others those skills?
This week: how to teach diagnostic reasoning more explicitly
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16 Jan 2022
Great to see a master educator promoting tools for #managementreasoning outlined in @JACCJournals series. These are the #system2 processes that we need to role model and encourage among trainees 🙂
16 Jan 2022
From @jaccjournals jacc.org/doi/10.1016/j.jacca…
Very helpful example of how to apply the new Chest Pain guidelines to our clinical practice. @JGrapsa @ACCinTouch @DrMarthaGulati @HeartOTXHeartMD
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29 Jan 2021
Love these kinds of questions.
It’s what I mean when I refer to #ManagementReasoning or #TherapeuticDecisionMaking and involves semiquantitative risk/benefit analysis, PBL EBM application, consideration of patient values/goals, and more.
Not taught enough.
28 Jan 2021
54M with EF 30%, NYHA II, euvolemic.
HR 92 BP 138/76
Lisinopril 20 QD
Carvedilol 6.25 BID
Cr 1.8 eGFR 46 K 4.7
What do you do next?
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9 Dec 2020
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29 Sep 2020
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A #tweetorial of typical resident conference @UvaDOM! Acute Chest Syndrome rx #managementreasoning
Case: 18F w/sickle cell adm. 2d ago for pain, now hypoxic (70% RA) tachy (150s)
@andrewparsonsMD @thilanMD @BUthlaut @jessdreicer
#MedTwitter #InternalMedicine #Match2021
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21 May 2020
As far as VZV vs. CMV therapy – a great #ManagementReasoning question. The dilemma: Does the relative lower potency against VZV/greater toxicity of GCV (compared with ACV) outweigh the likelihood of progression of CMV? I often refer to this Figure from Emery et al. (2000).
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4 Feb 2020
is growing a denominator of "sepsis" patients that makes care look better, by treating patients without actually severe disease.
I think our approach should be like that described here doi.org/10.1513/AnnalsATS.20…
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6 Jan 2020
"..even though it has been shown in RCTs to be of benefit, you then have to ask yourself well, *how much* benefit, and what’s the risk — how do you weigh those two?"
[Consider absolute rate *& magnitude* of both benefits and risks. #ManagementReasoning]
3/
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22 Nov 2019
Truly lucky to be working with @sargsyanz and @StephVSherman, engaging in daily #ManagementReasoning!
Rotation format extremely useful, allowing for self reflection of your decision making and then calibration.
22 Nov 2019
This week I've been on @BCM_InternalMed 's new admitting rotation with @InchausteguiC . The first hour of each day is blocked off for us to engage in structured patient follow-up, reflection, lit review, and diagnostic/therapeutic calibration. The educational value is incredible.
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1 Jan 2019
In most such patients, if you consider [probability of HRS] * [quantified effect size of benefit of octreo/mido (or vaso)] * [consequence/severity factor of untreated HRS]... it is >>> [rate of adverse events] * [severity factor for adverse events]. #ManagementReasoning
30 Dec 2018
In cirrhosis with AKI, how important is it to really differentiate between hepatorenal syndrome and acute tubular necrosis? Are you ever so sure of a diagnosis of ATN that you would deny a patient a trial of octreotide/midodrine or norepinephrine? #askrenal
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30 May 2018
#Diagnosis can often be done in isolation from the patient ... #Management decisions usually require communication and shared decision making with the patient and often with others
#ClinicalReasoning #ManagementReasoning
@JAMA_current
Thanks to @mimanro jamanetwork.com/journals/jam…
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