Caring Center is a Win-Win #SDoH

The Bama Companies of Tulsa, Okla. made what I see as an historic announcement last month. The company, a privately-owned global manufacturer of pies, biscuits (McDonald’s) and dough (Pizza Hut) has more than 1000 employees. CEO Paula Marshall believes in second chances, making a practice of hiring parolees and those (particularly women) out of treatment for chemical […]

UOTW #69

The patient is a 32 year old male who has a history of IV drug use, presents as a transfer from an outside hospital (OSH) for sepsis. Was taken to the OSH with bouts of lethargy/AMS mixed with episodes of combativeness. Noted to be febrile, hypotensive. Given 5L NS and a dose of vancomycin PTA. On exam you hear a blowing diastolic murmur. What is the diagnosis and most appropriate management for this patient?


You Are What You Tweet – Professionalism and Social Media for GME

Embeded below is the slideset from a talk given recently to a group of GME faculty.  It’s part intro to social media and part exploration of the professionalism implications for physicians involved in social media.

The gist:

  1. Almost all residents and medical students have social media accounts, a majority check their accounts multiple times a day.  While most use social networks exclusively for personal purposes increasing numbers use social media for professional reasons as well.
  2. Social media involvement presents many potential professional and educational benefits to physicians, and to their patients.  These benefits likely outweigh any potential “risks”, assuming physicians act responsibly.
  3. Physicians must be mindful of their behavior online, just as they are in “real life”, and should adhere to professional standards.
  4. Patients search online for medical information and for physicians, and many contribute to physician ratings sites.  We have a professional duty to help identify and curate reliable resources for patients. We should also track, and take control of, our online reputation.
  5. Undergraduate and graduate medical educators have a duty to adapt to this new milieu. They need to provide support and guidance during formative years in medical school and residency as trainees adapt to new professional identities.

An extensive list of suggested readings can be found at the end of the slideset.  Visit also Ten Tips for FOAM Beginners by Dr. Chris Nickson, one of the founders of the FOAM movement.

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