injecting new ideas into the superior vena cava of medicine
Joined April 2021
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External Medicine Podcast retweeted
How the AAMC leadership let things get to the point where their entire business model became dependent on
extracting money from desperate residency applicants is simply an astounding feat of mismanagement.
Now, any alternative application system threatens their very existence.
ALT Screenshot of AAMC program service revenue from fiscal year 2022 - 49% came from ERAS.
External Medicine Podcast retweeted
It was fun to appear on the External Medicine podcast to discuss, among other things, resident unionization:
External Medicine Podcast retweeted
Perhaps you've wondered what Doritos would look like in a CT scan. We did, so here's a clump of Cool Ranch Doritos, scanned through the bag. But there's more...🧵
External Medicine Podcast retweeted
Great to speak w/ @UMmedschool alum Mitch and Daniel Belkin who do a podcast while in training!
Covered
-how we make diagnoses and diagnostic stewardship @dan_diekema @Gurpreet2015
-my past life in the contact precaution wars @gonzalobearman
New episode out with @dr_dmorgan on infection prevention, clinical decision-making, diagnostic stewardship, diagnostic reasoning, and medical overuse, and more. (Plus we touch on the contentious topic of contact precautions!)
externalmedicinepodcast.com/…
External Medicine Podcast retweeted
This weekend, the AMA House of Delegates adopted a resolution citing antitrust concerns with the NRMP Match, and calling upon the AMA to study alternatives to the residency match that would be less restrictive on free market competition.
ALT Screenshot of AMA Resolution #302, introduced by the resident and fellow section, and calling upon the AMA to study alternatives to the current residency and fellowship match process which would be less restrictive on free market competition for applicants.
External Medicine Podcast retweeted
Join me 5/31 at 10 am ET to hear Dr. Simon Whitney @ExMedPod discussing his new book “From Oversight to Overkill: Inside the Broken System that Blocks Medical Breakthroughs — And How We Can Fix It)” @VoiceAmVariety | voiceamerica.com/show/1444/t…
External Medicine Podcast retweeted
John Ayers of #qualcomminstitute and #UCSD Health chats with @ExMedPod hosts about his new #ChatGPT study in @JAMAInternalMed and more.
New episode out with John Ayers at @UCSDHealth
We discuss his new study on chatGPT vs reddit doctors in @JAMAInternalMed, the future of AI in medicine, his recent @Sensible__Med podcast, e-cigarettes, cannabis, the sociology of suicide, and more!
externalmedicinepodcast.com/…
External Medicine Podcast retweeted
Academia is in for a wild ride
>Upload census data & data dictionary into GPT with Code Interpreter
>"I would like you to generate some interesting draft hypotheses about industries & MSAs and then to test them with the data. make assumptions if you need to"
>"Put it in a paper"
External Medicine Podcast retweeted
To sum up:
1. Carbapenems lower [VPA] by inhibiting conversion of VPA-G to VPA
2. This happens quickly and is not easily overcome by more VPA
3. The interaction resolves gradually after the carbapenem is stopped
4. Carbapenems might have a role in severe VPA overdose
/ end
External Medicine Podcast retweeted
Scientist who discovered that hand washing dramatically reduces mortality during child birth was ridiculed by his colleagues and then committed to an insane asylum, where he was beaten and then died 14 days later.
External Medicine Podcast retweeted
Read the reddit thread on Ozempic improving people's impulse control broadly reddit.com/r/Ozempic/comment… And here is a review of evidence in favor ncbi.nlm.nih.gov/pmc/article…
Now consider: what are the downstream implications of a society with greater impulse control?
External Medicine Podcast retweeted
There have been an incredible number of gene-editing advances (including in delivery) over the last three days.
Here are 7 of them...🧵
External Medicine Podcast retweeted
Yep. We’re witnessing the slow death of hypothesis-driven science, and (contrary to reports) this is mostly positive. It doesn’t mean ignoring biology; it means letting the data tell you what’s interesting, then designing experiments to validate and explore new patterns.
External Medicine Podcast retweeted
Practically, this means:
1) Try using AI for everything at work. Get a sense of how it works (there is a learning curve) and what it is good for. Understand your exposure to disruption.
2) Organizations need to experiment with AI inside their firms now, not wait for consultants.
External Medicine Podcast retweeted
In 2020, Nature endorsed Joe Biden in the US presidential election. A survey finds that viewing the endorsement did not change people’s views of the candidates, but caused some to lose confidence in Nature and in US scientists generally go.nature.com/3FysaN1
External Medicine Podcast retweeted
The EMR that best uses AI to improve clinical documentation & reduce physician time will win. Period.
And no, “they only care about billing” isn’t true. Epic doesn’t do that well either. They’re missing basic low hanging fruit.
It’s ALL based on documentation.
