Three major and interrelated mental hurdles every student in a research-oriented graduate degree program has to contend with and, at some point, hopefully, make peace with:
1. #ImpostorSyndrome. You are smart. You know things. You belong here.
https://t.co/36kucauyFX
💯%. Sensible reform from @UREssien @JayBLusk @DusetzinaS. Moral hazard is not a myth, but the idea affects health policy in too many ways.
Cost-Sharing Reform for Improved Health Care Equity and Value in Chronic Disease Treatments https://t.co/CwhfVktWCQ via @JAMAHealthForum
“There’s no place like home,” says Paul Hall, 64. He's one of ~780K Americans with ESRD, requiring either dialysis, or a transplant, to live.
Now, Mr. Hall dialyzes at home at any hour he pleases, thanks to #TabloDialysis.
Read more in today's @NYTimes: https://t.co/J35eUe5uij
JOB ALERT: @EmoryHSR is looking for a dynamic biostatistician to join our team! Full details: https://t.co/SriMZc55Zy
To apply, send 1) a cover letter with a brief description of your interest in the position, 2) a current CV, & 3) three references to Tracy at: [email protected]
Join our team! @EmoryHSR is looking for a Senior Scientist! Full description here: https://t.co/q96KdE7dnI
To apply, send 1) a cover letter with a brief description of your interest in the position, 2) a current CV, & 3) three references to Tracy at: [email protected]
Join our team!
@EmoryHSR
is looking for an Epidemiologist! Full description here: https://t.co/wSvXffaBEY
To apply, send 1) a cover letter with a brief description of your interest in the position, 2) a current CV, & 3) three references to Tracy at: [email protected]
Really excited to share this paper! I’ll do a tweet thread later because I’m recovering from #KidneyWk and starting clinical service
Also, we did an interview on the podcast, which summarizes the paper
https://t.co/rpzsWaqMyC
Interesting evidence potentially pointing to reason for plateauing PD growth in the U.S.
A Comparison of US Medicare Expenditures for Hemodialysis and Peritoneal Dialysis https://t.co/pB9CwzoRqn
Three major and interrelated mental hurdles every student in a research-oriented graduate degree program has to contend with and, at some point, hopefully, make peace with:
1. #ImpostorSyndrome. You are smart. You know things. You belong here.
https://t.co/36kucauyFX
I claim as a part of my own identity very few marginalized identities. Identifying with the experiences of those who have experienced what others call "impostor syndrome" -- when it is in fact marginalization -- is something I am continually working on in myself.
We are 72 hours after online publication of the linked analysis of ETC, and I have some thoughts. 🧵
Financial Incentives to Facilities and Clinicians Treating End-stage Kidney Disease and Use of Home Dialysis https://t.co/twE7133yDH via @JAMAHealthForum part of @JAMANetwork
🚨New Paper Alert🚨 @liraneinav, @nealemahoney, Amy Finkelstein and I study the first year of the ESRD Treatment Choice model, a nationwide RCT that provides financial incentives to dialysis facilities and clinicians to increase home dialysis use.
@eugelin06@eric_weinhandl@nupur_nephron @SBdoc33 @GrahamAbra@hswapnil @mikejohansenmd @JAMAHealthForum@AJKDonline My partial understanding is that this is rough, maybe unacceptably imprecise because dates of service (start/through) on SNF claims don't need to be super accurate or complete (hence Eric's concern). Still it may be what they did. (We punted on SNF in our related paper.)
@eric_weinhandl@eugelin06@nupur_nephron @SBdoc33 @GrahamAbra@hswapnil @mikejohansenmd @JAMAHealthForum@AJKDonline I do think you can get to 20% home dialysis in this study (relative to USRDS stats) when you account for exclusions of:
- low-volume facilities (<11 pts)
- SNF care and dementia
- individuals without Medicare Part B coverage
- privately insured individuals (w/o Medicare)
It's only 9 months of post-experience, and it's limited to older Medicare beneficiary pts (age 66+), where there may be lesser potential to increase home dialysis % in ETC-assigned facilities.
But it's one early data point that ETC didn't really shake things up that much.
🤔
Medicare ETC Model evaluation paper from Ji et al.
Financial Incentives to Facilities and Clinicians Treating End-stage Kidney Disease and Use of Home Dialysis https://t.co/K9B6kf7zKG in @JAMAHealthForum
Observed: No difference in home dialysis % of incident patients (treatment measured at 90 days) between ETC-assigned and control HRRs, controlling for lagged outcomes and lots of other factors.
Did not look at transplant-related outcomes.
A young man is in a mental health crisis. He attacked his grandmother.
Instead of police, a mobile crisis unit arrives.
No sirens or flashing lights — and no guns.
The counselors only talk. He agrees to get a psych eval.
Alternative response in action. https://t.co/AEwQOb7Y7r