Andrew Sechrest

ENP/ FNP

[Andrew Sechrest @DecisionHygiene]

@hyguruprep How often would you advise mentors to provide unsolicited feedback assuming the relationship has a healthy foundation of trust?

[Vala Afshar @ValaAfshar]

You did not choose your
• birthplace
• skin color
• birth parents
• birth gender
• birth language
• birth name
• ethnicity
• born abilities

You can choose to be
• kind
• giving
• honest
• grateful
• loving
• optimistic
• humble
• happy
• self aware
• generous

[Andrew Sechrest @DecisionHygiene]

@GavinPrestonMD Read an interesting book:

“The patient comes second” - Paul Spiegelman and Britt Berret

Provocative title and makes the case for wellness initiatives that are directed at improving a providers work day so that they can bring better care to their patients.

#STEPSforward

[Andrew Sechrest @DecisionHygiene]

@rambling_doc @Suburbanbella Im still having a hard time understanding your concern. Is there a push for NPs to have an MD behind their name?

Practicing independently isn’t the same as being a physician.

[Andrew Sechrest @DecisionHygiene]

@traumamom4 @elliotthaut @DavidASpain @gradydoctor @topknife @PMHTrauma_ALE @gbosslet @acweyand @tmprowell @AnnieAndrewsMD @BBankheadMD @CPark_MD Take a look at the AMA STEPSforward campaign.

Rethink your wellness initiatives by seeing them as operational initiatives.

Increase “flow” by reducing friction in day to day work life

[Andrew Sechrest @DecisionHygiene]

@Suburbanbella I’m going to leave you on that one, Taz and I hope you have happy new year!

[Andrew Sechrest @DecisionHygiene]

@Suburbanbella Healthcare continues to evolve. Emergency medicine is still young in comparison to other specialties.

Now consider urgent care. These systems are delivering a wide range of care to those who are sick. Thats access.

These sites are not exclusively staffed APP, but primarily

[Andrew Sechrest @DecisionHygiene]

@Suburbanbella Could you show any data regarding the harm APPs are causing? I’m sure there are isolated cases. Same for physicians.

I want to follow your argument but am having a hard time understanding your purpose.

Is there a rural medicine clinic etc that is reliably harming patients?

[Andrew Sechrest @DecisionHygiene]

@Suburbanbella Could you share any studies to support that claim?

[Adam Grant @AdamMGrant]

Being a lifelong learner isn’t about taking pride in your knowledge. It's about having the humility to know what you don’t know.

My top 23 insights from 2023 🧵

[Andrew Sechrest @DecisionHygiene]

Another great example of how to improve your healthcare system.

1.) Define the problem.
2.) Have clear goals.

You need systems level buy in to get buy in from the individual.

[Andrew Sechrest @DecisionHygiene]

Challenge why you do the things you do on shift.

#EM #urgentcare #medtwitter

[Daily Stoic @dailystoic]

"Ask yourself at every moment. Is this necessary?" — Marcus Aurelius

[Andrew Sechrest @DecisionHygiene]

@MedBookClub1 “Ring Master” Vince McMahon and the unmaking of America.

NPR 2023. Books We Love

[Andrew Sechrest @DecisionHygiene]

@BostonFire wondering if you have a standardized form of communication training to cut through judgment and get right to the point when bringing up your men and women in the department?

A method that allows for more open and regular interpersonal feedback on shift

#medtwitter

[Andrew Sechrest @DecisionHygiene]

@GavinPrestonMD The best way to communicate this is through non-violent communication, or said more practically, through mirroring your patients concerns.

Once they know that you’re heard them, their amygdala can stop firing and trust can be established.

[Andrew Sechrest @DecisionHygiene]

Take back control of your neural-circuitry

Then rinse and repeat

#EM #urgentcare #medtwitter

[Andrew D. Huberman, Ph.D. @hubermanlab]

Making this list each morning is very effective in part because it captures key elements from the science of goal seeking, emotional health & motivation.

1) 5 Gratitudes

2) Plans for the Day

3) Any Fears or Resentments

4) Things to Watch Out For

5) Things to Strive For

[Andrew Sechrest @DecisionHygiene]

Prolong your longevity in healthcare with constant uni-tasking.

This will preserve your cognitive reserve.

*First things first, one at a time*

#MedTwitter #EM #urgentcare

[Andrew Sechrest @DecisionHygiene]

Being an expert allows for natural decisiveness but will not extend your shelf life as a provider.

Challenge how you are practicing medicine.

What are you doing to preserve your judgement on shift?@emrap_tweets

#EM #urgentcare #MedTwitter