Shadows, MD

MD. Mother. Wife. Bleeding heart, passionate about medicine, education, being of use, and fighting for what’s right.

[Shadows, MD @InTheSh37145981]

@udaykhosla @HalstedMD A total of five year of residency. Plus usually at least one year of fellowship.

[Shadows, MD @InTheSh37145981]

@dallen2217 CT with contrast rather than MRI without contrast would have been my preference honestly for FUO in a pregnant patient with non diagnostic US - Rads

[Dan Price @DanPriceSeattle]

The government is too inefficient to run things.

I'd rather add a private sector middle-man whose sole purpose is to profit off me: health insurance, student debt servicing, water, electricity, cable, internet, landlords, mortgages - all affordable with great, efficient service.

[Shadows, MD @InTheSh37145981]

Let us not start down the same road as our brethren in anesthesia, EM, and medicine. We see where that road leads. Why pretend we will be different?? Such hubris. #StopMARCA

[Kelly Broderick @doctorBroderick]

Degradation of quality of care in medicine has been insidious, although absolutely intentional. I don't want to watch it happen in my field of diagnostic radiology. #StopMARCA @RadiologyACR

[Shadows, MD @InTheSh37145981]

@ABradfordPhD Can we use our professional funds to pay for services?

[Shadows, MD @InTheSh37145981]

@unicorn_mcsynn @BarbieSiesta I get it, this all is super complicated and we all have tons to learn

[Shadows, MD @InTheSh37145981]

@unicorn_mcsynn @BarbieSiesta Your belief that APRNs/NPs are desperate to be trained so they can solve the access crisis (“healthcare saviors”) when in fact they ALSO, as a majority, don’t want to go to rural low-access areas

[Shadows, MD @InTheSh37145981]

@unicorn_mcsynn @BarbieSiesta Actually, with the influx of NPs many new grads are struggling to find jobs. They aren’t flocking to low-access areas, many are trying to stay in their training cities and work in lifestyle specialties. You have a little bit of a savior complex

[Shadows, MD @InTheSh37145981]

@unicorn_mcsynn @BarbieSiesta “Vast majority of states…the board regulating PAs is the medical board” cmon dude. https://t.co/Isurq9GLjW

[Shadows, MD @InTheSh37145981]

@unicorn_mcsynn @BarbieSiesta In residency, physicians receive the majority of their clinical training from physicians (there’s some new cross-training but it’s minimal). Anyways either you’re part of the team or you’re not. And if you’re not, then please stop making demands of those who are on the team

[Shadows, MD @InTheSh37145981]

@unicorn_mcsynn @BarbieSiesta Or course!! Cross interdisciplinary on the job bi-directional training is one of the best parts of multi-disciplinary teams. Yes!👏 It IS unusual for a profession to depend upon pre-licensure clinical training by a completely separate profession.

[Shadows, MD @InTheSh37145981]

@unicorn_mcsynn @BarbieSiesta There’s overlap between MANY healthcare workers but, to my knowledge, professions are able to educate, train, and regulate their own practitioners. Is there another healthcare training program that depends on another profession to train their students?

[Shadows, MD @InTheSh37145981]

@unicorn_mcsynn @BarbieSiesta PAs are practicing medicine (previosuly team-based but that’s a separate issue) and are under the Board of Medicine…what other healthcare workers are physicians asked to directly train (in order for that HCW to obtain their license) which don’t practice medicine?

[Shadows, MD @InTheSh37145981]

@unicorn_mcsynn @BarbieSiesta Would SO rather not, honestly, have any knowledge or opinions or any feelings at all about nursing education, but when physicians are being pulled INTO that educational framework (supervising training NP clinical hours so they can graduate) we are now forced to be at that table

[Shadows, MD @InTheSh37145981]

@BarbieSiesta @unicorn_mcsynn NPs are not held to the same medical standard in court as physicians are. Physicians CANNOT even serve as expert opinion in a case against an NP (only an NP can) but we can and should supervise NP training? Sort it out. Figure out if NPs are practicing medicine or not.

[Shadows, MD @InTheSh37145981]

@BarbieSiesta @unicorn_mcsynn NPs also seem to have an identity crises. They’re practicing nursing under the BON - definitely NOT medicine under the BOM - but they want to be trained by medical doctors and be hired in historically physician roles?

[Shadows, MD @InTheSh37145981]

@EngLothario @JohnBalley1 @Adenoughofit Lol you’re a riot. I’m a physician. 96% of physicians are vaccinated. I hope you and you loved ones stay safe