One of the best podcasts I've ever listened to; @thecurbsiders
With @MKIttlesonMD
https://t.co/QIQrNcovLy
Love the emphasis on patient centres outcomes! #NurseTwitter
One of the best podcasts I've ever listened to; @thecurbsiders
With @MKIttlesonMD
https://t.co/QIQrNcovLy
Love the emphasis on patient centres outcomes! #NurseTwitter
JAMA, you tried so hard and almost nailed it!
The reason why the evidence gap is >14 years in clinical medicine is you are publishing breaking reviews on techniques and approaches that were all the rage… 14 years ago.
B-lines - incredibly valuable.
IVC collapsibility or IJ ultrasound alone are not the right approach. We are assessing complex physiology, not checking oil levels of cars!!
@ross_prager@AnilMakam I guess if I wanted to get lost in the weeds... test characteristics and subsequent LR are derived on the population studied, which may not represent the patient one is applying the test to. I reckon how it translates to practice is we think in OR or predictive values?
@AnilMakam Tremendous. Would you happen to have your full lecture to share? Totally understand if not possible; just appreciate hearing you speak on the topic.
How can a 99% accurate medical test give you a 9% chance of having the disease if it comes back positive? 🤔
If you are in medicine this is the SINGLE most important diagnostic testing concept to know.
Welcome to the difference between specificity and positive predictive value.
Sensitivity & specificity are fixed test properties.
These do not factor how common a disease is (prevalence)
Positive Predictive Value (probability a positive test reflects having a disease) factors in prevalence and is actually more important to clinicians than sens/spec.
It is harder to figure out though because we need to have a gestault for how prevalent a disease is for the EXACT patient we are seeing.
If you have very low prevalence, even with a great test, most positives are false positives.
This is why screening low-risk patients can result in many false positives and harm
To master this, just play with the calculator yourself and you will see!!!!👇
@ross_prager@NTFabiano This is the way. We're very similar in this regard!
What's your workflow with AI like in practice, taking into account EMR/policy/blah blah?
Also hi Ross
@nickmmark Quite clever! How does the moderator facilitate the questions that relate to the card? For example, the blood pressure is 180/100. The learner will inevitably ask if they have symptoms. Or is it more of the learner just asks questions about what they would want to know & why?
Mentorship has been crucial for my own development. I realize not all trainees find mentors they connect with.
I want to help.
I am not sure if this will work... but I am starting a virtual mentor group for trainees (medical students or residents) from anywhere in the world.
To join, complete this form! https://t.co/dsb3zYJ1B5
Please retweet this so all trainees see and have the chance to join! 🙏
I won't be able to accommodate everyone in this first group but I will try my best.
I might also find other mentors who are interested in leading a group if the demand is high enough.
As always, my DMs are open!
@cliffreid thought you should know the @zeropointsurvey features prominently in an interprofessional resuscitation course myself, @robpaquinRN et al. we're spreading the gospel in Canada!
#MedTwitter
An expert is threatened by an idea that challenges their domain of knowledge. Their identity is at risk.
A practitioner is eager to pursue the bounds of their knowledge. Their identity is in the pursuit.
Be a practitioner. Don’t be an expert.
Medicine is humbling
Soapbox rant of the day 😤
There is more to an Echo report than EF ‼️
I see far too many patients labelled as "HFpEF" when their reported EF is normal, despite a HOST of other more significant cardiac pathology that is driving their presentation and physiology 🤦♀️
🧵
EMCrit Wee - @Ross_Prager on 10 Heuristics for the New ICU Attending. We took an amazing tweetorial and made it into a podcast. Fantastic tips for Resus and Crit Care [#FOAMed]
https://t.co/Pj0bUjeHSL