Bill Soares

EM clinician/junior opioid researcher @baystateEM #CODEOUD. Father of 3, former rugby player, amateur Home improvement...very amateur.

[Bill Soares @BillSoaresIII]

BREAKING: Opioid overdose visit rates increased 30% in 2020 during COVID-19 compared to years prior across 6 US Healthcare Systems in @AnnalsofEM

PDF: https://t.co/2ZPFNqLdPx

Amazing work by @ted_melnick, @mollyjeffery, and many others. @Baystate_IHDPS #opioids #harmreduction

[Bill Soares @BillSoaresIII]

@coreysdavis So where do you draw the line? Should we do away with med school? Should all APPs be required to complete years of residency programs in order to practice (there is no current residency requirement for APPs in the ED, whereas medical students must complete 3-4 years).

[Bill Soares @BillSoaresIII]

@coreysdavis I agree - many APPs can probably intubate better than I can. However, it is currently not in their scope of practice in the ED. Hell, many APPs could perform brain surgery with the right training, but it is not part of their training because it is not in their scope of practice.

[Bill Soares @BillSoaresIII]

@coreysdavis Also, the AMA, though a physician organization, does not represent all physicians. Yes, they send me 10 letters a week - but that is just to try to sell me cheap insurance. #AMApleasestopmailingme

[Bill Soares @BillSoaresIII]

@coreysdavis The nuance is in training requirements and scope of practice. An ED resident is required to have these procedures, or they don’t graduate. An ED APP should have exposure, but are not required and should never be in a position where they must do the procedure without a physician.

[Bill Soares @BillSoaresIII]

@coreysdavis So it is. Both sides would rather post clickbait than discuss how what was actually said is more nuanced - balancing residents requirements for rare procedures to graduate while maintaining APP experiences - hence the idea of first refusal - but that doesn’t make a good tweet.

[Bill Soares @BillSoaresIII]

@coreysdavis It’s a straw man fallacy. The example is a specific issue - addressing resident physician struggles obtaining critical procedure experience - which is not required or in the scope of practice for APs in the ED - and you broaden it to physicians are being jerks to APs

[Bill Soares @BillSoaresIII]

Similar to opioids, alcohol use disorder kills thousands, presents in our EDs daily, and has effective, safe medication treatment options. Kudos to @emupdates @ScottWeinerMD @HarozR and others on this review.

[reuben strayer @emupdates]

EM expanded its scope to confront a new opioid addiction crisis, but we've done little to address alcoholism, despite always having front row seats to the saddest show on earth. Here is the first comprehensive guidance on the emergency management of AUD.

https://t.co/dOgmiXkvb7

[Bill Soares @BillSoaresIII]

Med ED community - test-taking advice from friend and EM colleague @warejko. How do you approach questions, from the perspective of a question writer! @BaystateEM

[EM Coach @EMCoachLLC]

Hey #medtwitter! The ABEM ITE is only 22 days away so we're sharing Founder/EIC @warejko's test-taking advice, starting with how to approach questions. Hint: It's not just answering the question! https://t.co/3YckQdlLP2

[Bill Soares @BillSoaresIII]

Leveraging existing regulations to remove barrier to starting methadone for patients with opioid use disorder - it is not as hard as you think!

[Zoe Weinstein MD, MS @ZoeWeinstein]

Amazing plenary on 72 hour rule: “dosing is 72 hours, care is not ❤️”- Jimmy Evans RN ⁦@JessicaTaylorMD⁩ ⁦@NatalijaFarrell⁩ ⁦@BillSoaresIII⁩ ⁦@hcrcenters⁩ Dan Greer! #amersa2022 ⁦@AMERSA_tweets⁩

[Bill Soares @BillSoaresIII]

Thanks @MercySGF @TapestryWMass And others for hosting an amazing race to support people in our community with substance use disorder. @emschoenfeld @consider05 @BaystateEM

[Lili Peacock-Chambers @consider05]

Thankful for this community in the 413 🏃🏽‍♀️ Local news: Race to Recovery benefits addiction treatment at Mercy Medical Center in Springfield. ⁦@emschoenfeld⁩ ⁦@BillSoaresIII⁩ https://t.co/WPlYN2EGXt

[Bill Soares @BillSoaresIII]

The EMBED trial is available! Thinking about clinical decision systems in your health record to improve treatment for opioid use disorder? Check out our results👇 Honored to be part of an amazing team @Ted_Melnick @mollyjeffery @DonofrioGail @laurenwalter and many more!

[Bill Soares @BillSoaresIII]

@JessicaTaylorMD @KellyMDoran Amazing article @JessicaTaylorMD and the incredible work at Faster Paths. @KellyMDoran we have started methadone @BaystateEM and are learning the advantages (and barriers) of ED methadone. @HarozR at Cooper also has extensive experience. Happy to share!

[Jessica Taylor, MD @JessicaTaylorMD]

What happens when a low-barrier #SUD #BridgeClinic that is NOT an opioid treatment program treats opioid withdrawal with #Methadone under the #72HourRule? 87% of patients successfully link to OTP and 58% are retained at their OTP at 1 month.
https://t.co/LLYAk5HnbX

[Lauren Westafer, DO MPH MS @LWestafer]

This was the product of a total team effort - @AmericanAir flight attendants that RAN to get the AED when I asked, proximate AEDs ⚡️, the EM resident who helped + the other 2 that also provided chest compressions 🫀

[Bill Soares @BillSoaresIII]

Proud of all meaningful work from @BaystateEM researchers. @LWestafer and others giving a voice to our trans and gender non binary medical colleagues. Great work!!

[Baystate Emergency Medicine @BaystateEM]

.@LWestafer at #SAEM22 presenting her qualitative study on the experiences of transgender and gender expansive physicians
⭐️transphobia & biases common
⭐️result of rigid gender paradigm & structural factors
➡️ can ⬆️ burnout, stunt professional development &⬇️ representation

[Bill Soares @BillSoaresIII]

Low barrier ED based methadone for patients with OUD can be done! Early qualitative work with providers complimenting our discussions with patients (https://t.co/IwJLxd9FiM) More medication treatment options = more engagement. @LWestafer @emschoenfeld #SAEM2022

[Baystate Emergency Medicine @BaystateEM]

1 of our research RAs presenting our departments work @BillSoaresIII @emschoenfeld @LWestafer on ED methadone induction-qual study of barriers & facilitators to this
Big barriers-stigma, seems challenging, legal stuff
Facilitators- not that hard, ED viewed as right place #SAEM22

[Lisa Rotenstein MD @LisaRotenstein]

What will it take to enhance #clinician #wellbeing? In @JAMA_current, @ChristineSinsky @Ted_Melnick and I propose a learning health system agenda https://t.co/yCINhkW1uI

Clinician wellbeing is a national priority, including of
@Surgeon_General - it's time for a new approach

[Baystate Emergency Medicine @BaystateEM]

Dr Ben Church presenting an abstract on our methadone induction protocol for opioid use disorder @BillSoaresIII at #SAEM22

[Bill Soares @BillSoaresIII]

Important paper from @Ted_Melnick and others offering the tools and resources to increase collaboration in trials in the ED.