Patrick Aguilar

Academic internist, management professor, and organizational behaviorist with an interest in helping healthcare teams work better.

[Patrick Aguilar @praguilar]

@justenahmad @quicktrip Thanks Justen! Hoping we make good things happen and excited for the contributions you'll make in the community!

[Patrick Aguilar @praguilar]

@justenahmad @quicktrip The good news is that now we hire doctors! Give us a call after residency...

[Patrick Aguilar @praguilar]

@JonathanHastie These are some of the most inspiring comments in the history of our Republic.

[Patrick Aguilar @praguilar]

@MohitHarshMD In an era of (appropriate) social distancing, you still can't beat looking someone in the eyes and discussing expectations. We all have much to learn from @MohitHarshMD. Keep up the good work.

[Patrick Aguilar @praguilar]

https://t.co/CUKBHv7WgQ

Thanks, Jack, for this important work. Difficult conversations but they'll make us better in the years to come.

#COVID__19

[Patrick Aguilar @praguilar]

@AmberDeptola #benefits

[Patrick Aguilar @praguilar]

@peterboumgarden @CalineMattar @WUSTLmed @WUSTLbusiness Incredible discussion! I look forward to the next one.

[Patrick Aguilar @praguilar]

@AmberDeptola @AagaardEva @prathakker 100% agree. Clear expectations linked to specific, constructive, actionable feedback is the key to improved performance.

[Patrick Aguilar @praguilar]

@AmberDeptola @DanielRicottaMD @GLBDallaghan @BIDMC_IM @JournalGIM @GraceHuangMD Interesting study of an important topic. Thanks for sharing!

[Adam Grant @AdamMGrant]

Myths:
-"I'll be happy when..."
-"That was my one chance..."

Reality: life events and choices are like any complex system
-Equifinality: there are many different paths to the same end
-Multifinality: the same starting point can be a path to many different ends

#SaturdayThoughts

[Patrick Aguilar @praguilar]

@hskulkarni @bmoore_beth @RakheeBhayaniMD At @WUSTLmed, we have launched an organizational effectiveness training program to help internal medicine residents develop and expand these skills. All of healthcare is done in teams and we can use empirically validated tactics to improve our work together.

[Patrick Aguilar @praguilar]

To stimulate the type of creativity necessary to solve tough problems, leaders have to figure out what helps the problem solvers work best. Intentionality produces results. #iopsych #MedEd https://t.co/aWQYUuSUZn

[Patrick Aguilar @praguilar]

When evaluating others’ work, avoid the effect of accumulated advantage by focusing on current, relevant outcomes rather than the sum of what you have heard about them. The “Matthew Effect” is an old problem and a driver of bias. #MedEd #doctors https://t.co/YPTL5e7jhD

[Patrick Aguilar @praguilar]

@FungalDoc @nbritt_pharmd I’ll try to find some of the data that influences that perspective and share with you off line.

[Patrick Aguilar @praguilar]

@FungalDoc @nbritt_pharmd We typically don’t have simultaneous histology but with the CLAD association, most places are aggressive when CMV comes back on a BAL.

[Patrick Aguilar @praguilar]

@FungalDoc @nbritt_pharmd Agree-in non-lung transplant recipients, i usually treat similarly to immunocompetent hosts.

[Patrick Aguilar @praguilar]

@nbritt_pharmd @FungalDoc Except for CMV in the context of lung transplant recipients, regarding herpesviruses, i feel similarly about bal fluid as i do other respiratory secretions. Technique probably also matters if we are to differentiate bal fluid from general tracheal aspirates

[Patrick Aguilar @praguilar]

@FungalDoc Perennial question: what to do with reactivated herpesviruses? This study is validation of the idea that the answer is, generally, nothing. I treat in the setting of significant bronchorrhea or mucosal lesions. Otherwise, I rarely even check for it.

[Patrick Aguilar @praguilar]

Although more frustrating for learners, active engagement with material promotes improved performance and better learning. #coldcall #meded #medicine https://t.co/2f4fV5ruAV

[Adam Grant @AdamMGrant]

Confirmation bias is when your beliefs hijack your neutrality in selecting and interpreting data.

To correct for it, err on the side of disconfirmation. Seek evidence that challenges your beliefs, and raise the burden of proof for evidence that affirms them.

#SundayThoughts