Shara Yurkiewicz, MD

Medical Director, AgeWell PACE. Opened our doors to Sonoma and Marin counties July 2023! Personal roots in physiatry and palliative care.

[Ilana Yurkiewicz, MD @ilanayurkiewicz]

Primary care is the only high-stakes service designed to operate at >100% capacity, leading to predictably devastating results. I wrote about the forces that got us here.

This is a story about perverse incentives, queuing theory — and courage. https://t.co/ad08YAsOBU

[Dr Kate Gregorevic @DrKGregorevic]

The thing that makes geriatric medicine so complex is that there are almost always trade-offs and the more frail and close to end of life a person is, the bigger the trade-offs.

[Shara Yurkiewicz, MD @sharayurkiewicz]

I am grateful to work at a PACE program, a model which avoids much of what is described below. I wish everyone were eligible to be part of one.

[Elisabeth Rosenthal @RosenthalHealth]

Having trouble finding a doctor? Primary care is the foundation of any good health care system. But In the US that foundation is dangerously eroding, as doctors and med students flee the field. Here's why. @KFFHealthNews @PostOpinions https://t.co/NC8VHCEM3J

[Shara Yurkiewicz, MD @sharayurkiewicz]

New book out today by the brilliant and sensitive @ilanayurkiewicz on one of the most important and least truly appreciated aspects of our broken healthcare system. https://t.co/vBVPgxh4QI

[Leonard Berry @ProfLenBerry]

The PACE model offers a blueprint for enabling chronically ill older adults to continue living in their homes. PACE improves people's lives. Expanding usage of PACE is an opportunity we must seize. This just-published article tells the story: https://t.co/46NhlDWnIn

[Chris Jones, MD, MBA, CPC @CAJonesMD]

A really nuanced discussion of hospice by Dr. Joe Shega and @IraByock on @GeriPalBlog with @EWidera and @AlexSmithMD. The enemy is low quality care and care variation in the negative direction. This is a really important hour to spend this week - https://t.co/5ZIhoiwwoy

[Shara Yurkiewicz, MD @sharayurkiewicz]

Who do we mentally invest in. This so powerfully puts the phenomenon into words.

[Shekinah Elmore, MD, MPH @pre_rad]

4. I like to call this one "Blocked". It's as true as ever. https://t.co/INzGnXuis5

[Shara Yurkiewicz, MD @sharayurkiewicz]

One of the many reasons I'm grateful to be working in hospice is that although we too are under resourced, I believe we have one of the best models of team based care in medicine.

[Ilana Yurkiewicz, MD @ilanayurkiewicz]

Primary care clinics are lucky for leadership from those like @audreymdmph, who advocate not only for personal boundaries but systemic changes that support doctors from burning out (which of course helps patients, too). https://t.co/b05R52mG8r

[Ilana Yurkiewicz, MD @ilanayurkiewicz]

I am thrilled to announce that my book, Fragmented: A Doctor’s Quest to Piece Together American Health Care, is now available for preorder, to arrive July 2023. https://t.co/yQcVgQrALT 1/9

[Shara Yurkiewicz, MD @sharayurkiewicz]

@amyngyn Last year for me. I couldn't believe that something that was only 1/50 of whole milk could still taste so good. (Two years ago: figured out that "half and half" wasn't half of whole milk 😭)

[Shara Yurkiewicz, MD @sharayurkiewicz]

@GraceCordovano We never recieved the referral.

[Shara Yurkiewicz, MD @sharayurkiewicz]

WE are the lucky ones to have Dr. Miller with us. Thankful for intentional culture.

[Pringl Miller MD FACS @pringlmillermd]

🧵1/4 #MedTwitter at my last job I was called all the disparaging things #woc are called. I was dedicated to advocating for my #patients and that was a threat - "I wasn't a good fit". I even had one colleague say "why do you care so much?" that was a reality check.
#PatientCare

[Shara Yurkiewicz, MD @sharayurkiewicz]

Hospice is hiring! Full time physician position for our growing team in Sonoma. I love it here and am excited to add a colleague 🙂 New grads welcome. Please reach out directly to me if interested, and/or pass the word along. https://t.co/HZdCDhi03q

[Shara Yurkiewicz, MD @sharayurkiewicz]

@DrAnneMWalling @UCLAHealth @LosAngelesVA Very exciting and well deserved!!

[Shara Yurkiewicz, MD @sharayurkiewicz]

@Stanford_PC @palliator @ShireenNHeidari @StanfordMed @stanford_pcph Congratulations!

[Matthew Gonzales @mattgonzalesmd]

For last 5 weeks, I've had the privilege of working alongside Christina Rothans & Zahra Esmail (& others on the PC team) to provide extra bandwidth during this most recent /heartbreaking LA COVID surge. We asked them to share some thoughts. Worth a listen https://t.co/4ciE58GQUk

[Shara Yurkiewicz, MD @sharayurkiewicz]

I remember very clearly in medical school during a "final exam" with a patient, the patient expressed suspicion about my knowledge base and qualifications and ended the interview. My preceptor failed me because I had failed to establish my authority and expertise.

[Shara Yurkiewicz, MD @sharayurkiewicz]

@ETSshow Not a moment too soon :) Cosign.