Scott MacDonald, MD, FACP FAMIA 🇺🇸

Dad, Doc, dude with bikes. Making things better with clinical informatics. CMIO at UC Davis Health.

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

@TheLizArmy @DrJRubenstein @mattgonzalesmd @PalliDad @ctsinclair @marlene_mmm @trentrosenbloom @AnshuAbhat @hmkyale @chethanr Yes, routinely, when a change to our portal is in the offing. Main barrier is that that happens intermittently so we haven’t been able to form long-term relationships based upon frequent interaction.

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

Lovely concert with Vienna and Alex Wong opening. Most songs by request. An a capella group did Hymn of the Axciom. @ Freight & Salvage https://t.co/ysJAT6RO6G

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

Not complaining about Sacramento weather

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

Great thread- fleshing out a concept of augmented intelligence.

How about a model trained on a patient- their history, data, -omes . Query with different treatment options

[Dr Kareem Carr @kareem_carr]

chatgpt would be 1000x more powerful for me as an academic if i could fine tune it to specific knowledge sources. imagine being able to have a "conversation" with the collected works of shakespeare or darwin.

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

@CALonghurst @FTC Starting Black Friday- it’s been the season of unsubscribing.
Your move, marketing.

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

Surprised (not) Always read the terms, know you’re likely the product. —— Telehealth startups sent sensitive health data to big tech companies https://t.co/BTytAhKjMS

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

We have a winner

[Washington State Dept. of Natural Resources @waDNR]

No more elf on the shelf, only

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

#OrionCapsule back home. Nominal. Quite an excerciae in energy conversion- chemical>kinetic>thermal>emotional

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

A different genre tonight. Still feeling the bliss. Written just around the corner from my old office, across the park from here. @ Harlow's https://t.co/WyMhkqDseO

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

Forgot to post the other night. Jessica Malone was awesome, and I’m a new fan of Midnight North. Son of the Grateful Dead. @ Crest Sacramento https://t.co/dEwNp4yjwX

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

Improvisational goodness - Trey Anastasio Band w/ Billy Strings - Meet Me At The Creek - 11/17/22 (4K HDR) - YouTube https://t.co/fLXSZTIiBR

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

@TheLizArmy @NEJM @HerveyJumper @NeuroOnc @hmkyale @vmontori @NBTStweets @roelverhaak @gliomaregistry @trentrosenbloom @EKNduom Great article. It made my weekend.

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

I learned a new term I suspect I’ll use regularly. “adminogenic harm”
Something I’ve been avoiding doing, but naming it will make it harder to ignore

[Craig Joseph, MD @CraigJoseph]

Great article on the real world implications of administrative harm in healthcare. I love Dr. O'Donnell's reference to the #EHR nudging him about "moderate protein calorie malnutrition." Ouch, that one hit home. #PhysicianBurnout https://t.co/jiKQAKoVW5

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

Today’s bike commute indignity:
Cut off by a driver making a mid-block U-turn. While holding a cocktail glass in one hand. With ice/ but no drink- that had gone down the hatch.
Wouldn’t want her to spill…

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

Atari 800.
Used it to run a BBS over a 1200 baud modem.

[Jason Turner @lefticus]

Retweet if your 90's era calculator or 80's era computer with built in BASIC was an important part of your journey in learning programming.

I'm looking for modern equivalents to that experience.

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

Black Friday marketing emails: functionally, a work list for unsubscribing.

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

The @UCDavisHealth falcons are cool, but the turkeys might be cooler. This week, at least.

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

This was not on my bingo card

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

Good advise.

[Scott MacDonald, MD, FACP FAMIA 🇺🇸 @stmacdonald]

@NancyAnnBush1 @TheLizArmy @ctlin1 @trentrosenbloom @cmd418 @bdsteitz @robturer @NeurosurgUCSF I think this is something best discussed at the point of ordering.-informed consent around communication. Anticipatory guidance “closes the Overton window” (to continue with 20th century references.