Sara Woldemariam, MD

(she/hers/her) | PGY-4 OBGYN Resident| Passionate about community and global outreach | views are my own | #Firstgen 🇪🇹

[Preston Igwe, MD @PrestonIgweMD]

A quick story. I’m on ambulatory medicine at the VA. Yesterday I went to get a patient from the waiting room. A Black man who served in Vietnam. When I introduced myself as Dr. Igwe, he gave me a very strange look. I asked if I had the wrong person, but he said “no, that’s me”.

[Komal Sharma DO, MBA @komal_sharma_29]

Man y’all… residency has aged me and it’s only been a year

[Niyi Soetan, MD ☤ @Medical_Niyi]

My hill to die on today

[Amy Faith Ho, MD MPH @amyfaithho]

How to be hyper-efficient in #Epic #EHR — from a physician #informaticist who loves to flyyy on shift🧵

1️⃣ Smartphrases are the #1 documentation efficiency. Use a standard naming convention so you can find it quickly. I use:

.dc*** for discharge instructions (ie .dcviral, .dcchestpain)
.proc*** for procedures that aren’t smart blocks (.proccpr, .proctriggerpoint, etc.)
.hpi*** for standard history where I mark *** to cue the parts to fill out (.hpimvc, .hpitransfer, .hpistd)
.mdm*** for risk calculators that aren’t in Scoring Tools (.mdmPerc, .mdmCanada, .mdmHasbled, etc.)

2️⃣ Macros: same concept as smartphrases, but used for smart blocks (the click-buttons in Notewriter for Exam, ROS, Procedures, etc.)

3️⃣ Ctrl-space bar opens up a search function where you can search the entire chart. I.e. I’ll search “creatinine” to see if careeverywhere (OSH) has a creatinine documented outside my system to compare a baseline, or search “cancer” if a patient says they had cancer and I can’t figure out what type

4️⃣Epic has a whole free training series called “Power User” geared at clinicians of small 1-hour asynchronous topics of how to maximize efficiency. Pick and choose what’s relevant to your context/specialty. Check it out! https://t.co/NWYGiHfMeD

5️⃣Talk to your local Epic builders (called application analysts) or your Epic trainers/educators. There are a TON of customizations the system can do. Automated-drop-in’s (called CER rules, but basically like IF a patient has a systolic BP>140, THEN drop in a phrase mentioning you acknowledge and address it by ***), customizing your trackboard/patient lists, building data elements behind drop-downs (smartlists) so you can report on it, and overall helping you decrease clicks!
Epic is highly customizable, just need a clinical champion to work with analysts to understand where builds can help clinical workflow!

There are many more “hacks”, these are just some of my favorite!
(And, no conflicts with Epic, it’s just my favorite EHR out of Cerner, Meditech, Medhost, etc…)

Interested? Think about #informatics as a field OR talk to your local friendly physician informaticist (often CMIO at a hospital system!)
@AMIAinformatics @HIMSS #medtwitter

[Pink Clouding For The Thrill Of It @Miss_AshG]

I graduated undergrad depressed with a 2.2 GPA.

I shouldn’t be a doctor

So it’s the I’m officially a SUMMA CUM LAUDE MEDICAL SCHOOL GRADUATE FOR MEEEEEE!

[Kadijah F Porter MD @KadijahPorterMD]

Rest Well Dr Nakita Mortimer 😔

Residency programs across the country need systemic and institutional overhauls. Residents (we) are struggling.

We lost another bright light too soon.

#Residency #SuicideAwareness #InstitutionalOppression #ResidentPhysicians

[katayoun Khoshbin M.D. @katykh1800]

@jillian_rigert Let's normalize medicine as a job. Not a lifestyle that swallows everything

[Tasha Phillips-Wilson, MD, MS (she/her) @TashaRWilson]

Do y’all see all these @SNMA future physicians coming!!!! 🧐Again, it’s #BRILLANCEEMBODIED and WE are Elevating the Mission and Revitalizing Our Purpose. 🔥✨ 🩺👩🏾‍⚕️👨🏾‍⚕️THANKFUL to have been called for such a time as this! 🙏🏾
#diversifythefaceofmedicine #blackgirlwhitecoat #AMEC2023

[Hannah Terefe @HannahTerefe]

It’s official…I’m going to be an OBGYN!

[Mieke Fortune, MD @mieke_fortune]

All these newly Black OB/GYNs on my TL >>>>

[Aaron Armorer 🇹🇹 @aaron_armorer]

Certified and in God’s Hands 🙏🏽 All that traveling across the country and uber side hustling is paying off! I’m grateful to be part of #Match2023! If you’d like to support my transition, my @medgradwishlist is below. Thank U!
#MGWL23
#MedGradWishList

https://t.co/lg6AtnzSor

[Shirlene Obuobi MD @shirleneobuobi]

Things I LOVE about being a #blackdoctor #bhm #blackhistorymonth #medtwitter

[I E McElroy MD, MPH: @iemcelroymd.bsky.social @IEMcElroy]

This is how I feel about your stance on locs being unprofessional. Laughing all the way to the OR. Byeeeee

[Sara Woldemariam, MD @SWoldeMD93]

Residency is planning to go out with your co-residents and all of us collectively are in bed by 9 pm 😂

[Jocelyn J. Fitzgerald MD @jjfitzgeraldMD]

If Twitter folds, I’d like to thank you all for allowing me to die on the following small mountain range of hills;

Women’s health is underfunded, undervalued, and underpaid relative to the immense skill involved

OB/GYN is too big and too complex to be contained into one field

[Jocelyn J. Fitzgerald MD @jjfitzgeraldMD]

Healthcare providers: please STOP refusing to fill birth control pills without an annual appointment. The risks of prescribing them do not outweigh the benefits of holding them hostage.

[Sara Woldemariam, MD @SWoldeMD93]

Being able to have a self care day after work >>>

[Vince Peart @VincePeartSW]

Jacqueline Pokuaa is a social worker who lost her life protecting a woman and newborn baby from a murderous gunman this weekend.

Jacqueline laid down her life in the service of others and we will not forget her sacrifice.

RIP Jacqueline 💔

[Amani Jambhekar MD, MBA, FACS @AjvictoryMD]

Met a 27 yr old w/ stage IV triple neg breast cancer. Multiple med oncs refused to give her Keytruda bc she is 9 wks pregnant. Thanks to Abbott’s extreme abortion ban, she has to find the resources to terminate her pregnancy in another state or die from her cancer #Roevember