Andrew Tompkins, MD

Urologist, Medical Educator, Lifelong Learner, Sailor, Peloton Enthusiast, Asst. Professor @BrownUrology @BrownMedicine @cornellalumi @urochestermed @MIUImiriam

[Dr_KevinZorn @Dr_KevinZorn]

Chilling talk by Mark Painter CPMA, MBS @PRSnetwork at #IFRUE2025 @Brian_J_Flynn on 2026 forthcoming US #Urology code changes…. LOTS & LOTS of red (cuts) @AmerUrological @RahulMehan1 @gpohlmanmd how can this help skyrocketing burnout, fatigue and promotion of new technology?

[Andrew Tompkins, MD @tompkins_drew]

Looking forward to trying this out!

[Dr_KevinZorn @Dr_KevinZorn]

Anyone else used Color Doppler during @myaquablation @PROCEPTRobotics to identify post treatment bleeding? Takes seconds to activate. Augmented reality #nightvision #bph Highly underutilized SIUI @ndt_siui feature. Worth a try. Views below post 1st pass & fossa ballon placement

[Andrew Tompkins, MD @tompkins_drew]

@RoboDocX I love your surgical toolbox. So impressive….you make maximally invasive procedures minimally invasive. I’m going to hijack your phrase “urethra sparing” for these cases. Keep advancing the space!!!!

[Andrew Tompkins, MD @tompkins_drew]

@justindubinmd They have done a really good job modifying the curriculum and making the process more manageable.

[Dutch Rojas @DutchRojas]

Today, a physician working at the same productivity level is stuck with $32.36 per RVU—which means, adjusted for inflation, they’re effectively making HALF of what they used to.

Think about that: same work, half the pay.

Meanwhile:
Hospitals get sweetheart site-of-service fees.

Private equity buys up independent practices at fire-sale prices.

@CMSgov @droz @hhsgov @seckennedy
keeps slashing physician reimbursement.

Bureaucrats rake in raises while doctors get the shaft.

In 1992, the Medicare conversion factor was $31.00. Today? $32.36.

That’s a $1.36 total increase in 33 YEARS. If it had just kept up with inflation, it would be over $64.00 today.

Instead, it’s more than 50% below where it should be.

A doc today has to see twice the patients, do twice the procedures, and grind twice as hard just to keep up.

And what does Congress do?

No doc fix in the latest CR.
No relief.
No respect.

Just another reminder that the system values hospitals and middlemen over the people actually delivering care.

Physicians aren’t just underpaid.
They’re being systematically devalued.

@WaysandMeansGOP
@GOPDoctors
Not #healthcare

[Andrew Tompkins, MD @tompkins_drew]

My kidney stone prevention strategies for patients will be more aggressive after this weekend.
Stanley mugs just aren't doing the job.

[Andrew Tompkins, MD @tompkins_drew]

@daviesbj It appears that the annual Davies growing season is in full swing. 👍

[Andrew Tompkins, MD @tompkins_drew]

@jointdocShields Me too…I wish I loved it.

[Andrew Tompkins, MD @tompkins_drew]

@Dr_KevinZorn @LindseyKerrMD @LABORIEMEDICAL @OptilumeDCB I’m sorry I missed it!!! Covering call this weekend. We are thrilled you could attend!

[Brian J. Flynn, M.D. @Brian_J_Flynn]

Got a call the OR the other day re..acute R ureteral injury during oopherectomy, unable to do UU due to tension..
Recom damage control (clip, pcn), refer, repair on next robo day, no need to delay 6-18 weeks....4 cm defect level of gonadal = reimplant + hitch

[Joshua Meeks @JoshMeeks]

Am I the only one that prefers to sit for TURBT?

[Andrew Tompkins, MD @tompkins_drew]

@JoshMeeks I am a a total convert. In training we stood for everything! Sitting improves scope stability, control and can improve biomechanics to minimize fatigue.

[Andrew Tompkins, MD @tompkins_drew]

Taking care of people is a privilege.
Every page and consult is an opportunity to positively impact another person. It's a real privilege to work and learn from my amazing group of residents and have the support of my colleagues, friends and partners at Brown Urology.

[Andrew Tompkins, MD @tompkins_drew]

A wonderful decision aid to improve shares decision making on BPH treatments!

[Bilal Chughtai @ChughtaiMD]

Excited to share our latest publication with you all! This paper on a new BPH surgical decision aid represents a significant step forward in patient care.
https://t.co/eKBU6GrlGo
#BPH #Urology #SharedDecisionMaking

[Andrew Tompkins, MD @tompkins_drew]

@ChughtaiMD @MDPIOpenAccess Great paper!

[Andrew Tompkins, MD @tompkins_drew]

We loved having @ChughtaiMD at the Warren Alpert Medical School at Brown University Urology today. Thank you my friend.

[Bilal Chughtai @ChughtaiMD]

Had a blast being a guest speaker @MiriamHospital today! So much fun working with the urology residents on hands-on simulations. Inspiring to see the next generation of urologists in action! #urology #medtwitter #simulation #medicaleducation

[Neil Stone @DrNeilStone]

Before vaccines, life was miserable, brutal...and short

In 1900, one in 5 babies never made it to their 5th birthday

Anti vaccine is anti child health!

https://t.co/WcF2B3Gs3Y

[URochester Medicine Urology @urmed_urology]

Practice makes perfect! 🎯 Yesterday, our residents spent their #EducationWednesday in simulation training with the #SURGELab, mastering techniques on HoLEP, vasectomy, and transperineal prostate biopsy models. #URMCUrology #SurgicalSimulation #URMCUroRes

[Andrew Tompkins, MD @tompkins_drew]

@URMCUrology Great program!!!

[Andrew Tompkins, MD @tompkins_drew]

@kenzierod3 I was so confident I’d match at my top choice that I bought a house….i matched at my second choice. lol. I still consider myself lucky. It all worked out. You will be great.