Very carefully. Using constrained media (apps where you don’t have enough room to really spell things out, like Twitter or Instagram) to pitch the products of companies that support us as physicians is tricky territory. How we handle conflict of interest with digital media needs discussion. Proper disclosure of conflict of interest is hard to achieve Solutions for ... Continue Reading about How Physicians Should Handle Conflict of Interest on Twitter
I woke up this morning facing the first of three days of weekend coverage. Two perfectly spaced calls overnight cut my sleep in 3. It was a morning that I could use some good vibes. MedTwitter and its stream of angry agendas So, like most mornings, I reach for MedTwitter to see what my peers think is important. Thumb flicking through I find a stream overrun with ... Continue Reading about Positive MedTwitter
When I was a medical student I had an attending who would fail medical students who failed to universally perform the rectal examination. He would gloat on rounds when reviewing admissions with the trainees. Stopping dramatically during the middle of the presentation of the physical exam, he would smile broadly, look around at the team and ask, “So what did the ... Continue Reading about What Did the Rectal Examination Show?
After some deliberation, Johns Hopkins Hospital leadership has determined that their medical interns may wear long white lab coats. Until now the short white lab coat defined medical interns and the age old pecking order of postgraduate medicine in Baltimore. Woulda killed to hear that debate. Although I know how important this stuff can be to young ... Continue Reading about Small Doctors in Big White Lab Coats
Medicine is a dicipline of uncertainty. So clinicians are always looking for indicators of certainty. We’re looking for signs. Medical signs. The psoas sign indicates an inflamed retrocecal appendix. A sentinel node is a classic sign of dissemination of cancer into the chest. The Cheeto finger sign (telltale orange fingers reflecting the recent consumption ... Continue Reading about Medical Signs
Daniel Crook, @EMSafe dropped this in twitter a couple of weeks back: I realise that I have had to learn and do medicine in 7 different ways: What the book says What we actually do What the course says What the College/exam wants What the boss wants What the evidence says What other people will do who don't know the evidence I’ll add this ... Continue Reading about The Zone of Medical Uncertainty