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Avital Y. O'Glasser, MD FACP SFHM DFPM (she/her) Profile picture
@aoglasser
Aug 7, 2018 • 28 tweets • 32 min read Twitter logo Read on Twitter
1/ Thread: This morning I gave Dept of Medicine #GrandRounds @OHSUSOM @OHSUNews. In #medtwitter’s spirit of sharing & learning, here is my first #Tweetorial summarizing highlights & crediting #hcsm’s incredible contributors & source material
2/ 4 months ago EBM & cardiology expert Dr. Milton Packer published a blog post detailing how he found Twitter uninformative and emotion/opinion driven
Is this the reality of #medtwitter??
medpagetoday.com/blogs/revoluti…
3/ #SoMe is digitally based mediums that helps us
CREATE
SHARE
PARTICIPATE
60% of physicians say their most popular activity on #hcsm = Following what colleagues are sharing and discussing
Channel the “look at me” negative stereotype of #SoMe into “look at THIS” learning etc...
4/ @MotherinMed et al highlight the value of ACCESS and VOICE for medical students on #medtwitter in this 2015 @JournalGIM article --> but that applies to so many on #hcsm, shaking up & creating new dynamics
link.springer.com/article/10.100…
5/ @EMARIANOMD talks about the value of lifelong learning, search optimization, research dissemination & exposure, practice change, global interaction
6/ recently @OHSUNews @OHSUSOM interviewed several of my colleagues on how they use twitter, with common themes:
* Share
* Enage
* Learn across disciplines
* Teach
* Advocate
* Build community
* Share pride in colleagues and trainees
news.ohsu.edu/2018/07/11/why…
7/ we’ve moved past flipping through journal pages! HT @wraycharles & interview @GeriPalBlog @AlexSmithMD @EWidera
Find articles from journals you don’t subscribe to, SAVE time via “crowdsourcing”, listen to others’ voices about new publications
geripal.org/2018/08/number…
8/ #medtwitter has shaken up how research is disseminated/engaged, leading to ⬆️article views/downloads, ~ leading to increased future citation
But it’s not just dissemination for its own sake or sensationalism, it’s for learning and communication
jmir.org/2011/4/e123/
9/ #medtwitter’s use of #VirtualAbstract to communicate research via visual cues has taken off, with creator @AndrewMIbrahim et al work in @AnnalsofSurgery demonstrating positive effect
journals.lww.com/annalsofsurger…
9/ Nephrology dominates medicine subspecialty #medtwitter presence w folks like @kidney_boy & @nephro_sparks, learning innovations like @RenalFellowNtwk #NephJC & #NephMadness (PS—I’m promised Dr. Sparks I would quote this tweet!)
10/ so back to Dr. Packer. @Doctor_V’s @33charts rebuttal was spot on, highlighting #medtwitter’s ability to help curate reputable content & provide a collaborative exchange platform.
ACCESS & VOICE --> LISTENING & PARTICIPATING
33charts.com/milton-packer-…
11/ @WrayCharles @ADAuerbachMD @Futuredoc @journalhospmed just published their work on #JHMchat impact and reach
journalofhospitalmedicine.com/jhospmed/artic…
12/ can #medtwitter fact-check itself? Take this example of a MKSAP error being accelerated to @ACPInternists—shared with me via Twitter moment by @kidney_boy while I was chatting with @WrayCharles about that new publication
13/ #medtwitter extends our boundaries and professional networks, flattening hierarchies across time in practice and (sub)specialties, providing ACCESS to leaders, and leaders LISTENING to trainees
14/ #medtwitter DOES result in “real collaborations” and real friendships, extending boundaries, get us out of our bubbles, esp outside of “conference season”
@TomVargheseJr @Admiral_Chester @RJmdphilly @gretchendeimer @laxswamy @dinkjardine
15/ #medtwitter’s place in #meded can also be explained by a Modified Bloom’s Taxonomy which @Rjmdphilly @gretchendeimer and I presented in #ChiefChat #ChiefCamp #AIMW18 @AAIMonline, analogous to @tomvargheseJr I^4
16/ @greenQoDay is a stellar example of an education account at @JeffersonUniv @JeffIMclerkship @JeffIMchiefs being utilized to flip the classroom on inpatient wards, including increasing attending/learner accountability for followup teaching
17/#Tweetorials from @vinayprasadmd @tony_breu & @OHSUIMRes alumnus @adamrodman provide active, interaction learning extending beyond one 280-character tweet
18/ and I’ve seen a wave of inpatient attending tweets/threads bringing real-time learning pearls (esp #postitpearls) to #medwitter. HT to the @NU_IntMed group including @margMchapman @melbreggs @brhenschen @mangarone23 @metheodorou @devans_at_NUmed
19/ but does #medtwitter “work”? HOW does it work? HT @thecurbsiders episode 103 w @Gurpreet2015 provides a great framework for adult learning techniques that apply to how we interface with #medtwitter --> which I apply to the examples I already shared
thecurbsiders.com/internal-medic…
20/ #medtwitter also provides a platform to BUILD COMMUNITY--to bond over stories, sharing, resilience, burnout, humanism, with hashtag driven content like #TipsforNewsDocs

21/ and even the teachers on #medtwitter can discuss how we’re more engaged by our patient care + teaching responsibilities by utilizing #medtwitter in real-time


22/ in addition to providing acccess & voice while we create/share/participate #medtwitter helps us flatten hierarchies by championing learners in novel ways, not just learners pushing themselves up but mentors giving them boosts
23/ here's a late breaking example from last night-how to share your successes without bragging & credit trainees
(PS--@DavidWienerMD was by 4th yr Sub-I attending @JeffersonAlumni-and we reconnected on #Medtwitter recently)
24/ which is why #OHSUscholarship celebrations have been a critical part of @OHSUIMRes, akin to the content tweeted by fellowship program accounts @OHSUPulmCCM @OHSU_ID in addition to educational and community building content
25/ and #medtwitter on campus @OHSUSOM @OHSUNews has let me (and others) see colleagues’ enthusiasm for working with learners, multidisciplinary staff, and patients. this kind of learner support is CONTAGIOUS
26/ so in a nutshell 👇👇👇
27/ in final conclusion, and since I’ve made it this far into this #tweetorial without mentioning @adamcifu, why you should be on #medtwitter

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More from @aoglasser

Avital Y. O'Glasser, MD FACP SFHM DFPM (she/her) Profile picture
Aug 30, 2018
Thank you so much to @PlenarySessShow @Plenary_Session for having me on episode 4 to talk about the benefits of #medtwitter! It was great to find another venue (ie not typing in < 280 characters) to discuss its role in learning, patient care, advocacy, & professional development
shout out to @ReneeDversdal (about a minute after my segment starts ~24:30) and another podcast (wink, wink, nudge, nudge @thecurbsiders)
HT also to my closest #medtwitter network, who I've gotten to collaborate with after meeting on twitter, one of the benefits discussed, with subtle nods to past and current projects!
@RJmdphilly @gretchendiemer @MargMChapman @michellebr00ks @WrayCharles @tony_breu
Read 4 tweets
Avital Y. O'Glasser, MD FACP SFHM DFPM (she/her) Profile picture
Aug 24, 2018
Good reference for this question
ncbi.nlm.nih.gov/pubmed/10789608
from the 2014 ACC/AHA guidelines on pre-op EKG
this is reference 140:
Conclusions: Bundle branch blocks identified on the preoperative
ECG were related to POMI and death but did not improve prediction
beyond risk factors identified on patient history.
insights.ovid.com/crossref?an=00…
Read 4 tweets
Avital Y. O'Glasser, MD FACP SFHM DFPM (she/her) Profile picture
Aug 24, 2018
THREAD Friday mini #tweetorial! Despite having a learner w me in #periopmedicine clinic the last two days, I neglected to tweet any #postitpearls (though lots of great learning + pt care!). BUT had 2 back-to-back cases raising questions of weight we place on self-reported pt info
2/ will be intentionally vague to protect PHI without diluting learning value...for all the talk re #EHR clutter, EHRs helping propagate accurate info but also "chart lore" false info, #backtobedside, #patientsbeforepaperwork...when can you "take a pt's word for it" in preop?
3/ pt A-early 50s, elective ortho surgery (though pain affecting QOL & activity levels), VERY vague "MI" and "CAD" history in chart from decade ago, no immediately available records, some risk factors for premature CAD (tobacco) but no interval events...
Read 18 tweets
Avital Y. O'Glasser, MD FACP SFHM DFPM (she/her) Profile picture
Aug 14, 2018
1/n #Tweetorial: As an Assistant PD for @OHSUIMRes focused on scholarship, #medtwitter, & #hcsm (health care social media), I’m often guide residents and colleagues on how to best use Twitter for academics, networking, learning, etc...
2/n recently, while welcoming newbies (esp students) and “onboarding” them to #medtwitter & #hcsm, I was asked to put together advice for IM applicants on how to best use social media during application/interview season. I think this advice is applicable beyond IM, too.
3/n First, tell me about yourself:
Read 28 tweets

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