Zaven Sargsyan @sargsyanz
Internal medicine @bcm_internalmed Joined May 2013-
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Our new paper explores how pass/fail grading has created a "shadow economy of effort," as medical students engage in extracurricular activities to compete for residency positions, often at the expense of clinical skill and well-being. @Midwest_MedPeds journals.lww.com/academicmedici…
@IM_Crit_ I love this study "When guidelines don't guide: the effect of patient context on management decisions based on clinical practice guidelines" pubmed.ncbi.nlm.nih.gov/25354075/ @sherbino
This is one of the most important and thoughtful papers about med ed I've ever read journals.lww.com/academicmedici…
@sargsyanz Also, I think I’ve subconsciously trained my eyes to look top left in Epic for a split second prior to placing orders to ensure correct patient. Also, if in the middle of high risk orders, I wait to return the page or answer the call.
Placing orders in the wrong chart is common. Have you seen/done it? Have you ever seen any safeguards? That didn't quickly become ineffective and infuriating? Any other strategies to avoid, either on a personal or systems level?
Dear editor: we are pleased to submit a clinical image entitled “muddy brown casts of the intestine”
What a great way to visualize one of the mechanisms of MINOCA (myocardial infarction with non-obstructed coronary arteries), specifically microvascular dysfunction @aklfahed nice profile banner
Me to my wards team: hey guys, what does brat summer mean? Medical student: ooh that’s a great question, why don’t you look it up and tell us about it on rounds tomorrow
Whoa, this is great
In patients with hyperleukocytosis, the potassium on the BMP can be falsely elevated from cell lysis in the tube. Send a K+ off a stat VBG (the "venous potassium" on this screenshot) to know the real value.
Irony: @ButterflyNetInc not yet having an account on @bluesky
I created an account. Gonna start the migration. . . 🩵🦋✌🏽 #medsky
Best reflex hammers Tromter hammer Queen square hammer Fingers of doc who likes percussing Butterfly iQ ultrasound probe iPhone with rubber case Actual hammer Taylor hammer A book from the tray table A full carton of Boost/Ensure iPhone without case Lunch tray Stethoscope
Reminder that the home medications list in the EHR reflects what the patient actually ingests at home in a minority of cases. And it's the latter that matters.
Ok but seriously it feels like early Twitter over there and it’s magical. I’m not shutting down here yet but it’s honestly so much better and would be even better with YOU. Yes, YOU. Join us where the skies are 💙🦋
Fun day with our residents under beautiful live oaks
Awesome case. Thanks @PacoDardon for tagging
@sargsyanz I'd also support your general message by saying that blood transfusions don't obviate the need for iron supplementation! The iron in the transfused RBCs isn't available to make new RBCs

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