#MDchat

Healthcare Hashtag Twitter Transcript

From: Tue Mar 01 18:00:00 PST 2011
To: Tue Mar 01 19:04:00 PST 2011
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Learn more about #MDchat at The Healthcare Hashtag Project

MD_Chat Hello hello, and welcome to #MDchat everybody! If you're new, just know we don't
bite - join or watch. So, let's start with introductions!
Tue Mar 1 18:00:08 PST 2011

RichmondDoc Hi, everyone. Mark, family doc in #RVA, contributor to smhcop.wordpress.com,

believer in social media as a way to better healthcare #mdchat
Tue Mar 1 18:01:11 PST 2011

peds_id_doc @doctorpreneur welcome to #mdchat Peds ID Fellow - originally from Cambridge,

now in Syracuse NY. Nice to see another Limey here :-)
Tue Mar 1 18:01:19 PST 2011

FMDChat Join us for Live Fibromuscular Dysplasia (FMD) Twitter Chat Scheduled for
Thursday, March 3, 7pm CST #FMDChat #RNChat #MDChat
Tue Mar 1 18:01:41 PST 2011

doctorpreneur @peds_id_doc Nice Bio: "You've got the bugs, we've got the drugs" #MDchat
#MDchat
Tue Mar 1 18:03:06 PST 2011

nadimmahmud Hello! Nadim, cofounder of @medic and 3rd year med student at Stanford #MDchat
Tue Mar 1 18:03:41 PST 2011

peds_id_doc @doctorpreneur #mdchat <bows>

Tue Mar 1 18:03:45 PST 2011

MD_chat Good evening everyone! Nice to see! #mdchat

Tue Mar 1 18:05:08 PST 2011

doctorpreneur @nadimmahmud @medic Medic Mobile looks interesting - are you texts or apps?
#MDchat
Tue Mar 1 18:05:18 PST 2011

MD_Chat OK, we'll start in a minute. We have two topics tonight, h/t @DaphneLeigh Batter up
in a few seconds! Good luck! #MDchat
Tue Mar 1 18:06:18 PST 2011
peds_id_doc #mdchat so who read the "auscultation" link? Thoughts on the Harvard approach, or
the patient's impressions...?
Tue Mar 1 18:06:20 PST 2011

MD_chat T1 Patient or Art Model? See http://nyti.ms/gTGAVd Do medical schools/residencies

foster the best kind of listening skills? #MDchat
Tue Mar 1 18:06:52 PST 2011

nadimmahmud @doctorpreneur mostly SMS but also EMR software and other tools. Expanding to
apps in the US :) #MDchat
Tue Mar 1 18:07:26 PST 2011

apjonas #mdchat Hi Pat Jonas, MD Holistic Family Physician, Ohio

Tue Mar 1 18:08:52 PST 2011

nadimmahmud @peds_id_doc so important to hear the patient perspective- it's easy to get lost in the
medicine and forget the big picture #MDchat
Tue Mar 1 18:09:47 PST 2011

MD_Chat @apjonas Hi Pat. Welcome, we're discussing http://bit.ly/hwqQBr #mdchat

Tue Mar 1 18:10:10 PST 2011

peds_id_doc #mdchat my impression is that this approach is long overdue. Would like to see more
articles from pt perspective shared with students
Tue Mar 1 18:11:03 PST 2011

doctorpreneur Enjoyed the article: http://bit.ly/hwqQBr teaching docs could have made patient feel
more comfortable&encouraged students to do same #MDchat
Tue Mar 1 18:11:30 PST 2011

drseisenberg Steven. Heme/Onc #MDchat

Tue Mar 1 18:12:05 PST 2011

peds_id_doc @doctorpreneur #mdchat this is part of the teaching tho...will make them better
hopefully before they have to truly see pts on the wards
Tue Mar 1 18:13:02 PST 2011

RichmondDoc Sorry--just read the article (briefly). Good points throughout. Connecting w/ pts in a
human way is critical for care. #mdchat
Tue Mar 1 18:13:19 PST 2011

RichmondDoc T1 Each school has its own way of teaching listening skills; suspect some are better
than others. We use standardized pts, ... #mdchat
Tue Mar 1 18:14:14 PST 2011

doctorpreneur @peds_id_doc Difficulty with this example is that the patient they *learnt* on *WAS*
a *real* patient too! #MDchat
Tue Mar 1 18:14:42 PST 2011

apjonas #mdchat Residencies in family medicine do foster advanced listening skills. All have
an opportunity to become whole enough to begin to help
Tue Mar 1 18:14:44 PST 2011
RichmondDoc T1 ... small-group and one-on-one mentoring. But the human connection in medicine
may fall behind the need to accumulate data. #mdchat
Tue Mar 1 18:15:00 PST 2011

nadimmahmud Most med schools have classes to focus on patient-physician interaction, but
awkward scenarios as described in article very common #MDchat
Tue Mar 1 18:15:15 PST 2011

apjonas #mdchat As Gladwell wrote in Outliers, it takes 12-15 yrs 2 B proficient in a

profession. The new ears of a med student advance thru tng
Tue Mar 1 18:16:20 PST 2011

peds_id_doc @doctorpreneur #mdchat - true, but one just there to teach, not to be treated. They
obviously had great insight into the whole topic.
Tue Mar 1 18:16:22 PST 2011

RichmondDoc @peds_id_doc Eastern VA Medical School uses standardized pts--and videotapes

the encounters for students to learn. #mdchat
Tue Mar 1 18:16:49 PST 2011

peds_id_doc @RichmondDoc @doctorpreneur #mdchat me too - even if student not in room at the
time. Pts often amused at the fact they can help teach.
Tue Mar 1 18:17:57 PST 2011

RichmondDoc T1 So much of how we interact w/ patients is learned from mentors. Good mentors:
good listeners. Bad mentors... #mdchat
Tue Mar 1 18:18:30 PST 2011

peds_id_doc @RichmondDoc #mdchat ideally students use SPs, videos, and instant re-runs to
correct mistakes. Just like learning any another skill
Tue Mar 1 18:19:03 PST 2011

nadimmahmud SPs were good for me, but transition to pseudo SPs w/ findings and training were
most valuable b4 going onto wards #MDchat
Tue Mar 1 18:19:25 PST 2011

BloodCME Perioperative hemostasis, #hematologic malignancies, #hemophilia and other blood

factor disorders #MDchat http://bitly.com/hfSm1M
Tue Mar 1 18:20:05 PST 2011

peds_id_doc @RichmondDoc #mdchat is you attending "a great listener" to "builds rapport easily"
or...
Tue Mar 1 18:20:18 PST 2011

peds_id_doc @RichmondDoc #mdchat someone who uses active listening, repetition, relaxed
body language, eye contact, validation, acknowledgement...
Tue Mar 1 18:21:03 PST 2011

peds_id_doc #mdchat - wow -way too many typos tonight. Either not enough coffee or way too
much... :-S
Tue Mar 1 18:21:55 PST 2011

MD_chat @peds_id_doc :0 #mdchat

Tue Mar 1 18:22:16 PST 2011
MD_chat @peds_id_doc that was supposed to be ;) #mdchat
Tue Mar 1 18:22:45 PST 2011

peds_id_doc @MD_Chat #mdchat an ironic typo in response to typos...cute ;-)

Tue Mar 1 18:24:19 PST 2011

s_eller T1 lurking here, we use SPs w/simulation to train med students in

communication/listening video debriefing & feedback from SP #mdchat
Tue Mar 1 18:24:23 PST 2011

drseisenberg Med students can learn that real listening is not just planning what to say next and
waiting for your turn to talk. #MDchat
Tue Mar 1 18:24:37 PST 2011

peds_id_doc @drseisenberg #mdchat awesome point about "waiting your turn to talk". So, so true.
Tue Mar 1 18:26:03 PST 2011

peds_id_doc @s_eller #mdchat our program used to use delayed feedback - in the mail, days
later. Fraking useless.
Tue Mar 1 18:26:45 PST 2011

apjonas #mdchat All five senses involved in listening. Once stud is MD in work world, different
listening needed w/upgrade of use of 5 senses +EARS
Tue Mar 1 18:27:36 PST 2011

RichmondDoc @peds_id_doc @s_eller On-the spot feedback is key. Constructive review of how
you did, right after you did it, is much stronger. #mdchat
Tue Mar 1 18:28:13 PST 2011

peds_id_doc @RichmondDoc @s_eller #mdchat some programs need that pointed out to them
tho...use SPs to teach, not to assess
Tue Mar 1 18:28:58 PST 2011

RichmondDoc T1 2 truisms I use a lot: 90% of your diagnosis comes from the history; emphasizes
the need for listening. #mdchat
Tue Mar 1 18:31:07 PST 2011

s_eller @RichmondDoc @peds_id_doc - agree real time constructive feedback is key

#mdchat
Tue Mar 1 18:31:19 PST 2011

RichmondDoc T1 similarly: If you let patients speak, they will tell you what you need to know. Again:
important to listen. #mdchat
Tue Mar 1 18:31:37 PST 2011

peds_id_doc @a_singledrop @astupple #mdchat many teachers do not think listening or other
comm skills can be taught though :-/
Tue Mar 1 18:34:16 PST 2011

jsequoia #MDchat has any one here set up a practice before?

Tue Mar 1 18:34:49 PST 2011

RichmondDoc T1 for us, our Foundations of Clinical Medicine uses small groups, SPs and clinical
RichmondDoc T1 for us, our Foundations of Clinical Medicine uses small groups, SPs and clinical
preceptorships to teach listening/exam skills. #mdchat
Tue Mar 1 18:34:53 PST 2011

astupple @peds_id_doc: @a_singledrop @astupple But, we can teach acting... #mdchat

many teachers do not think listening, comm skills can be taught
Tue Mar 1 18:36:25 PST 2011

MD_chat T2 Physician Self-Branding: What are your feelings about branding yourself, or about
others who brand? Good? Bad? Neutral? #MDchat
Tue Mar 1 18:36:38 PST 2011

RichmondDoc T2 Not fond of branding myself, though I know those in private practice need to
establish their brand to stay in business. #mdchat
Tue Mar 1 18:38:09 PST 2011

RichmondDoc T2 I would like to think that good docs earn their reputation by hard work, positive
word of mouth, and good patient outcomes. #mdchat
Tue Mar 1 18:39:50 PST 2011

RichmondDoc @MD_Chat T2 So: maybe neutral/unfavorable. I think it can go too far: some celebrity
doctors are excessive in my opinion. #mdchat
Tue Mar 1 18:40:31 PST 2011

peds_id_doc @a_singledrop @astupple #mdchat all our students knew importance of open-
ended Qs. In clinical exams very rarely used them right.
Tue Mar 1 18:46:37 PST 2011

a_singledrop @peds_id_doc @astupple I am grateful that I have professors willing & able to
devote their time to teaching us this critical skill. #mdchat
Tue Mar 1 18:46:59 PST 2011

peds_id_doc #mdchat T2 I branded. Myself as the local comm skills guy :-) never claimed to be the
best communicator, only the most vocal about it.
Tue Mar 1 18:49:22 PST 2011

peds_id_doc @RichmondDoc #mdchat T2 I think branding is as much finding your niche as much
as anything else. Sometimes it just sorta comes along.
Tue Mar 1 18:53:11 PST 2011

Kind4Kids #mdchat For a clinical-educator-researcher, perhaps "branding" can mean

developing an area of inquiry/study... clinical #meded or other
Tue Mar 1 18:54:10 PST 2011

a_singledrop T2 from my exp in social media, branding is your accumulated reputation-it builds up
from your actions regardless of your intentions #mdchat
Tue Mar 1 18:54:29 PST 2011

MD_chat @RichmondDoc Good point. "Earned" brand, versus Paid or Manufactured.

@peds_id_doc #mdchat
Tue Mar 1 18:54:34 PST 2011

cassiegangeri #MDchat follow @BloodCME for the latest blood related continuing education and
news article updates
Tue Mar 1 18:54:49 PST 2011
a_singledrop @MD_chat @RichmondDoc #mdchat Agreed - the "earned" brand is always more
authentic than the "manufactured" #mdchat
Tue Mar 1 18:55:14 PST 2011

peds_id_doc @a_singledrop #mdchat t2 I think so too, but after a while there is enough
momentum to keep it rolling with a few nudges...
Tue Mar 1 18:55:16 PST 2011

peds_id_doc @a_singledrop #mdchat T2 I went from "nice guy" to "resident teaching award" to
"teaching innovator" - radio and advisory board followed :-)
Tue Mar 1 18:56:31 PST 2011

RichmondDoc @a_singledrop @MD_chat @peds_id_doc Actions speak louder than words. The
reputation you earn by hard work/diligence is priceless. #mdchat
Tue Mar 1 18:57:14 PST 2011

peds_id_doc #mdchat t2 I could have said "no" to radio interview and advisory board, but
recognized the value of the momentum. Grand Rounds next week!
Tue Mar 1 18:58:02 PST 2011

RichmondDoc @peds_id_doc From wandering along w/ these chats; I have 4 different social media
talks--national conferences, regional stuff, etc. #mdchat
Tue Mar 1 18:59:24 PST 2011

MDPartner Popped in at the end to read an interesting #MDchat. Note to self: make time to
participate next week.
Tue Mar 1 18:59:40 PST 2011

a_singledrop .@RichmondDoc @MD_chat True. At the end of the day, I follow-through with my
passions and that seems to work out just as well #mdchat
Tue Mar 1 18:59:44 PST 2011

peds_id_doc #mdchat my pearl for the chat - comm skills are inherent to patient-centered care,
and needed for 21st century medicine. teach them. #jfdi
Tue Mar 1 19:01:15 PST 2011

RichmondDoc FT: The best reputation is being a caring, patient-focused, competent physician.
Listen, communicate, and care. #mdchat
Tue Mar 1 19:01:35 PST 2011

RyanMadanickMD #mdchat wishin I had known about it ahead of time

Tue Mar 1 19:02:00 PST 2011

a_singledrop FT: I really wish that I took out the time to join #mdchat more often! Thanks everyone
for the lovely discussion!
Tue Mar 1 19:02:47 PST 2011

RyanMadanickMD @Kind4Kids #mdchat ur probably right, this may be the way that academics who
focus on #meded but still do research can do well
Tue Mar 1 19:03:52 PST 2011