
Brian Elliott MD
@BrianElliottMD1
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Boy Dad. Pulm/CC. #POCUS #meded #histmed writer/researcher. Author of White Coat Ways. Building RJIM - where research is shared and not sold
Joined February 2020
Research published by for-profit companies has nearly tripled, leading to rising APCs and excessive paywalls. So we started a nonprofit journal where you can publish and peer review for charity, or even get paid to peer review. Link 👇. #medtwitter #academia #research
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Knowing 0 code can lead to $$ by a thousand papercuts. I spent $12 developing this site (plus any deployment maintenance costs I incur), but I edited a lot of small things because they were easy and would save me $0.05-$0.30 per edit, which adds up when you edit 100 small things.
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Now, can you do this without knowing any code at all? YES! I was really surprised and impressed with how well it developed and added features, plus Replit does seem better prepared than others to handle secrets and maintain security best practices, but there's one caveat:
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So ask it! Prompt: "Make the website comply with all international laws for websites". Attach it to a separate entity if you are able. And make sure no copyrighted materials, illegal links, or other illegal materials are on your site.
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As SOON as you gather user data, you are REQUIRED to add a privacy policy, cookie banner, terms, etc. The default is that the site is connected to you (and not an entity separate from personal assets), meaning fines and/or lawsuits for mishandling data could fall to YOU.
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After I asked for the main architecture and added the major features, I had a working prototype without writing a single line of code myself. It didn't look half-bad, and I was blown away by the speed. until I realized that the website was breaking multiple laws.
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It helps to know some architecture. I specifically asked for a react and express setup, and I'm not sure what it would've done if I hadn't. If you don't know about them, you should consult with an LLM about the best architecture for your purpose BEFORE a single line of code.
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I built the POCUS website feature by feature. Main framework and curriculum pathway that connects to the database -> add auth -> add groups -> add an instructor dashboard for the groups -> and so on
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To start, build feature by feature. ❌ Don't say "build me duolingo but for POCUS". ✅ Say "Build me a POCUS website with **exactly the main feature you want and exactly how you picture it** using a *** framework". Trying to one-shot it makes an absolute mess of bugs and errors.
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First, #meded vibe coding is good for SMALL, SIMPLE extensions for curricula or assessments like this. It is NOT good for large, integrated platforms that connect to external APIs. These are HUGE security threats if you don't understand them.
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Paywalls and APCs perpetuate inequity. I think we need to ask ourselves why we let for-profit companies control the majority of research that is publicly funded, donated by researchers, and peer reviewed by volunteers. That’s why we’re building RJIM. #scihub #research.
Researchers and students will suffer a huge loss. Not everyone can afford expensive subscriptions to journals.🙏.#scihub .#research
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Reviewing this code. Not enterprise-level code, but still SO impressed. You can expect the POCUS pathway up online for free soon, and the code open-source on GitHub too if you want to make other content into a pathway.#MedEd.
I was inspired by @MedEdFlamingo 's recent study to check out @Replit . and wow! The #meded game is going to change. I was able to feed it a current curriculum, it converted it to a functional, aesthetic pathway with image/gif Qs, instructor dashboard, and leaderboard 🤯
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This took me about an hour to make on Replit (already having instructional materials). I know JS, html, CSS, and this would have taken me weeks to months of work during my free time to make.
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I was inspired by @MedEdFlamingo 's recent study to check out @Replit . and wow! The #meded game is going to change. I was able to feed it a current curriculum, it converted it to a functional, aesthetic pathway with image/gif Qs, instructor dashboard, and leaderboard 🤯
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RT @jasonryanmd: Another great video from @jbcarmody: The Research Arms Race in Residency Selection. It’s crazy the pressure we place on st….
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Outstanding work that shows immense scientific fraud. “For instance, of the 79 papers that one editor had handled at PLOS ONE, 49 have been retracted” HOW are journals not catching this?!. #research #AcademicPublishing #MedTwitter . 🔗 👇.
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It’s time that we in #meded ask ourselves if churning out pubs is educationally beneficial for medical students, or if we can reshape the system to reward a focus on quality rather than quantity
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