.@LSchuttner, @roslandam & team found that #PCPs perceive patient values, priorities & goals influence clinical decisions for patients with multimorbidity, but rarely discuss patient preferences directly in medical visits. More here 👉 https://t.co/4XZtv3Ataf

Latest piece on medical home models - better chronic disease care with greater implementation in patients with multiple chronic diseases. Thanks to co-author team, @reddya_ @EsWong1 @roslandam Kari Nelson. https://t.co/p1EfuIYGGP @VAResearch @SeaDenCOIN @UWMedicine @JournalGIM

Winter here is slowly giving into Spring. Until Spring is fully sprung, consider reading “Components of the Patient-Centered Medical Home Associated with Perceived Access to Primary Care.” First author @LSchuttner and co-authors S. Fihn and K. Nelson.

The incomparable @choo_ek speaks on sexual harassment + gender inequity @PartnersNews. It's worse in medicine and for women of color + gender minorities, and its ill effects ripple out beyond those directly affected. #genderequity @TIMESUPHC

I also got really excited to see American Girls Dolls now have a Mars engineer set up. This might be totally mixing commercialism and big corporate backers, but at least it's normalizing #WomenInScience! #MakeSpaceForWomen

Extreme heat from climate change could impact over 350 million people if the trajectory continues. Just a hint of the public health crisis looming. #ClimateChange #sgimnw2020

Perceived access to care is a major issue at the #VA! Our new study just out @JGIM relating components of the medical home to access. #primarycare #veterans @UW_DGIM @vahsrd @SeaDenCOIN https://t.co/L0EX9dbhKD

Resident asks not SHOULD, but HOW to complete a bevy of painful, invasive tests for a patient with dementia... #lifegoal of considering pt preferences always first. True for medicine & research...

A few days late...What can we learn from quality improvement efforts when thinking about low value care? Newest pub out with thanks to @marcottl @JoshuaLiaoMD @UW_VSSL

Quality of life matters! Higher physical quality of life for patients with multimorbidity associated with implementation of the medical home model. Our new study just out @JournalGIM https://t.co/8Rw0vviLQU @reddya_ @roslandam @HSREdwin @SeaDenCOIN @UWMedicine

Fascinating and way too detailed for a quick read... but VA docs vs. USCD docs --> mouse clicks over study period ~ 1.7k/user (CPRS) vs 760/user (Epic) Basically, we're all getting carpel tunnel. https://t.co/2cFL0LOlzP

Tails! Calling all multimorbidity researchers, pcps, and geriatricians. Why haven’t we started trying this for our frail elderly?!!

Examining Generalizability of Older Adults’ Preferences for Discussing Cessation of Screening Colonoscopies in Older Adults with Low Health Literacy

I think there’s a connection between value in healthcare and the soul crushing lack of sleep that comes with babies. But I’m too tired to come up with a clever analogy. #academicmama #WomenInMedicine

There needs to be so much more of this in the world.

Feeling pretty similar right now.

Today, at the end of our visit, my patient told me wants to figure out why he gets irrationally angry at flies. (Flies?) What’s the weirdest door handle question you’ve gotten? #primarycare

god these are fantastic. i want to make one that's like "NEWS REPORTER i drive a HONDA i eat RAMEN NOODLES and i like LAX PUBLIC RECORDS LAWS if you don't like it MOVE"

So stoked to be seeing primary care patients again. It’s been two years of fellowship / no continuity and a year of urgent care...

Another good read... Imposter syndrome is the symptom, but inequity is the disease. #WomenInSTEM #equity #WomenInMedicine #AcademicTwitter #MedEd https://t.co/yorF8G3zv3