#TipsForNewDocs On night call, I used to answer: “What's the emergency?" Then, I needed on-call peds for my kid- his first words: “How can I help?" That’s how I respond now. Not being nice won't limit calls, it just makes them unpleasant for all involved. #kittlesonrules

When your kid needs an urgent dentist appointment, who usually makes the calls and adjusts the schedule, appointments, etc.?

A new Annals #InTheClinic discusses the diagnosis and treatment of chronic coronary artery disease (CCAD), the leading cause of death in the United States. https://t.co/GKsbQYv22j #cardiovasculardisease

Meyer argues that the universe’s fine-tuning and the digital code in DNA point to a purposeful intelligence. He challenges materialistic assumptions, urging a re-evaluation of life’s origins through rigorous scientific reasoning.

🫀Dr @MKIttlesonMD joins to share her highlights from the Hot Line and late-breaking data presented at #ESCCongress 2025. 📺 Watch Now 🔗👉 https://t.co/6dOjXl7KHB Trials covered: ✨REBOOT-CNIC: Beta-Blockers after Myocardial Infarction without Reduced Ejection Fraction

Do you omit information from progress notes because patients have access to them?

https://t.co/xlgSPJQLmp Great job, @SimarSBajaj :)

Bargain alert! https://t.co/AgiTRi2Dtd

You are evaluating a patient with newly diagnosed hypertrophic cardiomyopathy. She is adopted with unknown family history and has no siblings or offspring. Do you still send genetic testing?

The 4 Longest Days | JACC

🆕 ACC Scientific Statement on managing #obesity in adults w/ #HF reviews Dx, evaluation, & risk assessment; outlines HF-specific Tx strategies including lifestyle changes, medications, & surgery; & highlights 🔑 evidence gaps & future directions https://t.co/bzSTaSmDJs #JACC

If you (like me) love a bargain, now’s a great time to get a copy :) https://t.co/AgiTRi2Dtd

REBOOT! #458 Heart Failure with Reduced Ejection Fraction 💗 Kittleson Rules Outpatient Heart Failure Volume 1 Listen for the first time or refresh your memory and listen again!! #meded @MKIttlesonMD #medx

Sometimes the right answer is no- Chapter 9, Mastering the Art of Patient Care https://t.co/AgiTRi25DF #kittlesonrules

#TipsForNewDocs I once saw a healthy pt- wanted echo w/dental appt, worried about endocarditis. My attending was the first who talked about anxiety, not the echo. A lesson for me: Take the time, figure out what the pt needs- may be diff from what they want. #kittlesonrules

Shared decision-making is not abdication of medical decision-making- Chapter 9, The Tough Conversations, in Mastering the Art of Patient Care https://t.co/AgiTRi25DF #kittlesonrules

#TipsForNewDocs Discussing treatment options with patients: Bad: Do you want to take a statin? Good: Let’s talk about why I believe a statin is the right option for you. Shared decision-making isn’t a laundry list- it’s a menu curated by medical judgment. #kittlesonrules

Communication is an essential component of consultation-- more in Chapter 6, Mastering the Art of Patient Care. https://t.co/AgiTRi25DF #kittlesonrules

#TipsForNewDocs Pt learns of mass on chest CT when the nurse tells her she's NPO for biopsy. Primary team assumed consult team told pt. Consult team assumed primary team told pt. Lesson: don’t assume. Include “tell the patient” as part of the plan. #kittlesonrules

How do you teach trainees to think independently? Chapter 8, Mastering the Art of Patient Care https://t.co/AgiTRi2Dtd #kittlesonrules

#TipsForNewAttendings Trainees often ask questions like “Do you want increase Lasix today?” My favorite response: “What do YOU want to do?” Encourage them to make the decisions- prepare them for when you’re no longer their safety net! #kittlesonrules

#TipsForNewDocs Before ordering a test, have a plan for a normal, abnormal, or indeterminate result. If this thought experiment demonstrates the test won’t change management, or if you don’t know how to interpret/act upon all possible results, don’t order it. #kittlesonrules