Here it starts -
@SHNcares
and
@uoftmedicine
with a co-production.
THE SCARBOROUGH ACADEMY OF MEDICINE is here
and this is the director - Dr. Caroline Chan from emergency medicine
<MORE TO COME THIS WEEK>
If you want to study medicine come to THE ENDS
@Scarboroughspot
Congratulations to Dr. Caroline Chan on being appointed the first academy director of the Scarborough Academy of Medicine, a joint announcement by
@Samir_Grover
, Executive Vice President of Education at SHN, and Dr. Marcus Law, Associate Dean of the
@uoftmedicine
program at
@UofT
@StephenKing
and then the first time you use it after it turns blue, your teeth turn blue, then your whole body turns blue and it turns out that the toothbrush was a relic from some wizard from the Smurf kingdom trying to recreate that race and this is why I'll never write like you.
How to be an excellent clinical teacher in medicine. Tweetorial.
Just my thoughts during a 15 year career as a teacher, with some dabbling in
#MedEd
research.
Some GI themes but applicable to all I hope.
#GITwitter
#MedTwitter
@DGlaucomflecken
Listen
The bigger issue is your GI character.
You have sooooo much material to work with in GI. There is no more funny specialty than GI.
And well the GI content to date has been, well, sparce.
Not the voluminous, frequent, urgent, mucousy content it could be.
Thank you.
(1/n) Today my colleague Dr. Norman Marcon, a giant in gastroenterology and endoscopy in Canada retired. This is a brief tweetorial about who he is, his career, and the contributions that he made to gastroenterology, and particularly endoscopic education.
My career has been based around studying the ways we teach endoscopy. Was particularly stoked to get this in the mail today. I'm delighted to be recognized by
@ASGEendoscopy
as a fellow.
Today a white colleague was explaining to a group how his IBD patients are ethnic and unsophisticated ... and then trying to flex on how he practices in Rexdale and that his patients are too poor for social media. I got shut down by him.
He's viewed as a regional expert in
#IBD
.
Today my colleague Dr. Gabor Kandel was inducted as part of a prestigious group - the
@UofT_DoM
Academy of Master Clinicians, recognizing his physicianship and excellence in patient care.
But few know who he is.
I wanted to let you know about this amazing man.
#gitwitter
1. Be an expert AND know what you don't know
Read, experience, practice, simulate, reflect. See what is happening to pts. Learn from sources that work for you - conferences, social media, UTD
Most importantly, know what you don't know - seek experts for your pts in those areas.
Proud to be appointed as a Fellow of
@CanGastroAssn
, not only a fantastic GI specialty society, but a classy organization with terrific leadership. Thanks for inviting me to participate in so many of your excellent activities.
@MdWaschke
@LesleyCAG
@NicolaJGI
#louisliu
My friend Rob Sargeant died. Others have posted on his mentorship, authenticity, and love for medicine.
I loved him for how he was always game for every stupid idea I had over the past 20 yrs at Mike's
@UnityHealthTO
.
I'm sad for his family. RIP Sarge.
1/n My friend and colleague
@BilalMohammadMD
tweeted recently about how to write personal letters for residency. This is my personal opinion. I note that I'm the PD for the Toronto GI program, which has a process described on the CaRMS website - applicants should follow that.
I've completed my favourite job of all time - residency program director
@UofTGastroHep
@UofT_DoM
.
I'm grateful for the opportunity to have been involved in the education of so many future colleagues.
This is why I think residency/fellowship director is the best job.
Toronto is deluged with
#COVID
now and this is the first time I'm attending on the GI service during the third wave.
Some observations from the GI lens:
1/4
5. Call families yourself when if your patient gets sick or has a change in disposition or crashes and they can't talk to them. Give updates. Do it in a timely fashion.
They are worried.
They want to hear from the doctor.
That's you.
We are pleased to welcome
@UofTGastroHep
University of Toronto's PGY4 gastroenterology residents and clinical fellows for 2022 start:
Dr. Abdulaziz Alkahtani
Dr. Bader Alnafisi
Dr. Fares Almeshal
Dr. Maya Deeb
Dr. Youstina Hanna
Dr. Rishad Khan
Dr. Russell Yanofsky
14. Finally be thankful
We are in a unique situation where we do the most rewarding things in the world - to help, advocate, and educate - every day.
And get paid by society to be able to live a good life.
Ignore the peccadilloes.
Be thankful we get to do this. /end for now
4.1 Really go the extra mile
We have so much power as physicians to do good. Little things make a huge difference. You can put a smile on a pt's face with a silly joke.
And sometimes you can make life-changing diagnoses by working and thinking hard.
The Buck Stops Here.
3. Be kind
Pts are sick and feel like crap sometimes. NO ONE likes to wait - I hate waiting. Pts and families will often be scared or not in the best of moods. It comes with the territory. It is almost always not personal even though it may feel like it is.
Be kind.
6. Be good to colleagues and juniors
Treat everyone with respect. Especially the nurses and the staff you work with daily. You are all working together for the same goals - making health better.
There are precious few more noble teams.
➡️No harsh words
➡️No making fun of anyone
➡️Questions will be asked and it's ok to not know the answers
➡️I admit when I don't know
➡️It's ok to use devices to look stuff up in rounds
➡️It's ok to question me
➡️+ feedback often with others
➡️- feedback small groups or in private
#InternationalWomensDay
This is my mom - a proud 🇨🇦 who retrained from a PhD in Chemistry @ the Sorbonne into library sci in her 40s & catalogued Canada's most precious artifacts for 30 yrs.
And a proud Muslim woman who taught me that the answer is understanding & never hate.
MY NEW CLINICAL TEAM!!!!
#GITwitter
Please allow us to introduce ourselves.
(our name is:)
The Division of Gastroenterology at
@SHNcares
.
Much love from Scarborough.
2.0.
@SHNFoundation
A historical post for applicants to medical school
#medtwitter
#medicalstudent
I work with a lot of students in med school or applying to med school, and this amazed them today so I thought I would share here.
I applied to med school in Canada in 1996.
This is how we did it.
Celebrating a LEGEND at the time of his well-deserved retirement. Ernesto Cahanding, the voice of
@StMikesHospital
locating. Since Mar 28, 1989 the friendly voice of "Locating, Ernee speaking" has been a soothing reassurance that anything & anyone can be found at SMH when needed.
@rishibansalMD
8. Support patients during their special times - weddings, kids. They'll appreciate it.
Don't go to funerals.
This is tough because you may want to. Peter Kopplin taught me this. Families remember the doctor as part of sad times/illness.
They want to remember the happy times.
@rishibansalMD
9. Send handwritten notes on occasion. And send Christmas gifts.
To the nurses and admins.
To referring docs who you appreciate.
A letter to colleagues who achieve a special landmark.
Flowers for funerals.
It is so special to get something like this.
2. Be available
It is a hard balance and I've struggled with this. I try hard to be available when patients are sick. It may mess things up a bit for your life. Balance being available & not being a martyr.
Institutions that make systems that support sick pts should be lauded.
@iPreetBrar
Don't read the comments.
@CBC
should delete the comment sections on their website. Every page that contains someone of colour ends up being invaded by an army of racists duking it out in the comments to see who can be the most hateful.
Sorry you have to deal with this.
The University of Toronto Division of Gastroenterology and Hepatology
@UofTGastroHep
is pleased to announce its GI residency and core fellowship class for 2024 start.
Congratulations and looking forward to working with you!
@madhurarrao
@drpiyushkr
Sorry v. Irritating
I quite like answering jibberish to dumb questions
Where are you from... Downtown
Which caste... Why all of them of course
Why didn't you marry a Desi girl... I thought I did? Guess I was hoodwinked
Why didn't you do cardiology... I finished last in my class
@rishibansalMD
10. It's ok to laugh and to cry
Medicine is happy a lot and sad a lot.
It's ok to show emotions.
I laugh all the time. And cry sometimes.
We're sending out our residency interview invitations for
@UofTGastro
tomorrow. Interview date is Friday September 25, 2020.
These tweets are for those who do not get interviews.
I've tweeted about this before, but man I hate hate writing letters to those who don't rank.
(1/n)
Looking forward to working with the Journal of the Canadian Association of Gastroenterology as its inaugural Social Media Editor!
@CanGastroAssn
@OUPMedicine
Congratulations to
@Samir_Grover
on his appointment as Social Media Editor for JCAG - Journal of the Canadian Association of Gastroenterology! An important step forward for the official journal of
@CanGastroAssn
!
#jcag
@OUPMedicine
@drkeithsiau
I'll add a little about TS Cullen, Canadian Gynecologic Surgeon and the pride of Actinolite, Ontario.
Trained
@uoftmedicine
,
@JohnsHopkins
and University of Gottigen, Cullen first described umbilical discoloration in ectopic pregnancy.
So here we are making a 3D printed colonic phantom at the library printer for a polypectomy simulation course we are running for our incoming fellows.
And the library kicks my student out because they think we are making a sex toy.
I can sort of see why lol.
#gitwitter
#meded
Oh no! Arterial bleeding! But better to practice hemostasis techniques for the first time in the sim lab rather than in the clinical setting!
#GITwitter
#MedEd
7. Learn from your learners
You teach them but man you can learn so much from them too.
Learners will have different values and that's cool. I'm end-Gen X and never understood millennial culture... but then I waited and I fit in so well with Gen Z
@rishibansalMD
.
12. Work-life balance is critical
My wife taught me this.
It makes you happier.
It makes you a better doctor.
No one will look out for you more than yourself. It's not a cliche. It is super real.
Find a way to do it e.g. I budget the time off in my calendar.
The University of Toronto Division of Gastroenterology and Hepatology
@UofTGastroHep
announces its incoming Chief Residents for 2022/23 - Dr. Sulaiman Alamro (
@SmAlamro
) and Dr. Chandni Pattni (
@CPattniMD
). Congratulations!
#GITwitter
My take:
If you focus on one project & write a paper: awesome.
If you want to explore research & get abstracts: awesome.
If you like clinical medicine & don't do research: also awesome.
Be authentic. Don't do research just for the CV. Explore your true interests.
#GITwitter
Congrats to all the
#DDW2023
abstracts.
Pro tip for fellowship applicants; 1 good paper is more important on your resume than 20 posters that never leave Chicago 😉
@DDWMeeting
St. Michael's Hospital
@UnityHealthTO
is recruiting an advanced endoscopist with interest in HPB.
Why should you work here?
✅One of Canada's foremost GI divisions
✅Challenging cases from a huge referral base
✅Excellent endoscopic multidisciplinary team
4. Go the extra mile
One of my friends in 2008 when I was shocked I wasn't getting a job I was promised, took me on a road trip of America to reflect.
He told me Harry Truman had a "The Buck Stops Here" sign on his desk. Of course I had to get it from Independence MO.
@DFisman
It came to a head in endoscopy too where we were struggling to decide on PPE:
You'll recall a year ago we were delighted to get your opinion (over suggested ID consultants) for a GI journal club. This was why.
You may have saved St. Mike's an outbreak.
Decisions were made to not use N95s in endoscopy in 2020 on the basis of now-disputed opinions like this: written by Ontario MDs, with only empiricism at their disposal, and disregard of the precautionary principle.
@tsewingman
@jmosko29
@mjbeyak
@JeffMcCurdy4
2. Challenge learners appropriately
There is this education theory I love called
#challengepointheory
- learning is optimized when the difficulty of a task is matched in a sort of Goldilocks zone.
Too easy - they know it, not much gain
Too hard - then can't even tackle it
12.1 The dude who does this is my colleague Jeff Baker.
Tells me to work less, gets in later, leaves earlier.
But it paid off.
he has the NEJM article not me. He's in better shape at 30 yrs older. His pts are as well taken care of as mine.
It's ok to put your feet up.
Entry GI trainees have questions about their new career
Should I do a subspecialty? What is QI? What do endo nurses do? Should I do a PhD?
In order to help our trainees answer these questions,
@UofTGastroHep
made a relevant orientation video
#GITwitter
In order to plan for our webinar/Q&A on applying to GI, I've been reading/watching a lot about match advice.
In EVERY TALK it came up that PDs assess to see if applicants "fit" into their training program.
This is a tweetorial (rant) on why I couldn't care less about "fit".
In this commentary in
@LancetGastroHep
we incorporating AI into endoscopy training and a change framework for trainers. The area changes so rapidly, so I would be view this piece as a nice primer into what trainers should be aware of and what they can do now.
@CatharineMWalsh
WTAF is this guy doing?
A program director posting innumerable transcripts from residency applications pulled from ERAS publicly online.
And then says he de-identified them himself .... so it's cool???
Hey this is VERY problematic
@AAMCtoday
@onebklynhealth
@OBHBrookdaleIM
My friend and colleague
@zanegallinger
is one of the finest gastroenterologists in Toronto.
He has bailed me out of tough situations.
He is a valued and trusted educator.
He transformed our rotation at
@SinaiHealth
into gold.
I love the dude so much.
Optical diagnosis has become a critical part of management of polyps.
We have developed PRIME - a tool to improve your colon polyp diagnosis and management skills.
>100 cases
22.5 AMA PRA 1 CME / 67.5 RCPSC Section 3 credits
#GITwitter
@RobertBechara
This is a thread to illustrate triage of outpatient (but still important) patient care in Ontario as a result of the
#COVID
pandemic.
My colleagues
@ShadyAshamalla
and
@HalletJulie
among others have spoken about this regarding surgery. This is my gastroenterology take.
So "Curious George Goes to the Hospital" may have influenced me going into my GI career.
My copy was one of the best gifts I've ever received as a gastroenterologist.
I now keep it in my office for patients to read.
Here's how it rolls (SPOILER ALERT).
@rishibansalMD
@Royal_College
@KashPrime
@laura_targownik
11.1 You can do so much more with a degree, systems, connections, other education, talent stacking, & tech we have now.
Especially if you are young and have energy - flex your brain as much as you can.
The impacts on health may exponentially ++ more than just ind'l encounters.
I've met very few people that (1) are super smart AND (2) have hearts of gold. Usually it's one or the other.
@laura_targownik
is one of the few who is both
Give her a follow if you are interested in
#ibd
#gitwitter
.
Come to
@UofTGastroHep
if you want the best boss possible.
My friend
@BilalMohammadMD
recently posted on how to convert abstracts into manuscripts.
Many academics offered great advice and described the pitfalls of having an abstract-heavy CV.
This is a contrarian thread on why I think abstracts are THE BEST.
#MedTwitter
&
#GITwitter
- I am giving a talk to Fellows & Residents on “How to convert abstracts into manuscripts”.
I always thought a good abstract to manuscript converstion rate was approx 60-70%.
Need your help Twitterverse - will ackowledge your tips 🙏😁
Great week on the GI service at Mike's. Spectacular team, great colleagues, made a difference in tricky cases, and it was a shockingly unbusy Friday ... so we got to shoot some 21 on the mini hoop with Paul Kortan.
@SamSeleq
(Also in unrelated news, I tore my quadriceps.)
Inspired by the enthusiasm of this series of posts, this is my cynical take on how the letter of reference system for residency/fellowships is suboptimal.
Points in no particular order.
#GITwitter
#MedTwitter
#MedEd
1/10 📝 Applying for a
#GIFellowship
? Letters of Recommendation (
#LORs
) can make a significant impact on your application. Here are some tips on how to request them.
#GITwitter
A message from the world's third most famous ophthalmologist to the incoming gastroenterology residents and fellows at the University of Toronto
@DGlaucomflecken
Welcome to the team!!
Such a warm welcome message from the third famous Ophthalmologist
@DGlaucomflecken
.
Thank you for the joy and laughs you brought to medicine in twitter.
Love
@ASGEendoscopy
's first year fellows
#FYF
course. Everyone has so much fun. The skill gain at the end is massive for the trainees...
The IT&T is a gorgeous facility.
And seeing old friends is a huge bonus!
Are you curious about
@UofTGastroHep
's residency program in gastroenterology? Thinking about applying?
We have a Q&A with Division Chief, Education Directors, and Chief Residents.
Tue May 3, 2022 @ 7 PM EDT
On Zoom and Twitch - registration details in image below.
#gitwitter
1. Safe learning environments
Man this is critical.
I'll use my consult rounds as an example. Everyone seated. I make sure schedule is cleared - nothing lingering. I don't lead - the senior-most house staff leads the rounds.
The environment should be fun and positive.
Hot take in this LTE on
@BrooksFallis
and
@OslerHealth
.
Engaging on social media =/= ineffectiveness in leadership.
eg my hospital's champion is
@IrfanDhalla
who is active in advocacy on social media... and also is a spectacular hospital leader.
#thankyoubrooksfallis
1. as many said before, I've never seen such a young population in the hospital (multiple 90s and 00s DOBs!)
2. many requests for feeding tubes on people recovering from
#COVID
3. lots of GI bleeding from anticoagulation from VTE in COVID patients.
2/4
Decisions were made to not use N95s in endoscopy in 2020 on the basis of now-disputed opinions like this: written by Ontario MDs, with only empiricism at their disposal, and disregard of the precautionary principle.
@tsewingman
@jmosko29
@mjbeyak
@JeffMcCurdy4
My reasons for supporting
#COVIDZero
are very selfish as a health care provider.
My wife and I both see sick patients in large hospitals.
We really don't want to die.
I have these pts - phenotype is mainly S Asian, husband & wife, come together for appointments when the kids have left the home.
They make an outing out of it.
As a S Asian GI in Toronto, a lot of them see me.
.
The saddest thing in the world is when one day they come alone.
Wanted to send some special thanks to
@ptandonGI
- in addition to being an excellent clinician & scientist - he's flexed his educational muscles this week in teaching endoscopy & in creating unique GI educational events. We're super lucky to have him in the fold at
@UofTGastroHep
Making some simulated polyps for our custom low-cost polypectomy simulator ... All Paris morphologies, granular and non-granular LSTs, and trialing an EMR mechanical simulator. No animal parts. All 3D printed.
#GITwitter