Very sad to have missed this course by just a year, but excited for many more @VUmedicine students to learn about reasoning and epistemology from such excellent teachers!

Grateful to have been able to be a part of this panel and, even more, to have learned from @WesElyMD, @Prof_EPatterson , @ProjectReturnTN about how both to affirm dignity and provide care attuned to the structural harms our incarcerated patients live through.

So excited to be joining this class at @BIDMC_IM! Cannot wait to meet everyone here in just a few short months!

I’m thankful to have learned so much medicine at a place like @shadetreeclinic where we are able to completely eliminate cost-sharing for our patients. But as I look forward to residency & a panel of primary care patients, keeping lessons from this paper in mind will be critical.

And it also seems important for the way we frame discussions about medications and their benefits to patients. What are the best ways to communicate "relative value" to our patients in our shared decision-making conversations? @kaustavshah

Knowing that many patients may cut back on some of their most high-value medications (and some may not fill *any*) in response to cost-sharing increases just emphasizes our need to make cost conversations with patients routine.

I really struggled with this paper's methods, and so am really grateful for @onceuponA's summary. Such important work––not just for policymakers, but also clinicians, in part due to the findings of *how* patients cut back on *which* medications in response to cost-sharing.

via @NYTimes “What we see is a part of the country that has been neglected by the change of an industry, and nothing came behind it,” said Jim King [….] “And it seemed that no one noticed or cared outside of our region.”

Thrilled to have been able to learn from the inimitable @sarahkliff in our @VUmedicine health policy course today. In medical training, we need to learn more about the ways our patients actually experience care, which is the focus of her powerful & startling reporting, like this:

"Mine was the sin of misunderstanding, of thinking that a clinical trial was the point of the story."

Insightful thread on “warm curiosity” as an orientation towards patients and their loved ones

This is a really thoughtful thread that grapples with uncertainty and with patients’ experience of pain—in all I want to keep these reflections in mind for this next year as an intern (and well beyond!)

Knowing how to respond to our patients’ #SDOH is critical to providing care that will actually be beneficial. #MedEd needs to reframe and center social medicine training as skills-building, not just as add-on content for discussion groups or stand-alone lectures.

When I was a resident, Dr. Goldfrank would ask us the same question on every patient we saw: "What is the lesion in the healthcare system that brought this patient to us today?" It was a challenge to look deeper into the root cause of emergencies

A vital thread. By relying on “race-neutral” policy decisions, we, at best, fail to take disparities seriously, and at worst (which is often) exacerbate existing inequities.

Join us Thursday 6/4 at noon CT for a panel on racism, health and health care - where do we go from here?. So thrilled that @CRMHVanderbilt @JonathanMetzl @morespirit @VUmedicine could participate in this timely discussion. https://t.co/XBSPYaTFB4

Delighted to see @JAMA_current devoting an entire issue to A Piece of My Mind, and including “To Isaiah,” by @donberwick. I keep it on a bulletin board above my desk and re-read it nearly monthly as a reminder of the duties our society requires of us. https://t.co/xtQOGiEMiU

That’s a tall order, but it’s ultimately why I’m so humbled to be on this path.

The basic premise of the book: The phrase “medicine is an art and a science” misses the mark. It’s neither, but instead a form of practical reasoning. The task is to abstract general knowledge to the particulars of an individual person, filtered through social meanings.

"Cause––in medicine and out––is seldom simple or linear." Inspired by @AdamRodmanMD to read Kathryn Montgomery’s incredible book How Doctors Think, and now inspired and challenged to think more about the nature of “how we know” as I continue my training.