8/7/2019 MDchat Transcript for March 1, 2011

1/6

#MDchat

Healthcare Hashtag Twitter Transcript

From: Tue Mar 01 18:00:00 PST 2011

To: Tue Mar 01 19:04:00 PST 2011

Customize transcript dates and layout

Learn more about #MDchat at The Healthcare Hashtag Project

MD_Chat Hello hello, and welcome to #MDchat everybody! If you're new, just know we don'tbite - jo in or watch. So, let's start with introductions!Tue Mar 1 18:00:08 PST 2011

RichmondDoc Hi, everyone. Mark, family doc in #RVA, contributor to smhcop.wordpress.com,believer in social media as a way to better healthcare #mdchatTue Mar 1 18:01:11 PST 2011

peds_id_doc @doctorpreneur welcome to #mdchat Peds ID Fellow - originally from Cambridge,now in Syracuse NY. Nice to see another Limey here :-)Tue Mar 1 18:01:19 PST 2011

FMDChat Join us for Live Fibromuscular Dysplasia (FMD) Twitter Chat Scheduled forThursday, March 3, 7pm CST #FMDChat#RNChat#MDChatTue Mar 1 18:01:41 PST 2011

doctorpreneur @peds_id_doc Nice Bio: "You've got the bugs, we've got the drugs" #MDchat#MDchatTue Mar 1 18:03:06 PST 2011

nadimmahmud Hello! Nadim, cofounder of @medic and 3rd year med student at Stanford #MDchatTue Mar 1 18:03:41 PST 2011

peds_id_doc @doctorpreneur#mdchat Tue Mar 1 18:03:45 PST 2011

MD_chat Good evening everyone! Nice to see! #mdchatTue Mar 1 18:05:08 PST 2011

doctorpreneur @nadimmahmud@medic Medic Mobile looks interesting - are you texts or apps?#MDchatTue Mar 1 18:05:18 PST 2011

MD_Chat OK, we'll start in a minute. We have two topics tonight, h/t @DaphneLeigh Batter upin a few seconds! Good luck! #MDchatTue Mar 1 18:06:18 PST 2011

8/7/2019 MDchat Transcript for March 1, 2011

2/6

peds_id_doc #mdchat so who read the "auscultation" link? Thoughts on the Harvard approach, orthe patient's impressions...?Tue Mar 1 18:06:20 PST 2011

MD_chat T1 Patient or Art Model? See http://nyti.ms/gTGAVd Do medical schools/residenciesfoster the best kind of listening skills? #MDchatTue Mar 1 18:06:52 PST 2011

nadimmahmud @doctorpreneur mostly SMS but also EMR software and other tools. Expanding toapps in the US :) #MDchatTue Mar 1 18:07:26 PST 2011

apjonas #mdchat Hi Pat Jonas, MD Hol istic Family Physician, OhioTue Mar 1 18:08:52 PST 2011

nadimmahmud @peds_id_doc so important to hear the patient perspective- it's easy to get lost in themedicine and forget the big p icture #MDchatTue Mar 1 18:09:47 PST 2011

MD_Chat @apjonas Hi Pat. Welcome, we're discussing http://bit.ly/hwqQBr#mdchatTue Mar 1 18:10:10 PST 2011

peds_id_doc #mdchat my impression is that this approach is long overdue. Would like to see morearticles from pt perspective shared wi th studentsTue Mar 1 18:11:03 PST 2011

doctorpreneur Enjoyed the article: http://bit.ly/hwqQBr teaching docs could have made patient feelmore comfortable&encouraged students to do same #MDchatTue Mar 1 18:11:30 PST 2011

drseisenberg Steven. Heme/Onc #MDchatTue Mar 1 18:12:05 PST 2011

peds_id_doc @doctorpreneur#mdchat this is part of the teaching tho...will make them betterhopefully before they have to truly see pts on the wardsTue Mar 1 18:13:02 PST 2011

RichmondDoc Sorry--just read the article (briefly). Good points throughout. Connecting w/ pts in ahuman way is critical for care. #mdchatTue Mar 1 18:13:19 PST 2011

RichmondDoc T1 Each school has its own way of teaching listening skills; suspect some are betterthan others. We use standardized pts, ... #mdchatTue Mar 1 18:14:14 PST 2011

doctorpreneur @peds_id_doc Difficulty with this example is that the patient they *learnt* on *WAS*a *real* patient too! #MDchatTue Mar 1 18:14:42 PST 2011

apjonas #mdchat Residencies in family medicine do foster advanced listening skills. All havean opportunity to become whole enough to begin to helpTue Mar 1 18:14:44 PST 2011

8/7/2019 MDchat Transcript for March 1, 2011

3/6

RichmondDoc T1 ... small-group and one-on-one mentoring. But the human connection in medicinemay fall behind the need to accumulate data. #mdchatTue Mar 1 18:15:00 PST 2011

nadimmahmud Most med schools have classes to focus on patient-physician interaction, butawkward scenarios as described in article very common #MDchatTue Mar 1 18:15:15 PST 2011

apjonas#mdchat As Gladwell wrote in Outliers, it takes 12-15 yrs 2 B proficient in aprofession. The new ears of a med student advance thru tngTue Mar 1 18:16:20 PST 2011

peds_id_doc @doctorpreneur#mdchat - true, but one just there to teach, not to be treated. Theyobviously had great insight into the whole topic.Tue Mar 1 18:16:22 PST 2011

RichmondDoc @peds_id_doc Eastern VA Medical School uses standardized pts--and videotapesthe encounters for students to learn. #mdchatTue Mar 1 18:16:49 PST 2011

peds_id_doc @RichmondDoc@doctorpreneur#mdchat me too - even if student not in room at thetime. Pts often amused at the fact they can help teach.Tue Mar 1 18:17:57 PST 2011

RichmondDoc T1 So much of how we interact w/ patients is learned from mentors. Good mentors:good listeners. Bad mentors... #mdchatTue Mar 1 18:18:30 PST 2011

peds_id_doc @RichmondDoc#mdchat ideally students use SPs, videos, and instant re-runs tocorrect mistakes. Just like learning any another skillTue Mar 1 18:19:03 PST 2011

nadimmahmud SPs were good for me, but transition to pseudo SPs w/ findings and training weremost valuable b4 going onto wards #MDchatTue Mar 1 18:19:25 PST 2011

BloodCME Perioperative hemostasis, #hematologic malignancies, #hemophilia and other bloodfactor d isorders #MDchathttp://bitly.com/hfSm1MTue Mar 1 18:20:05 PST 2011

peds_id_doc @RichmondDoc#mdchat is you attending "a great listener" to "builds rapport easily"or...Tue Mar 1 18:20:18 PST 2011

peds_id_doc @RichmondDoc#mdchat someone who uses active listening, repetition, relaxedbody language, eye contact, validation, acknowledgement...Tue Mar 1 18:21:03 PST 2011

peds_id_doc #mdchat - wow -way too many typos tonight. Either not enough coffee or way toomuch... :-STue Mar 1 18:21:55 PST 2011

MD_chat @peds_id_doc :0 #mdchatTue Mar 1 18:22:16 PST 2011

8/7/2019 MDchat Transcript for March 1, 2011

4/6

MD_chat @peds_id_doc that was supposed to be ;) #mdchatTue Mar 1 18:22:45 PST 2011

peds_id_doc @MD_Chat#mdchat an i ronic typo in response to typos...cute ;-)Tue Mar 1 18:24:19 PST 2011

s_eller T1 lurking here, we use SPs w/simulation to train med students in

communication/listening video debriefing & feedback from SP #mdchatTue Mar 1 18:24:23 PST 2011

drseisenberg Med students can learn that real listening is not just planning what to say next andwaiting for your turn to talk. #MDchatTue Mar 1 18:24:37 PST 2011

peds_id_doc @drseisenberg#mdchat awesome point about "waiting your turn to talk". So, so true.Tue Mar 1 18:26:03 PST 2011

peds_id_doc @s_eller#mdchat our program used to use delayed feedback - in the mail, days

later. Fraking useless.Tue Mar 1 18:26:45 PST 2011

apjonas #mdchat All five senses involved in listening. Once stud is MD in work world, differentlistening needed w/upgrade of use of 5 senses +EARSTue Mar 1 18:27:36 PST 2011

RichmondDoc @peds_id_doc@s_eller On-the spot feedback is key. Constructive review of howyou did, right after you did it, is much stronger. #mdchatTue Mar 1 18:28:13 PST 2011

peds_id_doc @RichmondDoc@s_eller#mdchat some programs need that pointed out to themtho...use SPs to teach, not to assessTue Mar 1 18:28:58 PST 2011

RichmondDoc T1 2 truisms I use a lot: 90% of your diagnosis comes from the history; emphasizesthe need for listening. #mdchatTue Mar 1 18:31:07 PST 2011

s_eller @RichmondDoc@peds_id_doc - agree real time constructive feedback is key#mdchatTue Mar 1 18:31:19 PST 2011

RichmondDoc T1 similarly: If you let patients speak, they will tell you what you need to know. Again:important to listen. #mdchatTue Mar 1 18:31:37 PST 2011

peds_id_doc @a_singledrop@astupple#mdchat many teachers do not think listening or othercomm skills can be taught though :-/Tue Mar 1 18:34:16 PST 2011

jsequoia #MDchat has any one here set up a practice before?Tue Mar 1 18:34:49 PST 2011

8/7/2019 MDchat Transcript for March 1, 2011

5/6

RichmondDoc T1 for us, our Foundations of Clinical Medicine uses small groups, SPs and clinicalpreceptorships to teach listening/exam skills. #mdchatTue Mar 1 18:34:53 PST 2011

astupple @peds_id_doc: @a_singledrop@astupple But, we can teach acting... #mdchatmany teachers do not think listening, comm skills can be taughtTue Mar 1 18:36:25 PST 2011

MD_chat T2 Physician Self-Branding: What are your feelings about branding yourself, or about

others who brand? Good? Bad? Neutral? #MDchatTue Mar 1 18:36:38 PST 2011

RichmondDoc T2 Not fond of branding myself, though I know those in private practice need toestablish their brand to stay in business. #mdchatTue Mar 1 18:38:09 PST 2011

RichmondDoc T2 I would like to think that good docs earn their reputation by hard work, positiveword of mouth, and good patient outcomes. #mdchatTue Mar 1 18:39:50 PST 2011

RichmondDoc@MD_Chat T2 So: maybe neutral/unfavorable. I think it can go too far: some celebritydoctors are excessive in my opinion. #mdchatTue Mar 1 18:40:31 PST 2011

peds_id_doc @a_singledrop@astupple#mdchat all our students knew importance of open-ended Qs. In clinical exams very rarely used them right.Tue Mar 1 18:46:37 PST 2011

a_singledrop @peds_id_doc@astupple I am grateful that I have professors willing & able todevote their time to teaching us this critical skill. #mdchatTue Mar 1 18:46:59 PST 2011

peds_id_doc #mdchat T2 I branded. Myself as the local comm skills guy :-) never claimed to be thebest communicator, only the most vocal about it.Tue Mar 1 18:49:22 PST 2011

peds_id_doc @RichmondDoc#mdchat T2 I think branding is as much finding your niche as muchas anything else. Sometimes it just sorta comes along.Tue Mar 1 18:53:11 PST 2011

Kind4Kids #mdchat For a clinical-educator-researcher, perhaps "branding" can meandeveloping an area of inquiry/study... clinical #meded or otherTue Mar 1 18:54:10 PST 2011

a_singledrop T2 from my exp in social media, branding is your accumulated reputation-it builds upfrom your actions regardless of your intentions #mdchatTue Mar 1 18:54:29 PST 2011

MD_chat @RichmondDoc Good point. "Earned" brand, versus Paid or Manufactured.@peds_id_doc#mdchatTue Mar 1 18:54:34 PST 2011

cassiegangeri #MDchat follow @BloodCME for the latest blood related continuing education andnews article updatesTue Mar 1 18:54:49 PST 2011

8/7/2019 MDchat Transcript for March 1, 2011

6/6

a_singledrop @MD_chat@RichmondDoc#mdchat Agreed - the "earned" brand is always moreauthentic than the "manufactured" #mdchatTue Mar 1 18:55:14 PST 2011

peds_id_doc @a_singledrop#mdchat t2 I think so too, but after a while there is enoughmomentum to keep it rolling wi th a few nudges...Tue Mar 1 18:55:16 PST 2011

peds_id_doc @a_singledrop#mdchat T2 I went from "nice guy" to "resident teaching award" to"teaching innovator" - radio and advisory board followed :-)Tue Mar 1 18:56:31 PST 2011

RichmondDoc @a_singledrop@MD_chat@peds_id_doc Actions speak louder than words. Thereputation you earn by hard work/diligence is priceless. #mdchatTue Mar 1 18:57:14 PST 2011

peds_id_doc #mdchat t2 I could have said "no" to radio interview and advisory board, butrecognized the value of the momentum. Grand Rounds next week!Tue Mar 1 18:58:02 PST 2011

RichmondDoc @peds_id_doc From wandering along w/ these chats; I have 4 different social mediatalks--national conferences, regional stuff, etc. #mdchatTue Mar 1 18:59:24 PST 2011

MDPartner Popped in at the end to read an interesting #MDchat. Note to self: make time toparticipate next week.Tue Mar 1 18:59:40 PST 2011

a_singledrop .@RichmondDoc@MD_chat True. At the end of the day, I follow-through with mypassions and that seems to work out just as well #mdchatTue Mar 1 18:59:44 PST 2011

peds_id_doc #mdchat my pearl for the chat - comm skills are inherent to patient-centered care,and needed for 21st century medicine. teach them. #jfdiTue Mar 1 19:01:15 PST 2011

RichmondDoc FT: The best reputation is being a caring, patient-focused, competent physician.Listen, communicate, and care. #mdchatTue Mar 1 19:01:35 PST 2011

RyanMadanickMD #mdchat wishin I had known about it ahead of timeTue Mar 1 19:02:00 PST 2011

a_singledrop FT: I really wish that I took out the time to join #mdchat more often! Thanks everyonefor the lovely discussion!Tue Mar 1 19:02:47 PST 2011

RyanMadanickMD @Kind4Kids#mdchat ur probably right, this may be the way that academics whofocus on #meded but still do research can do wellTue Mar 1 19:03:52 PST 2011