My makeshift podcast set up... certainly no 𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 set up but it works!

…Yes that’s my wife’s vanity mirror I stole for a ring light.

The questionable future of Twitter has me thinking of making an email list…

Anyone have suggestions on an email platform? ConvertKit? Intuit Mailchimp? Others?

My makeshift podcast set up... certainly no 𝙳𝚊𝚟𝚒𝚍 𝙲𝚊𝚗𝚎𝚜 set up but it works!

…Yes that’s my wife’s vanity mirror I stole for a ring light.

Do Peer-to-Peers make you want to punch a peer?

4 tips on how to have a better peer-to-peer experience:

In training. receiving (appropriate) constructive feedback is not fun.

But it is worth it.

If you want to ugly cry in front of your spouse every night, might I suggest going through the show “Call the Midwife” together.
Call the Midwife

In training. receiving (appropriate) constructive feedback is not fun.

But it is worth it.

Today, while checking orientation, I corrected a patient that it was not November.

It is indeed November.

Patient A&Ox3.
Doctor not.

Pop up alerts forcing acknowledgment puts unnecessary liability on doctors.

Doctors may be judged if that case is reviewed in isolation without context of the hundreds of other alerts that occurred that day and the human factor of alert fatigue.

My residency program followed me.

My work here is done.
UAB Department of Medicine

That's a wrap!

If you enjoyed this thread:

1. Follow me Robert Oubre, MD for more of these
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In summary:

1️⃣ Determine Acuity
2️⃣ Triage (who needs YOU right NOW)
3️⃣ Stabilize first
4️⃣ Do something
5️⃣ Stay organized
✨Bonus ✨: Present a PLAN to your supervising doc

✨Bonus Tip✨: Presenting to upper level / supervising doc

Don't just ask, 'What should I do?'

You MUST practice gathering data, making an assessment and coming up with a plan.

THEN present this info / plan to your senior.

This will refine your process + give you confidence.

When you have a lot of tabs open it runs slowly.
Closing the tabs allows it to run faster.

Having a system ➡️ less cognitive load = closing tabs ➡️ clear mind

I'm a fan of pen and paper👇

Tip #5️⃣ Stay organized.

Back to tip #1, things can happen all at once.

Have a system to stay organized so you can come back to lower acuity patients once things calm down.

This system decompresses your cognitive load.

How?

Your brain is like an internet browser....

Doing SOMETHING will give the day team a data point.

Example:

Gave 40mg IV lasix... No response.

Well either that patient needs a higher dose of lasix or its not pulmonary edema.

That is a data point the day team can use to further manage the patient.