#TipsForNewDocs
You too will be a patient one day.
Remember that.
With every word you speak, every look you give and every standard you accept, remember that.
You too will be a patient one day.
Remember that.
With every word you speak, every look you give and every standard you accept, remember that.
December 30, 2024 at 8:23 AM
#TipsForNewDocs
You too will be a patient one day.
Remember that.
With every word you speak, every look you give and every standard you accept, remember that.
You too will be a patient one day.
Remember that.
With every word you speak, every look you give and every standard you accept, remember that.
paging-lingo #TipsForNewDocs
BRB: Bright Red Blood
WTF: Where’s The Fracture
LOL: Lots Of Lidocaine
OMW: Order More Warfarin
LMFAO: Leave My Fentanyl gtt AlOne
ICYMI: Ibuprofen Can Make You Itch
ROTFL: Rocuronium Onset, Then Fiberoptic Laryngoscopy
STFU: Stop The Fluoroquinolone Use
BRB: Bright Red Blood
WTF: Where’s The Fracture
LOL: Lots Of Lidocaine
OMW: Order More Warfarin
LMFAO: Leave My Fentanyl gtt AlOne
ICYMI: Ibuprofen Can Make You Itch
ROTFL: Rocuronium Onset, Then Fiberoptic Laryngoscopy
STFU: Stop The Fluoroquinolone Use
PGY18
July 1, 2025 at 6:36 PM
paging-lingo #TipsForNewDocs
BRB: Bright Red Blood
WTF: Where’s The Fracture
LOL: Lots Of Lidocaine
OMW: Order More Warfarin
LMFAO: Leave My Fentanyl gtt AlOne
ICYMI: Ibuprofen Can Make You Itch
ROTFL: Rocuronium Onset, Then Fiberoptic Laryngoscopy
STFU: Stop The Fluoroquinolone Use
BRB: Bright Red Blood
WTF: Where’s The Fracture
LOL: Lots Of Lidocaine
OMW: Order More Warfarin
LMFAO: Leave My Fentanyl gtt AlOne
ICYMI: Ibuprofen Can Make You Itch
ROTFL: Rocuronium Onset, Then Fiberoptic Laryngoscopy
STFU: Stop The Fluoroquinolone Use
#TipsForNewDocs
I really try to be super nice to nurses, techs etc I work with mostly because why not, makes it better for everyone but also has the added benefits of they help me out, point out when I may have erred, invite to eat at potlucks, and when I have less common requests are happy to help
I really try to be super nice to nurses, techs etc I work with mostly because why not, makes it better for everyone but also has the added benefits of they help me out, point out when I may have erred, invite to eat at potlucks, and when I have less common requests are happy to help
i say thank you to the bus driver when i get on and yell thank you when i get off every day i ride the bus, and i take two buses to and from work, being nice and friendly costs you nothing and should be your default expectation for yourself because it improves your day and everyone else’s day
Being nice to people is just fun. Asked young server at taco place how her day was going (fine but tired) and she asked me back. I said I managed to finish my to-do list and she unexpectedly gave me a high five! Treating people like people is always rewarding.
November 7, 2025 at 6:09 AM
#TipsForNewDocs
I really try to be super nice to nurses, techs etc I work with mostly because why not, makes it better for everyone but also has the added benefits of they help me out, point out when I may have erred, invite to eat at potlucks, and when I have less common requests are happy to help
I really try to be super nice to nurses, techs etc I work with mostly because why not, makes it better for everyone but also has the added benefits of they help me out, point out when I may have erred, invite to eat at potlucks, and when I have less common requests are happy to help
#Nephpearls from @edgarvlermamd.bsky.social
In asymptomatic markedly elevated blood pressure 👇🏻👇🏻
#RPA2025
#hypertension
#TipsForNewDocs
In asymptomatic markedly elevated blood pressure 👇🏻👇🏻
#RPA2025
#hypertension
#TipsForNewDocs
April 6, 2025 at 5:16 PM
#Nephpearls from @edgarvlermamd.bsky.social
In asymptomatic markedly elevated blood pressure 👇🏻👇🏻
#RPA2025
#hypertension
#TipsForNewDocs
In asymptomatic markedly elevated blood pressure 👇🏻👇🏻
#RPA2025
#hypertension
#TipsForNewDocs
#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
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
November 15, 2024 at 12:50 PM
#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
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
New interns,
These are the things to hold on to:
Intellectual curiosity
Humility
Honesty
Comfy shoes
Non-medical friends/support system
Hobbies that make you happy
And to let go of:
Unpacking those moving boxes
Embarrassment of not knowing what is going/saying IDK
Perfection
#TipsForNewDocs
These are the things to hold on to:
Intellectual curiosity
Humility
Honesty
Comfy shoes
Non-medical friends/support system
Hobbies that make you happy
And to let go of:
Unpacking those moving boxes
Embarrassment of not knowing what is going/saying IDK
Perfection
#TipsForNewDocs
June 27, 2025 at 5:32 PM
New interns,
These are the things to hold on to:
Intellectual curiosity
Humility
Honesty
Comfy shoes
Non-medical friends/support system
Hobbies that make you happy
And to let go of:
Unpacking those moving boxes
Embarrassment of not knowing what is going/saying IDK
Perfection
#TipsForNewDocs
These are the things to hold on to:
Intellectual curiosity
Humility
Honesty
Comfy shoes
Non-medical friends/support system
Hobbies that make you happy
And to let go of:
Unpacking those moving boxes
Embarrassment of not knowing what is going/saying IDK
Perfection
#TipsForNewDocs
#tipsfornewdocs do NOT let comms film you towards the end of your botox cycle, you will 100% regret it
December 29, 2024 at 9:26 PM
#tipsfornewdocs do NOT let comms film you towards the end of your botox cycle, you will 100% regret it
Time to share my annual #tipsfornewdocs
There will be colleague who shirks responsibility, hands over shitty jobs, can never be found, and will come to you to arrange an impossible 9-way swap that benefits you in no way all.
If you haven’t found them by September, it’s you.
There will be colleague who shirks responsibility, hands over shitty jobs, can never be found, and will come to you to arrange an impossible 9-way swap that benefits you in no way all.
If you haven’t found them by September, it’s you.
August 1, 2026 at 10:01 AM
Time to share my annual #tipsfornewdocs
There will be colleague who shirks responsibility, hands over shitty jobs, can never be found, and will come to you to arrange an impossible 9-way swap that benefits you in no way all.
If you haven’t found them by September, it’s you.
There will be colleague who shirks responsibility, hands over shitty jobs, can never be found, and will come to you to arrange an impossible 9-way swap that benefits you in no way all.
If you haven’t found them by September, it’s you.
#TipsForNewDocs
-You’re never too important to look it up
-I’m a cardiologist & I still look up the treatment of pericarditis
-I don't treat it a lot & want to ensure I have the duration/taper of NSAIDs right.
-UpToDate = your friend for life
#Medsky
-You’re never too important to look it up
-I’m a cardiologist & I still look up the treatment of pericarditis
-I don't treat it a lot & want to ensure I have the duration/taper of NSAIDs right.
-UpToDate = your friend for life
#Medsky
March 20, 2025 at 12:34 AM
#TipsForNewDocs
-You’re never too important to look it up
-I’m a cardiologist & I still look up the treatment of pericarditis
-I don't treat it a lot & want to ensure I have the duration/taper of NSAIDs right.
-UpToDate = your friend for life
#Medsky
-You’re never too important to look it up
-I’m a cardiologist & I still look up the treatment of pericarditis
-I don't treat it a lot & want to ensure I have the duration/taper of NSAIDs right.
-UpToDate = your friend for life
#Medsky
#tipsfornewdocs
Avoid standing orders. Nurses are busy and deserve to sit down.
Avoid standing orders. Nurses are busy and deserve to sit down.
March 10, 2024 at 2:57 AM
#tipsfornewdocs
Avoid standing orders. Nurses are busy and deserve to sit down.
Avoid standing orders. Nurses are busy and deserve to sit down.
Medical school makes the #doctor, but residency & fellowship makes the #physician.
#tipsfornewdocs
#medsky
#healthcare
@acpimphysicians.bsky.social
#tipsfornewdocs
#medsky
#healthcare
@acpimphysicians.bsky.social
February 25, 2025 at 7:34 AM
Medical school makes the #doctor, but residency & fellowship makes the #physician.
#tipsfornewdocs
#medsky
#healthcare
@acpimphysicians.bsky.social
#tipsfornewdocs
#medsky
#healthcare
@acpimphysicians.bsky.social
#TipsforNewDocs see the patient and evaluate directly
November 24, 2024 at 5:21 PM
#TipsforNewDocs see the patient and evaluate directly
#TipsForNewDocs
Rules of vasoactive agents in shock
1) The right combination is what works (to achieve goals of MAP, CI, filling pressures)
2) When what you're doing isn't working, pivot quickly to a new strategy
Pragmatic, nimble, flexible = success
#kittlesonrules
Rules of vasoactive agents in shock
1) The right combination is what works (to achieve goals of MAP, CI, filling pressures)
2) When what you're doing isn't working, pivot quickly to a new strategy
Pragmatic, nimble, flexible = success
#kittlesonrules
January 6, 2025 at 2:01 PM
#TipsForNewDocs
Rules of vasoactive agents in shock
1) The right combination is what works (to achieve goals of MAP, CI, filling pressures)
2) When what you're doing isn't working, pivot quickly to a new strategy
Pragmatic, nimble, flexible = success
#kittlesonrules
Rules of vasoactive agents in shock
1) The right combination is what works (to achieve goals of MAP, CI, filling pressures)
2) When what you're doing isn't working, pivot quickly to a new strategy
Pragmatic, nimble, flexible = success
#kittlesonrules
#TipsForNewDocs
When I care for seriously ill pts, I say: "If there was something more you could be doing, I would tell you. This is not your fault."
Do your best to relieve the burden of self-recrimination felt by very sick pts and their families.
#kittlesonrules
When I care for seriously ill pts, I say: "If there was something more you could be doing, I would tell you. This is not your fault."
Do your best to relieve the burden of self-recrimination felt by very sick pts and their families.
#kittlesonrules
November 18, 2024 at 6:08 PM
#TipsForNewDocs
When I care for seriously ill pts, I say: "If there was something more you could be doing, I would tell you. This is not your fault."
Do your best to relieve the burden of self-recrimination felt by very sick pts and their families.
#kittlesonrules
When I care for seriously ill pts, I say: "If there was something more you could be doing, I would tell you. This is not your fault."
Do your best to relieve the burden of self-recrimination felt by very sick pts and their families.
#kittlesonrules
Oh no. More currently practicing doctors are following me? Yikes. I assume it's not for hate-posts about tennis players.
Hmm.
Here are some TipsForNewDocs. Or TipsForOldDocs too.
Palliative care non-pharmacological edition.
Hmm.
Here are some TipsForNewDocs. Or TipsForOldDocs too.
Palliative care non-pharmacological edition.
Okay, okay. Time for a potentially semi-useful diversion.
A thread with three and a half things off the top of my head that were useful palliative medicine interventions that weren’t prescription meds.
A thread with three and a half things off the top of my head that were useful palliative medicine interventions that weren’t prescription meds.
April 2, 2026 at 8:26 PM
Oh no. More currently practicing doctors are following me? Yikes. I assume it's not for hate-posts about tennis players.
Hmm.
Here are some TipsForNewDocs. Or TipsForOldDocs too.
Palliative care non-pharmacological edition.
Hmm.
Here are some TipsForNewDocs. Or TipsForOldDocs too.
Palliative care non-pharmacological edition.
#TipsForNewDocs
When you're not sure what to do, break it down by first principles:
Will the test change management?
Will the intervention made my pt feel better and/or live longer?
Let the Golden Rules of medicine guide you.
#kittlesonrules
When you're not sure what to do, break it down by first principles:
Will the test change management?
Will the intervention made my pt feel better and/or live longer?
Let the Golden Rules of medicine guide you.
#kittlesonrules
December 24, 2024 at 5:34 PM
#TipsForNewDocs
When you're not sure what to do, break it down by first principles:
Will the test change management?
Will the intervention made my pt feel better and/or live longer?
Let the Golden Rules of medicine guide you.
#kittlesonrules
When you're not sure what to do, break it down by first principles:
Will the test change management?
Will the intervention made my pt feel better and/or live longer?
Let the Golden Rules of medicine guide you.
#kittlesonrules
#TipsForNewDocs
-When first evaluating a pt with chest pain, check blood pressures in BOTH arms.
-If systolic pressures differ > 10mm Hg, consider aortic dissection.
-Get in the habit checking BP in both arms for all pts (especially on first encounter)
#Gil’sRules
#medSky #Cardiology #Cardiosky
-When first evaluating a pt with chest pain, check blood pressures in BOTH arms.
-If systolic pressures differ > 10mm Hg, consider aortic dissection.
-Get in the habit checking BP in both arms for all pts (especially on first encounter)
#Gil’sRules
#medSky #Cardiology #Cardiosky
November 23, 2024 at 9:46 PM
#TipsForNewDocs
-When first evaluating a pt with chest pain, check blood pressures in BOTH arms.
-If systolic pressures differ > 10mm Hg, consider aortic dissection.
-Get in the habit checking BP in both arms for all pts (especially on first encounter)
#Gil’sRules
#medSky #Cardiology #Cardiosky
-When first evaluating a pt with chest pain, check blood pressures in BOTH arms.
-If systolic pressures differ > 10mm Hg, consider aortic dissection.
-Get in the habit checking BP in both arms for all pts (especially on first encounter)
#Gil’sRules
#medSky #Cardiology #Cardiosky
#TipsForNewDocs
Antidotes to "Imposter Syndrome":
-Recognize its universal & appropriate- you should feel uncertain early in your career
-Debrief & vent w/trusted colleagues, mentors- put your inexperience in perspective & learn from their experience.
Michelle Kittleson MD PhD
#CardioSky #MedSky
Antidotes to "Imposter Syndrome":
-Recognize its universal & appropriate- you should feel uncertain early in your career
-Debrief & vent w/trusted colleagues, mentors- put your inexperience in perspective & learn from their experience.
Michelle Kittleson MD PhD
#CardioSky #MedSky
December 1, 2024 at 4:36 PM
#TipsForNewDocs
Antidotes to "Imposter Syndrome":
-Recognize its universal & appropriate- you should feel uncertain early in your career
-Debrief & vent w/trusted colleagues, mentors- put your inexperience in perspective & learn from their experience.
Michelle Kittleson MD PhD
#CardioSky #MedSky
Antidotes to "Imposter Syndrome":
-Recognize its universal & appropriate- you should feel uncertain early in your career
-Debrief & vent w/trusted colleagues, mentors- put your inexperience in perspective & learn from their experience.
Michelle Kittleson MD PhD
#CardioSky #MedSky
#tipsfornewdocs Make friends with your pharmacist. We will bond quickly over our equal dislike of TTAs.
December 30, 2024 at 11:38 AM
#tipsfornewdocs Make friends with your pharmacist. We will bond quickly over our equal dislike of TTAs.
Oooooh can we do poems instead of that bloody awful #tipsfornewdocs?
Here is might
There once was a doctor adjacent
Who ended up getting complacent
He took out a syringe
Then he started to cringe
Because the sharp ends meant to go in the patient
Here is might
There once was a doctor adjacent
Who ended up getting complacent
He took out a syringe
Then he started to cringe
Because the sharp ends meant to go in the patient
July 22, 2025 at 8:53 PM
Oooooh can we do poems instead of that bloody awful #tipsfornewdocs?
Here is might
There once was a doctor adjacent
Who ended up getting complacent
He took out a syringe
Then he started to cringe
Because the sharp ends meant to go in the patient
Here is might
There once was a doctor adjacent
Who ended up getting complacent
He took out a syringe
Then he started to cringe
Because the sharp ends meant to go in the patient
one of the biggest "duh, obviously!" moments of attendinghood thus far? the fact that you can *prescribe vaccines* for patients 🤯🤯🤯
truly practice-changing knowledge
#FMRevolution #PrimaryCare #Pharmacy #TipsForNewDocs
truly practice-changing knowledge
#FMRevolution #PrimaryCare #Pharmacy #TipsForNewDocs
November 26, 2024 at 8:56 PM
one of the biggest "duh, obviously!" moments of attendinghood thus far? the fact that you can *prescribe vaccines* for patients 🤯🤯🤯
truly practice-changing knowledge
#FMRevolution #PrimaryCare #Pharmacy #TipsForNewDocs
truly practice-changing knowledge
#FMRevolution #PrimaryCare #Pharmacy #TipsForNewDocs
#TipsForNewDocs
Remember, a c/o “Dizziness” can mean either:
-Vertigo: Ask about feeling of motion & for nystagmus
-Light headedness: Check BP (including orthostatic) & rhythm
The etiologies for each are usually different
#GIL’sRules
#CardioSky #MedSky #EM #ICU #EMS
Remember, a c/o “Dizziness” can mean either:
-Vertigo: Ask about feeling of motion & for nystagmus
-Light headedness: Check BP (including orthostatic) & rhythm
The etiologies for each are usually different
#GIL’sRules
#CardioSky #MedSky #EM #ICU #EMS
December 2, 2024 at 1:42 PM
#TipsForNewDocs
Remember, a c/o “Dizziness” can mean either:
-Vertigo: Ask about feeling of motion & for nystagmus
-Light headedness: Check BP (including orthostatic) & rhythm
The etiologies for each are usually different
#GIL’sRules
#CardioSky #MedSky #EM #ICU #EMS
Remember, a c/o “Dizziness” can mean either:
-Vertigo: Ask about feeling of motion & for nystagmus
-Light headedness: Check BP (including orthostatic) & rhythm
The etiologies for each are usually different
#GIL’sRules
#CardioSky #MedSky #EM #ICU #EMS
Can I “help the family better understand the prognosis”?
No.
But I can try to help you better understand the family.
And maybe then you can communicate more clearly in a way they find helpful.
1/2
#hapc #pedpc #MedEd #TipsForNewDocs
No.
But I can try to help you better understand the family.
And maybe then you can communicate more clearly in a way they find helpful.
1/2
#hapc #pedpc #MedEd #TipsForNewDocs
June 30, 2023 at 1:27 AM
Can I “help the family better understand the prognosis”?
No.
But I can try to help you better understand the family.
And maybe then you can communicate more clearly in a way they find helpful.
1/2
#hapc #pedpc #MedEd #TipsForNewDocs
No.
But I can try to help you better understand the family.
And maybe then you can communicate more clearly in a way they find helpful.
1/2
#hapc #pedpc #MedEd #TipsForNewDocs
#TipsForNewDocs
Lookout for a WIDE PULSE PRESSURE (>100 mmHg)
-Physiologic: Advanced Age, Pregnancy, Athletes
-Pathologic: Atherosclerosis, Aortic Reg., AV Fistula, Wet Beriberi, Distributive Shock, Elevated Intracranial Pressure, Hyperthyroidism/Thyrotoxicosis
#Gil’sRules
#CardioSky #MedSky #EM
Lookout for a WIDE PULSE PRESSURE (>100 mmHg)
-Physiologic: Advanced Age, Pregnancy, Athletes
-Pathologic: Atherosclerosis, Aortic Reg., AV Fistula, Wet Beriberi, Distributive Shock, Elevated Intracranial Pressure, Hyperthyroidism/Thyrotoxicosis
#Gil’sRules
#CardioSky #MedSky #EM
November 29, 2024 at 2:46 PM
#TipsForNewDocs
Lookout for a WIDE PULSE PRESSURE (>100 mmHg)
-Physiologic: Advanced Age, Pregnancy, Athletes
-Pathologic: Atherosclerosis, Aortic Reg., AV Fistula, Wet Beriberi, Distributive Shock, Elevated Intracranial Pressure, Hyperthyroidism/Thyrotoxicosis
#Gil’sRules
#CardioSky #MedSky #EM
Lookout for a WIDE PULSE PRESSURE (>100 mmHg)
-Physiologic: Advanced Age, Pregnancy, Athletes
-Pathologic: Atherosclerosis, Aortic Reg., AV Fistula, Wet Beriberi, Distributive Shock, Elevated Intracranial Pressure, Hyperthyroidism/Thyrotoxicosis
#Gil’sRules
#CardioSky #MedSky #EM
#TipsForNewDocs
Sinus tachycardia is the delirium of cardiology.
-Delirium -> it's (basically) never the brain's fault.
-Sinus tach -> it's (basically) never the heart's fault.
-Don't be distracted by the wrong organ in search of the right answer!
Michelle Kittleson MD PhD
#CardioSky #MedSky #EM
Sinus tachycardia is the delirium of cardiology.
-Delirium -> it's (basically) never the brain's fault.
-Sinus tach -> it's (basically) never the heart's fault.
-Don't be distracted by the wrong organ in search of the right answer!
Michelle Kittleson MD PhD
#CardioSky #MedSky #EM
December 3, 2024 at 1:52 PM
#TipsForNewDocs
Sinus tachycardia is the delirium of cardiology.
-Delirium -> it's (basically) never the brain's fault.
-Sinus tach -> it's (basically) never the heart's fault.
-Don't be distracted by the wrong organ in search of the right answer!
Michelle Kittleson MD PhD
#CardioSky #MedSky #EM
Sinus tachycardia is the delirium of cardiology.
-Delirium -> it's (basically) never the brain's fault.
-Sinus tach -> it's (basically) never the heart's fault.
-Don't be distracted by the wrong organ in search of the right answer!
Michelle Kittleson MD PhD
#CardioSky #MedSky #EM