#meded Archive | Participate

MedEdChat - Moderator Feb 16 @ 9:00 PM EST

Welcome to the Medical Education chat (US) I am your moderator for the next hour, @RyanMadanickMD #meded

In reply to @RyanMadanickMD

MedEdChat - Moderator Feb 16 @ 9:00 PM EST

The topic & questions will be announced in a moment…for now, please introduce yourselves #meded

paladineh Feb 16 @ 9:01 PM EST

Hi, it's Heather from NYC #meded

MedEdChat - Moderator Feb 16 @ 9:00 PM EST

Welcome to the Medical Education chat (US) I am your moderator for the next hour, @RyanMadanickMD #meded
In reply to @RyanMadanickMD

RyanMadanickMD Feb 16 @ 9:01 PM EST

and to you too! but don’t make me scold you ‘bout ‘dat #meded hashtag! ;)

In reply to @GLBDallaghan

RichmondDoc Feb 16 @ 9:01 PM EST

Mark, family doc in #RVA, poking my head back in again. Hope all are well--teach in the class and in clinic. #meded

RichmondDoc Feb 16 @ 9:01 PM EST

Howdy! #meded

In reply to @paladineh

RyanMadanickMD Feb 16 @ 9:01 PM EST

Good evening, Heather! #meded

In reply to @paladineh

GLBDallaghan Feb 16 @ 9:01 PM EST

#meded Gary here in unseasonably warm Omaha

In reply to @MedEdChat

RyanMadanickMD Feb 16 @ 9:02 PM EST

Hello good sir! #meded

In reply to @RichmondDoc

MedEdChat - Moderator Feb 16 @ 9:02 PM EST

If you are tuning in to the #meded chat, remember to use the #meded hashtag and try to answer with the Topic numbers (T1, T2, T3)

javeedsukhera Feb 16 @ 9:02 PM EST

Child Psychiatrist, Phd Student in Health Professions Education and first time chatter from London, Ontario, Canada @mededchat #meded

In reply to @MedEdChat

RichmondDoc Feb 16 @ 9:02 PM EST

Buenas noches, caballero. #meded

In reply to @RyanMadanickMD

croyce62 Feb 16 @ 9:02 PM EST

#meded topic is?

In reply to @RyanMadanickMD, @GLBDallaghan

RyanMadanickMD Feb 16 @ 9:03 PM EST

an article to reference for tonight’s chat: https://t.co/caO3LklQwJ #meded @GLBDallaghan

In reply to @croyce62, @GLBDallaghan

RyanMadanickMD Feb 16 @ 9:03 PM EST

Glad to have you! thanks for joining, enjoy :) #meded

In reply to @javeedsukhera

RichmondDoc Feb 16 @ 9:03 PM EST

Homework?! HOMEWORK?! #meded

In reply to @RyanMadanickMD, @croyce62, @GLBDallaghan

MedEdChat - Moderator Feb 16 @ 9:04 PM EST

We will assume that all of your tweets are your own during this hour unless otherwise stated #meded

RyanMadanickMD Feb 16 @ 9:04 PM EST

Nah…. just where I get my topic ideas from ;) #meded @croyce62 @GLBDallaghan

In reply to @RichmondDoc, @croyce62, @GLBDallaghan

CPHJobs Feb 16 @ 9:04 PM EST

See our latest #Soldotna, AK #job and click to apply: Obstetrics Supervisor - https://t.co/nz5FGhFceY #Alaskan #MedEd #MedField #Healthcare

RichmondDoc Feb 16 @ 9:04 PM EST

:) @croyce62 @GLBDallaghan #meded

In reply to @RyanMadanickMD, @croyce62, @GLBDallaghan

MedEdChat - Moderator Feb 16 @ 9:05 PM EST

T1 about to come up in a few moments #meded

RyanMadanickMD Feb 16 @ 9:06 PM EST

I’m not allowed to scold my colleague @UNC_SOM @anacfelix for not using the #meded hashtag! ;)

In reply to @UNC_SOM, @anacfelix

anacfelix Feb 16 @ 9:05 PM EST

lurking with tweetchat....
In reply to @RyanMadanickMD, @RichmondDoc, @croyce62, @GLBDallaghan

paladineh Feb 16 @ 9:06 PM EST

Quick read: as an female family physician, this confirms I am doing waaaaaay too much paperwork! #meded

RyanMadanickMD Feb 16 @ 9:03 PM EST

an article to reference for tonight’s chat: https://t.co/caO3LklQwJ #meded @GLBDallaghan
In reply to @croyce62, @GLBDallaghan

MedEdChat - Moderator Feb 16 @ 9:06 PM EST

Academic docs face signif admin burden that negatively affects pt care & career satisfaction https://t.co/mpZCasbjBO @AcadMedJournal #meded

In reply to @AcadMedJournal

sasanof Feb 16 @ 9:06 PM EST

#meded 😬https://t.co/zNLdBIgVw9

sasanof Feb 16 @ 9:05 PM EST

Kia ora from NZ. David ENT doc
In reply to @MedEdChat

dpaustralia Feb 16 @ 9:07 PM EST

Video is one of the tools we use to reach more #patients for your practice. https://t.co/rB0tqBT9wo #meded #HITsm

RyanMadanickMD Feb 16 @ 9:07 PM EST

Welcome from NZ! #meded

In reply to @sasanof

MedEdChat - Moderator Feb 16 @ 9:07 PM EST

TOPIC 1: What administrative duties are the most burdensome in your acad career? How much time would you estimate you spend on it? #meded

anacfelix Feb 16 @ 9:07 PM EST

working on getting the hashtag to add automatically! #meded

In reply to @RyanMadanickMD, @UNC_SOM

RichmondDoc Feb 16 @ 9:08 PM EST

I use tchat.io #meded

In reply to @anacfelix, @RyanMadanickMD, @UNC_SOM

RichmondDoc Feb 16 @ 9:09 PM EST

T1 The most burdensome admin roles in the office are medication prior auths. At least 1 hr per 1/2-day clinic. #meded

RyanMadanickMD Feb 16 @ 9:09 PM EST

T1 now live @ #meded chat: How bad is your admin burden in acad med? what duties are most burdensome? #medschool #medstudents #medsm #hcsm

STPHCareers Feb 16 @ 9:09 PM EST

See our latest #Covington, LA #job and click to apply: Respiratory Therapist - https://t.co/HBrqkVnc48 #MedEd #NorthShoreLA #Healthcare

RichmondDoc Feb 16 @ 9:09 PM EST

T1 In our office w/ EHRs, we also lack scribes/dictation, and we need to enter all notes on our own. #meded

mwk_phd Feb 16 @ 9:09 PM EST

Great to see interprofessional improvement work actually happening @FutureDocs #meded

In reply to @FutureDocs

FutureDocs Feb 16 @ 7:03 PM EST

Our IGNITE resident-nurse kaizen team working late prepping for report out on improving IV access Fri 11am! #transformgme #meded

RyanMadanickMD Feb 16 @ 9:09 PM EST

T1 Did you ever see the “bill” that one doc sent to an insurance company because of that?! #meded

In reply to @RichmondDoc

GLBDallaghan Feb 16 @ 9:09 PM EST

#meded T1 Not being a clinician I can say accreditation documentation is most burdensome at .5 fte

In reply to @MedEdChat

centegracareers Feb 16 @ 9:09 PM EST

Join the Centegra Health System team! See our latest #job opening here: https://t.co/qRm53VuoxB #MedEd #Scrublife #Nursing #McHenry, IL

sasanof Feb 16 @ 9:10 PM EST

impressive response rate! #meded

In reply to @MedEdChat, @AcadMedJournal

RichmondDoc Feb 16 @ 9:10 PM EST

I haven't...but I'm sure it was 1) a lot, and 2) ignored. #meded

In reply to @RyanMadanickMD

STPHCareers Feb 16 @ 9:10 PM EST

Can you recommend anyone for this #job? Rad Tech II (Per Diem) - https://t.co/d8l9ODlOJH #AlliedHealth #MedEd #Healthcare #Covington, LA

javeedsukhera Feb 16 @ 9:10 PM EST

T1 Biggest admin ‘burden’ are poorly run + redundant committees. Wish all would follow best governance practice and be more efficient #meded

RyanMadanickMD Feb 16 @ 9:10 PM EST

For you as an Ass’t Dean, admin burden must be YUGE #meded @MedEdChat

In reply to @GLBDallaghan, @MedEdChat

RichmondDoc Feb 16 @ 9:11 PM EST

T1 Home Health paperwork is a smaller task, but do add up over the course of the week. #meded

paladineh Feb 16 @ 9:11 PM EST

T1: many items in the note for research or billing,not pt care.At a big medical ctr,many different groups add fields & it's unwieldy #meded

MedEdChat - Moderator Feb 16 @ 9:07 PM EST

TOPIC 1: What administrative duties are the most burdensome in your acad career? How much time would you estimate you spend on it? #meded

surgery_101 Feb 16 @ 9:11 PM EST

#MedEd #SurgEd

surgery_101 Feb 16 @ 4:10 PM EST

In July #UAlberta will start offering a Masters in Surgical Education (MSc) #surgtweeting #MedEd #FOAMed #residency https://t.co/pYYpWSmwW5

StephRStarr Feb 16 @ 9:11 PM EST

#meded T1: Clinical visit documentation, signing charts, med renewals, signing forms. Est. 45 min per 1/2 day.

RichmondDoc Feb 16 @ 9:11 PM EST

T1 Great point! We currently have at least 1 hr/week on meetings which are duplicative. #meded

In reply to @javeedsukhera

GLBDallaghan Feb 16 @ 9:12 PM EST

T1 It is...and I have to add to Clerkship Directors' workload #meded

RyanMadanickMD Feb 16 @ 9:10 PM EST

For you as an Ass’t Dean, admin burden must be YUGE #meded @MedEdChat
In reply to @GLBDallaghan, @MedEdChat

paladineh Feb 16 @ 9:12 PM EST

T1: Overall admin burden is not as high for me as for full-time clinicians #meded

MedEdChat - Moderator Feb 16 @ 9:07 PM EST

TOPIC 1: What administrative duties are the most burdensome in your acad career? How much time would you estimate you spend on it? #meded

javeedsukhera Feb 16 @ 9:12 PM EST

.@RichmondDoc us Canadians are lucky in that dept - no prior auths, no fighting with insurance companies… such freedom! #meded

In reply to @RichmondDoc

RyanMadanickMD Feb 16 @ 9:12 PM EST

"One physician’s creative response to bureaucratic frustration” https://t.co/1eR4tAJGc1 GREAT read! #meded cc @RichmondDoc

In reply to @RichmondDoc

GLBDallaghan Feb 16 @ 9:12 PM EST

#meded Means bringing work home every weekend

In reply to @javeedsukhera

RichmondDoc Feb 16 @ 9:12 PM EST

T1 A sad irony: easier to work w/ our uninsured patients who have patient assistance from hospital system... #meded

In reply to @javeedsukhera

RichmondDoc Feb 16 @ 9:13 PM EST

...I can learn one system that works broadly, and don't need to figure out 10 different insurers' plans. #meded

In reply to @javeedsukhera

javeedsukhera Feb 16 @ 9:13 PM EST

T1 would add burden of poorly aligned academic/clinical regulatory structure for grant admin and ethics approval also a challenge #meded

RyanMadanickMD Feb 16 @ 9:13 PM EST

T1 After seeing the way some of my, ahem, more senior colleagues document in Epic, I’ve started doing leaner notes! #meded

In reply to @StephRStarr

RichmondDoc Feb 16 @ 9:14 PM EST

T1 Harder to quantify, but how many roles take up more space than allotted? i.e. 0.1 FTE taking >> 0.1 FTE's worth of time? #meded

VHCCareers Feb 16 @ 9:14 PM EST

Can you recommend anyone for this #job in #Arlington, VA? https://t.co/sNfccjECPg #Doctor #MedEd #MD #Physician #Hiring

RyanMadanickMD Feb 16 @ 9:14 PM EST

Do you ever find that pts still aren’t allowed to get the meds you’d prefer? #meded @RichmondDoc

In reply to @javeedsukhera, @RichmondDoc

StephRStarr Feb 16 @ 9:15 PM EST

Every role! #meded

RichmondDoc Feb 16 @ 9:14 PM EST

T1 Harder to quantify, but how many roles take up more space than allotted? i.e. 0.1 FTE taking >> 0.1 FTE's worth of time? #meded

GLBDallaghan Feb 16 @ 9:16 PM EST

#meded fte's are a myth....most take so much longer than estimated

In reply to @RichmondDoc

RichmondDoc Feb 16 @ 9:16 PM EST

T1 Every single time someone says to do more with less, that seems to end up with the work landing on the physician. #meded

RyanMadanickMD Feb 16 @ 9:16 PM EST

T1 I like to say that we can’t be 50% clinical, 50% research, and 50% educator! #meded @RichmondDoc

In reply to @StephRStarr, @RichmondDoc

javeedsukhera Feb 16 @ 9:17 PM EST

.@RyanMadanickMD @RichmondDoc I completed residency/subspecialty in the US and in Can every med I prescribe covered for 95% of my pts #meded

In reply to @RyanMadanickMD, @RichmondDoc

GLBDallaghan Feb 16 @ 9:18 PM EST

#meded T1 Not always.....I can attest to that very personally

In reply to @RichmondDoc

myheroistrane Feb 16 @ 9:18 PM EST

The expectation that full time = 60-65 hrs/week plus weekends is unreasonable. So much for the #quadrupleaim #Meded

javeedsukhera Feb 16 @ 9:18 PM EST

.@RichmondDoc Most full time clinical faculty with admin/research etc., that I know doing at LEAST 1.5 - 2.0 with funding for 1.0 #meded

In reply to @RichmondDoc

RyanMadanickMD Feb 16 @ 9:18 PM EST

.@RichmondDoc T1 THIS is one of my fave brief articles: Metastasis of e-mail at an academic medical center https://t.co/YHoJOTWC3s #meded

In reply to @RichmondDoc

RichmondDoc Feb 16 @ 9:19 PM EST

T1 Found this portion of the article to be esp. pertinent: https://t.co/91T3pb70IZ #meded

IASISCareers Feb 16 @ 9:19 PM EST

Join the St. Luke's Medical Center team! See our latest #job opening here: https://t.co/RSu8B7fnkr #MedEd #Scrublife #Nursing #Phoenix, AZ

DrKirtyBrown Feb 16 @ 9:19 PM EST

Kirsten from DC checking into @MedEdChat #meded!

In reply to @MedEdChat

RyanMadanickMD Feb 16 @ 9:19 PM EST

T1 I have only recently feeling OK about NOT doing so much work at home… :/ #meded

In reply to @myheroistrane

mahoneyr Feb 16 @ 9:20 PM EST

Joining #meded late from St. Louis, MO. Evening, all

RyanMadanickMD Feb 16 @ 9:20 PM EST

From the center of the chaos! #meded @MedEdChat

In reply to @DrKirtyBrown, @MedEdChat

myheroistrane Feb 16 @ 9:20 PM EST

#education time gets paid at 20 cents in the dollar in #Meded; no wonder we have to work so many hours

DrKirtyBrown Feb 16 @ 9:20 PM EST

Running integrated preclinical courses is huge time burden. My time is 50% teach 40% admin and 10% research #meded

MedEdChat - Moderator Feb 16 @ 9:07 PM EST

TOPIC 1: What administrative duties are the most burdensome in your acad career? How much time would you estimate you spend on it? #meded

RichmondDoc Feb 16 @ 9:21 PM EST

I've tried cutting back, but have ended up falling behind if not working weekends/nights at home. #meded

In reply to @RyanMadanickMD, @myheroistrane

RyanMadanickMD Feb 16 @ 9:21 PM EST

Better late than never! #meded

In reply to @mahoneyr

mahoneyr Feb 16 @ 9:21 PM EST

T1 are we defining "burden" as lowest work:benefit ratio? #meded

StephRStarr Feb 16 @ 9:21 PM EST

To some, an action passed is an action completed . . . #meded

RyanMadanickMD Feb 16 @ 9:18 PM EST

.@RichmondDoc T1 THIS is one of my fave brief articles: Metastasis of e-mail at an academic medical center https://t.co/YHoJOTWC3s #meded
In reply to @RichmondDoc

RichmondDoc Feb 16 @ 9:21 PM EST

Our system doesn't provide any special consideration/payment/etc. for teaching in clinic... #meded

In reply to @myheroistrane

javeedsukhera Feb 16 @ 9:21 PM EST

So true @myheroistrane yet value of self care - priceless. We are better teachers/learners/scholars when we take care of ourselves #meded

In reply to @myheroistrane

sasanof Feb 16 @ 9:21 PM EST

T1 anyone using social platforms to replace email & improve efficiency? Slack, FB@work etc #MedEd

In reply to @RyanMadanickMD, @RichmondDoc

namd4kids Feb 16 @ 9:21 PM EST

.@StephRStarr Yup! Most of my time spent doing secretarial work #meded

In reply to @StephRStarr

RyanMadanickMD Feb 16 @ 9:22 PM EST

Not yet, but to help I’d tell ppl to text me instead of email #meded @RichmondDoc

In reply to @sasanof, @RichmondDoc

GLBDallaghan Feb 16 @ 9:22 PM EST

#meded Or why we're losing preceptor sites to strictly clinical work.

In reply to @myheroistrane

mahoneyr Feb 16 @ 9:22 PM EST

Allow me to correct myself: "burden" = lowest work:benefit ratio #itsmath #meded

paladineh Feb 16 @ 9:22 PM EST

This is great #meded

RyanMadanickMD Feb 16 @ 9:12 PM EST

"One physician’s creative response to bureaucratic frustration” https://t.co/1eR4tAJGc1 GREAT read! #meded cc @RichmondDoc
In reply to @RichmondDoc

myheroistrane Feb 16 @ 9:22 PM EST

me too... #meded

In reply to @RichmondDoc, @RyanMadanickMD

RichmondDoc Feb 16 @ 9:23 PM EST

Nothing in our system thus far. #meded

In reply to @sasanof, @RyanMadanickMD

StephRStarr Feb 16 @ 9:23 PM EST

Dangerous T1 f/u question: does admin burden vary by clinics specialty/role? #meded

DrKirtyBrown Feb 16 @ 9:23 PM EST

T1 i also created my own % so okay with that. I have my own guilt about not doing enough 4 one vs. Another but that's all me #meded

MedEdChat - Moderator Feb 16 @ 9:24 PM EST

Great discussion tonight in #meded chat, talking about the effect of administrative burden on pt care & career. T2 will be up shortly #hcsm

mahoneyr Feb 16 @ 9:24 PM EST

Last try: "burden" = highest work:benefit ratio or lowest benefit:work ratio. #thereisaidit #meded

GLBDallaghan Feb 16 @ 9:24 PM EST

#meded How do compliance offices feel about that?

In reply to @sasanof, @RyanMadanickMD, @RichmondDoc

RichmondDoc Feb 16 @ 9:24 PM EST

I think so, yes. Some of our senior leadership (subspecialists) don't seem to understand the burden in primary care. #meded

In reply to @StephRStarr

CPHJobs Feb 16 @ 9:24 PM EST

We're #hiring! Read about our latest #job opening here: RN - Emergency - https://t.co/T5hQeSIYn6 #Alaskan #MedEd #MedField #Soldotna, AK

RyanMadanickMD Feb 16 @ 9:24 PM EST

.@StephRStarr T1 According to the article, yes: https://t.co/caO3LklQwJ #meded

In reply to @StephRStarr

MedEdChat - Moderator Feb 16 @ 9:25 PM EST

TOPIC 2: What effects does your admin burden have on your clinical practice, career, life? What would be the “tipping point” for you? #meded

paladineh Feb 16 @ 9:25 PM EST

@StephRStarr According to the article, by speciality (primary care) and by gender (female) #meded

In reply to @StephRStarr

StephRStarr Feb 16 @ 9:23 PM EST

Dangerous T1 f/u question: does admin burden vary by clinics specialty/role? #meded

CPHJobs Feb 16 @ 9:25 PM EST

If you're looking for work in #Soldotna, AK, check out this #job: https://t.co/GClGwAHMIf #MedEd #Alaskan #Healthcare #Hiring

sasanof Feb 16 @ 9:25 PM EST

unhappy mostly i suspect but there is big potential if security assured #meded

In reply to @GLBDallaghan, @RyanMadanickMD, @RichmondDoc

RichmondDoc Feb 16 @ 9:25 PM EST

T2 Admin burden can impact willingness to teach, desire to cut back clinical work, burnout/departures. #meded

DrKirtyBrown Feb 16 @ 9:26 PM EST

T1 i see w/ clincial faculty stress they have to do everything incl teaching and patient care. 👊👊 to yall!! Need more hours/day #meded

mahoneyr Feb 16 @ 9:26 PM EST

T1 Can I venture to offer that the current method of evaluating learners offers a very low benefit:work ratio? #meded

RichmondDoc Feb 16 @ 9:26 PM EST

T2 I have thus far seen colleagues cutting back hours/sessions to be more part-time...no-one is adding on sessions. #meded

RyanMadanickMD Feb 16 @ 9:26 PM EST

T2 now live @ #meded chat: How has admin burden affected your life? Is there a tipping pt to leave? #medschool #medstudents #medsm #hcsm

myheroistrane Feb 16 @ 9:26 PM EST

So, does @MedEdChat count as work or play? I'm just askin.... #Meded

In reply to @MedEdChat

RichmondDoc Feb 16 @ 9:26 PM EST

T2 Not sure if admin burden was less if folks would change that pattern, but more support might help sustain effort, etc. #meded

DrKirtyBrown Feb 16 @ 9:27 PM EST

@GLBDallaghan also an implication! #meded

In reply to @StephRStarr, @GLBDallaghan

mahoneyr Feb 16 @ 9:27 PM EST

T2 in a broader sense, the academic medical center would be easier to administer if it began to incorporate business principles more #meded

javeedsukhera Feb 16 @ 9:27 PM EST

T2 as EC faculty I try to seek opportunities that sustain energy and do not feel ‘draining’ don’t mind admin work when efforts valued #meded

RyanMadanickMD Feb 16 @ 9:27 PM EST

T1 I negotiated with my employer to have 28-hour days ;) #meded

In reply to @DrKirtyBrown

RichmondDoc Feb 16 @ 9:27 PM EST

T2 On our Curriculum Council, we hear often of the challenges faced in assigning learners to clinical settings... #meded

RyanMadanickMD Feb 16 @ 9:27 PM EST

Yes? LOL @myheroistrane #meded

In reply to @myheroistrane

myheroistrane Feb 16 @ 9:26 PM EST

So, does @MedEdChat count as work or play? I'm just askin.... #Meded
In reply to @MedEdChat

RichmondDoc Feb 16 @ 9:28 PM EST

T2 ...A challenge made worse by a physician compensation plan that relies on RVUs as the only source of clinical income. #meded

RyanMadanickMD Feb 16 @ 9:28 PM EST

VERY true. But we are not good at that :( #meded

In reply to @mahoneyr

DrKirtyBrown Feb 16 @ 9:28 PM EST

Non clincial but my % tip away from research. I h8 not having time but it always seems to be 3rd. Students & admin don't wait! #meded

RyanMadanickMD Feb 16 @ 9:26 PM EST

T2 now live @ #meded chat: How has admin burden affected your life? Is there a tipping pt to leave? #medschool #medstudents #medsm #hcsm

Alliance4ClinEd Feb 16 @ 9:29 PM EST

#meded Big reason why community preceptors cut back on student education @COMSEPediatrics @STFM_FM

In reply to @COMSEPediatrics, @STFM_FM

RichmondDoc Feb 16 @ 9:26 PM EST

T2 I have thus far seen colleagues cutting back hours/sessions to be more part-time...no-one is adding on sessions. #meded

RyanMadanickMD Feb 16 @ 9:29 PM EST

I thank my lucky stars that my division is NOT based on that #meded @RichmondDoc

In reply to @RichmondDoc

RichmondDoc Feb 16 @ 9:28 PM EST

T2 ...A challenge made worse by a physician compensation plan that relies on RVUs as the only source of clinical income. #meded

NephJC Feb 16 @ 9:29 PM EST

T2: You can do medical education from private practice. #meded

STPHCareers Feb 16 @ 9:29 PM EST

If you're looking for work in #Covington, LA, check out this #job: https://t.co/YSZgQoB3A2 #MedEd #NorthShoreLA #Lakepontchartrain

RyanMadanickMD Feb 16 @ 9:29 PM EST

Tell us more @NephJC :) #meded

In reply to @NephJC

NephJC Feb 16 @ 9:29 PM EST

T2: You can do medical education from private practice. #meded

centegracareers Feb 16 @ 9:30 PM EST

Can you recommend anyone for this #job? Medical Receptionist - https://t.co/cQBzQeVluv #MedEd #Scrublife #HospitalLife #Woodstock, IL

RichmondDoc Feb 16 @ 9:30 PM EST

T2 I am hoping to identify a tipping point that comes before burnout/frustration hits a peak, to allow a controlled response. #meded

GDKN Feb 16 @ 9:30 PM EST

Can you recommend anyone for this #job in #Sacramento, CA? https://t.co/G5cyG5gYuZ #MedEd #Scrublife #Healthcare #Hiring

RichmondDoc Feb 16 @ 9:30 PM EST

T2 I have started cutting back on some admin roles and clinic time...but do so at the cost of decreased salary/income. #meded

mahoneyr Feb 16 @ 9:31 PM EST

We are not good at it yet. But we had better become good at it if we want to remain viable. #meded

In reply to @RyanMadanickMD

kidney_boy Feb 16 @ 9:31 PM EST

That @NephJC was a mis-tweet. Supposed to be from me. I do a lot of med ed and I am in a private practice #meded

In reply to @NephJC

GLBDallaghan Feb 16 @ 9:31 PM EST

#meded T2 How will you do that

In reply to @RichmondDoc

kidney_boy Feb 16 @ 9:31 PM EST

We have a contract with hospital to run the fellowship, teach med students and residents #meded

RichmondDoc Feb 16 @ 9:31 PM EST

Indeed. We hear this often in working w/ community preceptors for #MedEd @COMSEPediatrics @STFM_FM

In reply to @Alliance4ClinEd, @COMSEPediatrics, @STFM_FM

RichmondDoc Feb 16 @ 9:32 PM EST

It is an interesting choice we made. We don't focus on quality, case management, etc. RVUs only. #meded

In reply to @RyanMadanickMD

javeedsukhera Feb 16 @ 9:32 PM EST

T2 mentor once said: all #meded has dark side but tipping point only when your values threatened. Thats where I would draw the line #meded

DrKirtyBrown Feb 16 @ 9:32 PM EST

T2 big issue is faculty w/o time 4 teaching that then get bad reviews. Many want to do more! frustrating as course director #meded

myheroistrane Feb 16 @ 9:33 PM EST

#Meded culture is a microcosm of larger national culture; check out this chilling example: https://t.co/p7HoqUAuBK

Alliance4ClinEd Feb 16 @ 9:33 PM EST

T2 It's a serious issue for clerkship experiences #meded

RichmondDoc Feb 16 @ 9:31 PM EST

Indeed. We hear this often in working w/ community preceptors for #MedEd @COMSEPediatrics @STFM_FM
In reply to @Alliance4ClinEd, @COMSEPediatrics, @STFM_FM

RichmondDoc Feb 16 @ 9:33 PM EST

#MedEd T2 Not sure. Trying to see where I feel most energized vs. most frustrated...maybe that's a guide?

In reply to @GLBDallaghan

RyanMadanickMD Feb 16 @ 9:33 PM EST

That often seems to be the downfall of an academic dept :/ #meded

In reply to @RichmondDoc

RichmondDoc Feb 16 @ 9:34 PM EST

The thing is that our department opposes the RVU-only approach, but thus far have not been able to effect change. #meded

In reply to @RyanMadanickMD

DrKirtyBrown Feb 16 @ 9:34 PM EST

slippery slope. Burnout happens before u know it... #meded 🙁

In reply to @RichmondDoc, @GLBDallaghan

RichmondDoc Feb 16 @ 9:35 PM EST

T2 I *do* think that the comp plan relies on people staying in education b/c of their sense of mission. #meded

In reply to @RyanMadanickMD

RyanMadanickMD Feb 16 @ 9:35 PM EST

when RVU is the metric in academics, faculty can become cut-throat at one another #meded

In reply to @RichmondDoc

mahoneyr Feb 16 @ 9:35 PM EST

Answer remarkably simple: identify financial metrics you struggle with as institution, fix 'em, measure improvement #meded

In reply to @RyanMadanickMD

GLBDallaghan Feb 16 @ 9:35 PM EST

T2 Further affirming need for resilience training #meded

In reply to @DrKirtyBrown, @RichmondDoc

RichmondDoc Feb 16 @ 9:35 PM EST

T2 Have heard conversations that we could all work in private practice w/ more support and more $$... #meded

In reply to @RyanMadanickMD

RichmondDoc Feb 16 @ 9:36 PM EST

...T2 but that people stay in academics b/c of their sense of mission. But for how long? #meded

In reply to @RyanMadanickMD

RyanMadanickMD Feb 16 @ 9:36 PM EST

Of course. I hear it too. It’s constantly weighing the pull of the $$ & support vs. the value of what I do in academics #meded

In reply to @RichmondDoc

RichmondDoc Feb 16 @ 9:36 PM EST

T2 We haven't seen internal competitiveness, but we often speak of frustrations and stresses. #meded

In reply to @RyanMadanickMD

DrKirtyBrown Feb 16 @ 9:37 PM EST

and good #mentalhealth discussions & support. #meded

In reply to @GLBDallaghan, @RichmondDoc

myheroistrane Feb 16 @ 9:37 PM EST

Yep, and dehumanized patients into widgets, too. #meded

RyanMadanickMD Feb 16 @ 9:35 PM EST

when RVU is the metric in academics, faculty can become cut-throat at one another #meded
In reply to @RichmondDoc

StephRStarr Feb 16 @ 9:37 PM EST

I am thankful to work in salaried nonprofit system - #meded

RichmondDoc Feb 16 @ 9:35 PM EST

T2 Have heard conversations that we could all work in private practice w/ more support and more $$... #meded
In reply to @RyanMadanickMD

myheroistrane Feb 16 @ 9:38 PM EST

How about just affirming a need for norms that call for lower amounts of work? #meded

GLBDallaghan Feb 16 @ 9:35 PM EST

T2 Further affirming need for resilience training #meded
In reply to @DrKirtyBrown, @RichmondDoc

GLBDallaghan Feb 16 @ 9:38 PM EST

#meded Exactly! EVU's are not equivalent currency

In reply to @RyanMadanickMD, @RichmondDoc

RichmondDoc Feb 16 @ 9:39 PM EST

T2 In our office, we have taken an approach of accepting lower incomes but having longer visits/fewer patients/sessions, but... #meded

MedEdChat - Moderator Feb 16 @ 9:39 PM EST

We’re coming around to the other side of the hour in #meded chat, talking about administrative burden in academic med. T3 will be right up

MedEdChat - Moderator Feb 16 @ 9:39 PM EST

TOPIC 3: Which admin tasks have the most value to you? What solutions could ease the administrative burden in academic medicine? #meded

RichmondDoc Feb 16 @ 9:39 PM EST

T2...this approach comes up against metrics in the system valuing visit #s, room turns/hour, etc. Can't please both... #meded

RyanMadanickMD Feb 16 @ 9:40 PM EST

T3 now live @ #meded chat: what admin tasks are most valuable to you? how could burden be eased? #medschool #medstudents #medsm #hcsm

RichmondDoc Feb 16 @ 9:40 PM EST

T3 To help ease burden: empower clinics and clinicians to find ways to address admin roles, and empower staff to extent of license. #meded

mahoneyr Feb 16 @ 9:40 PM EST

T3 @MedEdChat are we defining "most value" as highest benefit:work ratio? #meded #checkedmymaththistime

In reply to @MedEdChat

RichmondDoc Feb 16 @ 9:40 PM EST

T3 Really need to leverage the ability of team members to work at peak of license, vs. self-imposed solicitations as scope. #meded

PhysicianRural Feb 16 @ 9:41 PM EST

@MoHFW_INDIA @PMOIndia A healthy #India is Impossible san strong #PrimaryCare. Overhaul Indian #MedEd.

In reply to @cspramesh, @MoHFW_INDIA, @PMOIndia

LearnTheHeart Feb 16 @ 9:41 PM EST

Complete STEMI review MC questions, cases, guidelines + more! https://t.co/fi1nnMEMbb #USMLE #Cardiology #ECG #MedEd #FoamEd

DrKirtyBrown Feb 16 @ 9:41 PM EST

⬆ this! As a #phd #academic I always feel like Im losing. Hard to mentor by saying do this but i dont do that..#meded

In reply to @myheroistrane

RichmondDoc Feb 16 @ 9:41 PM EST

T3 Some roles listed in article--patient communication, sharing results, etc.--seems part of good care, and therefore have value. #meded

javeedsukhera Feb 16 @ 9:41 PM EST

T3 1)Separate IRB/REB for edresearch 2)Skilled secretary 3)High quality RA 4)Org culture that values ed as intrinsic to mission #meded

GLBDallaghan Feb 16 @ 9:42 PM EST

#meded Twisted though it sounds....I do enjoy the accreditation work. Challenge is to be thorough and efficient. It's a game

In reply to @MedEdChat

RyanMadanickMD Feb 16 @ 9:42 PM EST

T3 Article by a mentor (Rogers) #meded The 3-legged stool: a model for the practicing clinical gastroenterologist https://t.co/ARIXbtL29H

RichmondDoc Feb 16 @ 9:42 PM EST

T3 To improve: provide dedicated admin time for docs to address clinical admin needs. Value teaching in clinic--for real. #meded

RichmondDoc Feb 16 @ 9:43 PM EST

T3 Allow MDs to explore beneficial/rewarding ways to practice, and provide space for diversity of practices in system. #meded

GLBDallaghan Feb 16 @ 9:43 PM EST

#meded Totally agree an assistant would be amazing!

In reply to @javeedsukhera

StephRStarr Feb 16 @ 9:43 PM EST

T3 #meded Get lean experts to watch work flow of clinical/nonvisit care to see opportunities, as it's easy to normalize rework, waste

meducate Feb 16 @ 9:43 PM EST

Is it only me that sees the #humor in an article for GI with stool in the title #MedEd

RyanMadanickMD Feb 16 @ 9:42 PM EST

T3 Article by a mentor (Rogers) #meded The 3-legged stool: a model for the practicing clinical gastroenterologist https://t.co/ARIXbtL29H

javeedsukhera Feb 16 @ 9:43 PM EST

T3 5)leaders that inspire 6)colleagues that support 7)family that reminds us of what matters most #meded

RichmondDoc Feb 16 @ 9:43 PM EST

I'm periodically asked who my admin assistant is. I've learned not to laugh as I answer, "Me." #meded

In reply to @GLBDallaghan, @javeedsukhera

mahoneyr Feb 16 @ 9:44 PM EST

In almost all cases, highest benefit:work ratio in academia = mentorship. In the end, it is multiplicative. #meded

RichmondDoc Feb 16 @ 9:44 PM EST

Agree--4) is most critical for me at this point. #MedEd

javeedsukhera Feb 16 @ 9:41 PM EST

T3 1)Separate IRB/REB for edresearch 2)Skilled secretary 3)High quality RA 4)Org culture that values ed as intrinsic to mission #meded

RyanMadanickMD Feb 16 @ 9:44 PM EST

Oh Lawrence…! #meded @meducate

In reply to @meducate

meducate Feb 16 @ 9:43 PM EST
Is it only me that sees the #humor in an article for GI with stool in the title #MedEd
- RyanMadanickMD Feb 16 @ 9:42 PM EST
  
  T3 Article by a mentor (Rogers) #meded The 3-legged stool: a model for the practicing clinical gastroenterologist https://t.co/ARIXbtL29H

javeedsukhera Feb 16 @ 9:44 PM EST

I’m privileged to have a secretary. It has taken time to let go of admin tasks I can trust them to do #meded

In reply to @RichmondDoc, @GLBDallaghan

CPHJobs Feb 16 @ 9:44 PM EST

We're #hiring! Click to apply: Physical Therapist - https://t.co/TYob3QALHJ #Alaskan #MedEd #MedField #Healthcare #Soldotna, AK #Job #Jobs

DrKirtyBrown Feb 16 @ 9:45 PM EST

T3 value 4 me is seeing goal. Sometimes delayed which sucks. #meded

myheroistrane Feb 16 @ 9:45 PM EST

why does it seem like senior leadership has hoards of admin support? #meded

In reply to @RichmondDoc, @GLBDallaghan, @javeedsukhera

RichmondDoc Feb 16 @ 9:45 PM EST

T3 I think a genuine estimate/valuation of roles/FTEs would help, as does mentorship for people taking on new roles. #meded

RyanMadanickMD Feb 16 @ 9:46 PM EST

Very true. I am not great at delegating and have to get better at that :/ #meded @RichmondDoc @GLBDallaghan

In reply to @javeedsukhera, @RichmondDoc, @GLBDallaghan

ENDOUNO Feb 16 @ 9:46 PM EST

#Hcsm #meded https://t.co/ZQZPxYsXCq

DougZiedonisMD Feb 13 @ 10:46 PM EST

Quality checklists for blogs and podcasts - good to reflect on https://t.co/cEk6NenkUD

RyanMadanickMD Feb 16 @ 9:46 PM EST

Best quote ever: "The answer is money. Now what's the question?” #meded @RichmondDoc @GLBDallaghan @javeedsukhera

In reply to @myheroistrane, @RichmondDoc, @GLBDallaghan, @javeedsukhera

mahoneyr Feb 16 @ 9:46 PM EST

Secretary is good. Project Management Assistant is even better. #meded

In reply to @javeedsukhera, @RichmondDoc, @GLBDallaghan

DrKirtyBrown Feb 16 @ 9:46 PM EST

T3 spent time advising #phd students. Big time commit but def delayed. But best feeling all day. #meded

javeedsukhera Feb 16 @ 9:46 PM EST

We have hybrid model where docs pay portion and dept pays rest. Good admin worth it #meded

In reply to @myheroistrane, @RichmondDoc, @GLBDallaghan

RichmondDoc Feb 16 @ 9:47 PM EST

Yup. Does risk changing focus from best care to ensuring capturing any/all RVUs. #MedEd

In reply to @GoodishIntent, @myheroistrane, @RyanMadanickMD

GLBDallaghan Feb 16 @ 9:47 PM EST

#meded I'm an asst dean and I don't! WTH am I doing wrong? :)

In reply to @myheroistrane, @RichmondDoc, @javeedsukhera

RichmondDoc Feb 16 @ 9:48 PM EST

T3 Outside of admin support, I would also note that support in clinic (including behavioral health, social work) is a critical step. #meded

GomerBlog Feb 16 @ 9:48 PM EST

RT Radiologist Responds to In-Flight Emergency, Hedges, Asks Pilot to Clinically Correlate - https://t.co/8sfX6EmIfQ #meded #FOAMed #hcsm

pediacast Feb 16 @ 9:48 PM EST

Plagiocephaly and craniosynostosis - explanations you can understand! #MedEd #FOAMed podcast @nationwidekids https://t.co/EQuKxRftGS

In reply to @nationwidekids

DrKirtyBrown Feb 16 @ 9:48 PM EST

T3 unfortunately mentoring doesn't necessarily translate well to hour counting for faculty evals :( #meded

myheroistrane Feb 16 @ 9:48 PM EST

just like deep throat said: "follow the money" ... #meded

In reply to @RyanMadanickMD, @RichmondDoc, @GLBDallaghan, @javeedsukhera

javeedsukhera Feb 16 @ 9:49 PM EST

Here here. Diverse health disciplines bring so much value to teams. Wish we had more resources to provide better team-based care #meded

RichmondDoc Feb 16 @ 9:48 PM EST

T3 Outside of admin support, I would also note that support in clinic (including behavioral health, social work) is a critical step. #meded

STPHCareers Feb 16 @ 9:49 PM EST

Want to work at St. Tammany Parish Hospital? We're #hiring in #Covington, LA! Click for details: https://t.co/P74LQ2w1nt #MedEd #Healthcare

RichmondDoc Feb 16 @ 9:49 PM EST

#MedEd glad to be in Dept and office that *gets* this, but frustrating system seems not to.

In reply to @GoodishIntent, @myheroistrane, @RyanMadanickMD

centegracareers Feb 16 @ 9:50 PM EST

Join the Centegra Health System team! See our latest #job opening here: https://t.co/uovHDavszU #MedEd #Scrublife #Healthcare #Huntley, IL

DrKirtyBrown Feb 16 @ 9:50 PM EST

oof delegating tasks is a necessary struggle to stay sane #meded

In reply to @mahoneyr, @javeedsukhera, @RichmondDoc, @GLBDallaghan

RichmondDoc Feb 16 @ 9:50 PM EST

We incorporated behavioral health and PharmD support, but have done so outside of health system support (grants, etc.) #MedEd

In reply to @javeedsukhera

javeedsukhera Feb 16 @ 9:51 PM EST

T3 Validating to see we all have such similar challenges. Sense of community/support helps energize and overcome #meded @MedEdChat

In reply to @MedEdChat

javeedsukhera Feb 16 @ 9:52 PM EST

good to hear. Underfunding BH leads to grant funded streams that dry up - not sustainable. Need operating dollars #meded

In reply to @RichmondDoc

RichmondDoc Feb 16 @ 9:52 PM EST

Yes--we're fortunate our partners have grants to sustain for now...but what if/when funding runs out? #meded

In reply to @javeedsukhera

GLBDallaghan Feb 16 @ 9:53 PM EST

#meded Which is what makes these chats so useful @alliance4clined @MedEdChat

In reply to @Alliance4ClinEd, @MedEdChat

javeedsukhera Feb 16 @ 9:51 PM EST

T3 Validating to see we all have such similar challenges. Sense of community/support helps energize and overcome #meded @MedEdChat
In reply to @MedEdChat

RichmondDoc Feb 16 @ 9:53 PM EST

It would be hard to envision physicians taking that work on again w/o the support that we have in place now. #meded

In reply to @javeedsukhera

DavidCookeMD Feb 16 @ 9:54 PM EST

Excited to host @MDAndersonNews @AraVaporciyan Visiting Lectureship to @UCDavisHealth will talk CT Surgery #MedEd #Tssmn

MedEdChat - Moderator Feb 16 @ 9:55 PM EST

Well, we have about 5 more minutes left in our discussion. Please feel free to give some final thoughts #meded

JebSource Feb 16 @ 9:55 PM EST

[MEDICINE] Bariatric Surgery versus Intensive Medical Therapy for Diabetes — 5-Year Outcomes #MedEd #Science #mLea… https://t.co/dQKAhRhp8e

JebSource Feb 16 @ 9:55 PM EST

[MEDICINE] Addressing the Fentanyl Threat to Public Health #MedEd #Science #mLearning ☞ https://t.co/cyp0OuqET5

RichmondDoc Feb 16 @ 9:55 PM EST

Final thoughts: We can't depend on vision/energy of clinicians/educators w/o systems that support them. We need those systems, soon. #meded

GLBDallaghan Feb 16 @ 9:58 PM EST

Final thought: In the absence of resources we must appraise our own inefficiencies to stay ahead of the avalanche #meded

RichmondDoc Feb 16 @ 9:55 PM EST

Final thoughts: We can't depend on vision/energy of clinicians/educators w/o systems that support them. We need those systems, soon. #meded

RichmondDoc Feb 16 @ 9:58 PM EST

Final thoughts: Recently, issues of burnout and resilience have been more notable. We need to teach students this, but also live it. #meded

paladineh Feb 16 @ 9:59 PM EST

Seems like the most admin burden is on docs w/primarily clinical jobs who teach during those sessions. Need to support them better #meded

myheroistrane Feb 16 @ 9:59 PM EST

Final thought: "Every system is perfectly designed" ... we work unhealthy amounts because our culture celebrates it. #Meded