Transcript of #MDchat - a Twitter chat for Physicians - for May 31, 2011. Follow @MD_chat - http://Twitter.com/MD_chat Tuesdays 9pm Eastern. Topics: T1 Medical Education: What legacies in Med Ed need to be ditched and what aught to replace them? T2 Patient-Provider-Pharmaceutical-Complex: from research to marketing, what needs to change? T3 Incentives: How would we structure funding/payments? What fixes to current state are a must? #MDchat Moderated by @PhilBaumann - http://Twitter.com/PhilBaumann http://HealthIsSocial.com

1. #MDchat
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HealthIsSocial "Homework" - Post with topics for #MDchat - 9pm Eastern. http://mdch.at/kWdH8m
Tue May 31 17:55:48 PDT 2011
MD_chat "Homework" - Post with topics for #MDchat - 9pm Eastern. http://mdch.at/kWdH8m
Tue May 31 17:55:48 PDT 2011
jinpack #MDchat feeling a bit out of depth today, but will be listening in :)
Tue May 31 17:58:28 PDT 2011
Milo_Paradiso hi, i am new here, am a pt on disability #Mdchat
Tue May 31 17:59:39 PDT 2011
RyanMadanickMD #mdchat Hello all, Ryan Madanick here, GI doc at UNC, interested in #meded,
#hcsm, etc!
Tue May 31 18:00:51 PDT 2011
MD_chat @erinrbreedlove Hi - yes. These media are all open. Professions need their spaces
but ambient osmosis is a nice addition. #MDchat
Tue May 31 18:01:21 PDT 2011
MD_chat @Milo_Paradiso Hello Milo. Welcome! #MDchat
Tue May 31 18:01:46 PDT 2011
RyanMadanickMD btw, in case you are unaware...join us on Thursday night, June 2 at 9 pm Eastern for
the inaugural #meded chat! #hcsm #medschool #mdchat
Tue May 31 18:01:48 PDT 2011
Neil_Mehta I am an internist and medical educator and love edtech #mdchat
Tue May 31 18:02:21 PDT 2011
RyanMadanickMD @Neil_Mehta Hey Neil, ready for Thursday nite??!! #mdchat
Tue May 31 18:02:36 PDT 2011

2. Milo_Paradiso Very cool for #meded, is that for everyone too? do the patients get to do some
teaching too ? ;-) #Mdchat
Tue May 31 18:03:05 PDT 2011
peds_id_doc #mdchat Peds ID fellow from upstate NY - going to be late due to putting the kids to
bed... #qualitytime
Tue May 31 18:03:19 PDT 2011
RyanMadanickMD Absolutely >> RT @Milo_Paradiso: Very cool for #meded, is that for everyone too?
do the patients get to do some teaching too ? ;-) #Mdchat
Tue May 31 18:03:32 PDT 2011
RyanMadanickMD @MD_chat thx Phil #meded #MDchat
Tue May 31 18:03:49 PDT 2011
hjluks Howard Luks... Orthopod ... #mdchat
Tue May 31 18:04:25 PDT 2011
Milo_Paradiso So thankful for #hcsm and am sure #mdchat too ! It gives hope for #healthcare
#Mdchat
Tue May 31 18:05:02 PDT 2011
thehealthmaven Hi everyone! how are you? #mdchat
Tue May 31 18:05:05 PDT 2011
herlevic #MDchat. IM tennessee
Tue May 31 18:05:06 PDT 2011
hjluks @MD_Chat ambient osmosis of rivulets .... :-) #mdchat
Tue May 31 18:05:06 PDT 2011
Srini2000 Hi Phil. Srini , med instrumentation person. Calling in from India where I am travelling
on business #mdchat
Tue May 31 18:05:17 PDT 2011
RyanMadanickMD @hjluks sounds like you got someone worried today! #mdchat
Tue May 31 18:05:47 PDT 2011
hjluks @thehealthmaven welcome Lea... #mdchat
Tue May 31 18:05:54 PDT 2011
MD_chat T1 Medical Education: What legacies in #MedEd need to be ditched and what aught
to replace them? #MDchat
Tue May 31 18:06:46 PDT 2011
hjluks @ryanmadanickmd I hope so :-) link down, ISP not happy ! #mdchat
Tue May 31 18:07:01 PDT 2011
jsonyoung Jason Young, Geriatric Mental Health Clinician #MDchat
Tue May 31 18:07:05 PDT 2011

3. thehealthmaven @EinsteinMed @NateOsit @hjluks - hi guys! #mdchat
Tue May 31 18:07:08 PDT 2011
RyanMadanickMD @MD_chat Woo hoo!! a #MedEd topic! #MDchat
Tue May 31 18:07:11 PDT 2011
RyanMadanickMD @hjluks nice #mdchat
Tue May 31 18:07:23 PDT 2011
Milo_Paradiso @MD_Chat Ahhh I am inspired... hierarchy needs to be ditched #Mdchat
Tue May 31 18:07:41 PDT 2011
EinsteinMed Hi Lea! RT @thehealthmaven: @EinsteinMed @NateOsit @hjluks - hi guys! #mdchat
Tue May 31 18:07:41 PDT 2011
Neil_Mehta Get rid of grades, tests, lectures - move to portfolios and problem based learning
#mdchat
Tue May 31 18:07:47 PDT 2011
Neil_Mehta USMLE convert to pass/fail #mdchat
Tue May 31 18:08:13 PDT 2011
NateOsit @thehealthmaven @EinsteinMed @hjluks Hi Lea! Happy to see you all again :)
#MDchat
Tue May 31 18:08:29 PDT 2011
Neil_Mehta Get students seeing patients early - and in the community #mdchat
Tue May 31 18:08:38 PDT 2011
hjluks Legacies... hmmm.. *Education* is being turned upside down as more effective
techniques emerge. Will #meded adopt... or not? #mdchat
Tue May 31 18:08:39 PDT 2011
RyanMadanickMD T1: I like the Case Western model in a way... #mdchat
Tue May 31 18:08:44 PDT 2011
Milo_Paradiso @Neil_Mehta Pass/ fail is a bit scary... Unless pass is 80% and more! #Mdchat
Tue May 31 18:09:08 PDT 2011
Mtnmd Replace meanness and hierarchy with real leadership training and modeled
behavior #MDchat
Tue May 31 18:09:50 PDT 2011
hjluks Residency legacy that needs to go... I was crushed (100 hr work wk) during
residency and you shld be too :-) #mdchat
Tue May 31 18:09:55 PDT 2011

4. bfishgold Hi everyone. #mdchat
Tue May 31 18:10:06 PDT 2011
Milo_Paradiso As a patient I got interviewed at home by a med student 1st year. it was so nice to be
listened and validated with respect #Mdchat
Tue May 31 18:10:44 PDT 2011
Mtnmd 1st day of medical school, patient interaction should begin. Lose the lectures on
earthworms and more applicable information. #MDchat
Tue May 31 18:10:55 PDT 2011
Srini2000 The practice of medicine needs to be more analytical rather than trial and error. Ed
needs to emphasize analytical skills #mdchat
Tue May 31 18:11:27 PDT 2011
RyanMadanickMD Definitely we started first month #mdchat #meded RT @Mtnmd: 1st day of medical
school, patient interaction sho… (cont) http://deck.ly/~VEDG8
Tue May 31 18:11:33 PDT 2011
Milo_Paradiso @Neil_Mehta correct @ regurgitation. However it would be a bit scary to know half
the new physicians are on the cusp of failiing #Mdchat
Tue May 31 18:11:57 PDT 2011
Mtnmd T1 There are SO MANY things that should be changed, hardly know where to begin.
#MDchat
Tue May 31 18:12:04 PDT 2011
peds_id_doc Some great thoughts coming out of #mdchat on #meded reform...
Tue May 31 18:12:15 PDT 2011
Doctor_V Lurking #mdchat
Tue May 31 18:12:29 PDT 2011
healthblawg Lurking in #mdchat
Tue May 31 18:13:03 PDT 2011
Costner75 #MDchat residents need more outpatient training. One day per week not enough. No
wonder shortage of PCPs. #MDchat
Tue May 31 18:13:09 PDT 2011
Mtnmd @hjluks Yes, real leadership mentors, with skills like kindness, power, intellect,
caring and tons of basic science info mixed in. #MDchat
Tue May 31 18:13:12 PDT 2011
RyanMadanickMD T1 how would you standardize evaluation process if not multiple choice, so that it is
standard and valid for all? #MDchat
Tue May 31 18:13:23 PDT 2011
Milo_Paradiso @Neil_Mehta yikes... #Mdchat
Tue May 31 18:13:53 PDT 2011
KathyKastner Lurking/learning #Mdchat
Tue May 31 18:14:13 PDT 2011

5. Mtnmd Mixing the science information side by side with real and modeled patients. #MDchat
Tue May 31 18:14:15 PDT 2011
hjluks @ryanmadanickmd did u chg the question? :-) #mdchat
Tue May 31 18:14:23 PDT 2011
RyanMadanickMD @hjluks Sort of developed from an answer to T1! #mdchat
Tue May 31 18:14:42 PDT 2011
Mtnmd Identifying CORE CONTENT for each area. Docs graduating w/ huge gaps due to
poor training. #MDchat
Tue May 31 18:14:51 PDT 2011
Milo_Paradiso Then other competency would be to believe the patient as only very few are
malingerers #Mdchat
Tue May 31 18:14:55 PDT 2011
RyanMadanickMD @hjluks maybe a topic for #meded chat.. #mdchat
Tue May 31 18:15:08 PDT 2011
healthblawg T1 The elaborate hazing rituals of medical education have got to go. 360 degree
evals. #mdchat
Tue May 31 18:15:19 PDT 2011
hjluks real world examples... our residents have learned far more by presenting cases to us
as if they were talking to family :-) #mdchat
Tue May 31 18:15:32 PDT 2011
resreports #meded #MDchat RT @RyanMadanickMD med school of future may look more like
the Khan academy, more case-based teaching http://bit.ly/hDa26d
Tue May 31 18:15:38 PDT 2011
EHRoutlook Are non MDs allowed to lurk or comment? #mdchat
Tue May 31 18:15:47 PDT 2011
Mtnmd 1st two years could be core content, pt interaction, core content, pt interaction. Makes
it real and applicable. #MDchat
Tue May 31 18:15:52 PDT 2011
RyanMadanickMD @EHRoutlook yes #mdchat
Tue May 31 18:15:54 PDT 2011
hjluks @EHROutlook of course... #mdchat
Tue May 31 18:16:09 PDT 2011
RyanMadanickMD Yes >> RT @Mtnmd: 1st two years could be core content, pt interaction, core content,
pt interaction. Makes it real and applicable. #MDchat
Tue May 31 18:16:17 PDT 2011

6. MD_chat @EHROutlook Hi - yes! Lurk, or jump in and participate as you wish. #MDchat
Tue May 31 18:16:29 PDT 2011
Mtnmd @resreports @RyanMadanickMD Yes, like top tier MBA programs, do the case, with
intelligent, caring input. #MDchat
Tue May 31 18:16:30 PDT 2011
jackiefox12 My imagined/invented healthcare? "Full circle"--back to physical exams &
conversations, which I hear are becoming endangered. True? #mdchat
Tue May 31 18:16:56 PDT 2011
RyanMadanickMD becoming?? #mdchat #meded >> RT @jackiefox12: My imagined/invented
healthcare? "Full circle"--back to physica… (cont) http://deck.ly/~9pmgI
Tue May 31 18:17:31 PDT 2011
Milo_Paradiso It would be great also if the poor med student would not feel intimidated for asking
questions to the patients or the chief dr #Mdchat
Tue May 31 18:17:38 PDT 2011
hjluks @ryanmadanickmd @Mtnmd Direct patient exposure important from first yr on...
makes 3rd 4th yr transitions easier mr meaningful #mdchat
Tue May 31 18:18:04 PDT 2011
RyanMadanickMD @Milo_Paradiso with good teachers, there is no intimidation #Mdchat
Tue May 31 18:18:13 PDT 2011
lindseybh @healthblawg Also lurking. #mdchat
Tue May 31 18:18:15 PDT 2011
AbnormalFacies I agree - my clerkships should come w checklist that myself + residents responsible
for me compltng @Mtnmd Identifying CORE CONTENT #MDchat
Tue May 31 18:18:25 PDT 2011
hjluks @Milo_Paradiso we encourage our students to participate... pre-op, post-op and in
office. #mdchat
Tue May 31 18:18:57 PDT 2011
LindaP_MD #mdchat intermittently lurking...
Tue May 31 18:19:09 PDT 2011
thinkalot Make sure students res r ready for the real world by facilitating learning in real
world#MDchat
Tue May 31 18:19:15 PDT 2011
Neil_Mehta we got rid of all tests and lectures in our med school. see pts in year 1, all content in
PBL, learning portfolios #mdchat
Tue May 31 18:19:24 PDT 2011
RKmd MS2 on my psych rotation right now... also lurking. First time here! =) #MDchat
Tue May 31 18:19:27 PDT 2011
RyanMadanickMD T1 You want full change? here, start with OBJECTIVES of 4 yrs of education, build

7. system backward... #mdchat #meded
Tue May 31 18:19:31 PDT 2011
Mtnmd @Neil_Mehta Wow, that is great! #MDchat
Tue May 31 18:20:13 PDT 2011
MD_chat @rkmd Welcome, Rishi. #MDchat
Tue May 31 18:20:32 PDT 2011
hjluks @Milo_Paradiso of course... old culture still exist... #mdchat
Tue May 31 18:20:47 PDT 2011
Mtnmd @RyanMadanickMD So true, Ryan. Our system needs a COMPLETE revamp.
#MDchat
Tue May 31 18:20:50 PDT 2011
Dr_Mum I think a mentorship model would be effective. Students learn better when they are
not afraid of failure #MDchat
Tue May 31 18:20:51 PDT 2011
Christianassad Cardiology Fellow - first time in #mdchat
Tue May 31 18:20:52 PDT 2011
thinkalot Madhu Singh internist meded enthusiast #mdchat
Tue May 31 18:21:02 PDT 2011
HealthJusticeCT very much agree with @NateOsit ! Looking at social determinants of health is very
important to patient care. #MDchat
Tue May 31 18:21:17 PDT 2011
Milo_Paradiso i think this is the sad part, old professors teaching old medicine #Mdchat
Tue May 31 18:21:21 PDT 2011
Mtnmd @RyanMadanickMD @hjluks Yes, 20 years later, that worm lecture still gets my
goat!! :) #MDchat
Tue May 31 18:21:28 PDT 2011
RyanMadanickMD lots of first timers in #mdchat tonight...nice
Tue May 31 18:21:36 PDT 2011
Mtnmd Remove the abuse. #MDchat
Tue May 31 18:21:45 PDT 2011
thinkalot @Neil_Mehta we have just started w PBL:some med students seem anxious abt it
#mdchat
Tue May 31 18:22:03 PDT 2011
RKmd @Milo_Paradiso I think having residents/interns teach med students blurs the line
between old/new gen medicine. #MDchat
Tue May 31 18:22:22 PDT 2011

8. NateOsit @ryanmadanickmd T1 Objectives: improve patient care, identify best methods,
understand how to use tools... others? #MDchat
Tue May 31 18:22:24 PDT 2011
Mtnmd Big one: teach teamwork. BIG ONE. #MDchat
Tue May 31 18:22:28 PDT 2011
MD_chat @christianassad @thinkalot Good evening and welcome! #MDchat
Tue May 31 18:22:44 PDT 2011
Christianassad From my experience using tablets and ipads to potentiate learning while rounding is
very efficient. More faculty are doing it now #mdchat
Tue May 31 18:22:46 PDT 2011
resreports #mdchat @mtnmd agree the current meded system is broken. perhaps first two yrs
should be shortened to one, as duke med does?
Tue May 31 18:22:46 PDT 2011
herlevic #MDchat. Some business education/class would have been nice along the day
Tue May 31 18:22:49 PDT 2011
EHRoutlook Anyone worry about med students not getting an #EMR/#EHR education while in
school? #mdchat
Tue May 31 18:22:50 PDT 2011
Neil_Mehta @thinkalot @Neil_Mehta There is a learning curve... #mdchat
Tue May 31 18:22:52 PDT 2011
RyanMadanickMD @NateOsit promote long-term health... #MDchat
Tue May 31 18:22:55 PDT 2011
RyanMadanickMD Has anyone used Team Based Learning yet? #mdchat #meded
Tue May 31 18:23:23 PDT 2011
Milo_Paradiso as a patient I enjoy talking to med students, they are at their sweetest :-) #Mdchat
Tue May 31 18:23:24 PDT 2011
LindaP_MD #mdchat if students exposed to patients earlier, there is also more time to see if they
have skills needed or hone them.
Tue May 31 18:23:27 PDT 2011
Costner75 “@Mtnmd: Big one: teach teamwork. BIG ONE. #MDchat” and teach collaboration
with other providers. #MDchat
Tue May 31 18:23:38 PDT 2011
MD_chat OK - moving to next topic (feel free to discuss first topic, just add T1 to tweets so we
can filter for context later. #MDchat
Tue May 31 18:23:38 PDT 2011
cdbond Agreed! @NateOsit ! Looking at social determinants of health is very important to
patient care. #MDchat

9. Tue May 31 18:23:41 PDT 2011
NateOsit Importance of public health efforts! RT @ryanmadanickmd: @NateOsit promote long-
term health... #MDchat
Tue May 31 18:24:02 PDT 2011
LindaP_MD #mdchat T1 One student stellar in classroom can have POOR people skills
Tue May 31 18:24:17 PDT 2011
Milo_Paradiso However I hate when they are dissed in front of the patient, and it happens #Mdchat
Tue May 31 18:24:42 PDT 2011
AbnormalFacies @Dr_Mum Mentorship model has been instituted widely - no way to ensure good
experience for students; this is what needs attn #MDchat
Tue May 31 18:24:55 PDT 2011
Srini2000 When does this heavy focus on cure rather than prevention happen in meded?
#mdchat
Tue May 31 18:25:07 PDT 2011
hjluks @LindaP_MD so vry tru... not impressed by creds as much as I am by other skills and
application of them... #mdchat
Tue May 31 18:25:07 PDT 2011
Costner75 “@EHROutlook: Anyone worry about med students not getting an #EMR/#EHR educ
#mdchat” No, bc every system different. will learn at 1st job.
Tue May 31 18:25:09 PDT 2011
EllenRichter T1 What abt continuing medical educ? Once med school is done, how does
education continue? Is that also problematic? Or is that OK? #MDchat
Tue May 31 18:25:36 PDT 2011
Christianassad @hjluks yes but the problem is that programs usually look at step scores for
admissions not people skills #mdchat
Tue May 31 18:25:59 PDT 2011
NateOsit @Neil_Mehta @EHROutlook Which EHR? The EHR landscape will look very
different in 5 years. Teach basic, vendor neutral concepts #MDchat
Tue May 31 18:26:05 PDT 2011
RyanMadanickMD It is harder to teach interpersonal skills/professionalism than it is to teach
"knowledge" #meded #mdchat
Tue May 31 18:26:14 PDT 2011
hjluks @MD_Chat chk out this link/paper by @carlosrizo ... this cld turn pharma world
upside down http://goo.gl/9rA9d #mdchat
Tue May 31 18:26:33 PDT 2011
RyanMadanickMD @EHRoutlook not necessarily, depends on where they are #MDs #EMR #EHR
#mdchat
Tue May 31 18:26:51 PDT 2011
hjluks @MD_Chat ...and push research fwd at a far better pace link again

10. http://goo.gl/9rA9d #mdchat
Tue May 31 18:27:12 PDT 2011
EHRoutlook @nateosit teaching vendor-neutral concepts re: #EHRs makes sense to me; what
woud those be? #mdchat
Tue May 31 18:27:15 PDT 2011
apjonas T1 Admission committee= 50% primary care, 20% patients, 30 % narrow focus
specialties. #MDChat
Tue May 31 18:27:18 PDT 2011
Neil_Mehta how does ed continue? Is that also problematic? We should help student learn how
to learn - then no prob later #mdchat
Tue May 31 18:27:36 PDT 2011
Costner75 awesome point! “@Srini2000: When does this heavy focus on cure rather than
prevention happen in meded?” #MDchat
Tue May 31 18:27:38 PDT 2011
Mtnmd T2 From the beginning, lifestyle factors should be firmly taught as the first line tx, and
given skills to do so. Req chng in pmt #MDchat
Tue May 31 18:27:59 PDT 2011
Neil_Mehta T1 content changes too fast. Med students need to learn how to learn and solve
problems #mdchat
Tue May 31 18:28:23 PDT 2011
Christianassad Its difficult to teach someoneto care... If you care about your patietns your care about
learning. IMO #mdchat
Tue May 31 18:28:33 PDT 2011
RyanMadanickMD T2 hard to completely separate the two. Docs cannot develop the drugs,
pharmaceutical companies cannot treat patients #mdchat
Tue May 31 18:28:38 PDT 2011
Dr_Mum Student evaluation of mentors and perhaps matching of students to mentors could
help reduce bad experiences @AbnormalFacies #MDchat
Tue May 31 18:28:52 PDT 2011
Melissa_DrMom This is def. true. RT@RyanMadanickMD It is harder to teach interpersonal
skills/professionalism than it is to teach "knowledge" #mdchat
Tue May 31 18:28:57 PDT 2011
EHRoutlook Patients are certainly taking over more responsibility when it comes to drug/treatment
choices #epatient #mdchat
Tue May 31 18:28:59 PDT 2011
Srini2000 T2 Reduce influence of Big Pharma on medical practice. Doctors should be able to
treat with things that are NOT from Big Pharma. #mdchat
Tue May 31 18:29:00 PDT 2011
blausengroup MT @Christianassad: "..using tablets &ipads to potentiate learning while rounding is
very efficient. More faculty are doing it now #mdchat
Tue May 31 18:29:01 PDT 2011

11. apjonas @KathyKastner @Mtnmd Who writes the meanness training modules currently? Very
low % of meanness oriented role models now. #MDChat
Tue May 31 18:29:27 PDT 2011
Mtnmd T2 Skills that get someone IN to medical school (studies well in dark closet for 12
hours) are the opposite of people skills. #MDchat
Tue May 31 18:29:32 PDT 2011
RyanMadanickMD @Srini2000 T2 we are able to treat with whatever we want #mdchat
Tue May 31 18:29:37 PDT 2011
Costner75 “@EHROutlook: @Costner75 @EHROutlook med students learning on first job.
students today cut teeth on computers. savvy. #MDchat
Tue May 31 18:29:47 PDT 2011
EllenRichter They are common-sense traits, quite hard to teach! RT @ryanmadanickmd: It is
harder to teach interpersonal skills/professionalism #MDchat
Tue May 31 18:29:53 PDT 2011
EinsteinMed Interesting RT @hjluks: @MD_Chat ...and push research fwd at a far better pace link
again http://goo.gl/9rA9d #mdchat
Tue May 31 18:29:57 PDT 2011
apjonas T1 Acting skills mandatory for all. #MDChat
Tue May 31 18:30:07 PDT 2011
jackiefox12 @RyanMadanickMD Yes it does definitely depend on doc. Agree with your other
comment, people skills harder to learn #mdchat
Tue May 31 18:30:11 PDT 2011
hjluks @Neil_Mehta ...and there is far too much content to possibly learn in med school.
teach techniques, relevant content in residency #mdchat
Tue May 31 18:30:25 PDT 2011
Christianassad sorry about the question. New here. What does T1 and T2 mean? #mdchat
Tue May 31 18:30:36 PDT 2011
RyanMadanickMD @jackiefox12 sometimes you can educate about them, it takes practice though
#mdchat
Tue May 31 18:30:42 PDT 2011
Mtnmd @AbnormalFacies @RyanMadanickMD Yes, so we should choose smart ppl w/
excellent ppl skills and teach them the science, not other way #MDchat
Tue May 31 18:30:48 PDT 2011
RyanMadanickMD @Christianassad Topic 1, #mdchat
Tue May 31 18:30:49 PDT 2011
NateOsit T2 Shorter patent windows, end pharma DTC advertising, more public/patient
focused industry. #MDchat
Tue May 31 18:30:57 PDT 2011
jendlake So important now!! RT @Neil_Mehta: T1 content changes too fast. Med students
need to learn how to learn and solve problems #mdchat

12. Tue May 31 18:31:09 PDT 2011
RyanMadanickMD #mdchat AGREE >> RT @Mtnmd: @AbnormalFacies @RyanMadanickMD Yes, so
we should choose smart ppl w/ excellent pp… (cont) http://deck.ly/~GxLJ7
Tue May 31 18:31:34 PDT 2011
apjonas @Srini2000 Does little pharma make drugs? #MDChat
Tue May 31 18:31:35 PDT 2011
mkmackey The endearing qualities of patient engagement..:) RT @apjonas: T1 Acting skills
mandatory for all. #MDChat
Tue May 31 18:31:44 PDT 2011
Srini2000 @apjonas @Srini2000 Why should everything only be treated with drugs from big
pharma? #mdchat
Tue May 31 18:32:39 PDT 2011
RyanMadanickMD @Neil_Mehta @hjluks teach concepts, not facts #meded #mdchat
Tue May 31 18:32:45 PDT 2011
EHRoutlook Could DTC adverts be changed to truly offer educational content? #mdchat
Tue May 31 18:32:57 PDT 2011
Mtnmd @Christianassad Topic 1 and 2 #MDchat
Tue May 31 18:33:01 PDT 2011
Dr_Mum T1 Med student selection should be more about interpersonal skills than marks
#MDchat
Tue May 31 18:33:56 PDT 2011
hjluks +1RT @Mtnmd: Skills that get u IN to medical school (studies well in dark closet for
12 hours) are the opposite of people skills. #mdchat
Tue May 31 18:34:04 PDT 2011
EHRoutlook I first learned of a condition I had by having it identified by a pharma commercial. I
asked my MD and I got diagnosed. #epatient #mdchat
Tue May 31 18:34:06 PDT 2011
Neil_Mehta T2 - stop samples, no Drug reps in teaching institutions #mdchat
Tue May 31 18:34:42 PDT 2011
RKmd @Dr_Mum I know med schools are now trying to transition to a more "case-based"
interview style to assess interpersonal skills. #MDchat
Tue May 31 18:35:06 PDT 2011
beRt_MD @Melissa_DrMom @RyanMadanickMD Hard to tell them to not be a jerk, be a better
listener, start acting professional. #mdchat
Tue May 31 18:35:09 PDT 2011
MD_chat @Christianassad Topic 1, Topic 2 - just a way to organize the chat - also helps with
transcription later. #MDchat Make Sense?
Tue May 31 18:35:10 PDT 2011

13. Christianassad @Dr_Mum That would be great. But how do you intervw someone basing on
interpersonal skills. That is the problem. 1000s of applics #mdchat
Tue May 31 18:35:17 PDT 2011
JediPD Med students need Concepts not content. That can be filled later. It is difficult to
separate sociopaths from the rest by interview #MDchat
Tue May 31 18:35:29 PDT 2011
Mtnmd @EinsteinMed @jendlake @Neil_Mehta BIG core concepts, like firm undrstndng of
anatmy/physiol, w/ "how to think and analyze" content. #MDchat
Tue May 31 18:35:36 PDT 2011
hjluks repurcussions of shunning pharma and their CME support cld be dble edged sword.
R MDs going to pay 3000 for a course? #mdchat
Tue May 31 18:36:33 PDT 2011
RyanMadanickMD @apjonas @srini2000 Me...I should make them #MDChat
Tue May 31 18:36:41 PDT 2011
EHRoutlook Re: T1 -- do you think iPads have promise in med schools? A couple are already
there. #mdchat
Tue May 31 18:36:56 PDT 2011
Christianassad @beRt_MD Step scores... #mdchat
Tue May 31 18:37:20 PDT 2011
hjluks @apjonas @Srini2000 vry tru.... pharma serves a purpose... we need to better
define/determine what interaction is useful for all. #mdchat
Tue May 31 18:37:27 PDT 2011
RyanMadanickMD @hjluks we cannot completely separate the two, despite what many would have us
want #mdchat
Tue May 31 18:37:35 PDT 2011
apjonas Problem based Lng and Independent Study are great lng models for many. Patient
oriented and refreshing, says the OSU ISP grad. #MDChat
Tue May 31 18:38:02 PDT 2011
Mtnmd Q: Would personality testing, focusing on positive traits, be appropriate for entrance
exams instead of/beside interviews? #MDchat
Tue May 31 18:38:15 PDT 2011
EHRoutlook The problem may not be big pharma alone, so much as the distribution system in
which pharma operates. Think 1000% markup at CVS. #mdchat
Tue May 31 18:38:22 PDT 2011
JediPD The ultimate aim of pharma is profitability but that comes only though good salable
products. Subpar gets rooted out. #MDchat
Tue May 31 18:38:28 PDT 2011
KathyKastner +1RT @Dr_Mum: T1 Med student selection should be more about interpersonal
skills than marks #MDchat
Tue May 31 18:38:44 PDT 2011

14. beRt_MD I sat down with each if my students who have poor interpersonal skills and have
given critics. Specific examples help. #mdchat
Tue May 31 18:38:56 PDT 2011
hjluks @EHROutlook hmmm, not sure about that... 3000 = 10 credits, need 100 -= 30k for
CME every 2 yrs ??? #mdchat
Tue May 31 18:38:57 PDT 2011
RyanMadanickMD @HokieMD thx (even though ur a Hokie) #mdchat #meded
Tue May 31 18:39:10 PDT 2011
thinkalot #mdchat there is lotsa room in medicine for everybody:extroverts&introvert Way of
learning has to shift:framework vs listmania
Tue May 31 18:39:27 PDT 2011
hjluks @carlosrizo @Dr_Mum absolutely... but we need tools to test social skills during
interview... not easy to assess in 5 minutes #mdchat
Tue May 31 18:39:43 PDT 2011
Srini2000 @EHROutlook The health care model emphasizes huge markups vs. computer
industry where costs come down and more people access. #mdchat
Tue May 31 18:39:59 PDT 2011
peds_id_doc @JediPD #mdchat t2 in an ideal world...in reality, good sales pitches and spin keep
subpar products on Market, endangers patients, wastes $
Tue May 31 18:40:10 PDT 2011
JediPD Empathy ~~>@Mtnmd: Q: Would focusing on positive traits, be appropriate for
entrance exams instead of/beside interviews? #MDchat
Tue May 31 18:40:20 PDT 2011
mkmackey @hjluks interesting patients can tell in a second if MD will be personable #mdchat
Tue May 31 18:40:23 PDT 2011
apjonas @KathyKastner @Dr_Mum A mutant brain is a good asset, too. The thoughts per unit
of time in medicine are impressive. #MDChat
Tue May 31 18:40:31 PDT 2011
Neil_Mehta @EHROutlook @Neil_Mehta the 4 dollar generics are there. sampling causes prob
by forcing use of inappropriate drugs #mdchat
Tue May 31 18:40:41 PDT 2011
Dr_Mum @Christianassad Interviews should include scenarios and role play as well as
questions about personal motivation #MDchat
Tue May 31 18:40:45 PDT 2011
EHRoutlook Has anyone heard of the open-source drug discovery model? #mdchat
Tue May 31 18:41:08 PDT 2011
peds_id_doc @beRt_MD #mdchat t1 personal feedback on comm skills should be part of #meded
for all. Role play, do-overs, practice b4 seeing real pts
Tue May 31 18:41:13 PDT 2011

15. lindseybh Awesome--RT @beRt_MD: I sat down with each if my students who have poor
interpersonal skills and have given critics. #mdchat
Tue May 31 18:41:28 PDT 2011
Melissa_DrMom @beRt_MD @RyanMadanickMD Better for them to know now than later. Hopefully
some of them will take it to heart. #mdchat
Tue May 31 18:41:34 PDT 2011
EHRoutlook @Neil_Mehta @EHROutlook I see the role samples for $$ drugs play in overuse, but
some of these $$ drugs actually work. #mdchat
Tue May 31 18:41:57 PDT 2011
Mtnmd @beRt_MD Yes, teaching professionalism part of mentoring. #MDchat
Tue May 31 18:42:11 PDT 2011
apjonas T2 Wall Street driven money sucking initiatives have to be thwarted or we continue to
bankrupt USA shamelessly and call it "quality" #MDChat
Tue May 31 18:42:13 PDT 2011
beRt_MD Unfortunately have had to kick students out of med school. Too few and far in
between. Scary that some get MDs. #mdchat
Tue May 31 18:42:21 PDT 2011
TrishaTorrey Jumping in to #MDchat - note that interpersonal skills in an interview or at lunch are
not reflective of same person under pressure
Tue May 31 18:42:30 PDT 2011
JediPD The cost to bring one new drug to market: $800,000 to $1.1 million. You see the
dilemma. #MDchat
Tue May 31 18:42:38 PDT 2011
RyanMadanickMD That seems low >> RT @JediPD: The cost to bring one new drug to market:
$800,000 to $1.1 million. You see the dilemma. #MDchat
Tue May 31 18:43:04 PDT 2011
Mtnmd @thinkalot Great concept: framework vs listmania. So, so true!! #MDchat
Tue May 31 18:43:16 PDT 2011
peds_id_doc @TrishaTorrey #mdchat - very true, hence importance of practicing skillet (no
different from placing IV, doing LP under pressure)
Tue May 31 18:43:26 PDT 2011
EllenRichter Thats great! RT @beRt_MD: I sat down with each students w/ poor interpersonal
skills and have given critics. Specific examples help. #MDchat
Tue May 31 18:43:31 PDT 2011
AbnormalFacies Often >> Not RT @peds_id_doc #mdchat t2 in reality, good sales pitches and spin
keep subpar products on Market, endangers patients, wastes $
Tue May 31 18:44:08 PDT 2011
carlosrizo @hjluks @dr_mum just curious, have you seen a Standardized Doctor Program?
#mdchat
Tue May 31 18:44:29 PDT 2011

16. Mtnmd @JediPD Yes. Empathy. #MDchat
Tue May 31 18:44:47 PDT 2011
JediPD @ryanmadanickmd for every 5000 compounds tested only 3-4 make it to Phase 1
and maybe 1 goes to phase 3 trials and FDA NDA #MDchat
Tue May 31 18:45:29 PDT 2011
MD_chat T3 Incentives: How would we structure funding/payments? What fixes to current state
are a must? #MDchat
Tue May 31 18:45:52 PDT 2011
thinkalot #mdchat unfortunately all the feedback takes time&its a lucky MD that has time
factored in for med students
Tue May 31 18:45:56 PDT 2011
RyanMadanickMD @beRt_MD we had a guy in my class that we think was schizophrenic #mdchat
Tue May 31 18:46:00 PDT 2011
hjluks @carlosrizo no... but vry vry interesting #mdchat
Tue May 31 18:46:09 PDT 2011
TrishaTorrey @carlosrizo in convo w/dirctor of stand pt program, was told that interpersonal skills
are observed. No penalty for bad skills. #mdchat
Tue May 31 18:46:11 PDT 2011
hjluks @MD_Chat did someone mention shoulder? :-0 #mdchat
Tue May 31 18:46:21 PDT 2011
thinkalot #mdchat teaching med students loses to RVUs all the time
Tue May 31 18:46:28 PDT 2011
RyanMadanickMD @JediPD so prob more than $1 million/drug #MDchat
Tue May 31 18:46:32 PDT 2011
RyanMadanickMD NO!!!! RT @hjluks: @MD_Chat did someone mention shoulder? :-0 #mdchat
Tue May 31 18:46:43 PDT 2011
Mtnmd MT @peds_id_doc: @beRt_MD #mdchat t1 persnl feedbck on comm skills shld B
part of #meded. Role play, do-overs, practice b4 seeing real pts
Tue May 31 18:47:06 PDT 2011
RyanMadanickMD MAJOR ISSUE >> RT @thinkalot: #mdchat teaching med students loses to RVUs all
the time
Tue May 31 18:47:17 PDT 2011
EllenRichter Ha! One track mind! :) RT @hjluks: @MD_Chat did someone mention shoulder? :-0
#MDchat
Tue May 31 18:47:28 PDT 2011
EinsteinMed At Einstein http://bit.ly/eLjbQX RT @peds_id_doc: @beRt_MD #mdchat t1 personal
feedback on com skills should be part of #meded... #mdchat
Tue May 31 18:47:32 PDT 2011

17. Srini2000 T3 - emphasize and reward doctor/patient transactions. De-emphsasze all other
middlemen e.g insurance companies etc. #mdchat
Tue May 31 18:47:46 PDT 2011
hjluks @ryanmadanickmd @thinkalot then u shouldnt have a teaching position #mdchat
Tue May 31 18:48:05 PDT 2011
EinsteinMed HA! RT @hjluks: @MD_Chat did someone mention shoulder? :-0 #mdchat
Tue May 31 18:48:08 PDT 2011
EHRoutlook What do MDs think of the #ACO concept for sharing and restructuring payments?
Son of capitation? #mdchat
Tue May 31 18:48:20 PDT 2011
MD_chat @hjluks I should use Spinal Tap more often ;) #MDchat
Tue May 31 18:48:24 PDT 2011
NateOsit T3 Incentivize efficiency, compassion, common sense. Get rid of industry bloatware
#MDchat
Tue May 31 18:48:42 PDT 2011
peds_id_doc @carlosrizo @hjluks @dr_mum #MDchat SP programs can be excellent if used right.
V effective at teaching comm skills/patient centered care
Tue May 31 18:48:51 PDT 2011
EinsteinMed Will chats go to 11? RT @MD_Chat: @hjluks I should use Spinal Tap more often ;)
#mdchat
Tue May 31 18:49:09 PDT 2011
hjluks @ryanmadanickmd understood.. not a personal attack :-) #mdchat
Tue May 31 18:49:15 PDT 2011
beRt_MD Need to get rid of payment to order labs and imaging. Need to de-couple HCP from
owning imaging/lab centers. #mdchat
Tue May 31 18:50:23 PDT 2011
philiplederer why medical school should be free-- in #nytimes http://t.co/jir2a3I #mdchat
Tue May 31 18:50:26 PDT 2011
terrysimpson @beRt_MD psychiatrists determine normal. Remember who went into psych?
#MDchat
Tue May 31 18:50:34 PDT 2011
grecoa3 @Mtnmd @peds_id_doc @bert_md we do those things here, but w/ poor timing!
Needs to be primary focus, not thrown in during exam week! #mdchat
Tue May 31 18:51:01 PDT 2011
RyanMadanickMD T3: think about this: 30 minutes for a "routine" surgery...get paid same as a 30 minute
office visit?? #mdchat
Tue May 31 18:51:05 PDT 2011

18. purplesque @beRt_MD @thinkalot Do you still think its worth it? (Newbie debating long term
career in academia.) #mdchat
Tue May 31 18:51:48 PDT 2011
Mtnmd @MD_chat U mean, funding for med school, or medical care? #MDchat
Tue May 31 18:51:49 PDT 2011
hjluks @Doctor_V I have an answer... but need 1500 ch :-) #mdchat
Tue May 31 18:52:06 PDT 2011
NateOsit @beRt_MD Especially since so many labs/imaging get duplicated! We need a better
system... #MDchat
Tue May 31 18:52:07 PDT 2011
JediPD Imposing hurdle of middle-man in enterprise is fraught with distress&dysfunction.
#MDchat 1 party wants fair shr & the other wants squeeze.
Tue May 31 18:52:12 PDT 2011
RyanMadanickMD T3 Another thought here: I spend 15 minutes looking for polyps, get paid same as the
guy who spends 3 (colonoscopy) #mdchat
Tue May 31 18:52:13 PDT 2011
carlosrizo @TrishaTorrey In airline industry pilots that underperform in simulator go on
probation or loose license. #mdchat
Tue May 31 18:52:18 PDT 2011
RyanMadanickMD @purplesque YES very much so @beRt_MD @thinkalot #mdchat
Tue May 31 18:52:48 PDT 2011
peds_id_doc @grecoa3 @mtnmd @bert_md t1 #MDchat used to be that way at SUNY
upstate...until I got my way, bwahahahaah! Now start in week 1.
Tue May 31 18:53:09 PDT 2011
Doctor_V *rimshot* RT @hjluks: @Doctor_V I have an answer... but need 1500 ch :-) #mdchat
Tue May 31 18:53:21 PDT 2011
RyanMadanickMD @purplesque Do it for the right reasons @beRt_MD @thinkalot #mdchat
Tue May 31 18:53:21 PDT 2011
EllenRichter T3 Payments? My dad has terminal lung cancer. PET CTs evry 3 mos to check on
chemo. $7000 per PET CT! $250 for radiologist to read. #MDchat
Tue May 31 18:53:41 PDT 2011
Mtnmd @terrysimpson @beRt_MD Haaaa #MDchat
Tue May 31 18:54:12 PDT 2011
carlosrizo @peds_id_doc @hjluks @dr_mum social interpersonal skills can be refined and
polished in med school. Need a good baseline #mdchat
Tue May 31 18:54:23 PDT 2011

19. Mtnmd @hjluks @Doctor_V 10,000 characters #MDchat
Tue May 31 18:54:47 PDT 2011
AbnormalFacies Does a lap appy count? I just had one go 3.5hrs, what then? lol T3 think about this:
30 min for a "routine" surgery...get paid same #mdchat
Tue May 31 18:55:04 PDT 2011
beRt_MD Docs use to be shopkeeper, now more r employed. No incentive to do less testing.
Pressure to do more given possible litigation #mdchat
Tue May 31 18:55:22 PDT 2011
drmintz T2- Start the patent clock when a drug is approved, not identified. Incentivize industry
to make safe and effective products #mdchat
Tue May 31 18:55:32 PDT 2011
peds_id_doc @carlosrizo @hjluks @dr_mum #MDchat t1 more than that though - can teach
empathy, active listening, proper questioning style, pt engagement
Tue May 31 18:55:38 PDT 2011
Mtnmd T3 middle men (insurance, etc) HAVE to be removed for most patients to achieve
ANY kind of cost control. #MDchat
Tue May 31 18:55:49 PDT 2011
scanman My first peek into #mdchat. Want to find out what the thought leaders are talking
about.
Tue May 31 18:56:07 PDT 2011
peds_id_doc @carlosrizo @hjluks @dr_mum #MDchat t1 studies have shown that training
docs/students this way impacts patients, so very teachable!
Tue May 31 18:56:10 PDT 2011
RyanMadanickMD @AbnormalFacies Increased complexity, unexpected, bill modifier -22?? #mdchat
Tue May 31 18:56:10 PDT 2011
drmintz T2-FDA approval should be for either safer or more effective products, not better than
placebo #mdchat
Tue May 31 18:56:22 PDT 2011
Mtnmd T3 There are MANY models coming out where patients pay less than haircut/month
for full OP care, catastrophic ins, only. #MDchat
Tue May 31 18:56:34 PDT 2011
RyanMadanickMD MT @drmintz: T2- Start patent clock when drug is approved, not identified.
Incentivize industry to make safe and effective products #mdchat
Tue May 31 18:56:34 PDT 2011
EllenRichter Absolutely! RT @Mtnmd: T3 middle men (insurance, etc) HAVE to be removed for
most patients to achieve ANY kind of cost control. #MDchat
Tue May 31 18:56:37 PDT 2011
grecoa3 @peds_id_doc @carlosrizo @hjluks @dr_mum agreed! Poor planning= problem
too. Our SP sched as easy class during exam week= ignored #mdchat
Tue May 31 18:56:43 PDT 2011

20. MD_chat @Mtnmd I mean care #MDchat
Tue May 31 18:56:50 PDT 2011
beRt_MD @RyanMadanickMD @purplesque @thinkalot Teaching is so worth it. Very
rewarding, we had hand in training excellent physicians. #mdchat
Tue May 31 18:56:54 PDT 2011
RyanMadanickMD am I a thought leader?? Oy vey RT @scanman: My first peek into #mdchat. Want to
find out what the thought leaders are talking about.
Tue May 31 18:57:07 PDT 2011
Mtnmd T3 Cost of MRI: > $3000. Cost, if all ins, etc, removed: $400. THERE is the problem.
#MDchat
Tue May 31 18:57:47 PDT 2011
RyanMadanickMD @EinsteinMed you mean...take care of pts?? #mdchat
Tue May 31 18:57:50 PDT 2011
TrishaTorrey #MDchat - Q re: middle men - would you want to remove insurance from
homeowners (fires) or authos (accidents?) not much different
Tue May 31 18:57:59 PDT 2011
RyanMadanickMD as things wind up here, just a note that I will be posting a Video blog about recent
events and @mommy_doctor departure #mdchat #hcsm
Tue May 31 18:58:01 PDT 2011
scanman Join the queue at #mdchat >> RT @DrGhaheri: @RyanMadanickMD @scanman
Wait wait. *I* want to be a thought leader too!!!!!
Tue May 31 18:58:06 PDT 2011
Mtnmd @RyanMadanickMD Yes, you are. #MDchat
Tue May 31 18:58:18 PDT 2011
EinsteinMed Sorry. Spinal Tap Joke fail on my part. Knew I should have gone with Stonehenge. :)
@MD_Chat @EinsteinMed @hjluks #mdchat
Tue May 31 18:58:41 PDT 2011
apjonas @ryanmadanickmd In 15 minutes, I get pd 25% of colonoscopy doc for RX
depression, htn, diabetes and ED, plus the "by the way rash". #MDChat
Tue May 31 18:58:52 PDT 2011
RyanMadanickMD @EinsteinMed I disagree! #mdchat
Tue May 31 18:58:57 PDT 2011
mkmackey Really nice to hear the postive comments from physicians on teaching medical
students #mdchat
Tue May 31 18:59:04 PDT 2011
EHRoutlook @EinsteinMed Ever seen the real stonehenge? #mdchat
Tue May 31 18:59:09 PDT 2011
Srini2000 @TrishaTorrey Use of insurance is an exception in all these cases #mdchat
Tue May 31 18:59:11 PDT 2011

21. RyanMadanickMD @apjonas true, need more equitable pay #MDChat
Tue May 31 18:59:20 PDT 2011
grecoa3 Wish I could really get into #mdchat.. Alas, #USMLE is summoning..
Tue May 31 18:59:35 PDT 2011
MD_chat @scanman Hey Vijay! Welcome to #MDchat - Glad you found it. This is
@PhilBaumann You were one of the 1st docs I met on Twitter way back!
Tue May 31 18:59:36 PDT 2011
EinsteinMed About the joke? @ryanmadanickmd @EinsteinMed #mdchat
Tue May 31 18:59:49 PDT 2011
EHRoutlook @apjonas @ryanmadanickmd payment structure for PCPs *definitely out of line*
#mdchat
Tue May 31 18:59:56 PDT 2011
Mtnmd @mkmackey Thanks!!!
Tue May 31 19:00:07 PDT 2011
#MDchat
apjonas Final thought: Medical education is effective for the Medical Industrial Complex,
perfectly responding to its needs. #MDChat
Tue May 31 19:00:09 PDT 2011
RyanMadanickMD @EinsteinMed yep.... 11! #mdchat
Tue May 31 19:00:33 PDT 2011
JediPD Pilots: 70% of all accidents are pilot errors. Only constant practice & good decision
making saves passengers #mdchat
Tue May 31 19:00:41 PDT 2011
peds_id_doc @grecoa3 @mtnmd @bert_md #MDchat t1 we had good leadership who valued it,
brought in the right ppl to teach, supported change
Tue May 31 19:00:56 PDT 2011
Srini2000 @TrishaTorrey @srini2000 In homes and cars #mdchat
Tue May 31 19:00:59 PDT 2011
RyanMadanickMD @md_chat We need change, but it will not come quickly #mdchat
Tue May 31 19:01:55 PDT 2011
RyanMadanickMD @MD_chat Great chat tonight #MDchat
Tue May 31 19:02:08 PDT 2011
apjonas @JediPD Agree. I flew helicopters in Vietnam. Practice, practice, practice. Pray, pray,
pray! #MDChat
Tue May 31 19:02:13 PDT 2011

22. carlosrizo @mkmackey @TrishaTorrey Indeed flying planes is less complex than managing a
patient with diabetes. Still all need safe "landings" #mdchat”
Tue May 31 19:02:15 PDT 2011
Srini2000 Health Care has become very complex. Not sure it can be fixed. Will have to gut and
start over, which is difficult #mdchat
Tue May 31 19:02:32 PDT 2011
MD_chat @grecoa3 Study hard, relax well. #MDchat
Tue May 31 19:02:34 PDT 2011
JediPD Medicine thru politics and media bias is in free fall. The society need to wise up and
comfort the comforters! #mdchat
Tue May 31 19:03:04 PDT 2011
RyanMadanickMD @EinsteinMed "Lick my love pump" #mdchat
Tue May 31 19:03:17 PDT 2011
KathyKastner LOL RT @terrysimpson: @beRt_MD psychiatrists determine normal. Remember who
went into psych? #MDchat
Tue May 31 19:03:24 PDT 2011
Mtnmd I am hopeful that from the apparent demise of our system, a Phoenix of excellent
training and care will emerge. #MDchat
Tue May 31 19:03:41 PDT 2011
NateOsit Final thoughts: Healthcare needs to become more patient focused while reducing
health disparities and inefficiency. 3X threat! #MDchat
Tue May 31 19:03:47 PDT 2011
mkmackey Love it RT @carlosrizo: Indeed flying planes is less complex than managing a
patient with diabetes. Still all need safe "landings" #mdchat
Tue May 31 19:03:52 PDT 2011
NateOsit :-) RT @Mtnmd: I am hopeful that from the apparent demise of our system, a Phoenix
of excellent training and care will emerge. #MDchat
Tue May 31 19:04:30 PDT 2011
RyanMadanickMD @DrVes LOL @scanman #mdchat
Tue May 31 19:04:35 PDT 2011
Dr_Mum Thank you all for the discussion #MDChat
Tue May 31 19:05:20 PDT 2011
AbnormalFacies @EinsteinMed Not only did I get it, but I think it may have been the best #MDchat
tweet of the night... exit on a high note ;)
Tue May 31 19:05:27 PDT 2011
apjonas @mkmackey @carlosrizo The helicopter flying in Vietnam was equal to the
challenge of treating a diabetic patient. #MDChat
Tue May 31 19:05:41 PDT 2011

23. AbnormalFacies SPEECH! ;) RT @Mtnmd I am hopeful that from the apparent demise of our system, a
Phoenix of excellent training and care will emerge. #MDchat
Tue May 31 19:06:18 PDT 2011
MD_chat THANK YOU everybody for another lively #MDchat - Transcript will be up soon.
Enjoy your week! - @PhilBaumann
Tue May 31 19:06:24 PDT 2011
mkmackey @apjonas I can only imagine.. thanks for sharing #mdchat
Tue May 31 19:06:52 PDT 2011
EHRoutlook I feel privileged to be here from the outside looking in. As an EMR specialist I invite
questions anytime on that subject. :-) #mdchat
Tue May 31 19:06:56 PDT 2011
carlosrizo #mdchat should be mandatory to pass #usmle “@grecoa3: Wish I could really get
into #mdchat.. Alas, #USMLE is summoning..”
Tue May 31 19:07:50 PDT 2011
EHRoutlook Anyone interested in an #MDEMR chat? #mdchat
Tue May 31 19:07:55 PDT 2011
TrishaTorrey #MDchat please join @PhysiciansPract tomorrow 6/1 at 8pmEDT based on my
series -dealing w/ "problem" pts http://dlvr.it/SxrlH #PhysPractChat
Tue May 31 19:08:24 PDT 2011
MD_chat @EHROutlook Go for it! #MDchat #MDEMR
Tue May 31 19:09:19 PDT 2011