Joined October 2012
From @bwtrautner, @EvaAmenta et al @IQuEStHouston : An antimicrobial #stewardship implementation study found minutes spent in delivery of an antibiotic stewardship intervention was correlated with a ⬇️ in antibiotic use (measured by DOT and LOT) doi.org/10.1017/ash.2023.198
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✨Thursday Research Spotlight✨ Dr. Barbara Trautner (@bwtrautner) is Kicking CAUTIs and taking names. In her free time, she is the Director of Health Services Research here at BCM and takes on an atmospheric approach to health implementation! @PrathitKulkarni
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Looking forward to learning from @bwtrautner! "Case study in Behavior Change: Antibiotic Stewardship for Asymptomatic Bacteriuria" Saturday, October 22, 2022 1:45 PM – 3:00 PM ET Location: 152 AB cdmcd.co/3wzQyr #IDWeek2022
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*walking into patient’s room on the ID service* *patient on the phone*: “listen I’ll call you back. The CDC are here” ID is fun 🤣 @PrathitKulkarni @EvaAmenta
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Do you want to teach in the clinical setting but have limited time? Check out this #IDChalkTalk on infectious risks of asplenia by @EvaAmenta & @PrathitKulkarni (idsociety.org/MedEdCOP, click on Teaching & Learning Resources, then ID Chalk Talks) #IDMedEd #MedEd
5 fellows | 4 hospitals | 3 new badges | 2 pairs of scrubs | 1 McDonald’s trip—thanks to @EvaAmenta for showing the rest of us around today! @Ajfebresa @PatrycjaAshley @BCMIDFellowship
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1/ Just finished rounding for a half month on the ID service with an outstanding team. As we gear up for the new academic year, here are some fundamental tips and tricks for students, residents, and fellows to succeed on the ID service. Read on to learn more!
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I am so thankful to have worked with @nepherson and @EvaAmenta over this past year as they served @BCM_InternalMed and our VA hospital as chief residents — they were phenomenal! Looking forward to working with @muradali_md and @JRH_MD!! (Pic outdoors and fully vaxxed)
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Thanks to all who helped provide feedback on our Infections in Immunocompromised hosts schema! I am excited to share our 2.0 version @PrathitKulkarni @transplantID @Cortes_Penfield @KatieBedardMD
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Shout out to @nepherson @EvaAmenta @muradali_md for this @ICREConf presentation. We got to share how our @BCM_InternalMed Academy of Resident Educators uses the best aspects of social learning and the community of educational practice model. Thanks to those who joined! #ICRE2021
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1/18 Let’s talk vancomycin and the kidney.🧪 A 65 y/o woman on week 4 of IV vancomycin for ankle osteomyelitis presents with AKI (Cr 6.32mg/dL) and elevated vancomycin level (136 mg/dL). What’s to blame? #tweetorial #MedTwitter #Nephtwitter #FOAMed #TwitterRx @TheSkeletonKG
24%High vanc caused AKI
13%AKI caused high vanc
64%Both—Chicken or Egg 🐔🥚
858 votes • Final results
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Had so much fun discussing our clinical reasoning zoo at @BCM_InternalMed grand rounds today! 🐢(slow thinking) 🐇(fast thinking) 🦓 (rare diagnoses) 🦀 (CRAB criteria)
Currently listening to a masterclass in Iterative Hypothesis Testing in diagnostic reasoning by @BCM_InternalMed and @BCMDeptMedicine Chief Medical Residents @JFBirnbaum @HollandKaplan @nepherson @EvaAmenta @mcclaffertyMD
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Confused by someone labeled "immunocompromised" and their infection risks? Same. So with guidance of our ID Mentors @PrathitKulkarni, @Cortes_Penfield, & @transplantID - @KatieBedardMD, Charmaine Mutucumarana and I created an Infections in Immunocompromised Hosts Schema
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Ongoing excellent BSLMC/VAMC Grand Rounds by current chief medical residents @mcclaffertyMD and @nepherson !! 👇 Important topic of SGLT2 inhibitors in cardiovascular disease and CKD!
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When checking a pulsus paradoxus, don't look for the Korotkoff sounds to "go away with inspiration." Instead note the difference in SBP between appearance of intermittent (Korotkoff) sounds and appearance of continuous sounds. That's the pulsus.
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Thank you @ETSshow @votehealth2020 for visiting Morning Report and sharing this resource. Make a voting plan! We'll have a system of coverage / signout on 11/3, but best to vote early. Many locations starting 10/13, including @TXMedCenter Commons. harrisvotes.com/
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Fun to give this talk about pragmatic, hypothesis-driven, evidence-based physical diagnosis. @DrDanRestrepo and I gave a workshop version of it at @AAIMOnline in 2019. We made some deliverables for the workshop that I'll share here. 1/3
Really cool noon conference by @sargsyanz on making the physical exam count in our tech-driven age. Being able to understand who the patient is and how they relate to their illness is critical to effective diagnosis and treatment. Can only be discovered at the bedside!
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