JoeUKHM (@JoeUkhm) header
JoeUKHM (@JoeUkhm) profile picture

Husband and father of 3. Hospitalist. Director of UK Hospital Medicine Track. UK IMRP APD. ND class of 2005. All opinions/tweets are my own.

Kentucky, USA
Joined April 2018
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Fi ally listened to @ZDoggMD on @ETSshow podcast. Expected to be entertained, & I was. Did not expect to be so inspired! They discuss the value of being vulnerable with ourselves, one another, & our Pts. Hilarious episode & powerful messages! #MedEd explorethespaceshow.com/podc…
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After a 72 hr break from processing e-mail, (just deleting garbage via my phone) I'm committed to catching up today. In box currently at 66, most in need of something. Goal: #inboxzero Here we go!
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Success!!! I am now [nearly] free of professional guilt.
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I'm torn about step 1. As a MS, cramming endlessly for that silly test was terrible. Now, as program leadership, it's one of the few numbers we get. Schools are pass fail, and LORs are hard to trust. I hope the answer is NOT supplemental apps or "aptitude" tests. #MedEd
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Quick and quality piece with 10 best practices to avoid malpractice problems. My favorites are 1 & 3: minimize copy-paste & shorten notes. 🙌🙏 Already incorporated into #UKHMT & probably widely applicable. Document to defeat malpractice suits acphospitalist.org/archives/…
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What a great honor from @SocietyHospMed. Awesome work along with @romilchadha & @wclippertMD. The impact of #TWDFNR is massive and I'm proud to be part of it!
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I strive to be this type of old fashioned! These messages are desperately needed in #MedEd. Thx @medevidenceblog for sharing & @THilalMD for pointing this out.
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Working Christmas & NY to finish out 2019. Some think non-traditional shifts (nights, wknds, holidays) contribute to HM burnout. Maybe. But these shifts are *PURE* Pt care & offer time to connect more deeply with Pts. They can be quite re-energizing! Happy New Year #medtwitter!
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New pet peeve: the dominos of PO iron (which I believe is mostly worthless): PO iron is started. Plus laxatives (b/c it's super constipating). Plus ascorbic acid (to acidify gut). In spite of the PPI/H2B they're also taking. Then my head explodes 🤯 #MedEd #TWDFNR #polypharmacy
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After walking out a room on rounds the other day, my med student said to the other med student "Wow. This is the first time patients have really seen ME as their doctor " And she absolutely made my day. #bedsiderounds #MedEd
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Dear oncologist(s), Yes, I want you to see my Pt before the bx is back. Why? To look them in the eyes. To talk thru the things that seem most likely. To show them a path foreward. Certainty isn't necessary to be a Dr. (or a human) for a person going thru a tough time. #MedEd
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How do you ensure there's time for teaching on rounds? Check out this month's Leadership & Professional Development article: ow.ly/oH9E50x48Ze via @AlanHall_UKHM #VisualAbstract
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My commute this AM had the normal stuff (horses, cows, beautiful pastures, green grass) plus this awesome cotton candy sky. #bluegrass #Kentucky
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More time with patients, less time on EHR! @AmerMedicalAssn worked with @CMSGov & convened coalition of 170 med societies to simplify requirements and make them clinically relevant. No more counting elements for Hx, ROS, & Exam starting in 2021! Simpler, cleaner notes.
A major overhaul in evaluation and management (E/M) office visit codes—the first in more than 25 years—has the potential to significantly reduce documentation burden and provide physicians with more time with patients. spr.ly/60111KRPX
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Short & awesome article about the massive impact of seemingly small changes (eg, emergence of the word "provider") & how they impact physician visibility and joy. Great read for #UKHMT @InternalUk Important lessons for @UKHospitalists @UK_HealthCare sciencedirect.com/science/ar…
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Great (and fairly brief) article summarizing the issue and giving some important steps necessary to move forward. #UKHMT
Yes yes yes!!! Totally agree! @UKHospitalists @UK_HealthCare @InternalUk
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Busy but fun day on gen med consults! Lots of services calling us for a wide range of probs (Afib, AKI, HF, cirrhosis, hypoxia, etc). I'm convinced it's b/c we offer better customer service than many organ-based services. No yelling or shaming, just learning & helping!
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Dr. Sean Lockwood from Lexington VAMC teaching us how to be better at clinical vignettes in @UKHospitalists Grand Rounds. High emphasis on relationship and [of course] aggressive editting. Great content (adapted from #UKHMT) and perfect timing.
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Congratulations to our 2019 @InternalUk graduating residents for rocking a 100% ABIM pass rate! Well done! 🎉🎈🌞 #UKHMT @UKHospitalists @UK_HealthCare
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