A decisão compartilhada como eixo da ação médica. #Medicina (🧵1) Victor Montori e colegas propõem que o shared decision-making (SDM) não deve ser visto como uma tarefa a mais. (Free👇) ebm.bmj.com/content/28/4...

Guidelines aren't one-size-fits-all. So how do you tailor decisions to the needs of each patient? Join us next Tuesday, October 21 at 4pm Eastern for our free #WorldEBHCDay webinar with Dr. Victor Montori to discuss just that. Register ahead at us02web.zoom.us/meeting/regi....

We MUST CARE! Care, a practice by which a human sets out to solve the problematic situation of another human, is replaced by the processing of their data. Care becomes depersonalized, dehumanized, disembodied.“- VM Montori MD.

I think it is time to reaffirm and defend our human dignity. 𝐈 𝐚𝐦 𝐧𝐨𝐭 𝐲𝐨𝐮𝐫 𝐡𝐮𝐦𝐚𝐧-𝐢𝐧-𝐭𝐡𝐞-𝐥𝐨𝐨𝐩 (1/7)

Wonderful news from the super talented @ranaawdish.bsky.social - go get it!!!!

So #medsky, the secret is out. BIG NEWS!! I am sooo very excited to share my thoughts on healing that truly honors the body’s wisdom and innate healing. I’ve learned so much in the process of writing this. I hope it can be a companion in your journey, as a healer or someone who is seeking healing ❤️‍🩹

A must-read. So much in there about what matters, and how to preserve it. 🙏

A great discussion paper by Montori et al. for @harvard-carr-ryan.bsky.social. They warn that surveillance capitalism is reshaping healthcare into a system focused on data rather than people, enabling Big Tech to commodify human experience and consolidate power: www.hks.harvard.edu/centers/carr...

Oscar J. Ponce-Ponte, David Toro-Tobon, Luis F. Figueroa, Michael Gionfriddo, Megan Branda, Victor M. Montori, Saturnino Luz, Juan P. Brito Developing an AI framework to automatically detect shared decision-making in patient-doctor conversations https://arxiv.org/abs/2509.18439

Ponce-Ponte, Toro-Tobon, Figueroa, Gionfriddo, Branda, Montori, Luz, Brito: Developing an AI framework to automatically detect shared decision-making in patient-doctor conversations https://arxiv.org/abs/2509.18439 https://arxiv.org/pdf/2509.18439 https://arxiv.org/html/2509.18439

New book out TODAY: Food Intelligence by Julia Belluz and Kevin Hall, PhD, explores the science of nutrition and metabolism and how today’s food environment drives what and how we eat—and the impacts on health. www.penguinrandomhouse.com/books/671334...

Distinguishing the Difference Between Curing and Caring When Treating Patients | NEJM Catalyst catalyst.nejm.org/doi/full/10.... @patientrevolution.org

Trust is central to science based policies + care. Careful + kind care demands mutual trust bw patients & clinicians; bw clinicians & the organizations that set up the material, regulatory, scientific and financial conditions for care. I see you at this timely @patientrevolution.org town hall!

@patientrevolution.org Trust in healthcare in imperative! Join when 3 panelists explore the dynamics of #trustincare; the influences, processes & systemic forces that shape how care is given/received—trust must be earned, not assumed. tinyurl.com/registerTHTr... to register. @vmontori.bsky.social

Best use of “motherfucking” I’ve heard in a long time.

This was too much fun!!! Listen to the episode (there is some great music in it) and find out about our movement for care @patientrevolution.org

Guest Victor Montori's book, "Why We Revolt," decries the Industrialization of #healthcare. Clinicians become busier & patients are tasked with more work to self manage. #medsky 👉 Full episode at bit.ly/GeriPalEp367 😀 Hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guest: Victor Montori

Priorizar a los pacientes con las mayores necesidades de atención: es hora de que los médicos de familia lideren por Amanda Niklasson a, Victor M. Montori, Minna Johansson Traducción del original en Am Fam Physician. 2025;111(4):302-303 a Global Center for Sustainable Healthcare, Gothenburg,…

This happened in Thessaloniki. “We are honored to welcome Professor Victor M. Montori, as an Honorary Doctor of the School of Health Sciences, Department of Medicine at AUSOM. Welcome to our community, Professor! Photo credits: Yannis Tsouflidis”

Can you believe this program? Care that fits is in Paris. Oct 7-10 with a who’s who on the science and practice of care inc. AI and care! This is the time for community. This is the time for a revolution of care. See you there! ce.mayo.edu/ctf2025

I’m thrilled to announce that the #carethatfits Conference will be hosted by @upcite.bsky.social @cressumr1153.bsky.social @ap-hp.bsky.social , in partnership with @mayoclinic.org , from October 7-10, 2025 in Paris, France. Register now : ce.mayo.edu/endocrinolog...

Among speakers in Paris in October : Sir Gregor Smith (CMO Scotland), Iona Heath (former president of the RCGP), @vmontori.bsky.social - @mayoclinic.org , @francesmair.bsky.social - @uofglasgow.bsky.social , Carl May - @lshtm.bsky.social and many others Register : ce.mayo.edu/endocrinolog...

The 10 Year Plan will have high ambitions. It might reference culture, but will it change it? New blog from me on change that works, learning from the past, and lessons from the 1120s. www.kscopehealth.org.uk/blog/cultura... #NHSConfedExpo

The 2025 KER Unit’s Care that Fits conference is outside US for 1st time. See you in Paris Oct 7-10, 2025. Register here ce.mayo.edu/ctf2025 See you all - researchers, clinicians, patients, care activists!!! For info re KER Unit and prior Care that Fits conferences visit carethatfits.org

I don't think anyone outside of universities, pharma and biotech, independent research institutions have any idea of what is happening right now. If you haven't sounded the alarm among your friends, family and colleagues, now is the time to do it.

Adding to this push by @vmontori.bsky.social @ericreinhart.bsky.social Mark Linzer et al to move from burnout to moral injury. We call for more focus on harm to health workers of industrial health care consolidation, disempowered labor, govt austerity policies www.annualreviews.org/content/jour...

@allisonpugh.bsky.social has uncovered, thru careful interviewing and analysis of people from all walks of care, what care is: connective labor. , What is the secret of care? Dr. Pugh has found a key piece of the puzzle, essential as we organize to advance careful and kind care for all.

Time-deficiency isn’t new, but industrialized medicine destroys buffers (continuity & morale). Let’s: -restore buffers -enable clinicians and patients to decide what matters -accept there’s not enough time for all guidelines @BMJ_EBM shorturl.at/vyWUg Free: shorturl.at/BifBZ

Our second #CoreGRADE paper is out! This one is on rating certainty and imprecision! Learn about the rigorous making of guidance and key ingredients to clinical decision making @vmontori.bsky.social @bmj.com @magicevidence.bsky.social

Proud to share our latest publication in JAMA Network Open. It demonstrates thatcurrent digital health technologies are not fit for patients with multiple chronic conditions @upcite.bsky.social @cressumr1153.bsky.social @ap-hp.bsky.social @vmontori.bsky.social jamanetwork.com/journals/jam...

The burden of digital tools in the care (and self care) of people living with chronic conditions - includes a very nice display of the burden of apps as the number of conditions increases. jamanetwork.com/journals/jam...

An important article: GRADE method for guidelines simplified: the overview of Core GRADE!! now out on @bmj.com www.bmj.com/content/389/... @kamranabbasi.bsky.social @thomasagoritsas.bsky.social

Prioritizing Patients With the Greatest Care Needs: Time for Family Physicians to Lead www.aafp.org/pubs/afp/iss... via @vmontori.bsky.social

GRADE guidance has gotten too complex and disorganized. Core GRADE offers its essentials in a 7-article series. This is the intro paper to the series. Hopefully more guidelines can offer more trustworthy recommendations.

Core GRADE was developed to provide the essentials of the GRADE approach in a single series of papers @bmj.com www.bmj.com/content/389/...

Come over and say hi if you are around. It would be lovely to chat about our movement for care in healthcare (join patientrevolution.org). I’ll be speaking at the Sommer Memorial Lectures in Portland OR May 1-2 2025 www.ohsu.edu/school-of-me...

What makes people healthy? Strong welfare systems. What kills people? Dismantling public care systems. New NEJM analysis: “Survival in the wealthiest U.S. quartile appeared to be similar to that in the poorest quartile in northern and western Europe.” www.nejm.org/doi/full/10....

I had the privilege to work at AHRQ as a senior advisor for 4 years. I met remarkable civil servants who drove progress in research about what works and how to get it to everyone who needs it. (Disclosure: AHRQ has funded some our research) 1/5 #medsky

This is an important article for anyone in the business of supporting people making decisions. When considering alternative courses of action, people often start by laying out the options. Then, they review the pros/cons of each one. Think the famous scene in The Matrix (blue or red pill bit).

Genuinely beautiful mass political movements start from and continue to prioritize the smallest scale of daily life. They begin with our own practices of self, of friendship, of interpersonal care, and of creativity. Don't dismiss or neglect the value of the small and the slow.

Every post on Bluesky should defend the first amendment. Protest is speech and speech is protected. Disappearing a person - regardless of whether one agrees with their speech - is unacceptable. Every post should say this until the violation stops. Nothing is more important.

If the caprice of the despot demands that one of us be taken away, would you keep your head down and recommend that others do the same? Or would you gather up and rise up because we are one? Is sitting still in silence in screensaver mode how we prevail? Or is solidarity our liberating superpower?

Anyone praising the arrest and potential deportation of Mr. Khalil, a permanent resident of the United States, on the whim of the president, with no due process, is a fellow traveler with authoritarianism and fascism. I don't care what you think about Israel, about Gaza. You are a friend to despots.

At a time of cruelty towards those who show up to give and receive care, the professional duty of healthcare professionals is to stand for careful and kind care for all. How might our organizations - associations, boards, unions- see beyond self interest and lead care activism we urgently need?

This is on #Trump #Musk #Vought #Rubio.

Corruption in healthcare. This is why we revolt.

Important international and rigorous perspective on moral injury and burnout in healthcare professionals. journals.lww.com/hcmrjournal/... Not only does it summarize the evidence needed to spur urgent action in the short term…

Understanding care, or @allisonpugh.bsky.social connective labor, is prerequisite to automating,replacing,or even “augmenting” it. Care isn’t a list of actions to be allocated to bots or systems. To care is human.