🤔 How do journal editors decide whether to send a manuscript for peer review? 🆓 @charlie-wray.bsky.social & I discuss how to get your foot in the journal's door, metaphorically speaking. @jhospmedicine.bsky.social #IDSky #MedSky #EpiSky @societyhospmed.bsky.social @pidsociety.bsky.social

The longer I practice medicine and parent, the more and more I see how skills in one translate to the other: modeling good behavior, allowing for failure, showing that you care

After 10 years in academic medicine, I've learned a few things - often by messing up or making assumptions. Here's a quick 🧵on 5 things I've learned that may be helpful for the budding academic...

Excited to see all of the #GIMSky followers of the @journalgim.bsky.social account! If you are also on #LinkedIn, please follow us there, as well! @charlie-wray.bsky.social @vipsmdmed.bsky.social @doctorvig.bsky.social @jenniclarkson.bsky.social

My advice, as a journal editor @jhospmedicine.bsky.social, has been to either (1) find a native English speaker with scientific writing experience to join your team, or (2) use ChatGPT or other AI interface to refine your writing.

Honest question: has anyone made a starter packet of pragmatic conservative voices on this platform? I’d love to hear common sense conservative takes on what’s ailing our world.

So true! My caveat is don’t just think of polypharmacy in older adults…any new med, adjustment, or common culprit can tip the balance toward AMS. Surprised how often we miss this in hospital medicine

I'm looking at these cabinet appointments and vowing to never have impostor syndrome again

Medicine focuses a lot on the question “will this help my patient” but not on the question “when will it help my patient.” The latter becomes important as we age. We’ve developed a “time-to-benefit” tool on eprognosis.ucsf.edu to help answer this question. Here is a snapshot #MedSky #FOAMed #meded

Getting back to where I left off… Academic tip# 256:

Hey everyone! Jumping over here to join the #medsky (ne’ #medtwitter) community and see what all the hubbub is about. If you don’t know me…I post about medicine, academia, writing, riding, and being a father. Looking forward to reconnecting with folks!

Economics (ie. the study of tradeoffs and how people manage them) is a more valuable skill set than organic chemistry and many other biological sciences when applied to being a doctor. End of story.

After 10 years in academic medicine, I've learned a few things - often by messing up or making assumptions. Here's a quick 🧵on 5 things I've learned that may be helpful for the budding academic...

Academic Tip # 17: Once a week, take a moment to tell someone that you appreciate them and how they help you in your life and work. Then...take a few more minutes and share that comment with their supervisor. Imagine the impact this will have on your community in 1 year.

In academics... We don't do a good enough job of telling people when they do things right. Positive reinforcement on the smallest things (e.g. quick response to email, clear explanation to complex topic, etc) can have + long term impacts on relationships and quality of work

I have two boys. They have a ton of hot wheel and can remember EXACTLY which car is there’s and which car is the others’. To this day, I still have to look up the different RTAs. Oh to be young…

Academic Tip #4: Be nice to all the wonderful administrative assistants who coordinate and set up your meetings and who make the world go round. Even if you've never met them before and just interact via email - tell them how much you appreciate their time and energies.

If you missed it, @JHospMedicine editors @SuchitaSata & @zahirkanjee just gave an amazing Updates in Hospital Med talk at #SHMConverge24. I came for the corny jokes, but stayed for the knowledge

The great @jenreadlynn highlighting all the great work the @JHospMedicine digital media team is doing. #SHMConverge24 These folks work hard!!

This is where we are. Relying on abortion laws that were passed before the civil war ended. 🤦‍♂️

Today I received 2 emails... One told me of a fundable score on a big grant... The other was a message from my son's teacher telling me how empathetic and kind of a person he is. Guess which one I'm more proud of?

I think we wholly underestimate how much work can get done in a 30 min meeting (compared to a 1 hr meeting)

Honestly, what can the woman not do…?🤷‍♂️

Academic Tip #543: When you present your work, there are generally two types of people who will give you feedback. Those who will give you praise, and those who will question it. The former feel good. But, you’ll get the most long-term value by listening to the later.

Academic Writing Tip #3: Get rid of adverbs. All of them. They slow your reader down and muddle your story. You think they help, but they don't.

My wife and I are both fairly compensated physicians… yet she insists on tearing our kids’ napkins in half to “save a little money”. I love her.

Academic Tip #204: When submitting a manuscript to a journal... Try to suggest reviewers. It can be hard to find appropriate people to review a paper. If you lower the bar for the Review Editor - even just a bit-there are probably better odds your paper will be sent for review.

I’ve grown frustrated with MedTwitter who has for years complained about trolling, misinterpretation, and people’s lack of ability to understand nuance… …to then turn on their own, over interpret a tweet, & leave insensible responses. Come on folks!

Academic tip #68: In academia, sometimes you will have to do something for free for a while before you are paid to do it (eg. Time buy out) Instead of looking at this a “giving away your time”, view it as the opportunity to prove your worth.

Academic tip #192: If you want to be a better writer, read more. If you want to be a better thinker, write more.

Academic Tip #29: Create a personal ‘board of directors’. This is 3-5 mentors who can each advise you on specific areas of your career (clinical, research, education, work-life balance, etc). Why? No one person can fully advise on a modern academic career.

Academic tip #147: In your career, you will be in service to someone, some institution, or some idea. The sooner you figure out who or what that is, the faster you will advance your career.

Wife: Hey, you know those @doximity emails you get that give you updates on your colleagues? Well, I got one today that mentioned you and your work... Me: Cool. What did it say? Wife: I don't know, I didn't read it.

Was thinking about what to put up on new office walls. Thought I could honor the past (my degrees, awards, etc), but chose to look to the future (kiddos artwork).

Parenting win for the day: Looked over and saw my 9 yo singing along to Otis Redding. More proud of him for this than doing his math homework

Sometimes it all works out just right…

My oldest son is beginning his transition to be coming an internist. Heard him tell his younger brother “Strong work!” as he was complimenting him on his recent Lego creation.

Are you interested in a research, quality improvement, or leadership career in medicine? We're starting recruitment for next years' VA Quality Scholars program here at the SFVA. DM me if interested or check out the website here: https://www.vaqs.org/

I was recently asked to give a short presentation on my work accomplishments. My final slide ended with a summary of my most important roles: Dad and husband.

Some days you’ll take 3 steps forward and 1 step back. Too often, we focus on that 1 step back. Instead, recognize the net positive and keep the big picture in mind (those 2 steps forward!)

As someone who grew up running over to my friend’s houses, knocked on their door and asked if they wanted to play… I have come to hate the term “play date”. But nonetheless, this is the world we live in.

My physician friends who view their work purely as a "job" seem to be the happiest & most content in life. Has the labeling of a career in medicine as a "calling" contributed to the burnout and exhaustion* we see in the field? (*yes, lots of other things contribute too)

An often under-rated and overlook quality in a colleague...Citizenship When people need you to step up, help out, or raise a hand. Do it. Trade shifts, do an extra admission, cover an inbox. These good deeds will not go unnoticed - by your colleagues, or the universe

Some morning commutes hit a bit harder. Hope your day treats you well, too

Watch out @mike_natter, my 6yo is coming for you. Blue lines: “veins” Grey thing: “swallow tube” Green things: “germs from picking your nose” Red blotch: “heart”

If you'd asked me 15 years ago "What is the best quality for an academic physician to have?" - I would have answered: Intelligence. Ask me today, and my answer is: the ability to close (aka. can they get the job done) Junior faculty: don't underestimate finishing what you start

Science often glorifies quantitative data and outcomes, and shrugs off qualitative methods. I get it, numbers are easier to digest and recount, but remember... Stories are what raise armies, not data.

The problem with doing something well is that people will often ask you to do it again

The field of Hospital Medicine has been advanced by @Bob_Wachter @FutureDocs & @vineet_chopra, to name a few... After hearing @marishaburden talk to @JHospMedicine Editorial & Digital Media Fellows today, I believe the work she's doing for HM merits her name among these leaders

What do you miss about residency? Me: the resident lounge - where you’d wander in to find random colleagues from other services, old comfy couches to nap on, and a TV that was always on and tuned to the news or Sportscenter.