Anyone notice that the IQAir forecast always seems to improve about 8 hours in the future? Makes me think they’re using a historical model rather than fire/atmospheric conditions to drive the prediction. www.iqair.com/air-quality/...

Bummer, but right call. @chicagofire.bsky.social www.nytimes.com/athletic/745...

AHRQ was created by an act of congress. Is it legal for the Administration to unilaterally shut it down? www.ahrq.gov/cpi/about/br...

AHRQ grant cancellations are no longer theoretical, they're happening. We've heard from many researchers and institutions affected by notices ending continuation funding for ongoing projects. Read what we know so far, why these cancellations matter, and how we're responding.

Our systematic review on Default Nudges is one of BMJ Quality and Safety Top 10 papers of 2025! 🏆 Blog post here blogs.bmj.com/qualitysafet... Paper here qualitysafety.bmj.com/content/earl... @jefflinder.bsky.social @wiserhealthcare.bsky.social

Can we make it to 3000 letters to Congress today? Get a friend to send a letter, family members too. Russ Vought wants to take over all federal grant making and put his office in charge of spending at all agencies. A mad power-grab. Let's stop it in its tracks. actionnetwork.org/letters/oppo...

Have been thinking this for the past 2 days.

OK, people. It takes 2 minutes to write a letter to Congress, a few extra if you personalize it. Russ Vought's attempt to take over ALL federal grant funding is anti-democratic and dangerous. We need MORE letters. Let's tip it over 2000 today. actionnetwork.org/letters/oppo...

Ok, so maybe the 2 lbs of spaghetti I had last night wasn't the best (there WAS salad involved)... ...but this @thecurbsiders.bsky.social with @joansalgeblake.bsky.social on nutrition had me laughing out loud on my long run this morning. Informative, fun, clear. thecurbsiders.com/curbsiders-p...

GOOD MORNING, DORKS! I have 18k followers and there are just over 8k comments. Which means 10k of you need to head to the link and STAND UP FOR SCIENCE (and democracy) by leaving your public comment. 🔗 fight2win.standupforscience.net @standupforscience.net

Much of this will be well-known to those of us in Primary Care. This is an engaging, authoritative read from Robert Kuttner. Including a cautionary tale about a certain New England health system. prospect.org/2026/06/01/c...

SAY WHAT NOW?! @jamanetworkopen.com published a study of what?! Did I miss something over the last 30 years about there being equipoise in the use of antibiotics for <rereads paper title> low back pain!?? jamanetwork.com/journals/jam...

For a change, I am being a good spaced learner and have almost finished relistening to this @thecurbsiders.bsky.social episode with @jordybc.bsky.social. But a question... thecurbsiders.com/curbsiders-p...

Use of a rapid microbiological point-of-care test for respiratory infections did not lead to an expected overall reduction in same-day antibiotic prescribing in #PrimaryCare. Results of the RAPID-TEST clinical trial published in @jamainternalmed.com. 👉 Read the news: tinyurl.com/y3x3hv29

This may be my "favorite" result from the study. Despite multiplex respiratory point-of-care testing changing WHICH patients got antibiotics -- in the testing arm, patients with an identified virus were less likely to get abx -- there was no difference in improvement in symptom severity.

@jefflinder.bsky.social & Julie Szymczak comment on the results of the RAPID-TEST clinical trial led by Alastair Hay in this related @jamainternalmed.com editorial. For the trial results, see: tinyurl.com/5f8vv3m9 #AMR #Antibiotics #AntimicrobialResistance #PrimaryCare #GPSky #PharmSky

For antibiotic overuse, I've heard for YEARS about how we just need better tests. But it's not that simple. Julie Szymczak and I have a new editorial in @jamainternalmed.com on modern microbiological testing failing to reduce antibiotic prescribing. jamanetwork.com/journals/jam...

Love this article and intervention! The editorialist put it best: “These findings highlight the critical need to refocus on delivering simple health care with quality, at scale.” www.nejm.org/doi/full/10....

With Sijia Wei and others @nuintmed.bsky.social @feinberg.northwestern.edu @dukemedschool.bsky.social @duke-university.bsky.social. We found that one of the potential mechanisms heart failure patients with higher SES achieve better outcomes is by having *better clinician networks*.

Peer comparison feedback to hospitalists fails to reduce antibiotic prescribing or improve patient outcomes. WHY? From Witt and colleagues in @jamanetworkopen.com from @emorydeptofmed.bsky.social @emoryhealthcareatl.bsky.social @uofugim.bsky.social jamanetwork.com/journals/jam...

Benjamin Gallagher from @yalesom.bsky.social in @journalgim.bsky.social writes that measured BPs are more effected by: 1. Regression to the mean 2. Hawthorne effect 3. Visit-to-visit variability Than medication

steroids are overprescribed for URI (colds, bronchitis)– unless it's kicking off an asthma or COPD flare, they don't help most patients + nontrivial side effects/harm great work by @jefflinder.bsky.social @nuintmed.bsky.social @feinberg.northwestern.edu @ipham.bsky.social in @jamanetworkopen.com !

We conducted a multi-faceted stewardship program to address glucocorticoid prescribing for acute respiratory infections. Intervention consisted of a survey, education, feedback, and patient handouts. Glucocorticoid prescribing rate decreased from 20% to 8%. jamanetwork.com/journals/jam...

This benefit is under appreciated by doctors who have infinite sick leave and high salaries: “Paxlovid recipients had a shorter median time to early sustained recovery than the usual-care group (14 vs 21 days in PANORAMIC and 6 vs 9 days in CanTreatCOVID)”

I feel like I’m finally getting pretty good at writing grants right when they stopped giving grants away.

Bizarre. You want a ready, lethal fighting force, but let’s sacrifice operational effectiveness by not providing the most basic preventive cost-saving medical care. @huffpost.com www.huffpost.com/entry/flu-va...

If you can manage to turn your commute into biking (or running), it is one of the biggest quality of life upgrades I know of. 👇

Heartbreaking. And unnecessary. A reminder that measels causes subacute sclerosing panencephalitis that presents years after the initial infection and is fatal. www.nytimes.com/2026/04/21/o...

#SGIM26 Spotlight: Dr. Molly B. Conroy, Distinguished Professor of Women and Medicine. A leader in women’s health, prevention, and cardiovascular risk, her work advances research, mentorship, and care across the lifespan. 🔗 buff.ly/JyYBzy6 #SGIM26 #WomensHealth #GeneralInternalMedicine

Under the 2026 ACC/AHA/Many others Guideline on the Management of Dyslipidemia, I'm going to start taking a statin myself. Wanted to call out this recommendation about supplements. "Not recommended."

Very good (if tragic) story from the Washington Post [GIft Link] wapo.st/3OONwh6 1/8

A great, heartbreaking description of how changes at the NIH are hurting American science. NIH supported research WAS an American crown jewel. Despite what leadership is saying, they are letting it wither and featuring future scientific leadership. www.washingtonpost.com/science/2026...

Science is a container ship carrying 200,000 tons of observations. The weight comes from years of hard work mining and refining these observations. The ship can’t turn on a dime, so scientific knowledge often changes slowly. And I think the public’s expectations don’t always match this truth.

A regular reminder that “routine blood work” is not a thing. www.npr.org/2026/04/14/n...

The one crazy thing your doctor doesn't want you to know is that they also wish there was a cheap, low-effort, painless way to feel good and be healthy

I am a hypocrite. I’ve been ranting about people’s obsession with vitamin D for years, but when my own levels came back borderline insufficient I started taking it. Now, thanks to vitamin D, my life is…exactly no different. www.self.com/story/supple...

So amazing to work with you on this trial Jeff! Lots to be learned from this to inform our future work

Haha. Are some of us who are presenting doing unserious work in this space? @jasndoc.bsky.social Looking forward to the conference!

Thank you to the amazing multidisciplinary team of researchers, clinicians, and patients who contributed to the NUDG‑ED trial! @wiserhealthcare.bsky.social @sydney.edu.au @jefflinder.bsky.social @feinberg.northwestern.edu @cmaj.ca @ipham.bsky.social

Very proud to have been part of this team. Please see full thread from @gemmaaltinger.bsky.social!!

An article in @jama.com finds that having patients use a decision tool results in less discontinuation and improved depressive and anxiety symptoms at 24 weeks. jamanetwork.com/journals/jam...

Congratulations to @acpimphysicians.bsky.social for naming LeRoi Hicks, MD, MPH, MACP as the American College of Physicians' next CEO/EVP. This is great news in the midst of tough time!! www.acponline.org/acp-newsroom...

The wholesale hollowing-out of #AHRQ continues... @societygim.bsky.social @publiccitizen.bsky.social

So from what I understand, *ALL* #AHRQ NOFOS are now terminated. None active, none forecasted. The administration effectively “quiet” shutdown the entire Agency… #AHRQ #HHS #HSR #Healthcare

Good thing #AHRQ doesn’t fund anything important, right? Let’s see here, they just: “…produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and… make sure that evidence is understood and used.” And no other funding agency does this. Huh.

Update 3/16: A very small handful of NIH apportionments have come through — with big exceptions. The ones that OMB has approved are all Congressionally mandated/earmarked. The broad discretionary funds that fund most NIH grants not yet been authorized. (1/2)

Working on a NIH multiyear funding tracker... This looks at the amount of multiyear funding (grants having a budget period 366 days or longer) for new and competitive renewal awards divided by the total amount of new and competitive renewal award funding over the same period. 1/5

Russell Vought's OMB is continuing to hold up funds at NIH. www.medpagetoday.com/publichealth...

More not good a week later. AHRQ funding opportunities for Diagnostic Safety, Health Services Research cancelled. A reminder that #AHRQ, the Agency for Healthcare Research and Quality, is the only part of HHS strictly dedicated to studying and improving health care delivery.

Corrected URL/DOI: doi.org/10.1093/ofid...