Between February and August 2025, 1 in 30 NIH-funded clinical trials lost grant funding, affecting over 74,000 participants, with disproportionate impact on prevention, infectious disease, and behavioral trials. ja.ma/4i4tSYx

This study shows that working with talented people outside your own discipline (including the healthy skeptics of “nudging”) genuinely strengthens the quality and relevance of your research. Excited to see more work in this space! @jefflinder.bsky.social @wiserhealthcare.bsky.social

Simple #design changes in EHR alerts, like presenting two or three good options instead of just one, could help #doctors provide #bettercare. But if these systems rely on outdated evidence, they risk doing more harm than good. #besci #medicine jamanetwork.com/journals/jam...

Fun to work with @gemmaaltinger.bsky.social, Adrian Traeger, Chris Maher, @caitlin-jones.bsky.social, and others at @sydney.edu.au Institute for Musculoskeletal Health on this! How we present choices to physicians influences their decision-making. jamanetwork.com/journals/jam...

In time for the @pennchibe.bsky.social meeting, our paper about how the number of alternatives influences physician decision-making. #MedSky #BehaviouralScience jamanetwork.com/journals/jam...

➡️ More alternatives (suggestions) = higher likelihood of choosing an NSAID over the opioid in a situation of chronic low back pain flare-up. 🔗 jamanetwork.com/journals/jam...

Just in time for the @pennchibe.bsky.social meeting, a new paper with @gemmaaltinger.bsky.social in @jamanetworkopen.com. We found that offering physicians MORE alternatives encouraged them to select one of the alternates.

Was meeting Jeff Gerber and ran into @mhallsworth.bsky.social in Philly.

It will be my honour and pleasure to give this grand round in Northwestern, Chicago, next week!

I met a friend at the Omni Hotel on the "Miracle Mile Shopping Center" this morning on the way to work. It was horrible. A snowy morning. The people going to work. The Christmas lights. Shoppers. Tourists.

More terrific work on PAD by Mary McDermott and her team! @nuintmed.bsky.social @ipham.bsky.social @nupress.bsky.social

Please join us on Nov. 12th for our next #MedicalGrandRounds ! We will be joined by @drkerribaker.bsky.social from @rcpedin.bsky.social !

Please join us on Oct. 15th for our next #MedicalGrandRounds ! We will be joined by C. Ronald Kahn, MD from Joslin Diabetes Center for our Rollin T. Woodyatt Lectureship!

Another bike commute into the urban hellscape today…

This was great! My two favorite posters were, 1) this one, as I treated myself for a muscle strain, and…

Endorse. @shwinyo www.nytimes.com/2025/10/07/w...

Affidavit from Maywood ASA Jose Villarreal, testifying under oath that the presence of ICE/CPB is harming his office's prosecution of crimes.

To the TSA agents at a fully staffed PIT — was through security in 5 min — this afternoon who are working without pay… …on behalf of all American taxpayers… Sorry. And thank you. 🫡

One of the things I really liked about S2 of “Andor” was how few Imperial Stormtroopers there were. Lucas put them in masks for two reasons, IMHO: 1) it made them terrifying, their inhuman faces frozen in frowns, with no pity, feeling, etc. Echo of his enforcer robots in THX-1138.

Another update: Northwestern University has still not received any funds from NIH since March 26, 2025. We still have not received written communication stating that the funds are frozen, the reason why, or what can be done to restore it.

The Northwestern Center for Bedside Medicine is proud to host the First Annual Conference in Bedside Medicine in Chicago, Nov 14-15, 2025. Join international experts including Abraham Verghese & Andrew Elder to hone your bedside clinical & teaching skills. northwestern.cloud-cme.com/course/cours...

Agree. The hearing brought to light his lack of knowledge on the agencies and health issues he is over

A colleague just heard that two NIH grant proposals -- totally aligned with addressing chronic disease -- one with a 4th percentile and one with a 1st percentile score, will likely not be funded. See rationale in the image. This does not seem like "radical transparency." #NIH #HHS

RFK Jr. rolled out that old chestnut again about how healthy Americans were in the 60’s, so here’s a fact check. In 1965: -42% of American adults smoked; it’s 11% now. -The infant morality rate was 24.7/1000; it’s 5.6/1000 now. -Overall life expectancy was 70 years; it's about 77 years now.

I take Ozempic, a GLP-1 agonist, for weight loss. I lost 80 lbs. It has completely transformed my life and health, both physical & mental. But it is not without cost. Microdosing without evidence is a bad idea. Here are a few reasons why👇🏻 www.washingtonpost.com/health/2025/...

I guess we’re going to do THIS natural experiment.

Yes, it was carefully hidden in the New England Journal of Medicine. Pfizer/BioNTech vaccine (www.nejm.org/doi/pdf/10.1... ) 1/2

Just did a 17 mile run on the Chicago Lake Front. I and SO MANY OTHERS — like epidemic numbers — with mitochondrial challenges

How are everyone’s organelles today?

AP live feed of the CDC walkout in Atlanta. www.youtube.com/watch?v=KZ7Q...

In this episode of Science in Translation, Sara Becker, PhD, discusses steps taken to make dissemination and implementation training more accessible to investigators while intentionally bridging the gap between what we know and what we do — bit.ly/4lMxVZS

So...if he's going to comment, based on appearance that America's children have "mitochondrial challenges." Might I, in parallel, offer that bro's T dose is too high.

Somebody needs to square this announcement with the pending CDC recommendations with "These vaccines are available for all patients who choose them after consulting with their doctors." Also, healthcare workers? People living with immunosuppressed people? www.nytimes.com/2025/08/27/h...

The Society for Implementation Research Collaboration is hosting SIRC City Chicago at 5 p.m. on September 10 at Midwest Coast Brewing Company. The free event aims to foster social connections in the broader implementation community. Non-members are welcome partiful.com/e/oxk9xB225q...

I just agreed to serve on an NIH Study Section. On one hand, it may be more important than ever, BUT... ...without any guarantee that highly scored applications will be funded, it feels like a big potential waste of time. How are others dealing with this cognitive dissonance?

THIS

I appreciate the profanity in this article, particularly the word "bullshit." www.newyorker.com/magazine/202...

Why cutting funds for the Agency for Healthcare Research and Quality #AHRQ and other scientific research is penny wise pound foolish. Thanks @ericboodman.bsky.social for including me. #MedSky #HealthPolicy www.statnews.com/2025/08/08/t...

We're excited to congratulate two of our outstanding faculty members, Dr. Gopi Astik and Dr. Courtney Reamer, on their recent acceptance into the Scholars of Wellness (SOW) Program. This support will help advance their innovative wellness initiatives related to AI at the bedside!

Heard from #AHRQ that the entire grants staff has been let go! They are unable to issue funds for grants already funded, let alone fund new grants. This is outrageous and will make Americans poorer and sicker. Why? A brief thread about just some recent AHRQ-funded research: #MedSky #HealthPolicy

This--from an amicus brief filed by 157 Members of Congress in one of the lawsuits against OMB's freeze on various federal funds--hits the institutional nail on the head. You cannot legislative effectively if you have no reason to believe that the executive branch will implement your choices.

While DOGE crippled medical research and cost-effective foreign aid programs, they also didn’t save any money. 🙄

This is fine.

“Over the last 20 years, there’s been a real recognition of the importance relationships have in our lives, whether that be in infectious disease, public health, information sharing.” @michellebirkett.bsky.social on the success of Network Canvas www.feinberg.northwestern.edu/sites/ipham/...

Another update: Northwestern University has still not received any funds from NIH since March 26, 2025. We still have not received written communication stating that the funds are frozen, the reason why, or what can be done to restore it.

New in JGIM! We had a multi-year initiative to increase the uptake of Medicare Annual Wellness Visits. We saw significant increases, but no differences in existing racial/ethnic disparities. link.springer.com/article/10.1...

Let’s not confuse *visibility* with *transparency*. insidemedicine.substack.com/p/hhs-visibi...

Passman has talked to NIH program officers about his situation but said they didn’t tell him if or when funding would resume. If the university stops covering costs…it would waste years of work and millions of dollars to stop the project.  www.wsj.com/us-news/educ...