I’m usually not one to throw shade at choosing mortality for an #ICU primary outcome… but for arterial lines? Did people think they saved lives? And this is in NEJM? #EMIMCC #criticalcare #MedSky

IRBs today: “You want to teach students and publish it? Write 20 pages about ensuring their data privacy and we’ll think about it” IRBs 40 yrs ago: “You want to make your students inhale toxic gas just to see what happens? Okay, just make it a little bit of toxic gas” #research #meded

In <12 hours of work, I transformed our #POCUS curriculum into an async pathway with duolingo-like features and instructor dashboards. Vibe-coding may simultaneously be the most powerful #meded tool today BUT the easiest way to get into legal trouble. Here's how to harness it🧵

Outstanding work that shows immense scientific fraud. “For instance, of the 79 papers that one editor had handled at PLOS ONE, 49 have been retracted” HOW are journals not catching this?! #research #academicSky #MedSky www.science.org/content/arti...

We analyzed every PubMed publication from 2012-2022 attributed to a #medicalstudent. They increased by 1,329%! But did quality grow too? A thread on publication pressure, perspective pieces, and publication fees #MedEd www.rjmedicine.org/publications...

RJIM launched its first publications. The submissions are rolling in and we need peer reviewers if you can sign up! www.rjmedicine.org/instructions... We’re a 501c3 nonprofit journal where research is shared - not sold. #research #MedSky bsky.app/profile/rjme...

For my fellow #meded enthusiasts who do surveys and assessments, I built a one-stop website to do it all: Build assessments Get responses Analyze psychometrics Calculate statistical differences Host gamified assessments And more... Let me show you the FREE MedEdAssessments.com #MedSky #EMIMCC

mededassessments.com now has two games: Jeopardy and the Conference Cup. The Conference Cup is up to four teams. A host runs the board with 3 questions to choose from. Teams take turns and use QR codes to access game cards for fun and randomness. Free to create, copy, or share! #meded #MedSky

The first RJIM articles are coming out this fall! The submissions are coming in but we need more peer reviewers. Considering signing up, we have paid peer review opportunities open. #meded #research #MedSky www.rjmedicine.org/instructions...

🎯🎯🎯🎯 “…the strain on academic publishing could be substantially alleviated if funding agencies stipulated that the work they support must be published in non-profit journals” #research #AcademicSky www.theguardian.com/science/2025...

For my fellow #meded enthusiasts who do surveys and assessments, I built a one-stop website to do it all: Build assessments Get responses Analyze psychometrics Calculate statistical differences Host gamified assessments And more... Let me show you the FREE MedEdAssessments.com #MedSky #EMIMCC

When you’re reviewing an article and see “—“ all over the place #research #peerreview

I enjoy knocking the physical exam as much as the next person. But I’ve seen multiple patients with an obliterated hemithorax or severe ILD that took way too long to be diagnosed… I think the pendulum has swung too far

Peer reviewers donate over $1.5 billion annually in labor. Mostly to 5 multibillion-dollar publishers that have profit margins larger than Google. Today, we have the tech to free research from profiteering #AcademicSky #MedSky #research #EMIMCC kevinmd.com/2025/04/why-...

You can buy research article co-authorship for $1,800. We’re going to see more and more of this if we let the #residency research arms race continue… #MedTwitter #medschool #AcademicTwitter

#Academia has a lot to learn from tech. I’m able to use 80,000 lines of free open-source code on the MIT license. But it’s $104 to read the one research article I need

A controversial congressional probe is looking into antitrust practices by the Match. I mean, the Match is basically the definition of a trust. But do the pros outweigh the cons? #MatchDay #Match2025 www.reuters.com/legal/govern...

Research published by for-profit companies has nearly tripled, causing ⬆️ APCs and 💰 paywalls We started a nonprofit journal where you can publish and review for charity, or even get paid to peer review. Because research should be shared—not sold. RJmedicine.org #medSky #research #academicSky

#meded hits different in 2025. MS1s/2s are actively chatting with chatGPT while I teach. It feels even more important to bring clinical experiences and bedside knowledge, rather than encyclopedic knowledge. The role of clinician-educators is shifting

Google forms ain’t enough for me, so I’m making a site to create, share, distribute, and analyze my assessments/surveys with statistical analyses. I’ll make it public and free if any fellow #meded enthusiasts are interested. #medSky #medicine

If we continue to value impact factors over equitable and rational publishing, we will keep funding an oligopoly of profiteering publishers. But we don’t have to. Publish and peer review for charity! 👇 #research #academicSky #internalmedicine #meded www.rjmedicine.org/publications...

Wow ChatGPT is almost as enthusiastic about assessment analysis as I am #meded

“Imagine if a book publisher demanded that authors write books for free and, instead of employing in-house editors, relied on other authors to edit those books, also for free. And not only that…. #academicSky #research www.wired.com/story/inside...

The first article in RJIM! For-profit publishers are increasingly dominating scientific publications. $$APCs are growing and your work is paywalled, so they can make profit margins larger than Google’s. So 2 dozen researchers and I created RJIM… #medSky #EMIMCC www.rjmedicine.org/publications...

It feels like this is the state of the world right now #AI #medSky

RJIM is now live and open for submissions! #MedSky #internalmedicine

A fantastic study on the effectiveness of paid peer review. But I think scientists are mostly good people, who will volunteer to further science regardless of the incentive. And rather we should ask whether it’s ethical to allow for-profit companies to exploit that journals.lww.com/ccmjournal/f...

The irony of an article discussing the unpaid labor of scientists, published by a $4bn corporation reliant on the unpaid labor of scientists. Meanwhile RJmedicine.org, a journal in which we offer $ honoraria to authors and reviewers, opened for submissions today #academicSky #medSky #research

A little worrisome to see this in the allergy aisle #pulmSky #medSky #pulmonary

Citing yourself about 100 times to inflate your h-index just got a whole lot easier #academicSky #medSky bsky.app/profile/maze...

A group of researchers are suing 6 multibillion dollar for-profit research publishers. An admirable, but likely futile long-shot. Over at the Researchers’ Journal of Internal Medicine, we’re building the change we want to see: a non-profit journal that pays reviewers www.statnews.com/2025/03/10/p...

We need to talk about the exploitation of scientists by research publishers. Scientists submit for free, peer review for free, and often work as editors for free. While 5 multibillion dollar companies publish the majority of scientific research. We can make a better way 👇 #academicSky #medSky

Shout out to Vave and @drsonosrd.bsky.social for my new favorite mug #POCUS

Because you won’t realize you’re coughing if you’re unconscious bsky.app/profile/drli...

What does President #Carter have to do with the rod of Asclepius (the symbol of medicine)? Let’s take a look at this #HistMed connection in a thread (1/6) #medhist #medicalhistory #MedSky

Aaand pre-ordered. Looks super interesting. @infinite-women.com bsky.app/profile/infi...

With science falling under increasing attack, this medical historian is here to remind people of the power of vaccines. THREAD👇 Hard-hitting polio advert from 1958. In the first half of the 20th century, polio was the leading cause of death in children and young adults. 1/7 #history #skystorians

Here’s an old (and admittedly not ideal) #POCUS clip. I love showing it to learners because it’s an image of a foreign body in the left ventricle - the only problem - there was nothing in this patient’s left ventricle (1/3) A crucial concept… #POCUSSky

If you ever wondered where white coats, Hippocratic oaths, the MD, and other medical traditions come from, the E-book of White Coat Ways is $0.99 this week because happy holidays #medicalhistory #MedSky #histmed

A superb passage from a fantastic book, Get Well Soon, on the history of several plagues. It was published just 2 years before #COVID hit. #histmed #medicalhistory

Practice changing paper of the year? So many to choose from! I love PROPHYVAP, but this one on anaerobic coverage for aspiration may take the cake: Expanded coverage may increase LoS & cdiff rates without any benefits. pubmed.ncbi.nlm.nih.gov/38387648/ #emimcc #medskyPOY

Since we’re entering the last month of 2024, here is a non-systematic review of #pulmcrit trials published this year that I found particularly noteworthy. Not comprehensive, so please include any that I may have missed! (🧵1/11) #emimcc #critcare #pulmsky #medsky

Todays #histmed story is the tale of the rogue resident and the first cardiac catheterization. 🧵 1/7 #medicalhistory #cardiosky #Medsky

The avg number of posters/presentations/abstracts by matched #residency applicants in surgical subspecialties continues to explode. Can you image doing 37 as a #medstudent?! That was the 2024 neurosurgery average… #MedEd #match2025 #medsky #medicalschool

2024 is the 170th anniversary of the most famous public health story, John Snow and his map of cholera cases in Soho. You’ve likely heard how he heroically traced an epidemic to a single water source: the broad street pump. But that’s not how the story really ended… #histmed #medicalhistory #medsky

Why do people wear shoe covers in the operating room? 💥 The reason may surprise you! A 🧵 about the #HistoryOfMedicine and the dangers of blindly following traditions. onepagericu.com/blog/cx1l66q... 1/