T2. Technology should always benefit both the patients and the HCP. Otherwise it's no tool at all. #Healthxph

T1. From an admin perspective, there has been a lot of tool for this- quality wise and with agencies assigned, standardized. Yet from a healthcare prof, I felt we're missing something. Addressing whats expressed on those metrics seem long and arduous. #healthxph

We tackled this before from a social media angle. It will be interesting to know now with the healthcare environment. Same metric for patient satisfaction? #Healthxph

Hi Helen! #healthxph

Thank you @helenvmadamba.bsky.social and @stephaniemiaco.bsky.social for a wonderful chat. Maybe we should have a reunion na! Calling on @endocrinewitch.bsky.social and @docbuboy.bsky.social . Miss you guys! Dami na nating pag usapan na bagay bagay! Lol! #healthxph

I'm pretty sure you're loving this by now. Thats why I look at it differently- we gained our freedom for self care. #Healthxph

Of course, lifelong learners are curiosity junkies (pardon my term). They look at things with the freshness of a beginner. #Healthxph

T3. I also refuse anything that I felt I would under deliver (for various reasons) even for patients. #Healthxph

small steps, big impact! #Healthxph

T3. Being aware of my tendencies, my habits, my blindspots- as a beginner those are the "expertise" I learned from a previous, parallel job. #healthxph

T3: How do you show up differently to colleagues, patients, and yourself when you’re not performing certainty? #healthxph

T2. Self care. MyHealth-care. That should have been a metric eversince. Funny how we work in a system that doesn't take care its people. The greatest of our ironies. #Healthxph

T2. On a new workspace? My metrics would include how much learning did I convert from mistakes I have made. #Healthxph

find you're most hated person- believe me when we come to terms with ourselves, You're most hated person in the room are the ones who'll help you plug find your "blindspots. #Healthxph

Let's go to the more interesting T2: When you strip away the productivity metrics—the patient volume, the publications, the procedural counts—how do you actually know if you’re doing well? #Healthxph

to think, it was kind of subconscious and routinely for me. Back in the more rigid and bureaucratic system, the first thing they will smack at you is- "These are the reasons WE CAN'T Do THAT HERE" #healthxph

Yup very portable. And you wouldn't even notice you're doing it already. #Healthxph

Just earlier, post workshop- I went straight to the organizer and unconsciously volunteered myself to develop a curriculum and Inst design for the next workshop on something I'm a beginner. I hated myself for doing that- but the person almost hugged me for volunteering. #healthxph

Let's go with T1: What parts of your expertise are actually portable, and which ones are tied to the identity you’re leaving behind? #healthxph

Let me start the ball rolling. This topic quite close to me- I'm in transition, both an expert and beginner in the broader field of healthcare. Been in this limbo several times in the past, being an undercover jack of all trades, master generalist. That, however didn't mean I"m an expert. #healthxph

Marco polo, right? Where we "cornered" @stephaniemiaco.bsky.social ? Hahaha #Healthxph

Nice seeing you too Helen! "The water woundn't sound so melodious if there were no rocks in their way". #Healthxph

Hi steph!. Wish you were in Cebu. Reunion at Rad Blu! #Healthxph

Inviting everyone to the #HealthXPh Chat- Starting Over: On Being a Beginner Again, this Sat April 25, 2026, 9–10 PM MlaTime, Let’s have the conversation medicine rarely makes space for. remomd.com/starting-ove... @endocrinewitch.bsky.social @helenvmadamba.bsky.social @stephaniemiaco.bsky.social

Thank you steph for the apt topic and moderating! Get well soon helen. #Healthxph

T3. I should have known myself better. Do frequent, life asset audits. Maybe you re in a burnout situation simply because it was handed down to you by society or someone else. Make, better, honest choices. Takes time, errors on the way, but you'll reap dividends, and restful sleep. #Healthxph

Because systems has a life of its own. You can build and optimize one, but no one single person has control over it. I don't intend to anyway so I just go to my next project that interest me. #Healthxph

T2. I realized now that I am this- Builds/innovates>implement/optimizes> teach>handover>leave for next interest. If I'm stuck there, thats burnout for me. #Healthxph

I'll take that compliment. haha. But yes- i do think in systems and work on optimizing it, since HS I think. I'm not intellectually gifted, but I can connect dots, learn and harvest new and parallel skills and apply to my current niche. This is were burnout happen to me. #healthxph

T1. My general guides navigating burnout- 1. Get out of that environ 2. Reflect on the situation by seeking consults - personal advisers, and yourself. 3. Try to find a way of testing if you coming back on such situations will make a realistic impact 4. Back vs. walk away #Healthxph

Next week-tuesday PM to sat PM. Let's meet #Healthxph

T1. I did almost all imaginable but still "sane" efforts to cope with burnout. It's that feeling of "helplessness" that is hard to cope. Fighting a persistently inefficient HC system. #Healthxph

T1. In my last post here remomd.com/the-question... I explained the difference between burnout and moral injury. TBH, differentiation one over the other is quite difficult in our HC system. I think thats the first thing I want to do-differentiate the two first. #Healthxph

Get well Helen! I hope this bug leaves cebu by our MY convention next week! #Healthxph

Hi Steph! Still getting the paywalled link. Anyway, happy to join! What's up #Healthxph

T3. Start with field testing a Minimum Executable/Viable Package, not the whole pack. Reduce intake friction for the use case scenario. Ex, instead of a ten point checklist reduce it to shorter 3 item checklist. get feedback particularly on constraints. #Healthxph

Beta test a Min Executable package first. See how it works and then revise test iterate next. Key is reduce friction for the intake. #Healthxph

Agree. Although needs a lot of HCP training of course. #Healthxph

si BP na nag adapt haha #Healthxph

T2. I don’t know what are current integrated screening protocols are for women but I’m sure since its implementation, feedback monitoring data should be helpful in designing the next step or adress issues. #Healthxph

Yes, something we all have to struggle with in all subspecs of medicine. #Healthxph

That's bad business I suppose. Why would you have the patient comeback paying PFs every time for what could have been a single visit PF? #Healthxph

T1. Clinical- Not all MDs are well oriented to this. Admin- Financial cost and structure/procedural/operations integration. #Healthxph

forever yes. haha. Currently revising my blogs for a more in depth content. #Healthxph

All for everybody's good then. Let's enjoy this! #Healthxph

Real quick yup. Just handed over another leadership post to a new better leader than me hehe. My happy explore rest and recreation season will be starting. #Healthxph

Hi Helen! Happy women's month to all #Healthxph

Thank you @helenvmadamba.bsky.social @jkatzaman.bsky.social @stephaniemiaco.bsky.social #healthxph

One hour up! Appreciate the perspectives here. What stands out is how often system constraints and clinical reasoning are intertwined—not separate. Maybe the challenge isn’t removing constraints entirely, but staying aware of how they shape our thinking. #Healthxph

That’s a useful observation Steph. Do you think that happens more from training, or from repeated exposure to the same constraints? #healthxph