That means so much coming from you @iwashyna.bsky.social ! We have a long way to go, but are proud of what we have built so far Check out our website and GitHub! clif-consortium.github.io/website/

Jack Iwashyna@iwashyna.bsky.social · last yr.

The common longitudinal intensive care unit data format (CLIF) for critical illness research is among the most interesting new collaborative projects in critical care This is a team to watch #ICU #RealWorldData link.springer.com/article/10.1...

The common longitudinal intensive care unit data format (CLIF) for critical illness research is among the most interesting new collaborative projects in critical care This is a team to watch #ICU #RealWorldData link.springer.com/article/10.1...

A common longitudinal intensive care unit data format (CLIF) for critical illness research - Intensive Care Medicine

Rationale Critical illness threatens millions of lives annually. Electronic health record (EHR) data are a source of granular information that could generate crucial insights into the nature and optim...

link.springer.com

Science is about testing hypotheses- many NIH funded grants will turn out to be a waste of money. But the ones that don’t lead to life-saving breakthroughs. NIH study sections play an essential role ensuring the ROI on taxpayer $$ is as large as possible

Getting extramural grant funding from the NIH is incredibly difficult- you need be in the top ~10% of all scientists in the country I agree we should study and improve the review process but as a taxpayer I’m glad there is intense competition for these funds.

Patients need AIs that provide life-saving clinical decision support to their doctors. Patients don't need AIs that scour clinical documentation looking for ways to charge them more

New @annalsats.bsky.social Lest a Smoky Haze of Doubt Suffocate Progress Towards Better Pulse Oximeters This was fun to write with Vincent Ni @jlynch13.bsky.social @hauschildt.bsky.social @drtomori.bsky.social doi.org/10.1513/Anna... PubMed: 39700509 #FixPulseOx #FixTheDamnMachines

If you care about advancing healthcare access and outcome for marginalized populations, embrace AI now. These tools are publicly available and customizable to make way more productive

My new year resolution is that every data and normative analysis in my quantitative bioethics lab will be assisted by a fine-tuned AI

Totally agree with @wfparker.bsky.social! #AI will be integrated in everything we do in medicine, so should get used to it now. Using it as a #Co-Intelligence, as @emollick.bsky.social suggests, is most appropriate. These examples by Dr. Parker are great!

William F Parker, MD, PhD@wfparker.bsky.social · 2y ago

Every critical care physician should be doing an AI powered search for every patient, especially if they are teaching trainees I used to be ashamed when I did this, but I realized it was because of the myth of the omniscient doctor. Here’s a thread of just a few I did last week in the ICU: 🧵 1/

I'm crabby today but I wish we could have a little less pearl-clutching over "the children are citing AI hallucinations" and a little more over "tenured academics are citing documents that cite documents that cite documents that cite documents that don't support their claims."

Sister Generose Gervais, a longtime administrator of the Mayo Clinic, is often quoted as saying, “No money, no mission.” A hospital can’t care for patients if it can’t pay for itself. But, O’Donnell told me, “people forget the second half of what she said: no mission, no need for money.”

William F Parker, MD, PhD@wfparker.bsky.social · 2y ago

www.newyorker.com/culture/2024...

www.newyorker.com/culture/2024...

The Gilded Age of Medicine Is Here

Health insurers and hospitals increasingly treat patients less as humans in need of care than consumers who generate profit.

newyorker.com

The value judgments in the #ADAPT trial design are more interesting than the results I give broad spectrum antibiotics to almost every patient on a vasopressor in the MICU. It’s because I value human life orders of magnitude more than antibiotic “stewardship” in my decision making

Jack Iwashyna@iwashyna.bsky.social · 2y ago

This is just ludicrous misvaluation of the relative importance of one day of antibiotics vs a human life

This is just ludicrous misvaluation of the relative importance of one day of antibiotics vs a human life

Clear win for standard of care! #ADAPT jamanetwork.com/journals/jam...

Can someone please explain to me: “where the noninferiority margin was set at 5.4%” for 28 day mortality?

JAMA@jama.com · 2y ago

Published in JAMA with #CCRdownunder: In critically ill adults with suspected sepsis, antibiotic regimens were safely reduced when guided by measurement of procalcitonin but not by C-reactive protein. @criticalcarereviews.com ja.ma/3BovM5v

Every critical care physician should be doing an AI powered search for every patient, especially if they are teaching trainees I used to be ashamed when I did this, but I realized it was because of the myth of the omniscient doctor. Here’s a thread of just a few I did last week in the ICU: 🧵 1/

It’s not you Colleen- it’s the absurd idea of complete critical care mastery (e.g. “knowing everything”) I’m constantly up-to-dating/looking up trials on rounds in front of trainees to normalize our limitations as humans Can’t wait till it’s all AI supported…

Colleen Farrell MD@colleenmfarrell.bsky.social · 2y ago

Back on 2019 Twitter I would share my struggles as a resident and get validation and support. And then it changed and it would be "you shouldn't be a doctor" nastiness. can I say here that sometimes as a new ICU attending I feel like I truly don't know anything? #medsky #pccm #womeninmedicine

Excited to re-engage in a positive and productive social media environment. To kick things off: Every health services researcher or healthcare data scientist should be using chatGPT (or a competitor with equivalent zero shot task performance) as part of their daily workflow

And now Monica Peek, offering her expertise on the role of using race in clinical algorithms.

@wfparker.bsky.social opening our panel on clinical algorithmic fairness at the 36th annual MacLean Center conference.