Acute Chest Management in the #PedsICU:
1. Ensure adequate pain control
2. Recruit lung via BiPAP & PEP therapy
3. Keep Sp02 > 95%
4. Simple vs Exchange transfusion
5. Ensure adequate hydration (D5 0.45%)
6. Early abx therapy (Azithro + CTX)
No clear role for steroid therapy.
‘You will achieve more by being consistently reliable than by occasionally extraordinary’
- Sahil Bloom
2025 Productivity Playbook:
1. Completing what you intended to do - avoiding the 'busy-ness' trap.
2. Saying 'no' to the non-essentials.
3. Being obsessed with high-value outputs & over delivering.
Key principles for group studying when studying for the USMLE:
• Set a content goal.
• Respect each other’s contributions.
• Avoid interruptions or personal distractions.
• Set a hard stop time.
Structure and mutual respect can make studying together much more fruitful. #MedEd
“Medicine is a science of uncertainty and an art of probability”
- Sir William Osler
Medicine thrives in the gray areas—balancing the unknown with calculated judgment.
The best clinicians embrace this uncertainty, using it as a canvas for thoughtful, evidence-based care.
My checklist when I have a new learner on my team:
1. Build rapport
2. Have learner reflect on what they want to work on
3. Set expectations
4. Directly observe
5. Provide formative feedback
…and most importantly celebrate the mini wins while they improve. #MedEd
Read. Reflect on its context. Write. Share. Repeat. 🔁
It’d be interesting to see.
My hope is making medical education more dynamic in whichever time context can engage the next gen learner - making it more “sticky”
In this asynchronous environment we definitely are seeing a shift where “sage on stage” lectures are being hosted to an empty hall.
Source: Higher Education Academy Engineering Subject Centre
In a typical hour-long lecture:
• Attention peaks in the first 10-20 minutes and final 5 minutes.
• Only 42% of key points are recalled immediately—and just 20% a week later.
By simply adding engaging questions into didactics you can shift passive learning to more active application. #MedEd
Looking forward to seeing many of you at the upcoming #SCCM congress!!
Just get started.
My definition of deep work - aligning your attention with intention.
Grateful to learn from a true innovator and mentor, @neilmehta.bsky.social, about leveraging generative #AI to bridge basic sciences and clinical medicine.
Exciting times for #MedEd as we work to integrate LLMs into undergraduate curricula, empowering the next generation of physicians ✨
Great minds don’t think alike. They challenge each other to think differently.
The people who teach you the most are the ones who share your principles but not your thought processes.
Converging values draw you to similar questions. Diverging views introduce you to new answers.
Gary, thanks for being so inspirational. I've centered myself on what you preach: deliver value relentlessly—and, when you finally make the ask, it’ll feel like a gift, not a grab.
This definitely drives home the point: 'Ideas without execution are mere delusions.'
Three habits for USMLE Success:
1. Start questions early—practice sharpens reasoning.
2. Review mistakes intentionally—they’re your best teachers.
3. Tackle tough topics first—growth happens in discomfort.
Creating a culture like this is invaluable.
People don’t often care how much you know—they’ll value how much you truly care.
Your focus determines your reality.
In the modern age of digital distraction, two invaluable currencies:
time & attention.
Exciting day today for us all in #PedsICU…
Match day!!
Congratulations to all the Peds applicants participating.
The future is bright 💡
This incredible video showcases the resilience of a medical student in a wheelchair preparing to scrub into the OR.
It’s a testament to individual grit & to the power of innovation.
To RJ & the interprofessional team: you’re what medicine should be— inclusive and inspiring. 🙌 #meded
Struggles outside your comfort zone don’t break you—they sharpen you.
Fail at one thing, and you’re primed to excel at the next.
The goal:
'To be more comfortable, with being uncomfortable.'
GLP-1 slows the stomach by delaying gastric emptying, mimicking a “stay full” signal—interestingly it was borrowed from the Gila monster’s venom-inspired hormone - they have a unique ability to survive long periods without food & maintaining stable blood sugar levels.
Hi! GLP-1 drugs mimic a natural gut hormone (incretins) that:
1. Tells the brain: You’re full—stop eating. That’s how it reduces food noise.
2. Slows the stomach: Food stays longer, curbing hunger.
3. Boosts insulin: Lowers blood sugar when needed.
Hope this helps!
Here’s to new beginnings.
Absolutely. Those spidy senses are usually right 🕸️
This felt like therapy.
The single most powerful mindset shift I've found when studying for board exams like the USMLE...
Embrace mistakes → reflect on why you're getting questions wrong → refine & repeat.
Mistakes aren’t failures—they’re feedback.
#medsky #medicalschool #USMLE
