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Posts by Lorenzo Madrazo

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In an international, randomized trial involving patients with acute venous thromboembolism, the risk of clinically relevant bleeding was significantly lower with apixaban than with rivaroxaban during the 3-month treatment period.

Full COBRRA trial results: nej.md/4lp5N0d

1 month ago 14 8 1 2
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CDC website changed to include false claims that link autism and vaccines | CNN Scientific information on the US Centers for Disease Control and Preventionโ€™s website was replaced on Wednesday with anti-vaccine talking points that donโ€™t rule out a link between vaccines and autism,...

To again paraphrase Nigel Tufnel...

"How much more dark could this be? And the answer is none. None more dark."

Yet more horrifying nonsense...๐Ÿ‘‡

CDC website changed to include false claims that link autism & vaccines www.cnn.com/2025/11/20/h...

5 months ago 45 14 5 0
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#AHA25: VITAL-AF trial: Stressor-associated atrial fibrillation (AF) carries similar risks of stroke, bleeding, and death as primary AF ; yet patients are less likely to receive oral anticoagulation, even when stroke risk is high. https://ahajrnls.org/4nJRQJQ

5 months ago 3 2 0 0
JAMA Internal Medicine details a study on Liraglutide for acute minor ischemic stroke with type 2 diabetes. It includes population data (405 men, 231 women), intervention details, findings of stroke recurrence within 90 days, and a cumulative incidence graph.

JAMA Internal Medicine details a study on Liraglutide for acute minor ischemic stroke with type 2 diabetes. It includes population data (405 men, 231 women), intervention details, findings of stroke recurrence within 90 days, and a cumulative incidence graph.

Liraglutide addition for Chinese patients with type 2 diabetes and minor AIS or high-risk TIA reduced 90-day stroke recurrence and improved functional outcomes. ja.ma/43NALaM

5 months ago 2 1 0 0

Great to have collaborated with two outstanding learners on this Clinical Image case, showcasing a rare complication of a common condition.

5 months ago 2 0 0 0

This was such a great "Wicked Problems" session at #ICRE2025 yesterday.

This morning, I read this article from the Psychological Safety newsletter that resonated with the discussion about individual-level solutions for systems-level problems - worth a read!

psychsafety.com/individual-r...

5 months ago 4 2 0 1
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Looking forward to the discussions around resident wellness in our Wicked Problem session!! #ICRE2025

๐Ÿ“Join us in room 206AB at 1:15 PM

@icreconf.bsky.social

5 months ago 4 1 0 1

One sentence horror story: โ€œWhen he finally took off the armour, there was no one underneath.โ€ ๐Ÿ˜ฑ๐Ÿ˜ฑ๐Ÿ˜ฑ@icreconf.bsky.social #ICRE2025

5 months ago 2 2 0 0
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When we think of see one, do one, teach one - we often think of our skills but how often do we think of it with respect to our behaviour? #ICRE2025

5 months ago 3 0 0 0

When does vulnerability signal humility and when does it signal weakness? #ICRE2025

5 months ago 3 0 1 0
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Powerful personal narratives from the panel this morning #ICRE2025 @icreconf.bsky.social

5 months ago 4 1 1 0

As a surgical trainee, you WANT to deal with all the uncertainty, the challenging cases, the struggle. Psychological safety comes from staff trusting that you have the ability to learn from mistakes, and from trainees trusting that staff are there to help them reach their learning goals

5 months ago 3 1 0 0

How might our culture around EPAs shift feedback towards a performance mindset and shut down authentic feedback conversations? #ICRE2025

5 months ago 4 0 0 0

How do we as faculty role model uncertainty to our learners - showing that we also don't know everything?

How do we ensure that they feel supported even if they fail? #ICRE2025

5 months ago 0 0 0 0

There's a big difference between discomfort and distress. What are we making learners feel safe about?

How do we help learners through struggle but make it not feel like a performance? #ICRE2025

5 months ago 2 0 1 0

Psychological safety doesn't mean feeling comfortable all the time - it means being able to speak up and take interpersonal risks without retribution #ICRE2025

5 months ago 5 1 2 0

Struggle can help with learning but not all struggle is necessary and not all struggle is productive #ICRE2025

5 months ago 4 1 1 0

Education isn't about getting rid of uncertainty but embracing it, requiring epistemic humility to recognize what we don't know #ICRE2025

5 months ago 4 1 1 0
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Excited on this plenary on productive struggle, adaptive expertise, and psychological safety - how do we strike the balance that helps us to achieve all three? #ICRE2025 @icreconf.bsky.social

5 months ago 5 2 1 0

"How do we address times when there is a lack of insight or self-awareness in learners?" #ICRE2025

5 months ago 1 0 1 0
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๐Ÿฅ‚ PAB Reception
๐Ÿ•• 18:00โ€“19:00

Tag your highlights & share the energy!
๐Ÿ”— icre.royalcollege.ca

#ResidencyEducation #MedicalEducation #TrustGrowthConnection #ICRE2025 3/3

5 months ago 2 1 0 0

"Can I get an EPA for that" are words that resonate so much for so many medical educators ๐Ÿ˜‚ #ICRE2025

5 months ago 3 1 1 0
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Excited for this year's SimTrek at #ICRE2025. Inspiring to see a courageous faculty member be up on the stage for this year's live sim! @icreconf.bsky.social

5 months ago 4 2 1 0
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What does trust, growth and connection look like in residency education today?

Find out by tuning into #ICRE2025's six plenaries virtually.

Register soon. ICRE is a week away! icre.royalcollege.ca/en/registrat...

See our list of speakers: icre.royalcollege.ca/en/program/p...

#MedEd #MedEdSky

6 months ago 3 2 0 0
Medical Education 
Educational Strategies to Prepare Trainees for Clinical Uncertainty 

Illustrations of medical students during moments of clinical uncertainty

Medical Education Educational Strategies to Prepare Trainees for Clinical Uncertainty Illustrations of medical students during moments of clinical uncertainty

Uncertainty is ubiquitous in the practice of medicine. A new review characterizes clinical uncertainty and shows how teachers can guide learners to recognize, manage, and communicate uncertainty in practice. Read the full review: nej.md/43xKSQX

@gdhaliwal1.bsky.social #MedSky #MedEd

6 months ago 16 8 0 2
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Chris Watling, CEO of the Royal College gives you a sneak peek on what to see at #ICRE2025 in Quebec City.

Early bird registration ends Sept. 12. Save and secure your spot: icre.royalcollege.ca/en/registrat...

We look forward to seeing you!

@chriswatling.bsky.social #MedEd #MedEdSky

7 months ago 8 4 0 2
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a woman says we can 't miss this opportunity on the beach ALT: a woman says we can 't miss this opportunity on the beach

1 week until #ICRE2025 early bird deadline ends on Sept. 12!

Register and gain access to:

โ–ถ๏ธ6 plenaries
โ–ถ๏ธ9 re-designed learning tracks
โ–ถ๏ธ60 workshops
โ–ถ๏ธNetworking with 1500+ attendees worldwide

Don't delay! icre.royalcollege.ca/en/registrat...

#ICRE2025 #MedEd #MedEdSky

7 months ago 3 1 0 1
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๐ŸšจDear Canadian Resident Physicians๐Ÿšจ

Please check out this study my team and I are doing related to how resident voices are included within residency program leadership ๐Ÿ‘‡

1 year ago 3 1 0 0
screen shot of the citation page from pubmed for "Neurologic sequelae after treatment of severe hyponatremia: a multicenter perspective" the linked article in the post

screen shot of the citation page from pubmed for "Neurologic sequelae after treatment of severe hyponatremia: a multicenter perspective" the linked article in the post

In 1988, The ASN sent a letter to every member asking them to submit cases of patients with a sodium < 105. They received 64 letters and produced a case series of 56 patients. pubmed.ncbi.nlm.nih.gov/8025225/

This is a poster child for recall bias yet has been referenced over 100 times

11 months ago 9 1 1 0
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1/ ๐Ÿšจ NEW #5Pearls: Lp(a) and ASCVD Risk

Lp(a) is a lipoprotein similar to LDL but a different entity!

Lp(a) has important implications for cardiovascular disease โ€ผ๏ธ

๐Ÿ–ฅ๏ธ: coreimpodcast.com/2025/04/02/lpaโ€ฆ
Sponsor: Freed AI

1 year ago 3 1 1 2