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
Posts by Lorenzo Madrazo
To again paraphrase Nigel Tufnel...
"How much more dark could this be? And the answer is none. None more dark."
Yet more horrifying nonsense...๐
CDC website changed to include false claims that link autism & vaccines www.cnn.com/2025/11/20/h...
#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
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
Great to have collaborated with two outstanding learners on this Clinical Image case, showcasing a rare complication of a common condition.
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...
Looking forward to the discussions around resident wellness in our Wicked Problem session!! #ICRE2025
๐Join us in room 206AB at 1:15 PM
@icreconf.bsky.social
One sentence horror story: โWhen he finally took off the armour, there was no one underneath.โ ๐ฑ๐ฑ๐ฑ@icreconf.bsky.social #ICRE2025
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
When does vulnerability signal humility and when does it signal weakness? #ICRE2025
Powerful personal narratives from the panel this morning #ICRE2025 @icreconf.bsky.social
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
How might our culture around EPAs shift feedback towards a performance mindset and shut down authentic feedback conversations? #ICRE2025
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
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
Psychological safety doesn't mean feeling comfortable all the time - it means being able to speak up and take interpersonal risks without retribution #ICRE2025
Struggle can help with learning but not all struggle is necessary and not all struggle is productive #ICRE2025
Education isn't about getting rid of uncertainty but embracing it, requiring epistemic humility to recognize what we don't know #ICRE2025
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
"How do we address times when there is a lack of insight or self-awareness in learners?" #ICRE2025
๐ฅ PAB Reception
๐ 18:00โ19:00
Tag your highlights & share the energy!
๐ icre.royalcollege.ca
#ResidencyEducation #MedicalEducation #TrustGrowthConnection #ICRE2025 3/3
"Can I get an EPA for that" are words that resonate so much for so many medical educators ๐ #ICRE2025
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
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
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
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
1 week until #ICRE2025 early bird deadline ends on Sept. 12!
Register and gain access to:
โถ๏ธ6 plenaries
โถ๏ธ9 re-designed learning tracks
โถ๏ธ60 workshops
โถ๏ธNetworking with 1500+ attendees worldwide
Don't delay! icre.royalcollege.ca/en/registrat...
#ICRE2025 #MedEd #MedEdSky
๐จDear Canadian Resident Physicians๐จ
Please check out this study my team and I are doing related to how resident voices are included within residency program leadership ๐
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
1/ ๐จ 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 โผ๏ธ
๐ฅ๏ธ: coreimpodcast.com/2025/04/02/lpaโฆ
Sponsor: Freed AI