+1 for organization/structure as foundation of effective communication.

Learners often struggle with shifting expectations. And teachers sometimes associated highly structured presentations with wordy ones. So I want to emphasize:

Organized does not mean wordy.

1/6 https://twitter.com/mkittlesonmd/status/1305470097163800577
Example: here is a organized and efficient yet thorough presentation. < 1 minute. < 3 tweets.

“Ms J is our lady with HF and DM here with pyelo.

This morning back pain is better, dysuria’s gone. Didn’t sleep well from noise.

Tmax 99.7, BP around 150s, other VS normal...”
“...Looks more comfy, oriented. JV 10cm, lungs clear. CVA less tender.

White count 10 from 16. Chem 7 totally normal. Sugars were 180, 203, 144, 130. Urine with E.coli, sensies pending.

Right now she’s on ceftriaxone, lisinopril, metop, Lantus + prandial, senna, prn APAP...”
“..So for her Pyelo, seems better by symptoms, fever/white count. Continue CTX, watch culture.

For HF: infection is improving and now BP and JVP rising. I restarted home lasix.

That ok?

Cool.

Sugars are good.

For insomnia I gave her ear plugs and asked RN to skip vitals.”
I know folks have different expectations about granularity of data, style, word choice, etc.

E.g. in some ways, that was longer than it needed to be. You could decide you don’t need the team’s input on managing the diabetes and insomnia today, and not bring them up.
But that’s a different issue.

The point is, it’s hard to go wrong with being organized and communicating with a predictable format/agenda.

Stick with that structure; filter and adjust content within the structure to vary thoroughness vs. conciseness.

6/6
You can follow @sargsyanz.
Tip: mention @twtextapp on a Twitter thread with the keyword “unroll” to get a link to it.

Latest Threads Unrolled: