So glad to have dinner with this group of physicians who are all organ transplant recipients! #docswithtransplants #ATC2022Boston

Pick any medical specialty other than your own. Who’s the most famous physician in it? You probably can’t name one.
Almost none of us will be known outside our field, and even those who achieve real professional fame are mostly forgotten within a few decades.
Fame is a poor ife to medicine. The work itself matters more: caring for patients, discovering new knowledge, and teaching the next generation.

Three top Health Systems Said No to a Young Woman in Need of a Heart Transplant. NYU Langone Said Yes nyulangone.org/news/3-health-…

8/
If we want to attract the best residents, we should spend less time lamenting their choices and more time understanding them. @SUO_YUO

Similar conversations are occurring across all of academia, law, consulting, technology etc.

And I often hear that ‘resident/fellows just don’t want to work as hard anymore”. That misses the point. The current generation simply demand a clearer - more defined - return on their investment.

@daviesbj @uretericbud @KeithKow @rbarbosa91

Congrats @ManuVarma on your Poster Award 🥇 as well as to all our other Day 1 Poster presenters! #ATC2026Boston @NYULH_Surgery

🔥 “The influx of these patients to the medical services was resisted by the medical residents and interns. On June 30th, 1981, the entire medical training program signed a resolution denouncing liver transplantation as an unrealistic objective and an “unethical pursuit.” Starzl shrugged, and from that point on admitted all these patients to his own surgical service, which at the time consisted of two surgical residents and two attendings.”

@AcademicTruther Not speaking on this specific case, but many such cases. We just don’t talk about it openly. Whispers in the hallways instead, 🤷‍♂️

Best thing you will read today.
Just b/c a physician works in a prestigious institution doesn't mean they are the best at patient care.

Eminence ≠ expertise ≠ good clinical judgment.

One thought for #Match2026 applicants making their residency rank lists:

Given that residency lasts 3-7 years, many residents will experience a major life event during that time, like having a baby or a personal/family illness. And one thing that really differs between residencies—more than their tracks or their elective opportunities or the things that tend to get featured in interview day PowerPoints—is how they accommodate residents navigating those major life events.

Some programs will go above and beyond to ensure residents are able to take time off, reorganize their schedules, and generally get the support they need without extending residency. Other programs will not.

It’s important to choose a program that meaningfully supports residents through major life events, not only because you’re likely to experience one during your training, but also because knowing your program would support you if you did offers peace of mind. Additionally, I suspect having this kind of support is important for long-term professional success, because it reduces the likelihood of one of these events permanently derailing your career.

So when making a rank list, I’d recommend talking to current residents about this, and prioritizing programs that offer meaningful support (even if these programs have fewer shiny buildings or less exciting electives).

Like him or not, that Cheney lived to 84 years old is a powerful testament to modern cardiovascular medicine. He was vasculopath: First heart attack at age 37, third heart attack by 47, requiring quadruple bypass surgery, 4th heart attack at 50, severe heart failure requiring defibrillator at 60, surgical repair of arterial aneurysms in both legs at 64, LVAD at 69, Heart Transplant at 71. Truly amazing! npr.org/2025/11/04/123…

How I consult on cardiorenal syndrome:

• Bump furosemide from 20 to 60 mg bid IV
• Consider rapid resumption of sacubitril/valsartan and empagliflozin. Let's not treat these life saving medications as nephrotoxins

Imagine you're covering neurosurgery call. You're out trying to enjoy a nice family dinner, or maybe it's the middle of the night. Suddenly, you're called away for an acute traumatic subdural hematoma.

You get there, the patient is herniating. You rush to the OR and You have a long conversation with the family, giving the broad range of possible outcomes, from death to full recovery. It's physically and emotionally taxing.

Then you go back home and switch back to family mode, or maybe get a little more sleep. Then, the next business day, you're hit with the email below.

This is why there is a physician shortage. We are fed up with this and are heading for the exits as quick as we can.

Dear Incoming PGY-1,

"Remember—You are entering a TRAINING program—not a PERFORMANCE program. We expect you to have a lot to learn & that you will contribute to the group! If you knew all you were supposed to know, what would you do for 3 yrs?" — @AimeeZaas

#InsideTheMatch

Congratulations to John Magee @UMich on his election as #HRSA #OPTN Board President - his leadership and vision will help all children and adults going through the transplant journey. @StarzlT @AST_LICOP @UNOSNews @HRSAgov @SPLIT_TTS

Hospital systems want to run like McDonalds.

They don’t want a good cook, they want a good system.

They can’t replicate a good cook. But they can work on their system until the system provides a good product.

This doesn’t work in healthcare. You can’t just make a system because healthcare is people taking care of people.

The best inspire the others to be better.

By trying to create a system, you are forced to marginalize the best nurses, doctors and healthcare professionals as they are not easily reproduced/replaced.

This creates burnout in both the best and those that want to be better for their patients.

The system creates massive profits for the person running the system and grinds the healthcare professional into the ground.

They don’t want the best of us.
The caring, comforting, serving, loving, fretting, searching, self-sacrificing, honorable healthcare professional.

They want a system.

This will never work and AI can’t create it either.

Keep caring for patients and it will enrich your soul @realdocspeaks @GavinPrestonMD @drjohnm @elonmusk @DutchRojas

“We need to provide individuals with pathways to their career goals without adding on years of training and there is a need for institutions to value their HF physicians commensurate with the comprehensive care they provide.”

This is the whole answer

There are 24 million EMR mouse clicks separating these two photos

A powerful scene from The Pitt captures the difficult times in the emergency department with the current measles outbreak.
@NightShiftMD