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Cost education is a core ACGME competency. Does your residency program have an adequate curriculum to teach trainees how to practice cost-effective care? #RASJACS Bradley Kushner @EckhouseMD Brett Tracy, MD Julia R Coleman, MD MPH Jonathan Vacek ACGME APDS surgery Journal of the American College of Surgeons (JACS)

RAS-ACS Bradley Kushner @EckhouseMD Julia R Coleman, MD MPH Jonathan Vacek ACGME APDS surgery Journal of the American College of Surgeons (JACS) I think it is very hard to teach (and practice) cost-effective care in our current system. My mind immediately goes to a pan-scan for the elderly patient who fell from standing….

agreed

Question #4 #RASJACS Bradley Kushner @EckhouseMD Michael Carr Brett Tracy, MD Jonathan Vacek APDS surgery SurgeonsVoice Journal of the American College of Surgeons (JACS) YFAACS

Final question of the night... #5 #RASJACS Bradley Kushner @EckhouseMD Michael Carr Brett Tracy, MD Jonathan Vacek Journal of the American College of Surgeons (JACS) YFAACS Julia R Coleman, MD MPH

We appreciate everyone’s participation in the #RASJACS by RAS-ACS Quarterly Journal Club Discussion. A special thanks to Bradley Kushner and @EckhouseMD for exploring this great topic! Read more about reducing operating room costs at journals.lww.com/journalacs/Abs……

That feeling when your dept chair Kelly McMasters, MD, PhD, Annals of Surgical Oncology, Society of Surgical Oncology all tweet out your research study

#JustOut by first author and #resident Andrew Hu with Jane Holl, MD and Mehul V Raval: Pediatric specific challenges of the single institutional review board mandate rdcu.be/cKJ9r

This is marked in my calendar - any residents and early career surgeons in RAS-ACS and interested in #surgleadership, this is a don’t miss!

There is a special bond with your co-research fellows, so thankful we all are going to be Pediatric Surgeons. Thank you LurieChildrenSurgery for pouring into us, and making this dream a reality. Benjamin T. Many MD, MS Megan E. Bouchard, MD MPH Martha Ingram Fizan Abdullah MD Mehul V Raval

The best part of this is not having to take ABSITE again. Definitely recommend taking after PGY-4. Thank you UofL Dept of Surgery for your support and setting me up for success.

Hey #MS4s Come check out UofL Dept of Surgery residency open house tonight or tomorrow! #SurgEd #SurgTwitter Follow link below to register forms.office.com/pages/response…

Please join the #RASJACS Journal Club this Tuesday, October 4th from 7PM-9PM EST to discuss important research on detecting resident burnout! Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Brett Tracy, MD Michael Carr Jonathan Vacek

Thanks for joining the #RASJACS journal club discussion on resident burnout detection by domestic partners and program directors! Let's start with a quick poll... Does your residency program have an effective mechanism to identify burnout?

Wow! These poll results are pretty impressive and may explain why burnout often goes undetected! Next up, question #2... Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr Erin White, MD American College of Surgeons Journal of the American College of Surgeons (JACS)

Such a GREAT discussion so far. Let's take a look at one of the major findings in the paper... Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr Erin White, MD

RAS-ACS Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr I’m surprised the domestic partner sensitivity isn’t higher and I wonder if part of it is that residents who are overworked are more likely to be burned out and are probably less likely to want to spend the few hours they are home talking about feeling burned out

It looks like most respondents feel burned out a few times a month - yikes! Check out question #5.... Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr Erin White, MD

Is medical school primarily a hub that purchases third party learning tools and facilitates clinical learning opportunities?

There are *many* tests of fluid responsiveness but they aren't all the same, and some are truly bad. (ahem CVP) This ICU OnePager compares *ALL* the methods available for determining fluid responsiveness & fluid tolerance. #FOAMed #FOAMcc onepagericu.com/fluid-responsi…