I’m 3 months into my hospitalist job and I’ve already become that attending who believes a good history, physical exam, and med rec is 90% of the work
A few stories to highlight how investing time into the above can reduce unnecessary work ups and treatments for our patients
Mohit Harsh, MD
4,995 posts
Hospitalist. Former Chief Resident @WashUIMRes via @MUSOMWV. Interested in Clinical Reasoning and #TWDFNR. #Zenternist
St Louis, MO
Joined December 2018
- Few take aways from my #EM rotation 1) The breadth of patients that EM docs can manage is astonishing 2) The undifferentiated patient is both exciting and terrifying 3) When surgeons are needed, they are NEEDED 4) Cocaine is a hell of a drug 5) Ketamine is a hell of a drug
- Medicine is a life long learning journey I recently completed IM training + Chief Year and joined a community hospitalist group I am little over a month into my new role and have more clinical questions than ever! I left academia for this very reason: clinical reps 🧵
- That feeling when you finish your last 28 hour call of residency and feel the sun shining on your face as you walk out of the hospital
- Did I really just see a commercial for impella on TV? @DavidLBrownMD
- Dear new interns, I’m a full time hospitalist and I still forget to order morning labs It’s okay If it was absolutely critical, someone would’ve caught it and ordered it
- Board certified in Internal Medicine!!!
- During May I’ll tweet #TipsForNewDocs from the perspective of an outgoing IM Chief Resident who has learned a ton from #MedTwitter Tip #1 Residency will make keeping friendships hard. As often as you can, invest in those who have been there for you. They will keep you energized!
- Replying to @MohitHarshMDInvest in gathering a thorough history Rephrase your questions if you feel like miscommunication is occurring Gain collateral on medication history Don’t underestimate the iatrogenic harm that can occur with meds Doing this can help our patients avoid expensive testing
- Replying to @MohitHarshMDWord of advice: If you have the luxury of documented telephone encounters from outpatient clinics, READ THEM You gain valuable insight into: Symptom chronology Any recent changes to meds barriers to care that their PCP/outpatient specialist have been working on
- This @journal_CHEST review article really improved my ability to think about cavitary lung lesions. I highly recommend reading! #MedTwitter #IDTwitter #PulmTwitter pubmed.ncbi.nlm.nih.gov/29518379/
- It is unfortunate that this attitude re: IM. It is a distinct reason many dislike their experiences on ward teams It doesn’t have to be this way, but it is our fault as a specialty that this idea persists in 2022 A 🧵…If you’re in surgery and feeling sad, walk by a medicine team doing their purgatory-esque rounds. Watch your face brighten as you realize you never ever have to do that again
- Your boy is starting an EM rotation next week. As an IM resident, I’m excited (and nervous) to be out of my element. Any tips/pearls from #EM colleagues? #medtwitter @reverendofdoubt @EM_RESUS @jmugele @MDaware @MKleinMD @WUSTL_EM
- Y’all, I’m so proud!!! I’ve been teaching my med students about #ClinicalReasoning while on wards We have a pt w/ new pancytopenia My student CREATED A SCHEMA to help with his diagnostic reasoning and used it in his A/P to discuss his DDx






