Brian Elliott
@brianelliottmd.bsky.social
Boy Dad. Pulm/CC fellow. #POCUS #meded #histmed writer/researcher. Author of White Coat Ways. Trying to create a more sensical research publishing model at RJmedicine.org
Political science
33%
Economics
18%
Pinned
Research published by for-profit companies has nearly tripled, causing ⬆️ APCs and 💰 paywalls
We started a nonprofit journal where you can publish and review for charity, or even get paid to peer review.
Because research should be shared—not sold.
RJmedicine.org
#medSky #research #academicSky
We started a nonprofit journal where you can publish and review for charity, or even get paid to peer review.
Because research should be shared—not sold.
RJmedicine.org
#medSky #research #academicSky
Not my intent at all, the safety/patient comfort data is interesting. I just never thought of arterial lines as something that would affect mortality.
I view a lines as a tool, not a therapy, so it strikes me as counterintuitive to prioritize them. But yeah I guess some people prioritize the wrong things 🤷♂️
I’m usually not one to throw shade at choosing mortality for an #ICU primary outcome… but for arterial lines? Did people think they saved lives? And this is in NEJM?
#EMIMCC #criticalcare #MedSky
#EMIMCC #criticalcare #MedSky
Brian Elliott
@brianelliottmd.bsky.social
· Aug 29
a man is holding two cell phones with the words it does cost more money behind him
ALT: a man is holding two cell phones with the words it does cost more money behind him
media.tenor.com
Knowing 0 code can lead to $$ by a thousand papercuts. I spent $12 developing this site (plus any deployment maintenance costs I incur), but I edited a lot of small things because they were easy and would save me $0.05-$0.30 per edit, which adds up when you edit 100 small things.
Brian Elliott
@brianelliottmd.bsky.social
· Aug 29
a penguin is sitting on a desk with the words it 's no good i don 't know the codes
ALT: a penguin is sitting on a desk with the words it 's no good i don 't know the codes
media.tenor.com
Now, can you do this without knowing any code at all? YES! I was really surprised and impressed with how well it developed and added features, plus Replit does seem better prepared than others to handle secrets and maintain security best practices, but there's one caveat:
Brian Elliott
@brianelliottmd.bsky.social
· Aug 29
So ask it! Prompt: "Make the website comply with all international laws for websites". Attach it to a separate entity if you are able. And make sure no copyrighted materials, illegal links, or other illegal materials are on your site.
Brian Elliott
@brianelliottmd.bsky.social
· Aug 29
a man wearing sunglasses and a hat is talking into an nfl microphone
ALT: a man wearing sunglasses and a hat is talking into an nfl microphone
media.tenor.com
As SOON as you gather user data, you are REQUIRED to add a privacy policy, cookie banner, terms, etc. The default is that the site is connected to you (and not an entity separate from personal assets), meaning fines and/or lawsuits for mishandling data could fall to YOU.
Brian Elliott
@brianelliottmd.bsky.social
· Aug 29
a man in a wig says okay well in front of a door
ALT: a man in a wig says okay well in front of a door
media.tenor.com
After I asked for the main architecture and added the major features, I had a working prototype without writing a single line of code myself. It didn't look half-bad, and I was blown away by the speed... until I realized that the website was breaking multiple laws...
Brian Elliott
@brianelliottmd.bsky.social
· Aug 29
It helps to know some architecture. I specifically asked for a react and express setup, and I'm not sure what it would've done if I hadn't. If you don't know about them, you should consult with an LLM about the best architecture for your purpose BEFORE a single line of code
Brian Elliott
@brianelliottmd.bsky.social
· Aug 29
a close up of a man 's face with the words " brick by brick " below him
ALT: a close up of a man 's face with the words " brick by brick " below him
media.tenor.com
I built the POCUS website feature by feature. Main framework and curriculum pathway that connects to the database -> add auth -> add groups -> add an instructor dashboard for the groups -> and so on
Brian Elliott
@brianelliottmd.bsky.social
· Aug 29
To start, build feature by feature
❌ Don't say "build me duolingo but for POCUS"
✅ Say "Build me a POCUS website with **exactly the main feature you want and exactly how you picture it** using a *** framework"
Trying to one-shot it makes an absolute mess of bugs and errors
❌ Don't say "build me duolingo but for POCUS"
✅ Say "Build me a POCUS website with **exactly the main feature you want and exactly how you picture it** using a *** framework"
Trying to one-shot it makes an absolute mess of bugs and errors
Brian Elliott
@brianelliottmd.bsky.social
· Aug 29
a man in a white suit says keep it simple but make it amazing
ALT: a man in a white suit says keep it simple but make it amazing
media.tenor.com
First, #meded vibe coding is good for SMALL, SIMPLE extensions for curricula or assessments like this.
It is NOT good for large, integrated platforms that connect to external APIs. These are HUGE security threats if you don't understand them.
It is NOT good for large, integrated platforms that connect to external APIs. These are HUGE security threats if you don't understand them.
Brian Elliott
@brianelliottmd.bsky.social
· Aug 29
Scientific fraud has become an ‘industry,’ alarming analysis finds
Sophisticated global networks are infiltrating journals to publish fake papers
www.science.org
Outstanding work that shows immense scientific fraud. “For instance, of the 79 papers that one editor had handled at PLOS ONE, 49 have been retracted” HOW are journals not catching this?!
#research #academicSky #MedSky
www.science.org/content/arti...
#research #academicSky #MedSky
www.science.org/content/arti...
a man says quality over quantity in a video
ALT: a man says quality over quantity in a video
media.tenor.com
It’s time that we in #meded ask ourselves if churning out pubs is educationally beneficial for medical students, or if we can reshape the system to reward a focus on quality rather than quantity
Ultimately we found a dramatic increase in the quantity of medical student publications with pretty flat metrics on quality. All while costs to publish are rising which can be a huge burden for those trying to match into competitive specialties.
💸 An increasing cost burden:
In 2012, we estimated only 3.7% of student papers were in journals with required fees.
By 2022? 14.8%.
That’s nearly a 4x increase in pay-to-publish trends for student work.
In 2012, we estimated only 3.7% of student papers were in journals with required fees.
By 2022? 14.8%.
That’s nearly a 4x increase in pay-to-publish trends for student work.
📝 Study types shifted:
• Case reports ↓ from 26% → 14%
• Perspective/opinion pieces ↑ from 6% → 23%
• Case reports ↓ from 26% → 14%
• Perspective/opinion pieces ↑ from 6% → 23%
📊 Journal quality (by Scimago Rank) had a very small increase:
Median SJR rose from 0.470 → 0.630
(For reference NEJMs rank is 19, JGMEs is 1.1)
But…
🧵 23% of all articles were never cited even once.
Median SJR rose from 0.470 → 0.630
(For reference NEJMs rank is 19, JGMEs is 1.1)
But…
🧵 23% of all articles were never cited even once.
Over the ‘12-‘22 span, 5,181 med student-authored articles were included.
🧑🎓 50% listed a student as first author
📉 That % actually dropped from 63% → 48% over time
So more papers, but proportionally fewer led by students.
🧑🎓 50% listed a student as first author
📉 That % actually dropped from 63% → 48% over time
So more papers, but proportionally fewer led by students.
Trends in Medical Student-Authored Publications, 2012-2022
Medical student research has dramatically increased over the last ten years
The quality of medical student research has remained relatively stable over the last ten years
Medical student research pers...
www.rjmedicine.org
We analyzed every PubMed publication from 2012-2022 attributed to a #medicalstudent. They increased by 1,329%! But did quality grow too? A thread on publication pressure, perspective pieces, and publication fees
#MedEd
www.rjmedicine.org/publications...
#MedEd
www.rjmedicine.org/publications...
RJIM launched its first publications. The submissions are rolling in and we need peer reviewers if you can sign up! www.rjmedicine.org/instructions...
We’re a 501c3 nonprofit journal where research is shared - not sold.
#research #MedSky
bsky.app/profile/rjme...
We’re a 501c3 nonprofit journal where research is shared - not sold.
#research #MedSky
bsky.app/profile/rjme...
Brian Elliott
@brianelliottmd.bsky.social
· Jul 17
mededassessments.com now has two games: Jeopardy and the Conference Cup. The Conference Cup is up to four teams. A host runs the board with 3 questions to choose from. Teams take turns and use QR codes to access game cards for fun and randomness. Free to create, copy, or share! #meded #MedSky
Brian Elliott
@brianelliottmd.bsky.social
· Jul 15
Reviewer Instructions | RJIM
We provide instructions for peer reviewers at the Researchers' Journal of Internal Medicine. Our review process is slightly different, and we explain further details on being a peer reviewer.
www.rjmedicine.org
The first RJIM articles are coming out this fall! The submissions are coming in but we need more peer reviewers. Considering signing up, we have paid peer review opportunities open.
#meded #research #MedSky
www.rjmedicine.org/instructions...
#meded #research #MedSky
www.rjmedicine.org/instructions...
Brian Elliott
@brianelliottmd.bsky.social
· Jul 14
Quality of scientific papers questioned as academics ‘overwhelmed’ by the millions published
Widespread mockery of AI-generated rat with giant penis in one paper brings problem to public attention
www.theguardian.com
🎯🎯🎯🎯
“…the strain on academic publishing could be substantially alleviated if funding agencies stipulated that the work they support must be published in non-profit journals”
#research #AcademicSky
www.theguardian.com/science/2025...
“…the strain on academic publishing could be substantially alleviated if funding agencies stipulated that the work they support must be published in non-profit journals”
#research #AcademicSky
www.theguardian.com/science/2025...
Brian Elliott
@brianelliottmd.bsky.social
· Jul 10
Med Ed Assessments | test software
Med Ed Assessments is a free test software and open repository for creating, sharing, and performing statistical analyses on assessments in medical education
MedEdAssessments.com
mededassessments.com was built after my frustration with doing the same types of analyses over and over again. As long as data storage is reasonable, it will be a free home for my fellow #meded enthusiasts
Brian Elliott
@brianelliottmd.bsky.social
· Jul 10
Looking for statistical comparisons? With just a few clicks, you can compare aggregate scores across paired and unpaired samples or compare individual question responses for survey questions.
Brian Elliott
@brianelliottmd.bsky.social
· Jul 10
Get detailed analytics on assessment responses. Not just how the learners did, but how the assessment did, analyzing internal reliability, psychometrics, and giving an aggregate rating. See how learners perform among all the subscales/subdomains you declared to direct teaching