Brian Elliott
brianelliottmd.bsky.social
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
The interest in rjmedicine.org has been validating. Researchers are ready for a non-profit, truly open publishing ecosystem. To keep up with growth, we're now using NextJS. We'll be able to build AI integration and automation. If you're interested in crafting the ideal publishing experience, join us

Are benzo drips going to make a comeback in the ICU??
#EMIMCC #ICU

How to fix scientific publishing:
1. Build GitHub for manuscript writing
2. Set up preprints and publishing as pull requests

⭐️Versioning/contributor tracking mitigate fraud
⭐️Pull requests mitigate administrative costs
⭐️Everything is open
⭐️The freemium model improves access
#research #meded #medsky

I often get asked by residents and medical students where they can publish their case reports. So I built a tool where you can query over 1000 medical journals that publish CRs by cost, MEDLINE status, time to publication, specialty, etc.
#meded #research #medsky

www.rjmedicine.org/journal-finder
Case Report Journal Finder
Quickly surface reputable, cost-conscious journals for your clinical case report based on specialty, APC preferences, and indexing.
www.rjmedicine.org

RJIM just completed its first paid peer review. That’s right, we just sent a peer reviewer real money.

Because
👏🏼 that’s
👏🏼 how
👏🏼 it
👏🏼 should
👏🏼 work

#research #medsky

The top six commercial publishers are currently being sued for anti-trust violations (Uddin v. Elsevier, B.V., 1:24-cv-06409). They publish the majority of articles on PubMed. This year, we will find out the verdict.

If they lose, this would have DRAMATIC effects on #research
This is the last 150 years of PubMed publications by major Publishing organizations. It started with small University and Nonprofit presses, now becoming an absolute domination by commercial publishers

#research #medsky

Working on a feature that I think every journal should have:

👉You drag and drop your manuscript
👉It fills in the sections
👉It formats all your references

How much time do researchers waste formatting manuscripts?

An estimated $230 MILLION in work hours yearly
#research #medsky #meded

I think I under-emphasized that these numbers are the publication RATE, as in per year, now totaling more than 600,000 publications yearly on PubMed

This is the last 150 years of PubMed publications by major Publishing organizations. It started with small University and Nonprofit presses, now becoming an absolute domination by commercial publishers

#research #medsky

#vibecoding for statistics🤌. Not only did the results match up to mine, but it created a beautiful dashboard to present them. #MedEd

I took our #POCUS curriculum powerpoints and textbook chapters and vibe-coded it into a more engaging and trackable Duolingo-like platform. It's 100% free (and always will be) if you want to check it out (pocus-pathway.replit.app). This ability to transform #meded content quickly is amazing

Shout out to @midwestmedpeds.bsky.social @mededpocus.bsky.social and my other twitterless co-investigators who are amazing!

Our trial started in 2021 and the platform entirely changed mid-trial. Our enrollment dramatically slowed after the changes. Still, I firmly believe #MedEd needs more practical and comparative effectiveness studies, despite added challenges. pubmed.ncbi.nlm.nih.gov/41350857/
A randomized controlled trial of curated X exposure for cardiac point of care ultrasound education - PubMed
Natural X exposure to educational POCUS accounts did not result in statistically improved image interpretation scores, but this outcome was likely affected by limited sample size, different participant experiences, and other variables. Data from this novel trial design can better inform future studi …
pubmed.ncbi.nlm.nih.gov

The results: we unfortunately only ended up with 29 participants, but the results were completely flat, not even a trend of better #POCUS image interpretation among participants following POCUS accounts. The big caveat to this result is obvious…

First, it was an unblinded randomized trial at 3 IM residencies and 2 medical schools, enrolling IM residents and 3/4yr med students. They were told to use it 2hrs/week for 3mos, completing logs, and either following 10 #POCUS accounts or 10 non-POCUS journal accounts

I was drawn to Twitter because of #POCUS and seeing experts’ images and tweetorials. It inspired the research question:

Does using Twitter lead to measurable improvements in #POCUS image interpretation.

We conducted a randomized trial to see, and the results were surprising…
#MedEd #medsky
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media.tenor.com

Reposted by Brian Elliott

🔥Fresh blog🔥 Hot take on RSI trial of ketamine vs etomidate

RSI & EvK trials both show *more* BP instability with ketamine *but* lower mortality with ketamine 🤔

Cause of BP drops with ketamine?
- Less pressor pre-intubation?
- Ketamine provides analgesia (eliminating pain-as-a-pressor)?

... #1/2

Reposted by Brian Elliott

Imagine setting up a randomized study of Twitter for education running from Nov2021 to June2023 and then in 2022.....
link.springer.com/article/10.1...
#MedEd
A randomized controlled trial of curated X exposure for cardiac point of care ultrasound education - BMC Medical Education
Background X (formerly known as Twitter) is a social media platform with a robust online medical education community, including point-of-care ultrasound (POCUS) content. Objective Our study aimed to d...
link.springer.com

Great paper on the absurd #research inflation on residency apps. 37 research works ON AVERAGE for NSG. The authors argue that we need more:
1️⃣Granularity and clarity on ERAS
2️⃣Data available from NRMP
3️⃣Guidance from PDs
#meded #Match2026

jgme.kglmeridian.com/view/journal...

If you want to help build a better, non-profit publishing model, visit our site to submit or sign up as a peer reviewer
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ALT: a man in a red suit and tie is saying `` assemble '' while holding a white object .
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“Editing a journal is hard work…and founding a new journal is even harder. But the alternative is to continue with the status quo, in which [for profit publishers] harvest ever larger profits from the work of us and our colleagues, this is both unsustainable and unacceptable”

Over a dozen researchers and I started RJmedicine.org because we share Gowers concerns. But rather than boycotting, we’re building the alternative - a novel publication system with contemporary tech to lower publishing costs. To quote Gowers:
Researchers' Journal of Internal Medicine | internal medicine research journal
Researchers' Journal of Internal Medicine is a free open-access internal medicine research journal that publishes scientific articles pertaining to medical education, internal medicine, and internal m...
RJmedicine.org

But here's the problem: independent studies have shown that nearly half of signees don't follow up with their boycott. And 20,000 researchers is really a drop in the bucket for a giant like Elsevier. Which is why nothing has really changed. We need a better alternative

Over 5,000 researchers quickly signed the petition to boycott Elsevier - no publishing in their journals, no editorial contributions, no peer reviewing for their journals. Fast forward to today, and over 20,000 researchers have signed the petition

Gowers outlined everyone's frustrations in this blog post: gowers.files.wordpress.com/2012/02/else..., with sentiments that any researcher can relate to.
gowers.files.wordpress.com

Elsevier was also lobbying to explicitly prevent publicly-funded research from being publicly available through the Research Works Act, a strategy to further drive up profit margins by paywalling publicly funded research.

In 2012, a group of mathematicians led by Timothy Gowers outlined their frustration with Elsevier. The publishing empire was charging 10x what University Presses were, because they are a for-profit organization that sought >30% profit margins.

Over 20,000 researchers have signed a petition to boycott Elsevier for rising publication costs. But you've probably never heard of it...

A thread on The Cost of Knowledge Boycott, what it is, whether it worked, and an alternative
#research #medsky #meded
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Excellent article on the explosion of commercial research publishing.

“The current system is a choice. It prioritizes the stock portfolios of a few multinational corporations over the integrity of the scientific record.”

#medsky #research

www.zmescience.com/science/news...
We Need to Talk About the Billion-Dollar Industry Holding Science Hostage
Your tax dollars fund the research. You pay again to read it.
www.zmescience.com