Robert S Miller MD
@rsm2800.bsky.social
Oncologist/informaticist, former Chief Medical Science Officer @ CancerLinQ. Now living my best retired life. Husband, dad, classical/choral music lover🎶 Twitter survivor. Come for the oncology content, stay for the daily music posts. He/him
A must read-the NEJM perspective by Califf et al re FDA vaccine policy. The highlighted quote is striking, as is this “Demands for ideological alignment as a condition of employment are irreconcilable with an agency whose strength is the pluralism of its expert views.” www.nejm.org/doi/full/10....
December 4, 2025 at 4:34 AM
A must read-the NEJM perspective by Califf et al re FDA vaccine policy. The highlighted quote is striking, as is this “Demands for ideological alignment as a condition of employment are irreconcilable with an agency whose strength is the pluralism of its expert views.” www.nejm.org/doi/full/10....
Having served my internal medicine residency at UCSF/SFGH 1985-8 at the peak of the AIDS epidemic in SF, like many peers I was drawn to this book. How absurd and insulting the US government is not commemorating World AIDS Day today
December 1, 2025 at 8:25 PM
Having served my internal medicine residency at UCSF/SFGH 1985-8 at the peak of the AIDS epidemic in SF, like many peers I was drawn to this book. How absurd and insulting the US government is not commemorating World AIDS Day today
Screenshots of the CDC website with today's edits. The 2nd pic is the footnote. I'm not going to share the link so it doesn't get amplified but you can google it. How utterly F-ing shameful is this
November 20, 2025 at 3:16 AM
Screenshots of the CDC website with today's edits. The 2nd pic is the footnote. I'm not going to share the link so it doesn't get amplified but you can google it. How utterly F-ing shameful is this
In a qualitative analysis from UAB, 21 pts w/ breast ca declining clinical trial participation cited the following reasons: fear (of the unknown; AEs; Rx effectiveness), mistrust (re experimentation; re who benefits from the trial), & various practical burdens (eg, time) ascopubs.org/doi/full/10....
November 5, 2025 at 7:06 PM
In a qualitative analysis from UAB, 21 pts w/ breast ca declining clinical trial participation cited the following reasons: fear (of the unknown; AEs; Rx effectiveness), mistrust (re experimentation; re who benefits from the trial), & various practical burdens (eg, time) ascopubs.org/doi/full/10....
On what is my last day of work in a 40+-yr oncology career, sharing a heartfelt, gentle gem from my favorite folk singer, Carrie Newcomer. "I Meant To Do My Work Today" from her 2010 album Before & After (don't worry, my music posts to continue post retirement) www.youtube.com/watch?v=dQfq...
August 18, 2025 at 4:42 PM
On what is my last day of work in a 40+-yr oncology career, sharing a heartfelt, gentle gem from my favorite folk singer, Carrie Newcomer. "I Meant To Do My Work Today" from her 2010 album Before & After (don't worry, my music posts to continue post retirement) www.youtube.com/watch?v=dQfq...
The hibiscus is looking particularly vibrant today
August 2, 2025 at 5:43 PM
The hibiscus is looking particularly vibrant today
Signs that it’s probably getting close to retirement time for me (which it is) - when the leather has worn off on the arm of your desk chair and the plastic on the A, S, C, D, and E keys of your keyboard is also almost gone
July 25, 2025 at 4:28 PM
Signs that it’s probably getting close to retirement time for me (which it is) - when the leather has worn off on the arm of your desk chair and the plastic on the A, S, C, D, and E keys of your keyboard is also almost gone
Our next #CancerLinQ webinar is almost here! Register to hear Dr. Corbin Eule from the University of Colorado talk about using RWD to understand patterns of treatment intensification for patients with metastatic castrate-sensitive prostate cancer on July 15 @ 12p ET portal.xyvid.com/RWD_July2025...
July 3, 2025 at 6:33 PM
Our next #CancerLinQ webinar is almost here! Register to hear Dr. Corbin Eule from the University of Colorado talk about using RWD to understand patterns of treatment intensification for patients with metastatic castrate-sensitive prostate cancer on July 15 @ 12p ET portal.xyvid.com/RWD_July2025...
Pot of gold in Alexandria cc: @capitalweather.bsky.social
June 19, 2025 at 12:20 AM
Pot of gold in Alexandria cc: @capitalweather.bsky.social
DFS improved with the addition of atezolizumab for mFOLFOX6 as adjuvant Rx for Stage III colon ca, HR = 0.50 (p<0.0001) meetings.asco.org/2025-asco-an...
June 1, 2025 at 6:14 PM
DFS improved with the addition of atezolizumab for mFOLFOX6 as adjuvant Rx for Stage III colon ca, HR = 0.50 (p<0.0001) meetings.asco.org/2025-asco-an...
Last week's #CancerLinQ webinar on bridging the gaps in oncology care from diagnosis to outcomes is now available on demand. Access insights from Dr. Mohana Roy and Dr. Arpan Patel to discover real-world strategies to improve cancer care #quality in your practice hubs.ly/Q03mMh7B0
May 15, 2025 at 5:15 PM
Last week's #CancerLinQ webinar on bridging the gaps in oncology care from diagnosis to outcomes is now available on demand. Access insights from Dr. Mohana Roy and Dr. Arpan Patel to discover real-world strategies to improve cancer care #quality in your practice hubs.ly/Q03mMh7B0
Lots of good insights about challenges and solutions facing community oncology at the COA Conference in Orlando this week. But what was everyone really talking about in the exhibit hall - puppies of course!
May 1, 2025 at 1:23 PM
Lots of good insights about challenges and solutions facing community oncology at the COA Conference in Orlando this week. But what was everyone really talking about in the exhibit hall - puppies of course!
Enjoying lunch on a sunny Sunday by Healy Hall on the Georgetown campus
April 13, 2025 at 8:39 PM
Enjoying lunch on a sunny Sunday by Healy Hall on the Georgetown campus
Using Epic Signal data for 15.7K oncologists (2019->22): Mean overall EHR inbox messages ⬆️ 19%, mean overall patient-initiated messages ⬆️ 34%, & total InBasket time ⬆️ 25.4%. Total weekly EHR time by subspecialty: med onc>>gyn onc>>surg onc>>rad onc>>ped onc #burnout academic.oup.com/jnci/advance...
March 18, 2025 at 1:52 AM
Using Epic Signal data for 15.7K oncologists (2019->22): Mean overall EHR inbox messages ⬆️ 19%, mean overall patient-initiated messages ⬆️ 34%, & total InBasket time ⬆️ 25.4%. Total weekly EHR time by subspecialty: med onc>>gyn onc>>surg onc>>rad onc>>ped onc #burnout academic.oup.com/jnci/advance...
I just went to senate.gov and left a message for Senator Kaine and Senator Warner to vote NO on the confirmation of Dr. Jay Bhattacharya for NIH Director. I left VMs at their offices last week as well. I encourage all physicians to do the same. I shudder to think how much worse things can get...
March 4, 2025 at 3:31 AM
I just went to senate.gov and left a message for Senator Kaine and Senator Warner to vote NO on the confirmation of Dr. Jay Bhattacharya for NIH Director. I left VMs at their offices last week as well. I encourage all physicians to do the same. I shudder to think how much worse things can get...
When I decided to abandon the bird site over a year ago, in disgust because of the cesspool it had become, I had ~14K followers. Although I know some of them are bots, it's still pretty cool to have amassed 1000 followers on BSKY in less than 4 months. Thank you for listening! #grateful
March 4, 2025 at 1:10 AM
When I decided to abandon the bird site over a year ago, in disgust because of the cesspool it had become, I had ~14K followers. Although I know some of them are bots, it's still pretty cool to have amassed 1000 followers on BSKY in less than 4 months. Thank you for listening! #grateful
Please read Eric Topol's and James Zou's Lancet piece about what the future of medicine powered by agentic AI could be. They envision a world beyond ambient AI just writing progress notes; a future where doctors supervise AI agents that aggregate information and coordinate communication
February 7, 2025 at 3:01 AM
Please read Eric Topol's and James Zou's Lancet piece about what the future of medicine powered by agentic AI could be. They envision a world beyond ambient AI just writing progress notes; a future where doctors supervise AI agents that aggregate information and coordinate communication
I'm an oncologist and a musician and can't say I had ever heard of acute musical toxicity before. Bravo to the Mayo Clinic authors for doing this patient-centric study & the musical pts participating. Table 2 (snippet here) showing incidence of toxicities is illuminating ascopubs.org/doi/full/10....
January 29, 2025 at 9:03 PM
I'm an oncologist and a musician and can't say I had ever heard of acute musical toxicity before. Bravo to the Mayo Clinic authors for doing this patient-centric study & the musical pts participating. Table 2 (snippet here) showing incidence of toxicities is illuminating ascopubs.org/doi/full/10....
Is it bad that I immediately saw the one in purple?
January 28, 2025 at 12:03 AM
Is it bad that I immediately saw the one in purple?
And where did this arrive from so fast??
January 3, 2025 at 8:44 PM
And where did this arrive from so fast??
Indulging in the last of my holiday excesses before the reality of 2025 resolutions come crashing down
January 3, 2025 at 5:29 PM
Indulging in the last of my holiday excesses before the reality of 2025 resolutions come crashing down
And Happy New Year from ABIM
January 1, 2025 at 2:35 PM
And Happy New Year from ABIM
The moment has arrived. The spot on the 1st page of my phone’s home screen, formerly occupied by Twitter, has now been replaced with Bluesky
November 30, 2024 at 5:24 PM
The moment has arrived. The spot on the 1st page of my phone’s home screen, formerly occupied by Twitter, has now been replaced with Bluesky
Here’s my Skircle
November 24, 2024 at 4:25 AM
Here’s my Skircle