Benjamin Schnapp, MD MEd
@schnappadap.bsky.social
Emergency doc, flight physician, medical education research, in Madison, WI.
Reposted by Benjamin Schnapp, MD MEd
*me in med school*
doctor: welcome to your first shift in the ER!
me: yay
doctor: make sure you wear a lanyard that emergency releases when pulled or someone could strangle you with it!
me: wait wha—
doctor: ok let’s go see our first patient!
doctor: welcome to your first shift in the ER!
me: yay
doctor: make sure you wear a lanyard that emergency releases when pulled or someone could strangle you with it!
me: wait wha—
doctor: ok let’s go see our first patient!
July 14, 2025 at 6:43 PM
*me in med school*
doctor: welcome to your first shift in the ER!
me: yay
doctor: make sure you wear a lanyard that emergency releases when pulled or someone could strangle you with it!
me: wait wha—
doctor: ok let’s go see our first patient!
doctor: welcome to your first shift in the ER!
me: yay
doctor: make sure you wear a lanyard that emergency releases when pulled or someone could strangle you with it!
me: wait wha—
doctor: ok let’s go see our first patient!
Reposted by Benjamin Schnapp, MD MEd
Effective clinical supervision in the #EmergencyDepartment is key for learner growth and patient safety. This primer provides practical strategies for supervisors, focusing on tailored approaches and direct observation.
Check it out: onlinelibrary.wiley.com/doi/10.1002/...
Check it out: onlinelibrary.wiley.com/doi/10.1002/...
June 9, 2025 at 5:47 PM
Effective clinical supervision in the #EmergencyDepartment is key for learner growth and patient safety. This primer provides practical strategies for supervisors, focusing on tailored approaches and direct observation.
Check it out: onlinelibrary.wiley.com/doi/10.1002/...
Check it out: onlinelibrary.wiley.com/doi/10.1002/...
Reposted by Benjamin Schnapp, MD MEd
“A Busy, Busy Day at the Airport”
By Ruben Bolling
Genius. Click in.
By Ruben Bolling
Genius. Click in.
June 5, 2025 at 6:18 AM
“A Busy, Busy Day at the Airport”
By Ruben Bolling
Genius. Click in.
By Ruben Bolling
Genius. Click in.
Reposted by Benjamin Schnapp, MD MEd
Comparative effectiveness of azithromycin versus doxycycline in hospitalized patients with community acquired pneumonia treated with beta-lactams: A multicenter matched cohort study
✅ Just Accepted
#IDSky
✅ Just Accepted
#IDSky
Comparative effectiveness of azithromycin versus doxycycline in hospitalized patients with community acquired pneumonia treated with beta-lactams: A multicenter matched cohort study
Doxycycline is a frequently used alternative treatment for community-acquired pneumonia in hospitalized patients, but the evidence base is limited.
doi.org
May 31, 2025 at 2:42 PM
Comparative effectiveness of azithromycin versus doxycycline in hospitalized patients with community acquired pneumonia treated with beta-lactams: A multicenter matched cohort study
✅ Just Accepted
#IDSky
✅ Just Accepted
#IDSky
Reposted by Benjamin Schnapp, MD MEd
We are seeing multiple instances of reviewers doing manuscript reviews via use of AI/LLM.
If you don't want to do a review the old-fashioned way, better to decline the request.
Giving someone else's manuscript to AI is a violation of intellectual property rights/laws; the manuscript isn't yours...
If you don't want to do a review the old-fashioned way, better to decline the request.
Giving someone else's manuscript to AI is a violation of intellectual property rights/laws; the manuscript isn't yours...
May 11, 2025 at 11:24 AM
We are seeing multiple instances of reviewers doing manuscript reviews via use of AI/LLM.
If you don't want to do a review the old-fashioned way, better to decline the request.
Giving someone else's manuscript to AI is a violation of intellectual property rights/laws; the manuscript isn't yours...
If you don't want to do a review the old-fashioned way, better to decline the request.
Giving someone else's manuscript to AI is a violation of intellectual property rights/laws; the manuscript isn't yours...
Reposted by Benjamin Schnapp, MD MEd
New #clinicalinformatics paper by @schnappadap.bsky.social et al I’m happy to have been a part of - Resident clinical dashboards to support precision education in #emergencymedicine
onlinelibrary.wiley.com/doi/10.1002/... #EMSky #informaticsSky
onlinelibrary.wiley.com/doi/10.1002/... #EMSky #informaticsSky
Resident clinical dashboards to support precision education in emergency medicine
Introduction With the move toward competency-based medical education (CBME), data from the electronic health record (EHR) for informed self-improvement may be valuable as a part of programmatic asse...
onlinelibrary.wiley.com
April 29, 2025 at 1:25 PM
New #clinicalinformatics paper by @schnappadap.bsky.social et al I’m happy to have been a part of - Resident clinical dashboards to support precision education in #emergencymedicine
onlinelibrary.wiley.com/doi/10.1002/... #EMSky #informaticsSky
onlinelibrary.wiley.com/doi/10.1002/... #EMSky #informaticsSky
Reposted by Benjamin Schnapp, MD MEd
This is the only face you ever have to make as a doctor and you will get 100% five star ratings.
April 26, 2025 at 1:43 AM
This is the only face you ever have to make as a doctor and you will get 100% five star ratings.
Reposted by Benjamin Schnapp, MD MEd
Please don't show me pictures of your poop. If you say there was blood I'll just believe you
March 29, 2025 at 10:16 PM
Please don't show me pictures of your poop. If you say there was blood I'll just believe you
Reposted by Benjamin Schnapp, MD MEd
Maybe corny but it was helpful for me to hear Henry Rollins saying "this is not time to be dismayed, this is punk rock time, this is what Joe Strummer trained you for... You can be thunderous in your own life, to the eight people around you. That rubs off... Goodness is viral"
February 23, 2025 at 11:54 PM
Maybe corny but it was helpful for me to hear Henry Rollins saying "this is not time to be dismayed, this is punk rock time, this is what Joe Strummer trained you for... You can be thunderous in your own life, to the eight people around you. That rubs off... Goodness is viral"
Reposted by Benjamin Schnapp, MD MEd
In most people with cirrhosis, acetaminophen (up to 2g/day) is a safer analgesic than NSAIDs (kidneys, GI mucosa) or opioids (CNS function, gut motility)
Spreading the word from @shreyatrivedimd.bsky.social @ebtapper.bsky.social
Spreading the word from @shreyatrivedimd.bsky.social @ebtapper.bsky.social
February 18, 2025 at 5:29 PM
In most people with cirrhosis, acetaminophen (up to 2g/day) is a safer analgesic than NSAIDs (kidneys, GI mucosa) or opioids (CNS function, gut motility)
Spreading the word from @shreyatrivedimd.bsky.social @ebtapper.bsky.social
Spreading the word from @shreyatrivedimd.bsky.social @ebtapper.bsky.social
Reposted by Benjamin Schnapp, MD MEd
New paper from Johns Hopkins (radiology/EM) questioning the use of "age over 65" for C spine imaging in trauma patients
Of 9455 CTs performed in pts ≥ 65, 192 (2.0%) fractures were identified (113 females); 28 (0.30%) were in asymptomatic pts
pubmed.ncbi.nlm.nih.gov/38940447/#:~...
Of 9455 CTs performed in pts ≥ 65, 192 (2.0%) fractures were identified (113 females); 28 (0.30%) were in asymptomatic pts
pubmed.ncbi.nlm.nih.gov/38940447/#:~...
Is older age an appropriate criterion alone for ordering cervical spine computed tomography after trauma - PubMed
Cervical spine fractures in posttrauma patients ≥ 65 years are uncommon, with the lowest incidence in those 65 to 70 years old. Excluding asymptomatic individuals aged 65-70 from routine CSCT presents...
pubmed.ncbi.nlm.nih.gov
January 1, 2025 at 6:05 PM
New paper from Johns Hopkins (radiology/EM) questioning the use of "age over 65" for C spine imaging in trauma patients
Of 9455 CTs performed in pts ≥ 65, 192 (2.0%) fractures were identified (113 females); 28 (0.30%) were in asymptomatic pts
pubmed.ncbi.nlm.nih.gov/38940447/#:~...
Of 9455 CTs performed in pts ≥ 65, 192 (2.0%) fractures were identified (113 females); 28 (0.30%) were in asymptomatic pts
pubmed.ncbi.nlm.nih.gov/38940447/#:~...
Reposted by Benjamin Schnapp, MD MEd
The decision to admit or discharge a patient is one of the most important decisions an ED doc makes. By how much do ED docs vary in this decision? A lot! Being treated by a doc in top 10% vs bottom 10% can nearly double your probability of admission. 2/
December 23, 2024 at 9:46 PM
The decision to admit or discharge a patient is one of the most important decisions an ED doc makes. By how much do ED docs vary in this decision? A lot! Being treated by a doc in top 10% vs bottom 10% can nearly double your probability of admission. 2/
Reposted by Benjamin Schnapp, MD MEd
A friend sent this article to me today.
It feels like a good moment to remind us: the LLM outperformed physicians on STRUCTURED cases.
Someday the AIs may perform better than us in the unstructured, messy, real-world patient encounter...but that day is not today.🩺🛟
jamanetwork.com/journals/jam...
It feels like a good moment to remind us: the LLM outperformed physicians on STRUCTURED cases.
Someday the AIs may perform better than us in the unstructured, messy, real-world patient encounter...but that day is not today.🩺🛟
jamanetwork.com/journals/jam...
Large Language Model Influence on Diagnostic Reasoning
This randomized clinical trial evaluates the diagnostic performance of physicians with use of a large language model compared with conventional resources.
jamanetwork.com
December 1, 2024 at 3:48 PM
A friend sent this article to me today.
It feels like a good moment to remind us: the LLM outperformed physicians on STRUCTURED cases.
Someday the AIs may perform better than us in the unstructured, messy, real-world patient encounter...but that day is not today.🩺🛟
jamanetwork.com/journals/jam...
It feels like a good moment to remind us: the LLM outperformed physicians on STRUCTURED cases.
Someday the AIs may perform better than us in the unstructured, messy, real-world patient encounter...but that day is not today.🩺🛟
jamanetwork.com/journals/jam...
Reposted by Benjamin Schnapp, MD MEd
One of my favorite @criticalcaretime.bsky.social infographics: Comparison of vasodilator scavengers.
When to choose
🟦 Methylene Blue
🟥 Hydroxocobalamin (Cyanokit)
For more discussion you can read here:
onepagericu.com/blog/mini-le...
When to choose
🟦 Methylene Blue
🟥 Hydroxocobalamin (Cyanokit)
For more discussion you can read here:
onepagericu.com/blog/mini-le...
November 15, 2024 at 3:36 PM
One of my favorite @criticalcaretime.bsky.social infographics: Comparison of vasodilator scavengers.
When to choose
🟦 Methylene Blue
🟥 Hydroxocobalamin (Cyanokit)
For more discussion you can read here:
onepagericu.com/blog/mini-le...
When to choose
🟦 Methylene Blue
🟥 Hydroxocobalamin (Cyanokit)
For more discussion you can read here:
onepagericu.com/blog/mini-le...
Reposted by Benjamin Schnapp, MD MEd
Residency interviewer: What was your hardest day in medical school?
Me: I got stuck in an elevator in the Children’s Hospital with a clown who refused to break character.
Interviewer: …
Me: Yeah.
Me: I got stuck in an elevator in the Children’s Hospital with a clown who refused to break character.
Interviewer: …
Me: Yeah.
November 30, 2024 at 2:40 AM
Residency interviewer: What was your hardest day in medical school?
Me: I got stuck in an elevator in the Children’s Hospital with a clown who refused to break character.
Interviewer: …
Me: Yeah.
Me: I got stuck in an elevator in the Children’s Hospital with a clown who refused to break character.
Interviewer: …
Me: Yeah.
Reposted by Benjamin Schnapp, MD MEd
We humbly thank the reviewers for their suggestions. We would like to resubmit this improved manuscript for your consideration. #AcademicSky #MedSky
November 29, 2024 at 4:26 PM
We humbly thank the reviewers for their suggestions. We would like to resubmit this improved manuscript for your consideration. #AcademicSky #MedSky
Reposted by Benjamin Schnapp, MD MEd
This may be impossible in most regions because of the lack of qualified staff available to hire--however, this seems like the best way to price out private equity with regulations that limit profit upside with fixed staffing costs. #Medsky
NEW: Maine Proposes Major Staffing Increases for Assisted Living and Residential Care Facilities
The proposed regulations come after an 18-month investigation by @mainemonitor.bsky.social and ProPublica found dozens of violations at the state’s largest facilities.
propub.li/3Z6lr6e
The proposed regulations come after an 18-month investigation by @mainemonitor.bsky.social and ProPublica found dozens of violations at the state’s largest facilities.
propub.li/3Z6lr6e
Maine Proposes Major Staffing Increases for Assisted Living and Residential Care Facilities
The proposed regulations come after an 18-month investigation by The Maine Monitor and ProPublica found dozens of violations at the state’s largest facilities.
propub.li
November 28, 2024 at 6:45 AM
This may be impossible in most regions because of the lack of qualified staff available to hire--however, this seems like the best way to price out private equity with regulations that limit profit upside with fixed staffing costs. #Medsky
Reposted by Benjamin Schnapp, MD MEd
Doctors hail first breakthrough in asthma and COPD treatment in 50 years
Results of trial of benralizumab injection could be ‘gamechanger’ for millions of people around the world
Andrew Gregory Health editor
www.theguardian.com/society/2024...
Results of trial of benralizumab injection could be ‘gamechanger’ for millions of people around the world
Andrew Gregory Health editor
www.theguardian.com/society/2024...
Doctors hail first breakthrough in asthma and COPD treatment in 50 years
Results of trial of benralizumab injection could be ‘gamechanger’ for millions of people around the world
www.theguardian.com
November 28, 2024 at 3:55 PM
Doctors hail first breakthrough in asthma and COPD treatment in 50 years
Results of trial of benralizumab injection could be ‘gamechanger’ for millions of people around the world
Andrew Gregory Health editor
www.theguardian.com/society/2024...
Results of trial of benralizumab injection could be ‘gamechanger’ for millions of people around the world
Andrew Gregory Health editor
www.theguardian.com/society/2024...
Reposted by Benjamin Schnapp, MD MEd
Happy Thanksgiving to all. Thank you to those of you working in public safety, the hospitals and especially to my EM colleagues.
November 28, 2024 at 5:21 PM
Happy Thanksgiving to all. Thank you to those of you working in public safety, the hospitals and especially to my EM colleagues.
Reposted by Benjamin Schnapp, MD MEd
Huh- I totally missed that now a chikungunya vaccine available in US for travelers.
www.cdc.gov/chikungunya/....
www.cdc.gov/chikungunya/....
Chikungunya Vaccine Information for Healthcare Providers
Learn about chikungunya vaccine recommendations.
www.cdc.gov
November 22, 2024 at 3:25 PM
Huh- I totally missed that now a chikungunya vaccine available in US for travelers.
www.cdc.gov/chikungunya/....
www.cdc.gov/chikungunya/....
Reposted by Benjamin Schnapp, MD MEd
#2024APPAM SkyPeeps, you can now officially get your unofficial "let's connect on Bluesky" stickers at the ribbon wall. Pro-tip, put one both sides of your two-sided badge.
November 22, 2024 at 10:29 PM
Reposted by Benjamin Schnapp, MD MEd
November 19, 2024 at 1:20 AM
Reposted by Benjamin Schnapp, MD MEd
A project of mine with 300 other colleagues
Send over questions and support!
www.bostonglobe.com/2024/11/18/b...
Send over questions and support!
www.bostonglobe.com/2024/11/18/b...
Citing ‘burnout,’ nearly 300 primary care doctors at Mass General Brigham take steps to unionize - The Boston Globe
The doctors comprise the vast majority of primary care physicians employed by Massachusetts General Hospital and Brigham and Women’s Hospital.
www.bostonglobe.com
November 18, 2024 at 3:38 PM
A project of mine with 300 other colleagues
Send over questions and support!
www.bostonglobe.com/2024/11/18/b...
Send over questions and support!
www.bostonglobe.com/2024/11/18/b...
Reposted by Benjamin Schnapp, MD MEd
'the “hero story” of an applicant’s big save in the critical care unit is seen as cliché and overused'
Fascinating article: pmc.ncbi.nlm.nih.gov/articles/PMC...
What Do 🩺 Program Directors Value in Personal Statements?
in @atscommunity.bsky.social's ATS Scholar featuring @gbosslet.bsky.social
Fascinating article: pmc.ncbi.nlm.nih.gov/articles/PMC...
What Do 🩺 Program Directors Value in Personal Statements?
in @atscommunity.bsky.social's ATS Scholar featuring @gbosslet.bsky.social
What Do Program Directors Value in Personal Statements? A Qualitative Analysis
Background: All applicants to accredited training programs must write a personal statement as part of the application process. This may provoke anxiety on the part of the applicant and can result in a...
pmc.ncbi.nlm.nih.gov
November 18, 2024 at 2:03 PM
'the “hero story” of an applicant’s big save in the critical care unit is seen as cliché and overused'
Fascinating article: pmc.ncbi.nlm.nih.gov/articles/PMC...
What Do 🩺 Program Directors Value in Personal Statements?
in @atscommunity.bsky.social's ATS Scholar featuring @gbosslet.bsky.social
Fascinating article: pmc.ncbi.nlm.nih.gov/articles/PMC...
What Do 🩺 Program Directors Value in Personal Statements?
in @atscommunity.bsky.social's ATS Scholar featuring @gbosslet.bsky.social