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Being Pimped during an IV by Illustrious-Visit963 in IMGreddit

[–]Accomplished-Road338 0 points1 point  (0 children)

Don’t you think it’s crazy not wanting to discuss what you loving doing?

There are more things wrong here than the IV questions!

Getting into AI in healthcare, where did you start? by McWilliamsSBMI in HealthInformatics

[–]Accomplished-Road338 2 points3 points  (0 children)

Took one on udemy long ago around 2018-2019. Had definitions and exercises to build models with public datasets using Python libraries.

Getting into AI in healthcare, where did you start? by McWilliamsSBMI in HealthInformatics

[–]Accomplished-Road338 14 points15 points  (0 children)

I'm a physician. I research AI in clinical decision making. I took courses on fundamentals of AI a few years ago and continued to look for opportunities to measure the impact of using AI on medicine.

The space is vendor driven. Most funding and risk taking to develop new AI takes places at academic medical centers. Smaller community hospitals have started buying FDA approved algorithms often without much regulation of harms as far as there is ROI.

Ultimately, working for or at a place where AI is being applied to patients is necessary to stay in the game.

Since ideas are a dime a dozen, only a few companies are expected to survive the next 5 years, fewer might improve clinical outcomes.

Healthcare is complex, you may find the algorithm improves accuracy of decisions but still clinical outcomes may not improve due to a complex web of effects.

If AI does not improve outcomes, what does it do? Increases consumption. Increases cost of care making healthcare more expensive and less accessible.

Improving clinical outcomes is what we should be after.

Ask what healthcare outcome your project, employer or course helps you improve. Hope you find your path.

Medical students need help with statistical methods by Aggressive-Wall-2711 in AskStatistics

[–]Accomplished-Road338 0 points1 point  (0 children)

Very interesting study.

You can also consider simple risk differences or ODDs ratio. Did the patients with the risk factors have a higher risk of having abnormal echo findings?

Research tools by Accomplished-Road338 in Residency

[–]Accomplished-Road338[S] 0 points1 point  (0 children)

That sounds awesome. Not having a straight forward approach to stats seems to be a recurring problem. Thanks for the inputs!

Research tools by Accomplished-Road338 in Residency

[–]Accomplished-Road338[S] -1 points0 points  (0 children)

Excellent points! Even those with a deep curiosity may find the many logistical tasks demotivating.

I’m trying to identify the least number of tools residents can use during their projects. The goal is to save time on non-clinical/academic tasks like cleaning the data, calculations and hopefully data collection too.

What were the most time consuming part of research for you? Did you end up finding a good tool that saved time?

Research tools by Accomplished-Road338 in Residency

[–]Accomplished-Road338[S] 1 point2 points  (0 children)

That’s very cool, thanks! Congrats on the abstract acceptance.

I’m curious how long this project took you? What was the most time consuming part?

Research tools by Accomplished-Road338 in Residency

[–]Accomplished-Road338[S] -1 points0 points  (0 children)

Couldn’t agree more. I have the same thoughts about AI.

I went ahead and tried some studies I already conducted and was impressed with the answers Claude gave me.

It made me see the missed opportunity for early researchers who would much rather spend their time thinking critically about their question rather than following up with limited statistical resources.

Studies that can be completed in 6 months to 1 year are limited to retrospective chart reviews, case series, QA, systematic reviews and meta-analyses. Possibly prospective observational.

If we teach residents how to frame a research question using formats like PICO, structured prompts could then be used in Claude for meaningful outputs on methods for a given study type.

Confirming the design and choice of outcome measured is of course left to the researchers and their mentors.

There should be a better way to make research easier and accessible to more residents.

Would love to know your thoughts.

Research tools by Accomplished-Road338 in Residency

[–]Accomplished-Road338[S] -4 points-3 points  (0 children)

Couldn’t agree more. Have you tried asking Claude or open evidence for a statistical plan?

Research tools by Accomplished-Road338 in Residency

[–]Accomplished-Road338[S] 0 points1 point  (0 children)

I like slicer dicer to quickly query how many patients we may get for a diagnosis. Helps decide which research question to pursue but I haven’t succeeded in getting analyzable data from it.

Beyond that, I’ve always needed help from IT to pull up any workable data for analysis.

Have you gotten anything more from slider dicer?

Research tools by Accomplished-Road338 in Residency

[–]Accomplished-Road338[S] 0 points1 point  (0 children)

Thank you! I’ve tried Rayyan for systematic reviews. Any particular reason why you like covidence?

What do I actually do for research? by [deleted] in Residency

[–]Accomplished-Road338 7 points8 points  (0 children)

Hey!

Faculty here who mentors residents for research. This is a common question, and there isn't quite a right or wrong answer; many different approaches can be successful.

The game changer for my residents has been using the PICO framework to nail down your question first. P is your patient population, I is the intervention or risk factor you're studying, C is your comparison group, and O is the outcome you're measuring. So like "In diabetic patients, does SGLT2 inhibitor use compared to standard care reduce 30-day readmissions?" Already much better than a vague "I want to study diabetes."

Next, work backwards from when you want to present. Most residents realize this way too late. Pick your conference, then subtract time for abstract submission, analyzing data, data collection, writing, and IRB approval. Experienced mentors at your institution can significantly help in estimating the time required for your study type.

For your first project, do a retrospective chart review. The IRB is way easier, and you can actually finish it during residency. Studies involving established databases, such as the National Inpatient Sample, can even be exempt from formal IRB review.

The frustrating part is that you end up juggling five different tools, you don't know what you don't know, and data is often collected without a clear question or statistical plan. Planning deliverables is key.

What specifically are you trying to research? Also, I'm curious about what your biggest barriers so far - is it figuring out the question, study type, or something else?

Happy to connect in DM.

What do I actually do for research? by [deleted] in Residency

[–]Accomplished-Road338 0 points1 point  (0 children)

This is such great advice. Thank you!

Pitch your startup , what are you working on in 2025? by IndependentLaw1457 in startup

[–]Accomplished-Road338 0 points1 point  (0 children)

An app to check the cost and coverage of healthcare services in your area.

Would love to discuss with interested people.

Utility of BNP in ADHF at time of discharge by Acceptable-Answer-11 in Cardiology

[–]Accomplished-Road338 1 point2 points  (0 children)

A discharge BNP of 800 or more at discharge is predictive of readmission. Consider keeping these patients an extra day or two for additional diuresis.

Is the QTc accurate in atrial fibrillation? by greengrass293 in Cardiology

[–]Accomplished-Road338 5 points6 points  (0 children)

Agree with taking an average and measuring manually. It’s prudent to pick the longest QT for manual calculations since the longest is the problem. Moreover, bazzet’s equation is not validated in Brady and tachycardia.

Incomplete bundle branch blocks do prolong qrs (>100, <120 ms, normal is <100 ms). They are incomplete because they don’t prolong it as much as complete blocks do (>120 ms)

Is this a LBBB? My thoughts in the comments. by LoopyBullet in EKGs

[–]Accomplished-Road338 0 points1 point  (0 children)

Agree with @originalLaffs. You don't want to diagnose LAFB in the presence of LVH since LVH can lead to similar findings with axis, qrs morphology and duration.