Join us Wednesday, September 6 at 9:00pm ET / 6:00pm PT for a live, interactive tweetchat with Marc Probst, MD, and Hemal Kanzaria, MD, on shared decision making in the ED. Topics to be discussed are based on their recent PW article and will include:

  • Why there are still misconceptions surrounding how and when to use shared decision making.
  • Examples of those misconceptions.
  • Necessary and sufficient factors for determining if a clinical scenario is appropriate for shared decision making.
  • What clinical equipoise refers to in emergency department context and how it should be factored into shared decision making
  • What compassionate persuasion refers to and how it plays into shared decision making.
  • What a patient would be unwilling and/or unable to participate in shared decision making.
  • In what situations shared decision making should be forgone or delayed.
  • How shared decision making in the ED differs from shared decision making in the primary care or other practice setting.
  • “Fast food medicine” and why it is important to differentiate it from shared decision making.
  • Whether or not shared decision making is meant to be medico-legally protective.
  • The common barriers to shared decision making in the emergency department.
  • Practical approaches to shared decision making.
  • Patient decision aids and whether any have been developed for the emergency department.
  • More…

How to Join the Chat

  1. Log into your Twitter account. Don’t have an account? Where have you been?! Just kidding, we don’t judge, but you should get one! It’s easy to create, and free. You’ll be glad you did.
  2. A couple minutes before 9:00pm ET on September 6, Search Twitter (top right of every Twitter page) for #PWChat.
  3. On the search results page, click Latest at the top left. This will show you all the latest tweets using the #PWChat hashtag. The page will automatically update every couple minutes, letting you know how many new tweets there are using the #PWChat hashtag.
  4. Answer questions, reply to other’s comments, or make a comment of your own as much and as often as you like. Just make sure to leave room in include #PWChat to make sure what you tweet is included in the chat. Otherwise, it won’t be seen.
  5. While you’re at it, be sure to follow @physicianswkly, @probstMD, and @hkanzaria!

About Dr. Probst

Dr. Probst is currently an Assistant Professor of Emergency Medicine at the Icahn School of Medicine at Mount Sinai. He obtained his MD degree from McGill University in Montreal, Canada in 2007 before moving to Los Angeles to pursue residency training at LA-County USC Medical Center.  He then went on to complete a research fellowship at the UCLA Medical Center obtaining an MS degree in Health Policy and Management in 2014 from the UCLA School of Public Health. Dr. Probst is currently funded by the National Heart Lung and Blood Institute under the K12 career development award.

About Dr. Kanzaria

Hemal Kanzaria, MD MSc is an Assistant Professor of Emergency Medicine at the University of California, San Francisco (UCSF). Dr. Kanzaria practices clinically at Zuckerberg San Francisco General (ZSFG), where he helps direct emergency department (ED) lean improvement efforts. He is the Director of Complex Care Analytics for the San Francisco Health Network (SFHN), the public health delivery system in San Francisco County. He championed the successful implementation of ED Information Exchange across SFHN, and currently leads a multidisciplinary team to improve whole-person care for frequent users of emergent/urgent medical, behavioral, and social services. Dr. Kanzaria is also an Adjunct scientist at RAND Health and affiliated with the Center for Innovation in Access and Quality at SFGH, where his research and policy work focuses the delivery of high-value health care. Prior to his current appointment, Dr. Kanzaria was a Robert Wood Johnson Clinical Scholar at UCLA. He completed his medical degree and residency at UCSF-SFGH, during which time he founded Remedy at UCSF to recover unused medical supplies for socially responsible redistribution. The organization has provided medical equipment to underserved communities both locally and globally, and has been instrumental in several disaster relief efforts.