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Larissa Thomas MD

@larissathomas

Hospital medicine, med ed, physician well-being @ SFGH @ UCSF. Posts are my own opinions

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Latest posts by Larissa Thomas MD @larissathomas

Everyone has lots of thoughts and feelings about jeopardy coverage systems and @lekshmimd.bsky.social and I had our share of jeopardy calls while working on this! Check out our thoughts with Dr. Berman on a way to move forward: link.springer.com/article/10.1...

21.01.2026 07:59 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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Moving from β€œMe” to β€œWe”: Adopting a Collectivist Approach to Address the Wicked Problem of Trainee and Faculty Back-up/Jeopardy Systems - Journal of General Internal Medicine Journal of General Internal Medicine -

Do you have a #Jeopardy system? With winter viruses in FULL swing #MedEd programs need to design sustainable ways to provide #Jeopardy coverage for trainees & faculty alike-βœ… our piece w/ Drs. @larissathomas.bsky.social & Berman in @journalgim.bsky.social : link.springer.com/article/10.1... #MedSky

20.01.2026 23:19 πŸ‘ 4 πŸ” 1 πŸ’¬ 0 πŸ“Œ 1
Bar graph comparing residents/fellows experiencing vs. not experiencing food insecurity, measuring "Overall burnout" & "Intent to stay." "Yes" to food insecurity shows higher burnout (p<.001) & lower intent to stay (p=.02).

Bar graph comparing residents/fellows experiencing vs. not experiencing food insecurity, measuring "Overall burnout" & "Intent to stay." "Yes" to food insecurity shows higher burnout (p<.001) & lower intent to stay (p=.02).

In this study of GME trainees, 14% of resident and fellow physicians reported food insecurity; those with food insecurity were more likely to experience burnout and social isolation. ja.ma/48Lbrp2

18.12.2025 13:30 πŸ‘ 0 πŸ” 1 πŸ’¬ 0 πŸ“Œ 0
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Food Insecurity, Burnout, and Social Isolation Among Resident and Fellow Physicians This cross-sectional study assesses the prevalence of and factors associated with food insecurity among graduate medical education trainees and investigates the associations between food insecurity an...

1/ Welcome to Edition 284 of West’s Well-Being Wednesday! Today, a key GME issue in #MedEd that might surprise many readers – food insecurity (FI) among residents and fellows with @larissathomas.bsky.social and others
jamanetwork.com/journals/jam...

18.12.2025 00:48 πŸ‘ 0 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0
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The Reality My Medicaid Patients Face With work requirements in place, many will be removed from Medicaid even though they should qualify.

As a doctor in a hospital that serves the urban poor, Lindsay Ryan's patients already face such a gantlet of obstacles that modest barriers to accessing government programs can effectively screen them out.

05.07.2025 13:59 πŸ‘ 115 πŸ” 35 πŸ’¬ 7 πŸ“Œ 1

Looks like tomorrow will bring votes on a Republican plan to fund tax cuts for the rich by slashing Medicaid.

So this is a great time to contact your Member of Congress.

25.02.2025 00:54 πŸ‘ 27386 πŸ” 7034 πŸ’¬ 756 πŸ“Œ 369
Facts and myths about measles It seems ironic that Robert F Kennedy Jr, one of the most prominent antivaccine activists, has been made Secretary of Health and Human Services in the USA while one of the largest recent measles outbr...

Fantastic editorial in the @thelancetinfdis.bsky.social on facts and myths about measles.
www.thelancet.com/journals/lan...

11.03.2025 08:47 πŸ‘ 56 πŸ” 31 πŸ’¬ 2 πŸ“Œ 1

Sorry fellas. Not fringe theories. False information and pseudoscience call it what it is.

11.03.2025 11:21 πŸ‘ 233 πŸ” 62 πŸ’¬ 13 πŸ“Œ 4
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"We condemn the censoring of science!". Powerful opening words from Diane Havlir for #croi2025

"Young researchers, we have your back. Community, we are with you"

Hell yes!!!

10.03.2025 00:08 πŸ‘ 89 πŸ” 24 πŸ’¬ 1 πŸ“Œ 2

As Paul Farmer used to say, β€œWe do not have the luxury of being pessimistic on other people’s behalf.” It is time to stand up for science, for global HIV and for everything we have fought so hard over decades. #CROI2025

10.03.2025 01:07 πŸ‘ 170 πŸ” 34 πŸ’¬ 3 πŸ“Œ 1
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Vaccination as a cause of autismβ€”myths and controversies Despite significant progress in the study of the epidemiology and genetics of autism, the etiology and patho-physiology of this condition is far from being elucidated and no curative treatment current...

Vaccines do not cause autism. If you need a quick reference to studies that disprove this relationship:

Commentary, how we got here: pmc.ncbi.nlm.nih.gov/articles/PMC...

Meta-analysis synthesizing the results from studies on almost 1.3 million children: www.sciencedirect.com/science/arti...

08.03.2025 17:53 πŸ‘ 1640 πŸ” 447 πŸ’¬ 41 πŸ“Œ 22

can't believe it's 2025 and i'm stressed about tariffs and measles, like am i a character in an american girl book

03.03.2025 21:09 πŸ‘ 42473 πŸ” 8527 πŸ’¬ 320 πŸ“Œ 195
A white and gray background with blue circles. A family of four sits together. "Protect the youngest among us! Stay up to date on your measles vaccine."

A white and gray background with blue circles. A family of four sits together. "Protect the youngest among us! Stay up to date on your measles vaccine."

πŸ“£Measles is an extremely contagious virus. Make sure you and your family are up to date on your measles vaccine to stay protected.

πŸ“² Find more vaccination information at: cdph.ca.gov/Programs/CID/DCDC/Pages/Immunization/family.aspx.

#Measles #Vaccinate #StayHealthy #HealthyCA4All

27.02.2025 23:51 πŸ‘ 16 πŸ” 8 πŸ’¬ 0 πŸ“Œ 2
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Paul Farmer’s Moral Clarity Offers Hope, Amidst Chaos And Darkness On the 3rd anniversary of Dr Paul Farmer's death, several leaders reflect on his lessons for dealing with the ongoing crisis in global health and development

Thanks to @madhupai.bsky.social for doing this. Wish Paul was still here to stand shoulder to shoulder with all of us. www.forbes.com/sites/madhuk...

21.02.2025 10:58 πŸ‘ 81 πŸ” 27 πŸ’¬ 1 πŸ“Œ 3
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The termination of 850 Indian Health Service physicians, nurses, and dentists will have a grave impact on access to care for millions of Native Americans.

Upholding our treaty obligations is not optional.

14.02.2025 23:25 πŸ‘ 23216 πŸ” 8568 πŸ’¬ 792 πŸ“Œ 587

The abrupt terminations of more than 1,000 employees, including new Epidemic Intelligence Officers, across CDC are deeplyβ€―disturbing. For more than 70 years, EIS officers have served on America’s front line as its disease detectives, ready at a moment’s notice to respond to emerging outbreaks.

14.02.2025 22:21 πŸ‘ 2018 πŸ” 652 πŸ’¬ 106 πŸ“Œ 28
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Urgent CDC Data and Analyses on Influenza and Bird Flu Go Missing as Outbreaks Escalate - KFF Health News Delays in urgent CDC analyses of seasonal flu and bird flu, and the agency’s silence, will harm Americans as outbreaks escalate, doctors and public health experts warn.

🚨 Urgent CDC analyses on seasonal flu, bird flu in cats & in wastewater have been stalled. And CDC has stopped contributing flu data to global platforms, says WHO.

β€œDelays in data create dangerous situations on the front line.”

My latest @kffhealthnews.org kffhealthnews.org/news/article...

14.02.2025 17:46 πŸ‘ 223 πŸ” 133 πŸ’¬ 0 πŸ“Œ 15
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CDC's "disease detectives" halved as part of DOGE cuts at health agencies More than 1 in 10 of the health agency's workers are being let go, including an entire new class of CDC Epidemic Intelligence Service officers.

www.cbsnews.com/news/cdc-dis...

14.02.2025 18:28 πŸ‘ 48 πŸ” 24 πŸ’¬ 2 πŸ“Œ 10
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It's incredibly disheartening to hear about dedicated public health professionals getting mass-laid off from CDC. Including first year epidemic intelligence service officers. This program has been the backbone of outbreak investigations in US since 1951. Decimating this workforce makes us less safe.

14.02.2025 18:49 πŸ‘ 204 πŸ” 82 πŸ’¬ 4 πŸ“Œ 4
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Establishing the President's Make America Healthy Again Commission By the authority vested in me as President by the Constitution and the laws of the United States of America, itΒ isΒ hereby ordered: Section 1.

Giving infectious disease research a break, as promised by the MAHA agenda.

Let's break down what exactly this Executive Order is *really* saying.

Fortunately, I speak fluent anti-vax grifterese & can translate.
www.whitehouse.gov/presidential...

14.02.2025 01:21 πŸ‘ 1379 πŸ” 718 πŸ’¬ 100 πŸ“Œ 179
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Get in dorks, we're going protesting!

STAND UP FOR SCIENCE WITH US ON MARCH 7TH, 2025
WASHINGTON DC AND EVERY STATE CAPITOL

Because science is for everyone!

Find us at www.standupforscience2025.org

#standupforscience2025 #scienceforall #sciencenotsilence

10.02.2025 23:57 πŸ‘ 1534 πŸ” 789 πŸ’¬ 49 πŸ“Œ 84
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Trump officials exerting unprecedented control over CDC scientific journal "The MMWR has lost its autonomy," one health official told CBS News.

What happened to CDC's bird flu studies and why did they publish about wildfires instead?

Sources tell us Trump officials are now wielding unprecedented control over agency's flagship scientific journal

"The MMWR has lost its autonomy"

www.cbsnews.com/news/trump-o...

07.02.2025 23:22 πŸ‘ 261 πŸ” 143 πŸ’¬ 11 πŸ“Œ 21
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NIH In Your State - United For Medical Research Select a state on the map to see the impact of NIH funding across America.

Also:

www.unitedformedicalresearch.org/nih-in-your-...

08.02.2025 04:10 πŸ‘ 42 πŸ” 20 πŸ’¬ 3 πŸ“Œ 6

The entire archive of CDC datasets can be found here.

HUGE shoutout to data archivists- this work is important πŸ‘πŸ™ŒπŸ»

archive.org/details/2025...

01.02.2025 18:33 πŸ‘ 11827 πŸ” 4663 πŸ’¬ 225 πŸ“Œ 223
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US Government Websites Are Disappearing in Real Time A growing number of US government websites have gone offline as of Saturday, including several related to USAID and others focused on youth programs, Africa, and more.

NEW: US government websites are disappearing in real time, including sites for the US Agency for International Development, foreign assistance, neglected diseases, and children in adversity. We analyzed more than 1000 .gov websites to track what's been taken downβ€”and what's next. wrd.cm/4aFMs5A

01.02.2025 23:46 πŸ‘ 4110 πŸ” 2281 πŸ’¬ 173 πŸ“Œ 139
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CDC advisers push agency to explain data removal, say when info will be restored Information on topics such as gender, teens' behavior, and infectious diseases was removed from the CDC's website.

BREAKING: CDC's top advisors demand answers and a restoration of crucial public health data. New story by me: www.statnews.com/2025/02/01/c...

01.02.2025 23:41 πŸ‘ 3820 πŸ” 1344 πŸ’¬ 65 πŸ“Œ 52
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01.02.2025 02:55 πŸ‘ 477 πŸ” 210 πŸ’¬ 18 πŸ“Œ 12
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Download CDC Guidelines Removed By The Trump Admin The Trump administration is scrubbing the CDC’s website of documents on reproductive rights issues, sexual health, intimate partner violence, and more.

The Trump administration is scrubbing the CDC’s website of documents on reproductive rights issues, sexual health, intimate partner violence, and more.

I'm trying to save them.

You can find the deleted docs at cdcguidelines.com - I'll be adding more over the weekend.

01.02.2025 00:58 πŸ‘ 7504 πŸ” 3766 πŸ’¬ 168 πŸ“Œ 107

I'm keeping a running list of disappearing federal data in the 🧡 below. If there are others I missed let me know. crampell[at]washpost[dot]com or Signal username crampell.13

31.01.2025 19:05 πŸ‘ 6841 πŸ” 2752 πŸ’¬ 239 πŸ“Œ 94
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National Science Foundation suspends salary payments, leaving researchers unable to pay their bills An NSF online payment system remained down after the federal funding freeze was lifted, leaving early-career scientists scrambling to pay bills

β€œIf the freeze is not stopped, I might lose my house."

Some NSF-funded postdocs are having trouble paying rent and credit card bills because their salaries were paused this week, even though the federal funding freeze memo was rescinded.

www.statnews.com/2025/01/30/t...

30.01.2025 23:07 πŸ‘ 8886 πŸ” 3325 πŸ’¬ 272 πŸ“Œ 201