iiinova — where your digital self keeps evolving

Brian Elliott @brianelliottmd.bsky.social · 16/07/2026

The days of #meded learners constantly fact-checking you live with @openevidence.bsky.social are here. You have two options: 1. Claim you’re smarter than the best medical LLM on the planet, which has access to nearly all medical research within minutes 2. Embrace it, stay humble, and grow

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Brian Elliott @brianelliottmd.bsky.social · 21/06/2026

In our next RJIM release, references will be parsed from the manuscript you upload. Then just click fetch, and the metadata and formatted reference will be autofilled. The fact that authors need to format references themselves for journal submissions in 2026 is crazy… #meded #research #emimcc

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Brian Elliott @brianelliottmd.bsky.social · 03/06/2026

What's fundamentally wrong with editorial management systems is they are document based. This prevents automated copyediting, formatting, and AI integration. At RJIM, working on PostgreSQL-based editorial management with minimal author friction to automate 90% of the process #research

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Brian Elliott @brianelliottmd.bsky.social · 22/05/2026

Hospital CEO says banning all blood cultures made the hospital’s CLABSI rates disappear

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Brian Elliott @brianelliottmd.bsky.social · 21/05/2026

RJIM now has an ISSN registered with the Library of Congress and is searchable in WorldCat 🎊🎉 A great place to publish your Internal Medicine case reports and research as open access for free, because that’s the way we think it should be rjmedicine.org #EMIMCC

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Brian Elliott @brianelliottmd.bsky.social · 08/05/2026

Was just looking at your site, we definitely should!

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Brian Elliott @brianelliottmd.bsky.social · 07/05/2026

Just go to MedEdAssessments.com. Create a track and outline your lessons. Transition other materials like files/ppts/etc by using AI to generate questions from the content. Share your track privately or publicly, and learners can access it via the PulseCheck mobile app 🔗👇

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Brian Elliott @brianelliottmd.bsky.social · 07/05/2026

Welcome to the Duolingo of #POCUS - The iPhone App PulseCheck by MedEdAssessments. Watch videos to learn and answer questions to climb the leaderboard. Not only that - but you can use this App to Duolingo-ify any curriculum you want... #MedEd

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Brian Elliott @brianelliottmd.bsky.social · 28/04/2026

$13,000 to publish a paper. At some point, open access stopped being about access. #research #academia

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Brian Elliott @brianelliottmd.bsky.social · 28/04/2026

I am no longer winning the game I literally made 😅. At least people seem to enjoy it. You can play or Duolingo-ify your own teaching materials, 100% free at mededassessments.com #meded #EMIMCC

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Brian Elliott @brianelliottmd.bsky.social · 19/04/2026

I wanted to stay consistent with board review, so I built the Duolingo of critical care The entire ABIM blueprint (>400 lessons) Review articles for reading Quizzes to practice (>2,000 MCQs) Track your daily streak Climb the leaderboard 100% free #meded #EMIMCC tinyurl.com/3nesysyf

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Brian Elliott @brianelliottmd.bsky.social · 04/04/2026

Textbooks are so 20th century. They're: -obsolete in a year or two -passive -teach facts over reasoning Instead, you can take any content and use AI to: -generate cases that teach reasoning -organize into tracks that are pull-along and engaging -link to living docs (UpToDate) #MedEd

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Brian Elliott @brianelliottmd.bsky.social · 26/03/2026

RJIM is now on Google Scholar 🎉🎊 We’re a 501(c)(3) non-profit journal with no mandatory APCs sometimes paid peer review Open to case reports and original research in #InternalMedicine

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Brian Elliott @brianelliottmd.bsky.social · 09/03/2026

We used to hand out PDFs of cases to residents… So I added open-ended questions to #MedEd Assessments. Provide the ideal answer as the instructor, and AI will grade the learners’ answers against it. Incorporated with learning streaks, leader boards, and pre-post assessment.

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Brian Elliott @brianelliottmd.bsky.social · 04/03/2026

Our online #POCUS track now includes volume status with appearances from the great @katiewiskar.bsky.social @pocusmeded.bsky.social @pocus101.bsky.social Enroll to learn, or if you’re a teacher, clone the track and add your own content Totally free. beta.mededassessments.com/track-reposi...

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Brian Elliott @brianelliottmd.bsky.social · 28/02/2026

It's 2026, stop giving lectures. beta.mededassessments.com now lets you Duolingo-ify them in one click. Make learning pathways with XP and learning streaks. Track progress on the leaderboard. Share your curriculum to the repo & integrate assessments. Totally free. Totally open. #MedEd

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Reposted by Brian Elliott

Adam Rodman @adamrodmanmd.bsky.social · 22/02/2026

The only hope for our field is triadic care, where AI is deployed in such a way that maintains -- or even enhances -- human relationships. Otherwise, "AI doctor" startups will continue to chip away and further fragment our already struggling primary care.

messaging-custom-newsletters.nytimes.com

Opinion Today: It’s OK if your medical advice comes from A.I.

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Brian Elliott @brianelliottmd.bsky.social · 14/02/2026

I have tons of lectures that I've made for #medstudents and #residents, but I wanted to gamify them to make them more engaging. So I built a free gamification feature on beta.mededassessments.com. Upload a lecture, and it generates a team comp, jeopardy, or live quiz game #MedEd #MedSky #EMIMCC

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Reposted by Brian Elliott

Mike @empiricgame.bsky.social · 12/02/2026

Howdy #MedEd friends and enemies, our MedEd game research group/community of practice is planning our first conference. If you are into that sort of thing let me know what you want to see and get notified when details are up. ohsu.ca1.qualtrics.com/jfe/form/SV_...

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Brian Elliott @brianelliottmd.bsky.social · 12/02/2026

A current diagram of the multibillion dollar scientific publishing industry. #research #medsky #emimcc

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Reposted by Brian Elliott

RJIM @rjmedicine.bsky.social · 09/02/2026

How do we improve the quality of feedback faculty receive? A resident-led feedback model led to: • 📈 Higher-quality narrative feedback • ✅ 100% eval completion • 🧠 More specific, actionable insights www.rjmedicine.org/publications... #MedEd #GME #medsky

rjmedicine.org

A Resident-Led Group Approach for Collecting and Delivering Faculty Feedback: Targeting Evaluation Quality and Completion Rates

Background: Effective faculty teaching relies on receiving authentic and actionable feedback from learners. Numerous challenges in collecting feedback result in nonspecific assessments that limit thei...

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Brian Elliott @brianelliottmd.bsky.social · 01/02/2026

The problems in scientific publishing run deep. They won’t be fixed by courts or regulators. If the system is going to change, it will be because scientists choose fairer journals, nonprofit models, and better alternatives.

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Brian Elliott @brianelliottmd.bsky.social · 01/02/2026

A federal judge dismissed the case, not because the system is fair, but because current antitrust law isn’t built to regulate academic norms, trade-association ethics rules, or structural power in publishing.

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Brian Elliott @brianelliottmd.bsky.social · 01/02/2026

Scientists sued the six biggest for-profit academic publishers, alleging they colluded to enforce “publish-or-perish,” single-submission rules, unpaid peer review, and limits on sharing research. The results just came in…

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Brian Elliott @brianelliottmd.bsky.social · 30/01/2026

AI in research is going really well

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Brian Elliott @brianelliottmd.bsky.social · 24/01/2026

It’s not only that but also that it has a suboptimal context sensitive half time, so is difficult to wean, and clinical data has shown more ventilator days with it

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Brian Elliott @brianelliottmd.bsky.social · 21/01/2026

Are benzo drips going to make a comeback in the ICU?? #EMIMCC #ICU

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Brian Elliott @brianelliottmd.bsky.social · 20/01/2026

How to fix scientific publishing: 1. Build GitHub for manuscript writing 2. Set up preprints and publishing as pull requests ⭐️Versioning/contributor tracking mitigate fraud ⭐️Pull requests mitigate administrative costs ⭐️Everything is open ⭐️The freemium model improves access #research #meded #medsky

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Brian Elliott @brianelliottmd.bsky.social · 19/01/2026

I often get asked by residents and medical students where they can publish their case reports. So I built a tool where you can query over 1000 medical journals that publish CRs by cost, MEDLINE status, time to publication, specialty, etc. #meded #research #medsky www.rjmedicine.org/journal-finder

rjmedicine.org

Case Report Journal Finder

Quickly surface reputable, cost-conscious journals for your clinical case report based on specialty, APC preferences, and indexing.

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Brian Elliott @brianelliottmd.bsky.social · 08/01/2026

RJIM just completed its first paid peer review. That’s right, we just sent a peer reviewer real money. Because 👏🏼 that’s 👏🏼 how 👏🏼 it 👏🏼 should 👏🏼 work #research #medsky

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Brian Elliott @brianelliottmd.bsky.social · 05/01/2026

The top six commercial publishers are currently being sued for anti-trust violations (Uddin v. Elsevier, B.V., 1:24-cv-06409). They publish the majority of articles on PubMed. This year, we will find out the verdict. If they lose, this would have DRAMATIC effects on #research

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Brian Elliott @brianelliottmd.bsky.social · 04/01/2026

Working on a feature that I think every journal should have: 👉You drag and drop your manuscript 👉It fills in the sections 👉It formats all your references How much time do researchers waste formatting manuscripts? An estimated $230 MILLION in work hours yearly #research #medsky #meded

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Brian Elliott @brianelliottmd.bsky.social · 01/01/2026

I think I under-emphasized that these numbers are the publication RATE, as in per year, now totaling more than 600,000 publications yearly on PubMed

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Brian Elliott @brianelliottmd.bsky.social · 01/01/2026

This is the last 150 years of PubMed publications by major Publishing organizations. It started with small University and Nonprofit presses, now becoming an absolute domination by commercial publishers #research #medsky

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Brian Elliott @brianelliottmd.bsky.social · 19/12/2025

#vibecoding for statistics🤌. Not only did the results match up to mine, but it created a beautiful dashboard to present them. #MedEd

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Brian Elliott @brianelliottmd.bsky.social · 17/12/2025

I took our #POCUS curriculum powerpoints and textbook chapters and vibe-coded it into a more engaging and trackable Duolingo-like platform. It's 100% free (and always will be) if you want to check it out (pocus-pathway.replit.app). This ability to transform #meded content quickly is amazing

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Brian Elliott @brianelliottmd.bsky.social · 16/12/2025

Shout out to @midwestmedpeds.bsky.social @mededpocus.bsky.social and my other twitterless co-investigators who are amazing!

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Brian Elliott @brianelliottmd.bsky.social · 16/12/2025

The results: we unfortunately only ended up with 29 participants, but the results were completely flat, not even a trend of better #POCUS image interpretation among participants following POCUS accounts. The big caveat to this result is obvious…

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Brian Elliott @brianelliottmd.bsky.social · 16/12/2025

First, it was an unblinded randomized trial at 3 IM residencies and 2 medical schools, enrolling IM residents and 3/4yr med students. They were told to use it 2hrs/week for 3mos, completing logs, and either following 10 #POCUS accounts or 10 non-POCUS journal accounts

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Brian Elliott @brianelliottmd.bsky.social · 16/12/2025

I was drawn to Twitter because of #POCUS and seeing experts’ images and tweetorials. It inspired the research question: Does using Twitter lead to measurable improvements in #POCUS image interpretation. We conducted a randomized trial to see, and the results were surprising… #MedEd #medsky

media.tenor.com

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Brian Elliott @brianelliottmd.bsky.social · 15/12/2025

The interest in rjmedicine.org has been validating. Researchers are ready for a non-profit, truly open publishing ecosystem. To keep up with growth, we're now using NextJS. We'll be able to build AI integration and automation. If you're interested in crafting the ideal publishing experience, join us

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Reposted by Brian Elliott

josh farkas 💊 @pulmcrit.bsky.social · 10/12/2025

🔥Fresh blog🔥 Hot take on RSI trial of ketamine vs etomidate RSI & EvK trials both show *more* BP instability with ketamine *but* lower mortality with ketamine 🤔 Cause of BP drops with ketamine? - Less pressor pre-intubation? - Ketamine provides analgesia (eliminating pain-as-a-pressor)? ... #1/2

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Brian Elliott @brianelliottmd.bsky.social · 04/12/2025

Great paper on the absurd #research inflation on residency apps. 37 research works ON AVERAGE for NSG. The authors argue that we need more: 1️⃣Granularity and clarity on ERAS 2️⃣Data available from NRMP 3️⃣Guidance from PDs #meded #Match2026 jgme.kglmeridian.com/view/journal...

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