iiinova — where your digital self keeps evolving

Reposted by Lorenzo Madrazo

NEJM.org @nejm.org · 11/03/2026

In an international, randomized trial involving patients with acute venous thromboembolism, the risk of clinically relevant bleeding was significantly lower with apixaban than with rivaroxaban during the 3-month treatment period. Full COBRRA trial results: nej.md/4lp5N0d

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Reposted by Lorenzo Madrazo

Timothy Caulfield @caulfieldtim.bsky.social · 20/11/2025

To again paraphrase Nigel Tufnel... "How much more dark could this be? And the answer is none. None more dark." Yet more horrifying nonsense...👇 CDC website changed to include false claims that link autism & vaccines www.cnn.com/2025/11/20/h...

cnn.com

CDC website changed to include false claims that link autism and vaccines | CNN

Scientific information on the US Centers for Disease Control and Prevention’s website was replaced on Wednesday with anti-vaccine talking points that don’t rule out a link between vaccines and autism,...

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Reposted by Lorenzo Madrazo

American Heart Association Journals @ahajournals.bsky.social · 08/11/2025

#AHA25: VITAL-AF trial: Stressor-associated atrial fibrillation (AF) carries similar risks of stroke, bleeding, and death as primary AF ; yet patients are less likely to receive oral anticoagulation, even when stroke risk is high. ahajrnls.org/4nJRQJQ

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Reposted by Lorenzo Madrazo

JAMA Internal Medicine @jamainternalmed.com · 03/11/2025

Liraglutide addition for Chinese patients with type 2 diabetes and minor AIS or high-risk TIA reduced 90-day stroke recurrence and improved functional outcomes. ja.ma/43NALaM

JAMA Internal Medicine details a study on Liraglutide for acute minor ischemic stroke with type 2 diabetes. It includes population data (405 men, 231 women), intervention details, findings of stroke recurrence within 90 days, and a cumulative incidence graph.

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Lorenzo Madrazo @lorenzomadrazo.bsky.social · 03/11/2025

Great to have collaborated with two outstanding learners on this Clinical Image case, showcasing a rare complication of a common condition.

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Reposted by Lorenzo Madrazo

Jessica Trier @jesstrier.bsky.social · 02/11/2025

This was such a great "Wicked Problems" session at #ICRE2025 yesterday. This morning, I read this article from the Psychological Safety newsletter that resonated with the discussion about individual-level solutions for systems-level problems - worth a read! psychsafety.com/individual-r...

psychsafety.com

Individual Resilience

Individual Resilience, or “Grit” You won’t find many articles on psychsafety.com about individual resilience. Organisational resilience, certainly, but rarely the individual kind. We tend not to find ...

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Lorenzo Madrazo @lorenzomadrazo.bsky.social · 01/11/2025

Looking forward to the discussions around resident wellness in our Wicked Problem session!! #ICRE2025 📍Join us in room 206AB at 1:15 PM @icreconf.bsky.social

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Reposted by Lorenzo Madrazo

ssilva62442.bsky.social @ssilva62442.bsky.social · 01/11/2025

One sentence horror story: “When he finally took off the armour, there was no one underneath.” 😱😱😱@icreconf.bsky.social #ICRE2025

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Lorenzo Madrazo @lorenzomadrazo.bsky.social · 01/11/2025

Powerful personal narratives from the panel this morning #ICRE2025 @icreconf.bsky.social

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Reposted by Lorenzo Madrazo

ssilva62442.bsky.social @ssilva62442.bsky.social · 31/10/2025

As a surgical trainee, you WANT to deal with all the uncertainty, the challenging cases, the struggle. Psychological safety comes from staff trusting that you have the ability to learn from mistakes, and from trainees trusting that staff are there to help them reach their learning goals

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Lorenzo Madrazo @lorenzomadrazo.bsky.social · 31/10/2025

Excited on this plenary on productive struggle, adaptive expertise, and psychological safety - how do we strike the balance that helps us to achieve all three? #ICRE2025 @icreconf.bsky.social

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Reposted by Lorenzo Madrazo

International Conference on Residency Education @icreconf.bsky.social · 31/10/2025

🥂 PAB Reception 🕕 18:00–19:00 Tag your highlights & share the energy! 🔗 icre.royalcollege.ca #ResidencyEducation #MedicalEducation #TrustGrowthConnection #ICRE2025 3/3

icre.royalcollege.ca

Home

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Lorenzo Madrazo @lorenzomadrazo.bsky.social · 31/10/2025

Excited for this year's SimTrek at #ICRE2025. Inspiring to see a courageous faculty member be up on the stage for this year's live sim! @icreconf.bsky.social

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Reposted by Lorenzo Madrazo

International Conference on Residency Education @icreconf.bsky.social · 22/10/2025

What does trust, growth and connection look like in residency education today? Find out by tuning into #ICRE2025's six plenaries virtually. Register soon. ICRE is a week away! icre.royalcollege.ca/en/registrat... See our list of speakers: icre.royalcollege.ca/en/program/p... #MedEd #MedEdSky

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Reposted by Lorenzo Madrazo

NEJM.org @nejm.org · 22/10/2025

Uncertainty is ubiquitous in the practice of medicine. A new review characterizes clinical uncertainty and shows how teachers can guide learners to recognize, manage, and communicate uncertainty in practice. Read the full review: nej.md/43xKSQX @gdhaliwal1.bsky.social #MedSky #MedEd

Medical Education
Educational Strategies to Prepare Trainees for Clinical Uncertainty

Illustrations of medical students during moments of clinical uncertainty

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Reposted by Lorenzo Madrazo

International Conference on Residency Education @icreconf.bsky.social · 09/09/2025

Chris Watling, CEO of the Royal College gives you a sneak peek on what to see at #ICRE2025 in Quebec City. Early bird registration ends Sept. 12. Save and secure your spot: icre.royalcollege.ca/en/registrat... We look forward to seeing you! @chriswatling.bsky.social #MedEd #MedEdSky

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Reposted by Lorenzo Madrazo

International Conference on Residency Education @icreconf.bsky.social · 05/09/2025

1 week until #ICRE2025 early bird deadline ends on Sept. 12! Register and gain access to: ▶️6 plenaries ▶️9 re-designed learning tracks ▶️60 workshops ▶️Networking with 1500+ attendees worldwide Don't delay! icre.royalcollege.ca/en/registrat... #ICRE2025 #MedEd #MedEdSky

media.tenor.com

a woman says we can 't miss this opportunity on the beach

ALT: a woman says we can 't miss this opportunity on the beach

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Reposted by Lorenzo Madrazo

Lorenzo Madrazo @lorenzomadrazo.bsky.social · 29/01/2025

🚨Dear Canadian Resident Physicians🚨 Please check out this study my team and I are doing related to how resident voices are included within residency program leadership 👇

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Reposted by Lorenzo Madrazo

Joel Topf @kidneyboy.bsky.social · 27/04/2025

In 1988, The ASN sent a letter to every member asking them to submit cases of patients with a sodium < 105. They received 64 letters and produced a case series of 56 patients. pubmed.ncbi.nlm.nih.gov/8025225/ This is a poster child for recall bias yet has been referenced over 100 times

screen shot of the citation page from pubmed for "Neurologic sequelae after treatment of severe hyponatremia: a multicenter perspective" the linked article in the post

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Reposted by Lorenzo Madrazo

CORE IM @coreimpodcast.bsky.social · 02/04/2025

1/ 🚨 NEW #5Pearls: Lp(a) and ASCVD Risk Lp(a) is a lipoprotein similar to LDL but a different entity! Lp(a) has important implications for cardiovascular disease ‼️ 🖥️: coreimpodcast.com/2025/04/02/lpa… Sponsor: Freed AI

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Reposted by Lorenzo Madrazo

Isaac Bogoch @isaacbogoch.bsky.social · 13/03/2025

Ontario is currently experiencing a measles outbreak, with the vast majority of cases occurring in unvaccinated individuals who were eligible to receive both doses of the vaccine. The measles vaccine is safe, free, widely available, and very effective.

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Reposted by Lorenzo Madrazo

Kori LaDonna @koriladonna.bsky.social · 29/01/2025

🚨New study alert!🚨 If you're a Canadian resident who engages in leadership activities (either formally or informally), we'd love to hear from you. Study led by 🌟 #MedEd superstar @lorenzomadrazo.bsky.social 🌟 Details ⬇️

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Lorenzo Madrazo @lorenzomadrazo.bsky.social · 29/01/2025

🚨Dear Canadian Resident Physicians🚨 Please check out this study my team and I are doing related to how resident voices are included within residency program leadership 👇

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Reposted by Lorenzo Madrazo

Joel Topf @kidneyboy.bsky.social · 19/11/2024

Honey, stop what you're doing, new hyponatremia research just dropped! What's it say? It looks like slow correction is associated with worse outcomes, like death and length of stay! Was it just a small study? No, it was a meta-analysis of almost 12,000 patients! jamanetwork.com/journals/jam...

jamanetwork.com

Correction Rates and Clinical Outcomes in Hospitalized Adults With Severe Hyponatremia

This systematic review and meta-analysis evaluates the association of sodium correction rates with mortality among hospitalized adults with severe hyponatremia.

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