Mike Johansen
banner
mikejohansenmd.medsky.social
Mike Johansen
@mikejohansenmd.medsky.social
Primary Care doc, likes research, teaches residents, #HSR, #MEPS, #FamilyMedicine
So they use Maldon. I get it now.
November 27, 2025 at 2:22 PM
Just make it 5 shots.
November 27, 2025 at 12:56 AM
Large bipedal hairy north american mammal's name preference?
November 25, 2025 at 10:25 PM
All that said, the finding is interesting. Just think you need to explain it.
November 25, 2025 at 7:51 PM
I think you need to control for cause of CKD 5. Without that, not sure what to make of the findings. The risk adjust not relevant at young age. I also don't find the ratio to standardized mortality relevant. The reason males have higher mortality at a lower age will be swamped by CKD5 mortality.
November 25, 2025 at 7:51 PM
Gotta love it. Pointless intervention to decrease more harmful pointless intervention.
November 25, 2025 at 2:35 PM
Reposted by Mike Johansen
That’s basically what we do at VAI. They are so much smarter than us dinosaurs, why should they waste 40-70% of their time writing science fiction (grants)?
November 25, 2025 at 1:43 PM
All in Founder's hometown! I didn't know about VAI, such an interesting organization. Seems so much more likely to lead to actual advances.
November 25, 2025 at 1:52 PM
6. Most people doing any level of HSR should work for health systems/care delivery admin for 3-5 years. We are the consumer of a good chunk of this research. It's rarely ever cited or used.

F/
November 25, 2025 at 1:28 PM
5. Academic med would be wise to focus on development of young faculty through more diverse rolls than the conventional externally funded researcher. Most young faculty should probably be considered more fellows for the first 3-5 years of their careers.

4/
November 25, 2025 at 1:28 PM
3. Overemphasis on primary care foundational principles (continuity, comprehensiveness, first contact, and coordination) is holding back progress. These things don't always matter. The costs are real.
4. Academic medicine needs to improve value to society. So much research is so low value.

3/
November 25, 2025 at 1:28 PM
1. Primary care would be wise to focus on meeting consumer demands. Look past the way it was or the way you want it to be. We need far more variance in practices.
2. In the United States-insurance is a major hindrance to actualizing any change. Exclusive fee-for-visit/service is dated and dumb.

2/
November 25, 2025 at 1:28 PM