Ann Intern Med December 2022 PMID 36442060

Retiring the "Against Medical Advice" Discharge.

Robert A Kleinman, Thomas D Brothers, Nathaniel P Morris

Download social card

Mentions

12
Peak: 4 in Dec 2022
across 2 sources since Nov 2022

Extended reach

68,791
potential audience

Total likes

11

Video views

14

Mentions per month

Nov 2022 – Jun 2024

Where it's discussed

  • X / Twitter10 posts
  • YouTube2 videos

AI synopsis

What people are saying

The discussions reflect a general agreement that replacing 'Against Medical Advice' with 'Before Medically Advised' respects patient autonomy, as shown by posts highlighting the potential for more empathetic language, and some clinical professionals referencing the original article and its implications for practice. The tone combines advocacy with careful consideration of the language's effect, demonstrating a moderate level of deep engagement.

AgreementModerate agreement

Most discussions agree that changing the terminology to 'Before Medically Advised' is a thoughtful and necessary improvement, emphasizing patient autonomy.

InterestHigh interest

The topic sparks high interest, with many posts discussing the implications and alternatives to traditional discharge language.

EngagementModerate engagement

Posts show moderate engagement, as participants reference specific articles, propose new terminology, and discuss practical impacts.

ImpactModerate impact

While the topic influences clinical language and patient care, the immediate impact remains somewhat developmental, not yet widespread.

Top posts

Most liked on X and Bluesky
Antibiotic Steward Bassam Ghanem
@ABsteward · X

Every clinician is familiar with this scenario, as ID clinician we face this situation everyday! But is it time to retire the “AMA” designation ? Is it the time to replace it with BMA Before Medically advised? #IDTwitter https://t.co/8NgsIwbeDU

Nov 30, 2022 · 5 likes · 3 shares · 60,026 followers View post →
Chittur Sivaram MD MACP MACC
@CASivaram1 · X

@cclareMDMPH @AnnalsofIM @HeartOTXHeartMD @iamritu @DrMarthaGulati doi:10.7326/M22-2964 Here you go!

Dec 21, 2022 · 2 likes · 5,135 followers View post →
Hannah Decker, MD MAS
@hdecker731 · X

A note on "before medically advised" terminology, which others have argued should replace the use of "against medical advice" https://t.co/Jk9u35vqoQ https://t.co/iX8MLX45DE

May 6, 2024 · 2 likes · 884 followers View post →
Addiction Medicine Journal Club
@AddictionMedJC · X

We talk about “Retiring the ‘Against Medical Advice’ Discharge” in @AnnalsofIM by Robert A. Kleinman, Thomas D. Brothers, Nathaniel P. Morris. Ann Intern Med.2022;175:1761-1762. https://t.co/KGyI5Kzxqx

Jan 14, 2023 · 1 like · 357 followers View post →
Attaboy
@AttaboyMD · X

For anyone with the curiosity or good faith to rise above petty snark and, alas, virtue signaling, this is a much more thoughtful take on why “AMA” discharges might be described with other language. https://t.co/OrmRkdqqGV https://t.co/sHJx26wK1t

Jun 9, 2024 · 1 like · 283 followers View post →
Serge Quérin
@terminomed · X

Plaidoyer en faveur de l’expression (départ de l’hôpital) «before medically advised» («avant recommandation médicale»), plutôt que «against medical advice» («contre avis médical»), formulation qui ne tient pas compte du point de vue du patient. https://t.co/NknJD5znPR https://t.co/Fai2znPDe8

Dec 22, 2022 · 1,112 followers View post →

All mentions

Attaboy
@AttaboyMD · X

For anyone with the curiosity or good faith to rise above petty snark and, alas, virtue signaling, this is a much more thoughtful take on why “AMA” discharges might be described with other language. https://t.co/OrmRkdqqGV https://t.co/sHJx26wK1t

Jun 9, 2024 · 1 like · 283 followers View post →
Hannah Decker, MD MAS
@hdecker731 · X

A note on "before medically advised" terminology, which others have argued should replace the use of "against medical advice" https://t.co/Jk9u35vqoQ https://t.co/iX8MLX45DE

May 6, 2024 · 2 likes · 884 followers View post →
Addiction Medicine Journal Club
@AddictionMedJC · X

We talk about “Retiring the ‘Against Medical Advice’ Discharge” in @AnnalsofIM by Robert A. Kleinman, Thomas D. Brothers, Nathaniel P. Morris. Ann Intern Med.2022;175:1761-1762. https://t.co/KGyI5Kzxqx

Jan 14, 2023 · 1 like · 357 followers View post →
Serge Quérin
@terminomed · X

Plaidoyer en faveur de l’expression (départ de l’hôpital) «before medically advised» («avant recommandation médicale»), plutôt que «against medical advice» («contre avis médical»), formulation qui ne tient pas compte du point de vue du patient. https://t.co/NknJD5znPR https://t.co/Fai2znPDe8

Dec 22, 2022 · 1,112 followers View post →
Chittur Sivaram MD MACP MACC
@CASivaram1 · X

@cclareMDMPH @AnnalsofIM @HeartOTXHeartMD @iamritu @DrMarthaGulati doi:10.7326/M22-2964 Here you go!

Dec 21, 2022 · 2 likes · 5,135 followers View post →
Hsiehting
@htlin222 · X

Retiring the “Against Medical Advice” Discharge | Annals of Internal Medicine https://t.co/wiII52UVbs

Dec 2, 2022 · 40 followers View post →
madhuacharg
@madhuacharg · X

RT @ABsteward: Every clinician is familiar with this scenario, as ID clinician we face this situation everyday! But is it time to retire th…

Dec 1, 2022 · 3 shares · 361 followers View post →
Web3 辅导员
@Wtfisjustino · X

RT @ABsteward: Every clinician is familiar with this scenario, as ID clinician we face this situation everyday! But is it time to retire th…

Nov 30, 2022 · 3 shares · 120 followers View post →
Antibiotic Steward Bassam Ghanem
@ABsteward · X

Every clinician is familiar with this scenario, as ID clinician we face this situation everyday! But is it time to retire the “AMA” designation ? Is it the time to replace it with BMA Before Medically advised? #IDTwitter https://t.co/8NgsIwbeDU

Nov 30, 2022 · 5 likes · 3 shares · 60,026 followers View post →
Laura
@lauragotmd · X

Why it makes sense to change hospital discharge language from "Against Medical Advice" to "Before Medically Advised": https://t.co/3xx5CoRNHA @SIREN_UCSF

Nov 28, 2022 · 442 followers View post →