My thoughts about Covid in schools-
Our studies are crap. We haven't put appropriate resources into studying this. Merging "in-person school" v "remote school" across the country makes little sense since there's so much heterogeneity in what "in-person school" looks like. 🧵

A teacher in Louisiana in an area with high rates of covid & in-person school, has a class with just 2 students in it. The entire school has 37 students and 12 staff, in a building that can hold hundreds.
Should this school's data be merged with a school that's fully open?
How would merging such disparate data, and everything in-between impact our understanding of Covid in schools? What about when we compare it to the rates in children who are in virtual school?
Things often not considered that should be... Are kids in pods? Are kids doing virtual school in community centers/ churches/ other group settings? Are youth sports or other extracurricular school activities (music, etc) happening in-person. Heterogeneity exist in this group too.
What's asymptomatic testing of children in the community like? We know that children are under-tested, how can we say something is safe if we are NOT TESTING children at the same rate as the rest of the population. We can't embrace the "don't ask (test) don't tell" apprach here.
The US has not adequately funding research on this topic so that we can have good data to support policy decisions on this front. Makes me wonder if we really want to have a scientifically sound answer.
Without typing the virus, near complete contact tracing, and routine testing, we won't have the data you all are hoping for.
Until then, we must rely on what we know on where the virus spreads best, and admit that schools have many of those qualities.
Here's places that are looking at the virus spreading and closing schools. We should follow suit. And yes, it is nearly impossible to be a parent and have children in virtual school. I get the stress. Let's work to decrease community spread so we can get back to school.
https://t.co/8XEXxM7bdy
https://t.co/j0e3Xa0L9P
Sorry about the typos, it's after midnight where I am. You don't have to spell correctly or match word tenses after midnight. Isn't that a rule somewhere? 😆

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You asked. So here are my thoughts on how osteopathic medical students should respond to the NBOME.

(thread)


Look, even before the Step 2 CS cancellation, my DMs and email were flooded with messages from osteopathic medical students who are fed up with the NBOME.

There is *real* anger toward this organization. Honestly, more than I even heard about from MD students and the NBME.

The question is, will that sentiment translate into action?

Amorphous anger on social media is easy to ignore. But if that anger gets channeled into organized efforts to facilitate change, then improvements are possible.

This much should be clear: begging the NBOME to reconsider their Level 2-PE exam is a waste of your time.

Best case scenario, you’ll get another “town hall” meeting, a handful of platitudes, and some thoughtful beard stroking before being told that they’re keeping the exam.

Instead of complaining to the NBOME, here are a few things that are more likely to bring about real change.

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The benign product is sovereign programmable money, which is historically a niche interest of folks with a relatively clustered set of beliefs about the state, the literary merit of Snow Crash, and the utility of gold to the modern economy.

This product has narrow appeal and, accordingly, is worth about as much as everything else on a 486 sitting in someone's basement is worth.

The other product is investment scams, which have approximately the best product market fit of anything produced by humans. In no age, in no country, in no city, at no level of sophistication do people consistently say "Actually I would prefer not to get money for nothing."

This product needs the exchanges like they need oxygen, because the value of it is directly tied to having payment rails to move real currency into the ecosystem and some jurisdictional and regulatory legerdemain to stay one step ahead of the banhammer.