
ER doc; dep’t chair; Director's Corner columnist @EPmonthly; President @md_acep; alum @johnshopkinsem; Family, work, beach, sideline parent, dog walker
Baltimore, MD
Joined February 2018
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Shout out to @SouthwestAir for the great service between Tampa2BWI this pm. Returning from @USACSolutions conf with 25 colleagues and got a shout out from the captain. Thanks for getting us in 30 minutes early and congrats to him on 32 years of service and his upcoming retirement
What a great day @md_acep annual conference. Really exciting topics and a National ACEP update from National President @drtonycirillo
Great conference. Hope to see my Maryland colleagues there.
1️⃣ Kick off the 2026 Maryland ACEP Conference with our panel on ED opioid use disorder: Bust myths, build confidence, and learn from EM experts.
2️⃣ Plus, neutropenic fever, resident competitions, poster sessions, 7 AMA PRA Category 1 Credits™.
Register ➡ mdacep.org/2026conf/
Interesting data.
The largest COVID study to date — covering nearly four years of data and 29 million people — delivers a clear result.
Out of the sample, 23 million were vaccinated and 6 million were not. Among the vaccinated, the risk of dying from COVID was 74% lower, with ZERO increase in deaths from any other cause.
Of course, none of this will change the minds of anti-vaxxers. They will blame the researchers, politics, or even Ukraine. And that’s not a joke — people with anti-vaccine attitudes are significantly more likely to believe that “NATO provoked” the russian war against Ukraine.
I have no doubt that my love of MASH contributed to my career choice as an emergency physician. I loved all of these characters. Thank you Loretta Swit for the impact you had on my life. RIP
Thank you @LesterHoltNBC for ten great years. I'm sorry to see you go but I'll see you on Dateline.
Noah Wylie summarizing changes in emergency medicine over the last 30 years really well.
noah wyle being asked what the biggest difference between when ER started and when #ThePitt started and uses it to talk about the amount of people uninsured and nursing shortages..
Best twitter feed in a long time. All Ovi! Go @ovi8 Congrats on a huge game!
Enjoy another look at a historic game-winner in more ways than one called by none other than @JohnWaltonPxP
#ALLCAPS | @Verizon
Maryland EM friends--this is a great conference. I hope to see you there.
It’s Not Too Late to Register - Educational Conference & Annual Meeting 2025! Check out the schedule here:
📷Schedule of Events: mdacep.org/schedule-of-event…
📷 Earn 6.75 Hour of CME: mdacep.org/conference-cme-cn…
📷 Register Now: mdacep.org/2025-educational-…
Michael Silverman, MD retweeted
Today, a physician working at the same productivity level is stuck with $32.36 per RVU—which means, adjusted for inflation, they’re effectively making HALF of what they used to.
Think about that: same work, half the pay.
Meanwhile:
Hospitals get sweetheart site-of-service fees.
Private equity buys up independent practices at fire-sale prices.
@CMSgov @droz @hhsgov @seckennedy
keeps slashing physician reimbursement.
Bureaucrats rake in raises while doctors get the shaft.
In 1992, the Medicare conversion factor was $31.00. Today? $32.36.
That’s a $1.36 total increase in 33 YEARS. If it had just kept up with inflation, it would be over $64.00 today.
Instead, it’s more than 50% below where it should be.
A doc today has to see twice the patients, do twice the procedures, and grind twice as hard just to keep up.
And what does Congress do?
No doc fix in the latest CR.
No relief.
No respect.
Just another reminder that the system values hospitals and middlemen over the people actually delivering care.
Physicians aren’t just underpaid.
They’re being systematically devalued.
@WaysandMeansGOP
@GOPDoctors
Not #healthcare
Michael Silverman, MD retweeted
Because there seem to be some indignant folks suggesting that it is standard practice for a CEO to demand daily performance updates or else fire you, a few observations from a guy who spent 20 years in the private sector 16 as CEO and the last 6 in government…
Michael Silverman, MD retweeted
What Was Surgery and Medicine Like In Ancient Egypt? historydefined.net/surgery-a…
Michael Silverman, MD retweeted
IT’S A WONDERFUL LIFE was released 78 years ago this week. One of the most beloved of all Christmas movies, and among the most popular films of its star James Stewart, the tale of how it was created is like throwing a lasso round the moon…
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This is going to be a great event for the Maryland emergency medicine community.
Join Maryland ACEP's Practice Management Committee for its next Zoom event: Advanced Use of Buprenorphine in the Emergency Department! Monday, January 29, 2024 12:00PM EST. For Zoom link information contact the chapter at [email protected]
Michael Silverman, MD retweeted
10 @TedLasso leadership lessons:
1 believe in yourself
2 winning is an attitude
3 all people are different people
4 see good in others
5 forgive first
6 stay teachable
7 be curious
8 optimists do more
9 be honest
10 doing right thing is never wrong thing






















