Romaine Johnson, MD MPH's Avatar

Romaine Johnson, MD MPH

@pediairwaydoc.bsky.social

Pediatric ENT Specialist | Professor | UT Southwestern Medical Center | Editor in Chief | Laryngoscope Investigative Otolaryngology | ΑΦΑ

77 Followers  |  221 Following  |  115 Posts  |  Joined: 01.01.0001  |  1.9201

Latest posts by pediairwaydoc.bsky.social on Bluesky

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The Clinical Research Flywheel: From Volume to Discovery How surgeon expertise and patient volume create a self-reinforcing ecosystem for generating increasingly sophisticated research questions

Why are 30% of pediatric tracheostomy patients Black when they're only 15% of kids?"
That question only emerged because we compared local data to national data.
Here's the framework for how one observation generates increasingly sophisticated research: open.substack.com/pub/pediairw...

01.11.2025 15:34 — 👍 0    🔁 0    💬 0    📌 0
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Virtual Versus In‐Person Interviews: The Impact of Perceived Success on the Applicant Experience In light of continuing changes to graduate medical education interview approaches, this cross-sectional survey-based study comparatively assesses otolaryngology residency applicant perspectives on vi...

Virtual Versus In‐Person Interviews: The Impact of Perceived Success on the Applicant Experience - Moufarrej - 2025 - Laryngoscope Investigative Otolaryngology - Wiley Online Library onlinelibrary.wiley.com/doi/full/10....

27.10.2025 11:25 — 👍 0    🔁 0    💬 0    📌 0
Care of Infants and Children with Tracheostomies. An Official American Thoracic Society Clinical Practice Guideline | American Journal of Respiratory and Critical Care Medicine | Articles in Press

After 20+ years, we have finally updated the @atscommunity.bsky.social guidelines for pediatric tracheostomy. Strong recs on ethics, caregiver training, airway endoscopy, and decannulation pathways—built for the real world. Proud to be a co-author. doi.org/10.1164/rccm...

23.10.2025 12:38 — 👍 3    🔁 1    💬 1    📌 1
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Bobby Seale, a Black Panther founder, will have an Oakland intersection named after him The city will host a dedication event Wednesday, Oct. 22 which will be designated "Bobby Seale Day" in Oakland.

Happy Birthday to my pops who apparently is having a street named aftet him. What an honor! oaklandside.org/2025/10/20/b...

22.10.2025 14:53 — 👍 0    🔁 0    💬 0    📌 0

The thing that jumps out to me is still the training of the agents. Whose values get encoded. There remains a cultural hegemony even the probability space.

20.10.2025 17:02 — 👍 0    🔁 0    💬 0    📌 0
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Personal Statement — Romaine F. Johnson, M.D., M.P.H. Imaging what I would write if I had to apply to ENT again

What I would write today if I was applying for ENT again.
open.substack.com/pub/pediairw...

16.10.2025 18:19 — 👍 1    🔁 0    💬 0    📌 0
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The Research Arms Race in Residency Applications A Costly Distraction

The Research Arms Race. open.substack.com/pub/pediairw...

16.10.2025 16:53 — 👍 1    🔁 0    💬 0    📌 0

Daniel Kahneman enters that chat…

10.10.2025 23:04 — 👍 0    🔁 0    💬 0    📌 0
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The Dream That Taught Me What I’m Actually Looking For I had a dream last night where I went back to fellowship—already accomplished, already credentialed, but choosing to start over.

open.substack.com/pub/pediairw...

24.09.2025 20:29 — 👍 1    🔁 0    💬 0    📌 0
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Trump Is Shutting Down the War on Cancer

America’s cancer research system, which has helped save millions of lives, is under threat in one of its most productive moments.
www.nytimes.com/2025/09/14/m...

23.09.2025 11:25 — 👍 2    🔁 1    💬 0    📌 0
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Do We Celebrate Our Wins Enough? Something has been weighing on my mind lately, and I suspect I'm not alone in this reflection.

Do We Celebrate Our Wins Enough?
open.substack.com/pub/pediairw...

20.09.2025 11:39 — 👍 2    🔁 1    💬 0    📌 0
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The Adaptation Gap The Mismatch at the Heart of Modern Life

The Adaption Gap.
open.substack.com/pub/pediairw...

19.09.2025 11:06 — 👍 0    🔁 0    💬 0    📌 0
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I asked Claude to map your idea, but added my own twist as a surgeon. That is, AI is "work in the head" and that is its ongoing limitation.

15.09.2025 00:47 — 👍 1    🔁 0    💬 0    📌 0
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The Journey Over the Destination What I Told Premeds at UT Dallas

open.substack.com/pub/pediairw...

15.09.2025 00:18 — 👍 0    🔁 0    💬 0    📌 0
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There's Box Office and There's Oscars A Soliloquy in the Voice of Denzel Washington

There's Box Office and There's Oscars open.substack.com/pub/pediairw...

31.08.2025 17:39 — 👍 0    🔁 0    💬 0    📌 0
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Big Brother doesn't need to rewrite history when our algorithmic feeds do it for us, one swipe at a time.

27.08.2025 23:11 — 👍 0    🔁 0    💬 0    📌 0
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In Trump’s Ideal Picture of America, Diversity Is Taboo

This piece exemplifies how journalism can serve democracy by recognizing when standard practices (treating each policy as an isolated event) fail to capture systematic threats to democratic norms.
www.nytimes.com/2025/08/21/u...

21.08.2025 11:26 — 👍 0    🔁 0    💬 0    📌 0

My inner dialogue has become a nonstop Tik Tok fyp. Current loop:

Golden
Darlin hold my hand
Slow mo political satire.

12.08.2025 14:45 — 👍 0    🔁 0    💬 0    📌 0
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It starts with a perfect circle of universal rights. Then, "We must act outside of the law to save it." The erosion is not a single, dramatic event, but a creeping, iterative process until universal protection under the law becomes a fractured reality where the boundary of justice is arbitrary.

06.08.2025 23:55 — 👍 0    🔁 0    💬 0    📌 0
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Opinion | Donald Trump and John Roberts Have a Lot in Common

Excellent writing by Mr. Bouie.
www.nytimes.com/2025/08/06/o...

06.08.2025 12:06 — 👍 1    🔁 2    💬 0    📌 0
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Kennedy Cancels Nearly $500 Million in mRNA Vaccine Contracts

mRNA can produce vaccines much faster than older methods, which are critical in pandemics. Cancelling them only increases the risk when the next pandemic comes. Not to mention vaccines for treatment of cancers and other immune-sensitive disorders.
www.nytimes.com/2025/08/05/h...

06.08.2025 12:03 — 👍 0    🔁 0    💬 0    📌 0
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Columbia and Brown to Disclose Admissions and Race Data in Trump Deal

What's fascinating is how merit gets defined & redefined to maintain a particular hierarchy. Also, we've taken someone's humanity & drilled it down to a single test. It's like buildinf a NFL football team based solely on what the players do at the combine. www.nytimes.com/2025/08/05/n...

05.08.2025 23:11 — 👍 1    🔁 0    💬 0    📌 0
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Trump Went to War With the Ivies. Community Colleges Are Being Hit.

Important article on how attacking education has downstream effects.
www.nytimes.com/2025/08/04/m...

04.08.2025 12:10 — 👍 0    🔁 0    💬 0    📌 0

Remember when presidential vocabulary choices led to beer summits? Different times, different standards. Amazing how much context matters.

03.08.2025 15:13 — 👍 0    🔁 0    💬 0    📌 0

"In a time of universal deceit, telling the truth is a revolutionary act." Great quote, though apparently Orwell never actually said it. Funny how the best quotes are often misattributed.

03.08.2025 15:02 — 👍 0    🔁 0    💬 0    📌 0
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Fascinating to see the inner mechanics of AI training in real time. If you use ChatGPT 4.0 for healthcare queries, it uses American English spelling. Switch to 3.0, and then it defaults to British spelling…

28.07.2025 15:08 — 👍 0    🔁 0    💬 0    📌 0
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DAG-gonit, You Did It Again A tale of causal confusion and algorithmic overconfidence

DAG-gonit, You Did It Again
open.substack.com/pub/pediairw...

25.07.2025 23:55 — 👍 0    🔁 0    💬 0    📌 0
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The Bimodal Distribution of AI Adoption and the Compression of Cognitive Labor July 23, 2025

Are we seeing a separation between AI Power Users and the anti-AI forces? Thoughts from my morning drive.
open.substack.com/pub/pediairw...

23.07.2025 19:41 — 👍 0    🔁 0    💬 0    📌 0
Cost‐Utility Analysis of Intracapsular and Extracapsular Techniques for Pediatric Tonsillectomy You have to enable JavaScript in your browser's settings in order to use the eReader.

Does intracapsular tonsillectomy reduce cost among ambulatory pediatric tonsillectomy? Our study suggest it does. See full study here:
onlinelibrary.wiley.com/share/AZN3DK...

23.07.2025 13:34 — 👍 0    🔁 0    💬 0    📌 0
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Notes from a Beach: Reflections After Aulani Back from a weeklong vacation and heading into work, a little sun-soaked and a lot thoughtful.

Back from a weeklong vacation and heading into work, a little sun-soaked and a lot thoughtful.
open.substack.com/pub/pediairw...

21.07.2025 23:52 — 👍 0    🔁 0    💬 0    📌 0

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