Jason Ryan (@jasonryanmd) / X

Jason Ryan

5,557 posts

Jason Ryan

@jasonryanmd

Creator of Boards and Beyond. Cardiologist and teacher of medical students around the world. Die-hard fan of New England Patriots and Boston Celtics.

Joined September 2008

Pinned
Jason Ryan
@jasonryanmd
Jun 27
In 2014, I started recording simple teaching videos for medical students. Built a website to stream the content, put it behind a paywall, and slowly grew the library over years. By 2022, it was generating millions in revenue and I sold the company to McGraw Hill where it’s now
27K
Jason Ryan
@jasonryanmd
May 7, 2025
Carotid sinus massage to break a tachycardia is the closest thing to magic we get to do in cardiology. The idea that you can rub on someone’s neck and cure their heart problem is surreal. What are some other quick cures in other specialities that are like this?
409K
Jason Ryan
@jasonryanmd
Dec 6, 2022
I sold my company to McGraw Hill today. It’s been a wild ride the past eight years. Never thought I’d start a company, run one, or sell one. Life takes you to strange and interesting places.
McGraw Hill
@MHEducation
Dec 6, 2022
Today, McGraw Hill announced that it has acquired @boardsandbeyond, an on-demand video platform for medical students. The acquisition expands our position as a leading provider of trusted medical learning resources to students and professionals. Read more: mhed.us/3VCxPYG
Jason Ryan
@jasonryanmd
May 9, 2025
When I was a 3rd year resident already matched into cardiology we had an EKG conference. I was asked to interpret an EKG that was classic for pericarditis but I didn’t recognize any of the findings. I just hadn’t seen much pericarditis in training. I was embarrassed to miss this
186K
Jason Ryan
@jasonryanmd
May 4, 2021
Med school now is much different from med school when I graduated in 2001. More competitive. More assessments. More work required just to be average. Do all you can in training to take care of yourself. Cut yourself slack and remember that you earned your way in and you belong.
Jason Ryan
@jasonryanmd
Nov 16, 2022
If Trump were presenting on rounds: “This patient was sick, sicker than you’ve ever seen, some say sicker than anyone in the history of this hospital. A lot of people are saying that. I’ve heard it many times. You wouldn’t believe how sick this patient was. But I saved him.”
Jason Ryan
@jasonryanmd
May 16, 2022
When I took Step 1 (1999), it was a very hard test. Since then 1000s of new drugs/mechanisms have been discovered. All have been added to the test, nothing removed. First Aid for the Boards is now 848 pages up from about 200! When does it stop? No one can know all this stuff.
Jason Ryan
@jasonryanmd
Aug 19, 2022
USMLE scores have very little to do with being a good doctor. Get the exams behind you then focus on taking great care of your patients. Outstanding patient care defines a great doctor, not board scores.
Jason Ryan
@jasonryanmd
Oct 13, 2024
Shout out to the two University of Maryland medical students who spent an hour or so in my dad’s hospital room chatting with him yesterday. He broke his hip and is getting better, but it’s depressing sitting in bed away from home. He can’t stop talking about the visit from these
123K
Jason Ryan
@jasonryanmd
May 30, 2023
I was bad at anatomy. Also bad with microbes and neuroscience. I was often outperformed by my peers. Still made it through medical training. So can you.
179K
Jason Ryan
@jasonryanmd
Mar 2, 2023
So many students/residents with research publications actually hate research. They’ve done research because it’s obligatory for matching into competitive training programs. We are turning off a generation of trainees to scientific inquiry. Time to stop the insanity.
211K
Jason Ryan
@jasonryanmd
Sep 23, 2025
Here’s a nice analysis of 2.5M children about Tylenol and autism. The study found a small association between tylenol use in pregnancy and autism, but the association went away in sibling analysis. In sibling analysis you compare children born to the same mother where one child
Acetaminophen Use During Pregnancy and Children’s Risk of Autism, ADHD, and Intellectual Disability
From jamanetwork.com
155K
Jason Ryan
@jasonryanmd
May 28, 2023
That med students have to memorize these antibodies is a great illustration of the silliness of medical training. These can be looked up in seconds. Zero reason to have them committed to memory.
Josh McGough, MD
@joshmcgoo
May 27, 2023
ANTIBODIES! dsDNA -> SLE, sensitive centromere -> CREST mitochondrial -> PBC smith -> SLE, specific RO/SSA -> Sjogren's
600K
Jason Ryan
@jasonryanmd
Nov 8, 2023
When I took Step 1 the treatment for heart failure was beta blocker and ACEi. Now it’s BB-ACEi-ARB-ARNI-SGLT2-Ivabradine-ICD-BiV pacer. Students today have to MEMORIZE it all for the test plus the outdated stuff like digoxin. And that’s just one disease. Result=burnout.
450K