1/ You’ve got multiple learners on your inpatient team. How do you know if you’re teaching them what they need and want to learn?
It’s another #TweetorialTuesday from the @MedEdTwagTeam!
#MedTwitter #MedEd #MedEdTwagTeam #MedTweetorial #FacDev
2/ We are still covering the foundations of inpatient teaching.
If you missed these threads, catch up on:
🔥@JenniferSpicer4’s how to plan for teaching on rounds - tinyurl.com/roundsprep
🔥@GStetsonMD’s how to boost teaching with learning objectives - tinyurl.com/LObjectives
3/ This week, we cover how to use shared goal-setting to build upon teaching preparation & learning objectives.
4/ Just as shared decision making is crucial to patient care, shared education goal-setting is vital to #MedEd.
Too often educators teach what we think learners need to know.
5/ Shared goal-setting helps you establish an early needs assessment with your team members.
So what might this look like?
6/ @ the beginning of a rotation & when new learners join the team, I ask new team members to reflect on some ?s 👇 to help determine their goals.
I ask learners to write down @ least 2 strengths & 2 improvement goals on an index card at the beginning of their first day.
7/ Why index cards?
⚡️I’ve found that reflection is more likely to occur by the time we meet later in the day when I give something to fill out vs just thinking about it in their heads
⚡️I keep the cards in my coat to remind myself of learners' goals throughout the rotation
8/ Keep in mind that many learners might write a generic goal like, “Improve clinical reasoning,” and may need help flushing out their goals so that they are specific, achievable, time-bound, and measurable.
Help them set SMART goals with the framework below.
9/ Based upon your learners’ reflections, help them develop both END goals & MEANS goals, defined below.
10/ Here is an example inpatient end and means goal for a learner:
11/ For those in the ambulatory world, an example for end and means goals for a clinic day:
12/ Ok. Now that you’ve created shared goals, let’s apply the goals to your teaching planning & learning objectives.
Here’s a slide from 2 weeks ago that @JenniferSpicer4 used with a fake pt list & list of teaching topics for the pt with MSSA bacteremia.
13/ Keeping in mind one of your learner’s goals, you may choose to focus on the highlighted topics, and add an additional topic:
14/ Now here’s a slide from last week where @GStetsonMD created learning objectives for one of Dr. Spicer’s MSSA teaching topics:
15/ Let’s adjust some LOs, based upon your learner’s goal to improve judgement on whether a pt may need a higher level of care based upon vital signs, bedside exam, and diagnostics.
As you can see, using shared goal-setting allows you to make learner-centered teaching choices!
16/ Additionally, when I give learners mid/end of rotation feedback, I give their cards back for them to reflect on how much they've learned.
🔑Sometimes learners do reach their END goals early. Great! Meet with them earlier & ask them to set some new end and means goals!
17/ Remember, learning theory tells us that adults learn best when material:
- Involves them in planning
- Builds on experience
- Is applicable to their lives/jobs
- Problem-centered
Shared goal-setting allows you to hit at least the first 3, if not all 4, with your teaching.
18/ #MedTwitter, how do you approach goal-setting with learners?
Next week, check out #TweetorialTuesday by @JenniferSpicer4 on teaching to various levels of learners.
In the meantime, follow @GStetsonMD @JenniferSpicer4 @MedEdTwagTeam to make sure you don't miss anything!
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