Jennifer Spicer, MD, MPH Profile picture
ID MD @EmoryMedicine. Curriculum development, instructional methods, #MedEd research, #SoMe Ed, visual design. @MedEdTwagTeam @JenniferSpicer4@med-mastodon.com

Nov 2, 2021, 14 tweets

1/ You're on the inpatient service,
and you want to teach...

but HOW are you supposed to FIND TIME ⏲️while also
✅ caring for patients
✅ writing notes
✅ completing other administrative work

Not to mention managing your personal life!

This week: tips on teaching BEFORE rounds

2/ This week, I will share practical tips on how to integrate teaching into your daily routine BEFORE rounds.

It's another #TweetorialTuesday from the @MedEdTwagTeam for our #MedTwitter & #MedEd friends!

When do you typically teach?

4/ As mentioned previously, I like to schedule teaching BEFORE rounds.

I do this because it:
*⃣ shows I PRIORITIZE teaching
*⃣ ensures we have TIME for teaching
*⃣ allows me to teach when learners are FRESH

Plus, it sets the tone for rounds as a time for teaching & learning.

5/ When teaching before rounds, it's critical to pay attention to⏰

Keep it short or learners start worrying about how teaching is impacting their workflow.

Primary teams tend to have busier mornings than consult teams, so 5-10 minutes of teaching before rounds works best.

6/ There are many strategies that can be used for short, focused teaching sessions.

Here are 3 strategies that we have used/seen that are effective teaching methods.

(Alternatively, you can use the pre-round teaching time to get to know your team members!)

7/ Here are examples of peer teaching.

If you create a central repository to store the teaching points & learning resources, learners can reference it in the future!

Example: @ricapitt creates a Google slideshow & has learners add a slide w/ their teaching point each day.

8/ Peer teaching benefits everyone.

1. Teaching is a powerful way to learn a concept better.
2. Peers' cognitive congruence with each other results in content being taught at the appropriate level.
3. It takes pressure off the attending.

Read more here:
tandfonline.com/doi/abs/10.108…

9/ Retrieval practice refers to the process of having learners "retrieve" information from inside their head, usually by answering questions.

This is a great way to teach, and it requires very little prep from the teacher.

Here is how I use it for inpatient teaching.

10/ If the concept of retrieval practice is new for you, use one of these excellent resources that summarize how to use it effectively:

An infographic:
learningscientists.org/retrieval-prac…

A video:


A website:
retrievalpractice.org

11/ Bite-sized teaching sessions allow you to teach content in a short amount of time.

The key is to limit what is taught in a single session; however, the same topic can be covered over multiple sessions allowing more comprehensive coverage of a single topic, if desired.

12/ Developing chalk talks will be covered in a future tweetorial.

For now, you can adapt others' chalk talks for your teaching. Examples:
*⃣@teachIM_org, teachim.org
*⃣@CPSolvers, clinicalproblemsolving.com

More about bite-sized teaching: bmcmededuc.biomedcentral.com/articles/10.11…

13/ So, in summary, try to incorporate short 5-10 minute teaching sessions before rounds using:

*⃣ peer teaching
*⃣ retrieval practice
*⃣ bite-sized teaching sessions

Doing it at the beginning of rounds ensures that it happens, but make sure that you don't lose track of time!

14/ Are there other ways that you incorporate teaching before rounds? If so, please share!

Next week, stay tuned for @GStetsonMD who will discuss using questions for "priming".

See you then #MedTwitter #MedEd!

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