Yihan Yang, MD MHS-MedEd Profile picture
Core Faculty & #MedEd Track Director @WSUMedicine #WSUIMRP | @EmoryMedicine @YPC_Chiefs alum | 1/6 @MedEdTagTeam | 👧🏻👶🏻mom | 🧋enthusiast. Views my own.

Jun 7, 2022, 11 tweets

1/ Your intern on rounds: “I’m worried about Ms. H & think we need a family meeting.”

You mentally check your schedule to decide where to fit a 30-60 min family meeting AND make it a good learning experience.

#MedEdTwagTeam is back w tips on the latter!

#MedTwitter #MedEd

2/ As a reminder, we are continuing our discussion about opportunities for inpatient teaching after rounds. We return to the bedside this week to discuss teaching around family meetings

3/ What are your objectives for using the family meeting as a method of teaching?

Common areas for intentional skill-building with family meetings are highlighted 👇🏼

4/ Before the family meeting gather your team for a pre-brief to:

- Decide who is leading
- Agree on a skill to observe
- Review agenda & pt care goal
- ✅ are necessary members of the interdisciplinary team present
- Anticipate challenging scenarios. Consider a brief role pla

5 / If you need a framework for family meetings, @vitaltalk is a great resource for communication around serious illness. Check link👇🏼 for a video & step-wise approach

The guide can also serve as a framework for feedback on the meeting

vitaltalk.org/topics/conduct…

6/ If you have other learners joining but not leading the meeting, how do you keep them from drifting off?

Assign roles for learners to practice their skills of observation & peer feedback.

7/ During the meeting, sit back, let your learners do the talking, & make your observations.

8/ If you feel an aspect of communication was skipped or could be improved/clarified, gently step in and role model what to say.

An example of further exploring patient wishes 👇🏼

9/ Post family-meeting, make sure to debrief!

✨Ask for reflections about the meeting

✨Did the team learn anything new about the pt / family members?

✨Have observing learners provide peer feedback

✨Provide your own feedback

10/ With a little pre-planning & time set aside before, during, and after your family meeting, there can be plenty to learn & teach about your team and your patients!

11/ Stay tuned for next week’s #TweetorialTuesday on teaching learners when delivering difficult news

Make sure to follow @MedEdTwagTeam members @GStetsonMD @JenniferSpicer4 @ChrisDJacksonMD & @YihanYangMD so you don’t miss anything!

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