1/ When I find myself #disappointed or frustrated with a student or trainee, I always go back to was I explicit in my #expectations?

Was I clear about my standard for pt care?

Particularly, to not make assumptions about pt’s health #literacy or understanding of their plan?
2/ Was I not clear about my expectation about their medical knowledge

And if they don’t know something, its okay

But to take a stab at looking it up themselves if they have time since that will stick a lot more #MedEd
3/ Was I clear about closed loop #communication with the interdisciplinary team

And not make assumptions that #orders does not = that it’s happening for the patient or others understand the reasoning or its importance
4/ Was I not clear that while we may #handoff or #signout a patient, we must reflect if we did our best to prepare them as best as possible to care for this patient?

And deliberative improve the way we communicate to our colleagues #LifelongLearning
5/ I have a lot more.

But when I give #feedback, it makes me reflect on my expectations

And vice versa, as @gradydoctor points out, when we have clearly state our expectations, we prep trainees for the feedback theyll get
@gradydoctor 6/ And interesting #meta aside is that

Our expectations + subsq feedback is and should be evolving, as healthcare demands + time pressure for pt care is also evolving

What competency for system-based practice meant 15 yrs ago is different from what it means today.
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