Thread by @YihanYangMD

1/ #MedEdMethodsMonday, wk 3 of #MorningReport theme!

Now that you've 1) Started on time & 2)Asked ?s effectively...

Tip 3 Engage All Learners & Tip 4 Embrace Silence

#ChiefTips #MedEd #MedTwitter #MedStudentTwitter #MedEdPearls #FacDev

2/ Engage Learners - There are too many strategies to help engage all learners to cover them all. For this thread, I'll focus on:

⚡️Names
⚡️Microgroups
⚡️Deflection

3/ Engage Learners - Names

Use them!

Seems basic. How many reports have you been to where the facilitator did not use (or perhaps did not know) learners' names?

When I was a medical student, esp with a non-Western name, I can tell you it was near 100%

4/ Engage Learners | Names

What do learners take away from the session when they perceive that the instructor knows their names?

A qual study by Cooper et al revealed the following:

ncbi.nlm.nih.gov/pmc/articles/P…

5/ Engage Learners | Names

⚡️Introduce yourself
⚡️Ask learners to introduce themselves if there's an unfamiliar face.
⚡️Use names when warm calling
⚡️Use names when acknowledging learners points
⚡️Use name tents @ beginning of year if you're like me & have trouble remembering

6/ Engage Learners | Microgroups

⚡️Microgroups can go by many other names:
- Buzzgroups
- Breakout groups
- Think-Pair-Share

During what % of report does your program use microgroups?

7/ Engage Learners | Microgroups

Microgroups have many benefits:
⚡️Encourage all leaners to speak
⚡️Create safe space to share ideas
⚡️Provide time for peer teaching
⚡️Provides opportunity for facilitator to diagnose learners
⚡️Discuss more than 1 idea @ once

8/ Engage Learners | Microgroups

Set up microgroups for success:
⚡️State allotted time for groups
⚡️Post the assigned prompt
⚡️Eavesdrop on group conversations. Is everyone on track?
⚡️Warm call a group to share 1st when back in large group
⚡️Give 30 sec notice to wrap up

9/ Engage Learners | Microgroups

A few examples of microgroup prompts are below.

What other ways have you seen microgroups work well?

10/ Engage Learners | Aside from names & microgroups:
⚡️Create safe learning climate
⚡️Ask learners to sit up front/turn on Zoom video
⚡️Smile, make eye contact, vary tone
⚡️Walk around the room
⚡️Ask ?s (see tip 2)
⚡️Appeal to adult learners
⚡️Manage faculty (more next wk!)

11/ Embrace Silence

25% of respondents to this poll last week said they feel uncomfortable asking ?s during report b/c they worry about the room being silent

12/ Embrace Silence | Wait Time

When Budd et al analyzed over 300 classroom recordings, how much time do you think teachers waited for learners to answer a question?

Take a guess:

13/ Embrace Silence | Wait Time

Most teachers only gave learners 1 second or less to respond to a question!

Ref - scoe.org/blog_files/Bud…

So... what is wait time?

14/ Embrace Silence | Wait Time

There are 2 main types:
1⃣Primary: Time teacher waits to allow leaners to answer a question

2⃣2ndary: Time teacher waits to allow learners to respond to another learner's answer

15/ Embrace Silence | Wait Time

Budd & others showed wait time >2.7 sec --> ⬆️participation & ⬆️TYPES of responses

⚡️But keep in mind that higher order questions require MORE wait time!

link.springer.com/referenceworke…

16/ Embrace Silence | DDx

If you DO have a silent group, think:

⚡️Insufficient wait time for higher order ?
⚡️? was unclear
⚡️? perceived to be "too easy" & learners don't want to get it wrong
⚡️Climate feels unsafe to learners
⚡️External stressors @ play (ie COVID, codes)

17/ Embrace Silence | "Silent Learners 🚫Idle Learners" - @StephenHolt7

If you've asked clear questions, given sufficient wait time, established a safe learning climate, & know you've engaged your learners...

SILENCE is GOLDEN

18 / Summary:

⚡️Engage learners: use names & microgroups

⚡️Embrace silence: use wait time to your advantage & diagnose silence

@JenniferSpicer4 @Anand_88_Patel @AnandJag1 @JonLimMD @AmyOxentenkoMD @rav7ks @DoubleDawgMD @RachelStarkMD @doc_BLocke @draditichauras1 @kristenyoung @VarunPhadke2 @JeffersNguyen @DunneDana @StephenHolt7 @doc_connors @katie_g_md @thilanMD @CPSolvers @haematognomist @RosenelliEM

19/ Addendum: Got too excited and forgot to add DEFLECTION to Engage Learners.

Basically, instead of directly answering a learner's ? immediately, deflect it back to your audience. Encourage peer teaching!

20/ Will you use any new strategies to engage your learners or embrace silence during report?