Thread by @YihanYangMD

1/ #MedEdMethodsMonday #MorningReport edition this wk:

Tips 5&6: Manage Faculty & Model Humility

See last 3 wks for: Start on ⏰ | Ask ? Effectively | Engage All Learners & Embrace Silence

#MedEd #ChiefResidents #MedEdPearls #FacDev #MedStudentTwitter #MedTweetorial

2/ Tip5 Manage Faculty | The Opinions

Seems like faculty attendance @ morning report is all over the map.

Interestingly, when @StephenHolt7 and I conducted our multi-institute stakeholder interviews, many more residents said faculty SHOULDN’T be @ report than #Medtwitter did

3/ Manage Faculty | Conflicted

In fact, the tension between why faculty should be present @ report & why faculty shouldn’t be present was often palpable within the SAME interview.

Why?

4/ Manage Faculty | A Delicate Balance

Faculty bring to report:
⚡️Expert/specialty-specific knowledge & clinical reasoning skills
⚡️Mentorship & guidance for chiefs

But they can also derail a report by diverting discussion or inadvertently intimidating learners.

5/ Manage Faculty | Who’s Talking?

Ex: Hill et al recorded the types of comments made in report by participant type (graphic 1) & when each participant spoke during report (graphic 2) @ 1 institution.

😱Residents hardly spoke. When they did, it was just to describe the case.

6/ Manage Faculty | Who’s Talking @ Your Program

If faculty attend morning reports @ your institution, how should faculty change their participation to improve the quality of reports?

7/ Manage Faculty | Tipping the Scale for Good

To increase the benefits of faculty presence while reducing the risks, try the following during report:

⚡️Do invite faculty
⚡️Set expectations
⚡️Give residents the floor 1st
⚡️Redirect PRN
⚡️Remember your PDs/APDs have your back

8/ Manage Faculty | The Redirection

Have a faculty member who is going on a tangent, or giving the case away?

Try versions of the following to bring discussion back to the residents:

*Do share other phrases that you’ve seen used effectively

9/ Okay, so you’ve started on time, asked questions effectively with adequate wait time and silence, engaged all learners & managed the participation of faculty.

Let me ask:

How worried are you that a learner will ask you a question that you’re not sure how to answer?

10/ Tip 6 Model Humility | “I Don’t Know”

Not knowing an answer is often the biggest fear for chief residents leading report & can lead to chiefs spending an inordinate amount of time over-preparing.

But.

Everyone already knows that chief residents don’t know everything.

11/ Model Humility | The Impossible Doubling Time

The amount of new medical knowledge is estimated to double every 73 days this year, compared to an estimate of every 50 years back in 1950.

Ain’t no way anybody can keep all that in the brain.

ncbi.nlm.nih.gov/pmc/articles/P…

12/ Model Humility | Commitment to Learning

Report is a great time to model humility for learners & our commitment as physicians to lifelong learning.

What do you say when you don’t know an answer during report?

13/ Here are the tip 5 manage those above you & tip 6 model humility takeaway infographics in 1 place.

Please share your tips and strategies as well!

14/ Did you pick up any new ways to manage faculty & model humility for future morning reports?

@JenniferSpicer4 @katie_g_md @thilanMD @DunneDana @doc_connors @doc_BLocke @JonLimMD @buckeye_sanjay @rav7ks @AnandJag1 @Anand_88_Patel @sargsyanz @CPSolvers @MohitHarshMD @haematognomist @DoubleDawgMD @kristenyoung @VarunPhadke2 @aliachisty @RosenelliEM

I will say that the residents who said they didn’t think faculty should be present at report tended to be the same residents who felt like faculty dominated report/created an unsafe learning climate where residents felt judged.