Geoff Stetson, MD Profile picture
Jul 28, 2020 16 tweets 12 min read Read on X
1/ Hey #MedEd and #MedTwitter! #TwagTeamBackAgain because it is #TweetorialTuesday! We are the one and only #MedEdTwagTeam.

Today is all about providing all learners with the best #OnlineLearningEnvironment possible. It's #Equity week y'all! Image
2/ Here is the series of #tweetorials that @JenniferSpicer4 and I have been bringing you every Tuesday.

Welcome to week 8! Make sure to go back and check out our previous threads. Just search #MedEdTwagTeam. Image
3/ This is the last #TweetorialTuesday in this #OnlineLearning series. But, don’t fret! We will be back next week!

@JenniferSpicer4 and I have been cooking up loads of #MedEd content for y’all. Our current plan should take us all the way into 2021! Image
4/ #NowBackToTheLectureAtHand

What is #Equity? It is more than making things equal. It is finding #bias, #discrimination, and systemic problems and working to correct them so everyone the same opportunities. Image
5/ For #OnlineLearning to take place effectively, there is a lot of technology that needs to work properly.

Both teacher and students need up-to-date and working hardware (computers, tablets, etc.). They also need reliable internet for streaming course content.
6/ Hardware and internet = $$$

In SF, cost of living is ⬆️⬆️⬆️. @UCSFMedicine does a lot to help students manage, including w/ the burdens of #OnlineLearning.

What is your institution doing to make sure that all students (and teachers) have what’s necessary? Don't Know? ASK!
7/ We have advocated for learners keep their cameras on during teaching to increase interaction.

However, it is very important that you DO NOT mandate it. Students may not be comfortable sharing their surroundings with the class.

This @nytimes article explains this dilemma. Image
8/ Students also may not have a quiet and private place to participate in the class. It’s not as if they can go to their local library or coffee shop right now. Give your learners the benefit of the doubt when they keep their camera off.

OMG! I miss working at coffee shops…
9/ Better yet, give your students an easy out. Say, “for the sake of keeping this interactive, if you can, please turn on your cameras. If for ANY reason you can’t, or don’t want to, that is not a problem.” Make this expectation explicit.
10/ Of note, one way my students have dealt with a bad internet connection is by not sharing their video. It requires less bandwidth this way.

Pssst – my students teach me more than I teach them
11/ Some other #equity-based ideas/tips to be mindful of:
1⃣ Make it clear you are available to students to discuss concerns or needs
2⃣ Be explicit that you value #DEI in ideas, opinions, and interactions
3⃣ Monitor the class for bias, microaggressions, and/or stereotype threat
12/ Continued…
4⃣ Provide multiple opportunities and various formats for students to demonstrate their learning
5⃣ Record your sessions and provide the recordings to your learners so they can return to the material if that helps their learning
13/ Lastly…
6⃣ Know that there is an option for Closed Captioning and Language Interpretation in #Zoom Advanced Settings. This allows someone to type captions or translations during the meeting. For CC, there are web services that can do this for you. Image
14/ This is all I could reasonably cover on this super important topic. For more, check out this amazing resource from @OLCToday and the @gatesfoundation.

You can find it 👇
onlinelearningconsortium.org/tools/deliveri… Image
15/ For @JenniferSpicer4 and the #MedEdTwagTeam, I would like to thank all of you for joining us on this first leg of our adventure to bring you timely and topical #MedEd content. As always, we welcome feedback, comments and questions.

We are SO grateful! Tweet you next week! Image
Thank you amplifying!

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More from @GStetsonMD

May 17, 2022
1/ Attending: “Sam, what is the level of bilirubin at which scleral icterus is noticeable?”

Sam thinking: [1. I can make a guess, but 2. Who cares?]

Seem like a familiar scenario? Let’s help this attending ask a better question.
2/ Whether it is in the team room, or at the bedside, asking questions of learners is a skill that requires intention, preparation, and execution. These best practices were a topic I covered a while back, so this will be a refresher.
3/ These were all the topics that were covered in that series. Each individual thread can be found here:
twitter.com/i/events/13982…
Read 14 tweets
Apr 19, 2022
1/ You just admitted a patient with some really interesting pathology. You want to teach about it tomorrow on rounds. You know it is gonna be a busy day. What’s the plan?

Welcome back to #TweetorialTuesday from the @MedEdTwagTeam. Special S/O to our #MedEd & #MedTwitter friends!
2/ We are still in this “during rounds” section of our inpatient teaching block. Rounds are the CLASSIC time to drop pearls. But, doing it well takes thought and preparation.
3/ What does it mean to “drop pearls”? It refers to pearls of wisdom, and many of us think of some stately professor emeritus waxing poetic in a case conference.

But check out this definition here:
Read 11 tweets
Apr 5, 2022
1/ Welcome back to another edition of #TweetorialTuesday from the @MedEdTwagTeam. Special S/O to our #MedEd & #MedTwitter friends!

Over the last two weeks we have laid out the WHY and the WHAT of teaching communication. Today is the HOW. Let’s go!
2/ For refreshers on the WHY and WHAT, check out these previous threads from:
@JenniferSpicer4 (WHY) –
@GStetsonMD (WHAT) –
3/ And like the previous threads, much of this content comes from this book (Chapter 16 for this thread) by @DrCalvinChou & @LauraCooleyPhD of @ACHonline. It is a foundational book that is extremely readable and applicable. Well worth your time: CommunicationRx.org
Read 12 tweets
Mar 29, 2022
1/ We can’t always treat. We can’t always cure. But we can always support & care with good communication.

Welcome back to our #MedEd & #MedTwitter friends! Today we lay out some foundational skills of communication that you can help your learners to hone under your tutelage.
2/ As we continue to focus on inpatient teaching, we are still in the section that homes in on opportunities during rounds. Especially when rounds are done at the bedside this is a perfect time to practice communication skills.
3/ Last week, @JenniferSpicer4 helped us all to grasp WHY it is important to spend time teaching communication skills:
⬆️Health outcomes & patient experience
⬇️Cost of care
⬆️Clinician experience

Read 16 tweets
Nov 16, 2021
1/ It is near the end of your time on inpatient service and it has been BUSY!

Spirits are high, but folks are tired.
You want to make sure rounds are high-yield, but how to focus their energy?

Welcome back #MedTwitter & #MedEd for another #TweetorialTuesday from @MedEdTwagTeam!
2/ This week, I will share tips on how to use questions to get ”the wheels turning” for your learners before rounds.

In just a few minutes, this focuses energy, engages team members in the cases they may not be following, and enhances bedside learning for everyone.
3/ Today’s 🧵 harkens back to one I posted about ”prediction questions”.

Inspiration: #SmallLearning from @LangOnCourse. It is tremendous, with a lot of useful ideas that can be applied in the classroom or clinical setting. FYI - 2nd ed just came out.
Read 13 tweets
Sep 28, 2021
1/ Learning objectives? For serious?!? 🤔
Aren’t those for boring pre-clinical lectures?
Are they even necessary? I seem to get by just fine without them.

You may get by fine but knowing how to use learning objectives will take your game to a new level. Let's go!
2/ Welcome back, #MedEd and #MedTwitter friends, for another exciting week of learning from the @MedEdTwagTeam.

For orientation, we are still in our foundational skills section of #InpatientTeaching.
3/ Every resident who rotates with me leaves my team knowing why learning objectives (LOs) are important, how to make them, and how to apply them.

LOs provide structure to all didactic content, and IMHO, are the single most useful tool to power up your teaching.
Read 15 tweets

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