Geoff Stetson, MD Profile picture
Aug 11, 2020 14 tweets 5 min read Read on X
1/ Intro to #ClinicalTeaching!

Hey #MedEd and #MedTwitter! #TwagTeamBackAgain because it is #TweetorialTuesday! We are the one and only #MedEdTwagTeam.

This is the beginning of our new theme...

🌟Clinical Teaching🌟 Image
2/ This is a super special time of year! A time of transitions.

Pre-Clinical Student ➡️ Clerkships
Clerkships ➡️ Acting Interns
Student ➡️ Intern
Intern ➡️ Resident
Resident ➡️ Fellow?
Resident/Fellow ➡️ Faculty

All of these new roles bring new teaching opportunities!
3/ It is our hope, over these next weeks and months, to give you the tools to THRIVE as a clinician educator in each of these new roles.
4/ Before we jump in, I want to highlight a big update for the #MedEdTwagTeam

We now have a team handle: @MedEdTwagTeam!!!

Here we will curate all our Tweetorials as “Moments” to make them more accessible.

Follow! Like! ReTweet! Image
5/ And, without further ado…

The #MedEdTwagTeam #HierarchyOfTeachingSkills!

This will be the basis for our Tweetorials for this entire series.

Please, take some time.
Examine this.
Let us know what you think!
We WANT feedback.
We are very open to making alterations. Image
6/ Speaking of feedback, what do you all think about the #HierarchyOfTeachingSkills?

If there are things you would change, please let us know in the comments. Thanks!
7/ We also want to acknowledge the major themes gleaned from our questions and polls from last week. These are topics we will make sure to touch on as we work our way through the material. Image
8/ We are first going to discuss the foundational skills of clinical teaching, all of which set the stage for psychological safety on a team.

H/T to @DxRXEdu & @Gurpreet2015 for their @JHospMedicine paper…”No one cares how much you know, until they know how much you care.” Image
9/ Have you read this article? If not, and you are a part of clinical teams, you should look this up! There is one key ingredient to good teams...psychological safety!

Our foundational skills will give you tools to help you achieve this. Image
10/ Once your team is up and running, next is delivering content to your team, especially while you all are on-the-move.

These are the most used tools in the clinical setting given the fast pace.

There’s a lot to unpack, so we will spend some solid time here. Image
11/ “Didactic Teaching > 5 mins” is a category of skills that is near and dear to our hearts. However, these are the most advanced, and arguably the least important tools in a clinical teacher’s toolbox.
12/ Many of you pointed out how hard it is to carve out the time for this, which is certainly a common dilemma. The work v. learning conundrum is universal, and we hope to dialogue with you all about potential strategies.
13/ Okay friends! Here is our roadmap (as of today) for the next few months of content. We hope you will join us on this educational adventure!

Next week, @JenniferSpicer4 will really get this party started by getting us up to speed on Rapport & Inclusion. Image
14/ And, if you haven’t already, go follow our team handle: @MedEdTwagTeam

The one-stop shop for all your #MedEdTwagTeam needs!

Follow! Like! ReTweet!

¡Hasta la proxima #TweetorialTuesday! Image

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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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