1/ Formative Feedback? Say whaaaat?

Hey #MedTwitter & #MedEd Friends!

We are the #MedEdTwagTeam back again for another #TweetorialTuesday!

Thanks for joining us!

Follow: @GStetsonMD, @JenniferSpicer4, & @MedEdTwagTeam to stay up to date. Image
2/ Today we are going to be breaking down #FormativeFeedback.

What it is, how we think about it, and how to implement it.

As always, any questions or thoughts, please reply to this thread. We LOVE it! Image
3/ So, what is #FormativeFeedback, you ask?

This is information that is given to a learner that enables them to make needed changes before the end of the course/rotation.

pubmed.ncbi.nlm.nih.gov/22730899/ Image
4/ It is our opinion that #FormativeFeedback is the most important kind of feedback. This is where you get a chance to alter a learner’s trajectory and watch change happen in real time. You get to help them FORM.
5/ What does this mean in practice?

Back in week 2, we explained coaching as a way to frame a feedback culture. While that may be a little abstract, #FormativeFeedback is how the idea of coaching becomes practical.

(@ETSshow, the GIF is for you)

6/ Watling and Ginsberg describe the bridge between coaching and formative feedback well (we will touch on assessment a little later today, as well as next week):

pubmed.ncbi.nlm.nih.gov/30073692/ Image
7/ If we go back to the coaching literature, the approach is four steps.

When done right, Coaching & #FormativeFeedback is a perpetual process. Image
8/ I am a hospitalist and @JenniferSpicer4 runs inpatient ID teams. When we are on with a team for 2 weeks at a time, this is how frequently we engage in #FormativeFeedback. If you teach in an outpatient setting, you can extrapolate these ideas to fit your practice. Image
9/ When coaching, you should still use the delivery methods we discussed last week.

But, then what is unique about #FormativeFeedback or coaching, one might ask?: Image
10/ So, back to this assessment thing. That Watling and Ginsberg paper does an excellent job laying out this problem.

Teachers and learners end up in a tough spot when the person who is charged with coaching is also the one handing out evaluations. Image
11/ How can you counteract this? Two main ways:
1⃣Explain the purpose of your feedback
2⃣Tie evaluation to growth (something we talked about back in week 2) Image
12/ However, what is likely the best solution to this conundrum is systemic change:
⭐️Elimination of grades
⭐️Different people serving as coaches and evaluators
And more…

Check out paper here for 💡

This is beyond our scope, but important to note.

pubmed.ncbi.nlm.nih.gov/30113359/ Image
13/ Thanks again for joining us today! Any questions, comments, #Feedback, just reply to this tweet.

Come back next #TweetorialTuesday when @JenniferSpicer4 is going to outline #SummativeFeedback for us.

Have a great week! Image

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More from @GStetsonMD

2 Mar
1/ You've got feedback to give. But how to deliver it?

Hey #MedTwitter & #MedEd Friends!

We are the #MedEdTwagTeam, back again for another #TweetorialTuesday! 🙏 to all who follow, enjoy, and share!

Follow: @GStetsonMD, @JenniferSpicer4, & @MedEdTwagTeam to stay #UpToDate
2/ We have reached Week 4 in our #Feedback threads.

Last week, @JenniferSpicer4 taught us all about the components of effective feedback, including setting, timing, specificity, frequency, and more.

This week we will talk about the two main methods of feedback “delivery.”
3/ So the two main methods are a “download” and a “dialogue.” What do these terms mean?
Read 14 tweets
22 Sep 20
1/ 💭 Did I check the labs? I know they were fine yesterday. What should I say? 💭

As a supervisor, you need to make clear to your learners (1) the right answer is: “I forgot to check them”

And (2) your reaction will be: “No problem. Let’s check them now.”

#MedEd #MedTwitter
2/ Here is where we are in our journey through the #HierarchyOfTeachingSkills.

Remember that this first level of skills is all about #PsychologicalSafety.

Not judging your learners is key to this.

Find our previous threads @MedEdTwagTeam.
3/ I make sure I never judge my learners. But I DO evaluate them and hold them accountable.

To me, these are three different things.

Here is how I define these concepts 👇
Read 14 tweets
8 Sep 20
🙏 @ShreyaTrivediMD! Fascinating questions. My answers:
1. #Hesitations - Two things...
A. Already distracted by phone (email, texts, etc.). Will Twitter make it worse? Answer, yes. However, I try to limit my interactions to specific times, and turn off notifications.
B. I work for the Federal Gov. Outspoken for #Equity #Inclusion #HumanRights #HeForShe #BLM #LGBTQIA.

I worried about violations of #HatchAct.

However, can speak about issues, just not parties or candidates.

However, #45 doesn't care about Hatch Act. Should I?
2. My most meaningful collaboration in my career has come via #MedTwitter. @JenniferSpicer4 and I noticed similar ideas and content from each other, then set up 1 meeting, and @MedEdTwagTeam was born. We have never met in person, but have collaborated weekly for months now!
Read 4 tweets
8 Sep 20
1/ 💭 When should I show up? What if I answer a question wrong? Is my presentation too long? Where’s the bathroom? 💭

Sounds like a case of “New Rotation Jitters”

The Cure - Setting Expectations!

Literally, one of my favorite things 🤓

#MedEd #MedTwitter #MedEdTwagTeam Image
2/ Here is where we are in our journey through the #HierarchyOfTeachingSkills.

Remember that this first level of skills is all about creating #PsychologicalSafety.

If you want to see any of our previous threads, check out the @MedEdTwagTeam account. Image
3/ Setting clear and explicit expectations is a key teaching skill that will pay numerous dividends.

And like much of teaching, there is an art and a science. Image
Read 19 tweets
26 Aug 20
1/ Bias in Medicine – A 🧵

This week I was able to participate in a #BiasInMedicine curriculum @UCSFMedicine. Below are some of my favorite (paraphrased) quotes and insights.

CC: @gradydoctor @dereckwpaul @jbullockruns @ChaseTMAnderson @_HarryPaul_ @FutureDocs @Bob_Wachter
2/ Black Female MD:

“Me being present everyday is me advocating. Just being in this space is me speaking up.”

“Some identities that we have are out in the open. Others are hidden, such as certain disabilities. These can be sources of bias. This is important to remember.”
3/ Latinx Female Med Student:

“Don’t ever call the medical student ‘the medical student’”

“There are times when the #HierarchyInMedicine makes sense…graduated responsibility to keep patients safe. That doesn’t mean it has to translate into all aspects of training.”
Read 10 tweets
25 Aug 20
1/ Allyship & Upstanding = Inclusion 2.0

Last week you learned how to create a safe and welcoming learning environment.

Today we make sure that is true for every identity that someone brings to our team.
2.1/ These terms may be new to some of you. So what am I talking about?

⭐️ Allyship = the practice of emphasizing social justice, inclusion, and human rights by members of an ingroup, to advance the interests of an oppressed or marginalized outgroup.
2.2/

⭐️ Upstanding = speaking up when being a bystander (one who is present, but not taking part in a situation or event).
Read 20 tweets

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