1/ Welcome back to #TweetorialTuesday with the #MedEdTwagTeam!

Today begins our series on #EffectiveQuestions in the Clinical Learning Environment.

It’s an age-old practice that can conjure mixed emotions. This series will give you tools to use questions with purpose. Image
2/ I wanted to bring us back to the #HierarchyOfTeachingSkills that we have been using.

We previously covered the foundational skills that help create psychological safety & we just wrapped up our feedback series.

To see any of these previous threads, check out @MedEdTwagTeam. Image
3/ Here is where we are going over the next 7 weeks. Today is our intro.

This is one of my favorite topics in #MedEd!

Questions in the clinical setting are employed by all teachers & SEEM so simple to use.

However, effective questioning is a nuanced skill.

Let’s get into it! Image
4/ Questions, when used improperly, have the potential to cause learners to experience some serious psychological danger (opposite of safety).

Check out this fascinating study in which @egoebs asked pathology residents to draw a “pimping” encounter.

pubmed.ncbi.nlm.nih.gov/31084222/ Image
5/ The previous slide introduces the term “pimping”.

There has been much debate, but we agree with the authors of this paper, that the term itself is problematic, & the idea of using questions to humiliate or establish hierarchy is appalling.

pubmed.ncbi.nlm.nih.gov/25099239/ Image
6/ Today, we won’t get into the content, because I want to hear from you!

I would love to highlight some of your collective wisdom and experiences in the upcoming threads. Don’t be shy!
7/ TRAINEES (students, residents, fellows)! Reply with your thoughts to these ?s:
OF NOTE:
A “good question” is: one you think is fair and can lead to learning on your part.
A “bad question” is: one you think is UNfair and/or has little learning value. Image
8/ TEACHERS (residents, fellows, attendings)! Reply with your thoughts to these ?s:
OF NOTE:
A “good question” is: a question you think is fair and can lead to learning for trainees.
A “bad question” is: a question you think is UNfair and/or has little learning value. Image
9/ Alright my #MedTwitter, #MedEd, #MedStudentTwitter friends! I can’t wait to learn from you all!

We will see you back here next week to talk about general rules for asking #EffectiveQuestions in the clinical learning environment.

See you then! Image

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More from @GStetsonMD

15 Jun
1/ Welcome back to #TweetorialTuesday with the #MedEdTwagTeam!

Today we will be summarizing what we have learned throughout the #EffectiveQuestions series.

Thanks for joining us, #MedTwitter, #MedEd, #Tweetatrician, & #MedStudentTwitter Friends!
2/ I have had an excellent time sharing with you all my approach to #EffectiveQuestions in the clinical setting.

Here is where we have been during this journey.
3/ In the intro we talked about ”pimping” and the psychologically dangerous environment it creates, as illustrated by these drawings in this fascinating study:

pubmed.ncbi.nlm.nih.gov/31084222/
Read 14 tweets
8 Jun
1/ Welcome back to #TweetorialTuesday with the #MedEdTwagTeam!

We are in our #EffectiveQuestions series.

Thanks for joining us, #MedTwitter, #MedEd, #Tweetatrician, & #MedStudentTwitter Friends! Image
2/ This is our last specific topic in the #EffectiveQuestions series, and it is a favorite!

Today is about how to leverage the power of prediction to engage your trainees and enhance their learning. Image
3/ Today’s thread is based on Chapter 2 from #SmallTeaching.

I love this book by @LangOnCourse. It is right up there with #MakeItStick and #HowLearningWorks, IMHO.

Really digestible, and the information can be applied to your practice the following day. Image
Read 12 tweets
1 Jun
1/ Welcome back to #TweetorialTuesday with the #MedEdTwagTeam!

We are in our #EffectiveQuestions series.

Thanks for joining us, #MedTwitter, #MedEd, #Tweetatrician & #MedStudentTwitter Friends! Image
2/ Today we are touching on how to advance reasoning through inquiry. One of the best and most appropriate uses of questions in the clinical setting. Image
3/ Back when this series started, I asked y’all how you use questions in clinical teaching.

Two long-time friends of the @MedEdTwagTeam, @LiangRhea & @GIMaPreceptor left answers that perfectly set up this thread. Image
Read 12 tweets
25 May
1/ Welcome back to #TweetorialTuesday with the #MedEdTwagTeam!

We are in our #EffectiveQuestions series.

Thanks for joining us, #MedTwitter, #MedEd, & #MedStudentTwitter Friends! Image
2/ This week we continue talking about my favorite uses of questions in the clinical learning environment.

Last week was questions as a needs assessment. Go back and check that out if you missed it.

This week is questions for retrieval practice. Image
3/ Much of today’s thread is derived from a favorite book...Make It Stick: The Science of Successful Learning.

It is very approachable and has super useful content. Today, we will talk about retrieval practice, and briefly touch on spaced learning and interleaving. Image
Read 15 tweets
18 May
1/ Welcome back to #TweetorialTuesday with the #MedEdTwagTeam!

We are in our #EffectiveQuestions series.

Thanks for joining us, #MedTwitter, #MedEd, & #MedStudentTwitter Friends! Image
2/ This week we start talking about my favorite uses of questions in the clinical learning environment.

First up is, questions as a needs assessment. Image
3/ I was schooled in #MedEdScholarship by @posucsf, Dave Irby, and @bobrien_15 @UCSF.

Like most educators of #HPE, they framed curriculum development for me through the lens of “Kern’s Six Steps”. Image
Read 15 tweets
11 May
1/ Welcome back to #TweetorialTuesday with the #MedEdTwagTeam!

We are in our #EffectiveQuestions series.

Thanks for joining us, #MedTwitter, #MedEd, & #MedStudentTwitter Friends! Image
2/ Here is where we are in our journey through the world of inquiry as a teaching tool.

Before we get into some methods of effective questioning, I think it is important to spell out what makes a “bad question”.

This is what we will tackle today. Let’s go! Image
3/ Back in our intro, we introduced the idea of ”pimping”. We were unequivocal that we feel this term and practice are bad and have no place in medical education.

Although, we acknowledge there are some who argue otherwise.

pubmed.ncbi.nlm.nih.gov/26647250/
pubmed.ncbi.nlm.nih.gov/25088335/ Image
Read 15 tweets

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