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
4/ They both are using a framework for advancing reasoning (#BloomsTaxonomy and/or RIME framework).

I learned Bloom’s as a tool for curriculum development, but it works just as well as a tool for formulating questions. Image
5/ A recent paper in @MedTeachJournal on the topic of questions in the clinical environment also endorses this idea. It is a great article and very much worth your time.

pubmed.ncbi.nlm.nih.gov/32297833/ Image
6/ Here is what they write on the topic of applying #BloomsTaxonomy to questions: Image
7/ Here is the table they reference with example questions. I would tweak a few of these to make them less “right or wrong” based on principles from previous threads. Overall, it gets the idea across. Image
8/ If you aren’t familiar with #BloomsTaxonomy, it is important that you become familiar.

Practice using it by writing learning objectives for small teaching you are planning, or by selecting verbs from the list for questions you will use in your clinical setting.
9/ Another important idea that @LiangRhea brought up is that of Vygotsky’s Zone of Proximal Development (ZPD).

This is the idea that to advance a learner’s understanding, you want to be helping them to operate in the ZPD. Image
10/ In the center circle, learners can already do the thing (too easy, little to learn). In the outer circle, the task is too difficult (the juice isn’t worth the squeeze). The sweet spot is when a task is just out of their range, but they can do it with help. Image
11/ Using the different categories of #BloomsTaxonomy, you can find where a learner starts to struggle. This is the ZPD for that learner for that specific topic/concept (H/T @GIMaPreceptor). Focusing your efforts there will advance their reasoning in the most efficient manner. Image
12/ Thanks for joining us!

Please, join us again next week as we dive into prediction questions and how they “prime the pump” for enhanced learning.

To not miss out, make sure to follow: @MedEdTwagTeam, @JenniferSpicer4, and me @GStetsonMD.

Tweet you then. Image

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More from @GStetsonMD

13 Apr
1/ Receiving feedback is HARD!

It puts into tension two core human needs:
- To grow🪴 & learn🎓
- To be accepted as we are🫂

Today’s #TweetorialTuesday is going to provide tools to navigate this struggle.

Thanks for joining the @MedEdTwagTeam!
2/ This is our last thread in our #Feedback series (except for a recap next week), and we have saved the best for last.

Many argue that receiving feedback is the MOST IMPORTANT skill.

YOU are the key variable in whether feedback is internalized and applied, not your teachers.
3/ The content of this thread is derived from the work of the feedback gurus, Sheila Heen & Douglas Stone, law professors at Harvard Law School and experts in leadership, collaboration, and conflict management.

Both their book and this paper are definitely worth your time.
Read 14 tweets
30 Mar
1/ All teachers will have learners who aren’t meeting expectations.

Providing feedback in these situations can be tough, but is VITALLY important.

Hang with us, the #MedEdTwagTeam, and we will walk you through it on today’s #TweetorialTuesday!
2/ Today, we will discuss the “struggling learner”, a terrible phrase that shouldn’t be used.

From now on, we will be discussing the learner who isn’t meeting expectations (LWIME). This doesn’t label, and describes their current behaviors, not their potential.
3/ Can we define LWIME? Per @JenniferSpicer4 & @gradydoctor, you need a measuring stick to say whether a learner is, or is not, meeting expectations.

Great tools are the #ACGME Core Competencies or #CanMEDS Framework. You can further break this down by specialty #milestones.
Read 15 tweets
9 Mar
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
Read 13 tweets
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

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