1. Tips on successful white board choose your own adventure teaching. A thread. #PedsICU #pedsCICU @JennaMillerKC 
2. Critical illness doesn’t start in the ICU. Your learners meet their patient in the clinic or ED.
3. Give them triage vitals.
That’s it. If they don’t ask for it they don’t get it.
That’s it. If they don’t ask for it they don’t get it.
4. But don’t let them have everything.
“Sorry, you can’t feel the liver because the patient is morbidly obese.”
“Sorry, you can’t feel the liver because the patient is morbidly obese.”
5. If you want to have fun be a bad historian.
6. Work on your poker face. They want to start milrinone in cardiogenic shock? Don’t comment. But make them live with the consequences.
7. Give them realistic wait times. They ordered an echo? The tech is at home and it’s going to be 45 min. Now what are they going to do about their slowly deteriorating pt?
8. Make them make decisions.
Learners know that if they stand around staring blankly in the ICU we’ll always step in a rescue them. Here’s their chance to make the decisions.
Learners know that if they stand around staring blankly in the ICU we’ll always step in a rescue them. Here’s their chance to make the decisions.
9. There’s a lot to talk about so pick a theme to question and teach them about. Meds, gases, monitoring, physiology are all good.
10. And finally let them fail. If they aren’t killing 20% of the patients due to their bad decisions and missed opportunities you’re not doing it right. This is their chance to learn from their mistakes without consequences.
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