1/ #MedTwitter #MedEd

Welcome to our new @MedEdTwagTeam #TweetorialTuesday series on #InpatientTeaching.

We will spend several months exploring how we can improve clinical teaching focusing on the inpatient setting (where @GStetsonMD & myself do most of our teaching).
2/ So, first, let’s start out by defining what makes a good clinical teacher.

Lucky for us, this great article in @AcademicMedicine reviewed 68 articles on the topic published through 2006.

journals.lww.com/academicmedici…
3/ The article has an appendix that lists characteristics in 3 categories, which I have summarized as:

1⃣ personal attributes
2⃣ clinical abilities
3⃣ teaching practices
4/ Here are the personal attributes identified in other articles.

One of my key takeaways: a good clinical teacher is a ROLE MODEL with humility and openness to alternate perspectives.
5/ Here is a list of clinical abilities thought to be important.

Unsurprisingly, both knowledge and cognitive/non-cognitive skills are listed.

However, *ability to accept uncertainty* is an important characteristic that was mentioned that we don’t always emphasize.
6/ And finally, the teaching practices.

We have already created series for 3 of these:
1⃣Answering questions effectively
2⃣Building supportive relationships
3⃣Providing feedback

We will cover these & more in this series.

Check out @MedEdTwagTeam for our previous threads!
7/ There’s lots of stuff that we need to teach in the inpatient setting, and they can be divided into 3 categories: knowledge, skills, & attitudes.

This is not a comprehensive list, but it includes some things that I try to teach when I’m on clinical service.
8/ We have many options regarding how to teach in the clinical setting:

✅asking questions
✅chalk talks
✅discussion
✅demonstration
✅role play
✅observation & feedback
✅and many, many more
9/ Some options are better used to teach knowledge vs skills vs attitudes - see some of the examples below.

In this series, we hope to expose you to many different ways to teach while appropriately matching your objectives with your educational strategies.
10/ In this series, we will first cover foundational principles, then discuss opportunities to teach during the day: before rounds, during rounds, after rounds, & after hours.

Using this framework, we will provide practical tips that you can immediately apply to your practice.
11/ So tell us, what are you excited to learn about?

Tune in next week (8/24/2021) when @JenniferSpicer4 will share the first thread on “Preparing for Teaching”

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More from @JenniferSpicer4

7 Sep
1/ It's another #TweetorialTuesday from the @MedEdTwagTeam for our #MedTwitter & #MedEd friends.

This week, I will give you a glimpse into how I structure my day on the inpatient service to balance teaching & completing my own tasks as an attending!
2/ As a reminder, we are discussing the foundational skills for inpatient teaching - i.e., how to "fit it in"

@GStetsonMD provided his perspective last week.

This week, I will compare/contrast how I approach this when I'm on a primary vs consulting team.
3/ I've used the literature to consider how I want to teach and conduct rounds.

Therefore, I consider:
1⃣ how my actions impact the learning climate
2⃣ what content my learners need to know for their future practice
3⃣how to incorporate focused, relevant teaching into rounds
Read 15 tweets
23 Mar
1/ 💭 Thoughts of a trainee 💭

"I thought that rotation went well.
Why did I get straight 3s on my evaluation?
And how can I improve?
There aren't any written comments!"
Sound familiar?

How can we prevent this from happening?

Read this week's #tweetorial: Written Feedback
2/ This week we will discuss how to give effective written #feedback.

In #MedEd, written feedback is most frequently given in the form of "end-of-rotation" evaluations (also known as "in-training evaluation reports" or ITERs).
3/ We all have a long to-do list. Why should we prioritize high-quality written evaluations?

✅ They impact trainees' grades.
✅ Comments can be used for LORs.
✅ Provide a tangible record of progress during training
Read 17 tweets
16 Mar
1/ 🗣️“Let’s sit down and do feedback.”

What’s your gut reaction to that comment?
Do you cringe?
Experience anxiety?
Have palpitations?

Although I want feedback, I still kind of dread it.

How can we avoid that response?

This week: summative feedback and how to make it better!
2/ This week’s @MedEdTwagTeam #MedEd #tweetorial focuses on summative #feedback.

If you missed it, take a look at @GStetsonMD’s formative feedback thread from last week:
3/ Summative feedback differs from formative feedback in that it serves as a feedback "summary" for the rotation.

And, it is often given for the purpose of “evaluation” or “assessment” of an individual’s performance based on a collection of many observations.
Read 15 tweets
23 Feb
1/ Have you ever finished a feedback session as a teacher (or learner) and thought, “Wow, that went really badly?”

I know I have.
As a teacher AND a learner.

This week the #MedEdTwagTeam is providing you w/ a framework to analyze feedback.

To prevent that from happening again!
2/ This week’s @MedEdTwagTeam #MedEd tweetorial focuses on defining the characteristics of effective feedback.

This is Week #3 in our 10-week #feedback tweetorial series.
3/ Here are 6 characteristics of effective #feedback that I want to highlight:

1⃣Setting (psychological & physical)
2⃣Timing
3⃣Specificity
4⃣Mixture of reinforcing & modifying
5⃣Learner engagement
6⃣Frequency
Read 16 tweets
15 Sep 20
1/

Have you ever a junior member of your team ask you a question, and you had NO IDEA what the answer was?

Like, literally no clue.
Racking your brain.
Nothing.

Nope, just me?

This week’s #MedEdTwagTeam #ClinicalTeaching topic: Humility.

#MedTwitter #MedEd Image
2/

On my first day as a senior resident, I was terrified that my interns would ask me a question that I didn’t know.
…And they did.

So I said, “I don’t know, let’s look it up.”

And, (not surprisingly) they appreciated that.
Me, admitting my limitations & offering to help.
3/ Honestly, this fear of not knowing things still plagues me.
I have a weird combination of confidence + imposter syndrome.

Some days I feel confident.
Other days I wonder why everyone else is so much smarter than me.

Why can't I remember the names of those famous trials?!
Read 16 tweets
1 Sep 20
1/ 💭Thoughts of a trainee💭

“Should I call my [resident/fellow/attending]?”
“I don’t want to be a bother.”
“I don’t want them to think I’m dumb.”

Sound familiar?
I know these thoughts plagued me.

How can we prevent this?

This week’s #ClinicalTeaching topic: Be Available
2/ To me, “Being Available” means ensuring that my team feels that I am their safety net

Nothing is beneath me.
I’m here to help.

WE, as a team, are responsible for our patients.

A failure of one, is a failure of all.
Yet, an accomplishment of one should be celebrated by all.
3/

In my mind, the concept of “Being Available” has two components:

1⃣Approachability (i.e. are people comfortable asking for help?)

2⃣Proximity (i.e. are you physically & mentally “there” for your team?)
Read 16 tweets

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