We've all now been in 100s of online meetings.

Most of us think forcing people to turn their cameras on improves engagement.

Experts suggest instead it disadvantages women, newcomers, + those with life happening.

Here are 5 reasons why forcing cameras ON isn't better:🧵👇
1. Having the camera on forces us to worry about self-presentation.

We feel like we are being watched.

We need to have a game face on.

Instead of focusing on content, we are drained worrying about how we present.

We actually engage LESS when we are forced to have cameras on.
2. Women + those with 'life' happening are impacted more

Shockley shows that women have more pressure to look presentable with cameras on

Those of us in shared home spaces also struggle.

Instead of being able to concentrate on content, we focus on showing a professional front.
3. Newer employees are impacted more.

People who have been in their jobs for a long time feel they have less to prove in meetings.

Their reputations are well established.

As newcomers though we have pressure to present well in meetings.

This causes more cognitive fatigue.
4. We engage LESS not more.

Shockley et al showed that we become more fatigued when we are forced to have cameras on.

Consequently they found that we speak less in meetings.

The very reasons we think we should force cameras on can actually make people feel LESS present.
5. The best meetings allow flexibility for attendees.

Finally, this is the most important idea of all.

Flexibility unlocks acknowledgement that:

• People are adults + can choose
• People can join meetings while walking/travelling/having family at home
• We trust our teams
But what about for the group rather than the individual? What about teaching/presentations?

• Presenting to black boxes isn't easy
• For lipreading we need cameras on
• It's hard to get engagement in tutorials when students have cameras off

So, it's not straightforward.
TL;DR - 5 reasons why pressurising our teams to turn cameras ON in online meetings is bad for engagement

• We worry about how we look
• We worry what's going on in the background
• We feel under scrutiny
• We engage LESS not more
• We aren't free to make our own choice
If you found this thread valuable:

1. Follow me for more threads on non-clinical work and education → @TessaRDavis

2. Subscribe to my YouTube channel: youtube.com/channel/UC6Gth…

Thanks to @AdamMGrant + @mar15sa for the inspiration.

See Shockley
Thanks all - if you liked this please subscribe to my Bubble Up newsletter for more:

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More from @TessaRDavis

26 Sep
Bronchiolitis is everywhere.

Most of us find it pretty easy to identify infants with severe bronchiolitis.

What's harder is working out which infants with bronchiolitis are safe to send home, and which need to stay.

Here are my 5 top tips on managing bronchiolitis well: 🧵👇
Tip #1: Assess the feeding.

Most people know that we are aiming for >50% of normal feeds.

How do we make this assessment in breast fed babies?

We can ask about:

• length of feeding
• frequency of feeding
• how full the parent feels after a feed

All of these help us assess
Many babies with bronchiolitis will have shorter and more frequent feeds.

As long as they are getting around 50% of normal feeds in total that's fine.

A great tip is to ask about the frequency of wet nappies + how heavy they feel compared to normal.

Parents know this readily.
Read 12 tweets
18 Sep
Choosing the right examples to use in your job interview is really stressful.

Sometimes it seems impossible to get it right.

This year I spoke to over 50 interview experts to hear their tips.

These 7 tips from them will change the way you select + prep your examples: 🧵👇
Tip #1: Do your prep well

Most have us have tried to come up with an example on the spot in interview.

If we try to do this, we experience:

• Stress
• Difficulty focusing on the answer
• A risk of choosing a bad example

Instead we can prep likely examples in advance.
Tip #2: Make sure it's true.

It's tempting to 'embellish' a story to make us seem awesome, but this is a terrible idea.

It will mean:

• We can't answer follow-up questions
• We get ourselves stressed
• We won't sound genuine

Instead, be your authentic self.
Read 11 tweets
17 Sep
Knowing how to choose the best vein for our paediatric cannulas unlocks the key to success.

Most of us have to learn this by watching others, and learning from our own failures.

Here are my tips on how to choose the best site to help you get that cannula in first time.🧵👇
When we first start out, we think just getting the cannula in is what matters.

After our cannulas get blocked or fall out, we start to think about why they don't work for as long as we want

The best vein is:

• juicy
• easily visible/palpable
• straight
• in a good location
The arm.

The best option is the arm + ideally it should be away from a joint.

Why do we want it away from a joint?

• It's really annoying for the child every time they bend their arm
• It's more likely to get blocked
• It's more likely to fall out
Read 14 tweets
13 Sep
In 1985 the Gillick judgment laid out how young people in the UK can consent to treatment without parental agreement.

12-15 year olds can now have the COVID vaccine.

They can consent even if the parents refuse.

These 5 points will help you understand Gillick competence: 🧵👇
But first, some definitions are key.

Most people know that when you become 18 you're considered an adult.

And when you're 16/17 you can consent to treatment just like an adult can.

But, unlike adults, at 16/17 if you refuse treatment it could, in some cases, be overridden.
What about under 16s?

Most people think that those under 16 can't make decisions without their parent's agreement, But they can.

Experts agree that this isn't about AGE. It's about CAPACITY

That's where Gillick competence comes in.

It changes how we can listen to young people
Read 12 tweets
12 Sep
Getting your paediatric patient in the right position boosts your chance of getting that cannula in first time.

Whilst we are taught how to cannulate, most of us have to learn the best positions the hard way

Here are the positions that help me get the cannula in first time.🧵👇
When we first start out, we think the position doesn't matter as long as we see a vein

It’s not until we fail multiple times we start to think about why we can't get it in

The right position depends on:

• the age of the child
• the available space
• cooperation from parents
1. Babies

I always cannulate babies while they lie on the bed.

I never do it in the parent's arms. It just isn't stable enough.

This ensures:

• The parent can be close + comfort
• I get a good view of the vein
• Someone can hold the baby's other limbs out the way
Read 11 tweets
10 Sep
Mastering the art of making notes unlocks our ability to learn effectively.

Unfortunately, we don’t get taught this well.

Neuroscientist @anthilemoon helps us use our brains to work smarter

Here are 2 pieces of advice + 4 systems from her to change the way you make notes: 🧵👇
Advice #1: Focus on note-making not note-taking

When we’re starting out, we think it's TAKING notes that matters.

It’s not until we realise how useless they are that we recognise it isn't enough.

MAKING notes is an active process where we try to assimilate info to use it again
Advice #2: Remember the key principles of making notes

• Rephrase the original words into your own
• Connect the ideas to improve recall
• Build upon your initial notes by reviewing + adding over time

Active engagement makes our notes useful + our learning stick.
Read 11 tweets

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