Dr Andrew Huang 黄延祺 Profile picture
Oct 1, 2021 30 tweets 10 min read Read on X
Combined SIG meeting is on failure this morning.

I failed to log in on time! 🤣
#combisig21 talking about failure in research projects... but what is failure? How can you fail in research? Isn't research about improving our knowledge? Isn't a negative study actually a good thing but that we frame it in the wrong way?
"I roll with things pretty well" - I'm with you @DrDanSchumacher
"Failure is part of life" @SaleemRazack

I think in medicine, we see death as a failure. But it's not. Death is also part of life.
Did I just hear @sherbino quote Seneca? 🤣
How do we normalise failure? Good question.

To fail is human - none of us is perfect. We recognise this in church. But I'm wondering where and when did the chase for perfection become pervasive in society? And in medicine?
"Failure is only failure if you keep it to yourself"

Agreed. Keeping secrets festers. It is better to have transparency so you can get help.
"Failure is only a failure if you fail to learn"

I've seen plenty of this over my lifetime!
"A failed project does not mean failed scholarship"

Reminds me of this tweet:
"A failed project does not make a failed scholar"

As above - if there such thing as a failed project? How do we define failure in Medicine?
Shame research in medicine - @BreneBrown meets medicine.

@WillBynumMD.
Failure CV - this is the second time I've heard about this in the #MedEd context.

I started mine.

I'll need to dig it out and update it.🤣
The time, energy and emotional capital.

And we're not given the time to reflect TBH.

Other thoughts - Balint, Schon Reflective practitioner.

A lot of what is being talked about reminds me of Daring Greatly
Shame as fire. Interesting metaphor.

When I think of fire, I think of a refining fire. Something that actually makes us better, and more pure.

I wonder how they are using the metaphor.
Good questions. Why does risk of failure -> risk of shame?
Theory of self-conscious emotion. What does this theory say?

Negative event->two self-representations (now and future). Cognitive dissonance arises when we feel shame and guilt. Shame is about who we ARE, built is about what we've DONE.
I can see now how my faith protects me from shame.

As a Christian, I know that I am not perfect: "We all have sinned and fall short of the glory of God" (Rom 3:23)
Hmm... missed the last 10 minutes through home interruptions!

Got to love lockdowns! 🤣
Frames of reference. As a Christian, I know I'm not perfect, and that I'm redeemed through Christ.

But for non-Christians, how can you deal with these thoughts? Having missed the bits in between, I'll have to look up the paper.
This is from Google scholar. scholar.google.com/citations?user…
Realistic expectations; adaptive perfectionist; #GrowthMindset
The shame of the nation in failing Indigenous people.

I agree.

Also think that there is a great shame in the way Chinese Australians have been treated under the #whiteaustralia policy, but this is not at the front of Australia's consciousness. #EndRant
FPM representation low.

On a personal level, I was trying to set up an outreach pain clinic to Healesville. (Historically this is where Coranderrk reservation is/was.)

Unfortunately, it's never got off the ground, and I'm leaving Eastern Health pain next month.😩
A different pathway into medicine.

Study dentistry first in case you're not good enough for medicine. How does that work?
I've seen this slide before.

I wonder if the person who designed put on a copywrite?🤣
Backlash against advocacy.

The more I'm digging, and more I'm reading about race in Australia and around the world, the less surprised I am.🤷‍♂️
College of Dermatology got funding for an indigenous trainee.

Well done.
I remember Penny Stewart from RPA. 😂
What can we do?

Good tip - go and meet the Aboriginal liaison officer.

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More from @DrAndrewHuang

Jun 6, 2023
I'm doing a plastics list with a resident this afternoon who hasn't seen my sedation technique. I thought I'd quickly jot down some notes about the technique which I'll unroll into a blog post later.

1/
When sedating for a procedure, you need to ask yourself at least three questions:
1/ How long is the procedure going to take?
2/ How painful is the procedure both intraprocedure and post-procedure?
3/ What are the expectations of the proceduralist?

2/
Reflecting...

Perhaps better questions are:
1/How long is the stimulus/duration of discomfort?
2/How painful is the stimulus? How well innervated is the area being stimulated?

This also goes to the heart of the grey zone between sedation and general anaesthesia.

3/
Read 21 tweets
Jun 3, 2023
Some quick notes for myself before I visit the See Yup Temple in South Melbourne with a group of family historians this afternoon.

#chinozhist

1/ Image
On my mother's side, we are descendents of goldrush-era Chinese immigrants to Australia. There were three brothers who were involved in the Beechworth mines possibly from as early as the 1860s. Their names were 黄世彦, 黄世圖 and 黄世祚. familysearch.org/ark:/61903/3:1…

2/ Image
Wong Shi Hoo is my great grandfather - my maternal grandmother's father. He was naturalised and became a British subject in 1885. recordsearch.naa.gov.au/scripts/AutoSe…
3/ Image
Read 11 tweets
Jun 1, 2023
Reviewing this one by @ArpanTahim @doctordeborah and @jeffbezemer after my supervision meeting last week. Recommended that it has parallels with my own research- that the WBA is an artefact, as is the recording of video of clinical practice.

1/ Image
The citation:
Arpan Tahim, Deborah Gill, and Jeff Bezemer, ‘Workplace-Based Assessments—Articulating the Playbook’, Medical Education n/a, no. n/a (2023), .

2/doi.org/10.1111/medu.1…
My question:

What insight can I gain from the production of WBA records that helps me understand the production of the video recording and how it might influence the learning conversation?

3/
Read 35 tweets
May 19, 2023
Developing themes is the next phase I'm now moving into. Re-reading Chapter 4 of this book. Summarising here in a thread as I go. 1/
Developing the themes in reflexive thematic analysis involves a constant back and forth of zooming in and zooming out. You must also give yourself enough time to do it... “It’ll probably take at least twice as long as you expect”.

2/ Image
What is a theme? “A theme captures a pattern of meaning across the dataset”. In reflexive TA a theme represents a shared idea, and is different to a topic summary.

3/ Image
Read 51 tweets
Mar 29, 2023
So I was asked - what is the evidence for feedback/ learning conversations in #MedEd? I was sort of stumped, because I just assumed that it's useful/helpful. This thread is what I've found.

1/
This article seemed quite helpful.

@SubhaRamani @KarenDKonings @sginsburg1 and @CvanderVleuten. ‘Feedback Redefined: Principles and Practice’. Journal of General Internal Medicine 34, no. 5 (1 May 2019): 744–49. .

2/ https://t.co/2dH5SSKP7Kdoi.org/10.1007/s11606…
Image
Interestingly I met Subha Ramani at #AMEE2022 at lunch time after being introduced by Richard Hays. And I'm pretty sure I attended a workshop run by Shiphra at #CCME2019. It's a small world.😅

3/
Read 41 tweets
Jan 2, 2023
Monday's free Blink:
The Light We Carry by @MichelleObama
blinkist.com/books/the-ligh…
"Inside you is a light – it’s a spark completely unique to you: your talents, your determination, your curiosity. What’s stopping you from letting that light shine out fully? Is it fear?

"...acting to avoid fear makes us feel safe – but there are consequences."
"So, next time you hear your own fearful mind, listen to it. Listen to all the ways it encourages you to avoid change. To stay in your comfort zone. To keep your world small.

"Then ask it: Why don’t we try doing something that makes our world bigger for once?"

👏👏👏
Read 6 tweets

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