Dr Andrew Huang 黄延祺 Profile picture
Oct 2, 2021 16 tweets 6 min read Read on X
Well done to the trainees to write to @ANZCA. Need to empower and engage the next generation. They are the future leaders.

#CombiSIG21
🤣

I'm pretty sure Myat came to Viva coaching.

Also, I'm hearing skips. @rseglenieks has used Powerpoint to record his presentation. You can record one slide at a time. Learnt this myself. Better than one take in some ways.
Who took this photo? Bigeminy and hypotensive. Glad it's not my anaesthetic! 🤣
Critical incident debriefing. Risk of harm apparently.

I would say that everyone is different, and deals with incidents in a nuanced and highly individualised way.

None of us is the same, and trying to do the same thing for everyone smacks of quantitative responses.
In short, one size does not fit all.

#EndRant
If you're going to do critical incident debriefing, I'd suggest you need the:
Right debriefer for the
Right incident for the
Right individual at the
Right time.
4 responses to a critical incident.
Denial
Discounting
Distancing
Constructive

Reminds me - is laryngospasm without a drip a critical incident? And what is the response of our craftgroup?
"Everyone's an expert with retrospect"

I think the Americans call this Monday morning quarterbacking. 🤣
Debriefing is not dangerous.

@LizCrowe2 is going to town on the Cochrane review.

Again, I see this as an inappropriate application of quantitative research methodologies.
@LizCrowe2 If you don't debrief, people will tea-brief.

🤣
Safety 1, safety 2. Is there a safety 3? (This is a serious question)
Hot debriefs- who does it?

This reminds me of the importance of therapeutic alliances/ educational alliances (Tellio)/ importance of listening and empathy.
I've just realised that I do something very similar to a hot debrief with the pain registrar after each outpatient consultation. 😂

I call it coaching (and helping them get better at interacting with patients who have chronic pain).
Perfect is the enemy of good.

Done is better than perfect.
Emotional responses. Was this a form of critical incident debriefing??

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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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