In 1927, Bluma Zeigarnik identified that we remember incomplete events much more readily than ones we've completed.

In fact, our minds quickly forget finished tasks.

This is the Zeigarnik effect.

These 5 ideas from her will change the way you learn + work: 🧵👇 Image
Bluma Zeigarnik was a Russian psychologist.

She noticed how waiters kept track of complex orders, but struggled to recall them once they were complete.

Our short-term memory has limited capacity.

But interruptions create cognitive tension that keeps our memories fresh.
Idea #1: We CAN stop procrastinating

Most people think procrastination is about not completing tasks.

It’s actually about not starting them.

Zeigarnik recognises that by starting a task it’s on our mind.

The cognitive unease draws us back to it.

So, take an easy first step.
Idea #2: We read more where there's suspense.

Cliffhangers work because:

• They leave us wanting more
• The story sticks in our mind
• The pause keeps us interested

Rather than sharing everything at once in our writing, we can interrupt the reader + entice them to read on.
Idea #3: We are happier when we don't leave difficult tasks hanging.

Incomplete tasks can lead to intrusive thoughts and anxiety.

Completing them unlocks:

• Self-confidence
• Self-esteem
• A sense of accomplishment

The Zeigarnik effect motivates us to complete tasks.
Idea #4: We study better with breaks.

The easiest way to do this?

Don't revise in long cramming sessions.

I once stayed up all night before an exam + then pretty much remembered nothing the next day.

I failed the exam.

Studying in increments makes it more memorable.
Idea #5: We should design education in shorter chunks.

Finally, this is advice that would benefit us all.

Our learners don't do better when we give them a 45 minute lecture with no interruptions.

They do better when we break it up.

• Shift their focus
• Engage them
• Pause
TL;DR - 5 ideas from Zeigarnik that will change the way you learn + work

• #1: We CAN stop procrastinating
• #2: We read more with cliffhangers
• #3: We are happier when we complete tasks
• #4: We study better with breaks
• #5: We should design teaching in chunks
If you found this thread valuable:

1. Follow me for more threads on education and frameworks → @TessaRDavis

2. Check out another similar thread:
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More from @TessaRDavis

7 Oct
In paediatrics we used to do an ENT exam on every child with fever.

Then in 2020 everything changed.

It caused us to rethink our practice + ask...do we do too much?

My pick of these top 5 papers in PEM aim to change the way we think about the interventions we do #RCEMasc: 🧵👇
Paper #1: Should we treat all well-appearing febrile newborns?

Most of us are (reasonably) scared of febrile neonates.

Pantell et al developed an AAP guideline to help us treat only sick babies.

dontforgetthebubbles.com/well-appearing…

Could this mean we no longer have to treat them all?
Which group did the guideline consider?

• Term babies 8-60 days old with fever
• Exclusions: complex conditions, recent imms

What factors did the working group include?

• Blood results, urine culture, CSF culture

This is a guideline based on the Working Group's findings.
Read 19 tweets
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
23 Sep
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.
Read 11 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

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