Thread by @YihanYangMD

1/ You’ve got multiple learners on your inpatient team. How do you know if you’re teaching them what they need and want to learn?

It’s another #TweetorialTuesday from the @MedEdTwagTeam!

#MedTwitter #MedEd #MedEdTwagTeam #MedTweetorial #FacDev

2/ We are still covering the foundations of inpatient teaching.
 
If you missed these threads, catch up on:
🔥@JenniferSpicer4’s how to plan for teaching on rounds - tinyurl.com/roundsprep
🔥@GStetsonMD’s how to boost teaching with learning objectives - tinyurl.com/LObjectives

3/ This week, we cover how to use shared goal-setting to build upon teaching preparation & learning objectives.

4/ Just as shared decision making is crucial to patient care, shared education goal-setting is vital to #MedEd.

Too often educators teach what we think learners need to know.

5/ Shared goal-setting helps you establish an early needs assessment with your team members.

So what might this look like?

6/ @ the beginning of a rotation & when new learners join the team, I ask new team members to reflect on some ?s 👇 to help determine their goals.

I ask learners to write down @ least 2 strengths & 2 improvement goals on an index card at the beginning of their first day.

7/ Why index cards?

⚡️I’ve found that reflection is more likely to occur by the time we meet later in the day when I give something to fill out vs just thinking about it in their heads

⚡️I keep the cards in my coat to remind myself of learners' goals throughout the rotation

8/ Keep in mind that many learners might write a generic goal like, “Improve clinical reasoning,” and may need help flushing out their goals so that they are specific, achievable, time-bound, and measurable.

Help them set SMART goals with the framework below.

9/ Based upon your learners’ reflections, help them develop both END goals & MEANS goals, defined below.

10/ Here is an example inpatient end and means goal for a learner:

11/ For those in the ambulatory world, an example for end and means goals for a clinic day:

12/ Ok. Now that you’ve created shared goals, let’s apply the goals to your teaching planning & learning objectives.

Here’s a slide from 2 weeks ago that @JenniferSpicer4 used with a fake pt list & list of teaching topics for the pt with MSSA bacteremia.

13/ Keeping in mind one of your learner’s goals, you may choose to focus on the highlighted topics, and add an additional topic:

14/ Now here’s a slide from last week where @GStetsonMD created learning objectives for one of Dr. Spicer’s MSSA teaching topics:

15/ Let’s adjust some LOs, based upon your learner’s goal to improve judgement on whether a pt may need a higher level of care based upon vital signs, bedside exam, and diagnostics.

As you can see, using shared goal-setting allows you to make learner-centered teaching choices!

16/ Additionally, when I give learners mid/end of rotation feedback, I give their cards back for them to reflect on how much they've learned.

🔑Sometimes learners do reach their END goals early. Great! Meet with them earlier & ask them to set some new end and means goals!

17/ Remember, learning theory tells us that adults learn best when material:

- Involves them in planning
- Builds on experience
- Is applicable to their lives/jobs
- Problem-centered

Shared goal-setting allows you to hit at least the first 3, if not all 4, with your teaching.

18/ #MedTwitter, how do you approach goal-setting with learners?

Next week, check out #TweetorialTuesday by @JenniferSpicer4 on teaching to various levels of learners.

In the meantime, follow @GStetsonMD @JenniferSpicer4 @MedEdTwagTeam to make sure you don't miss anything!