1/ You're on the inpatient service,
and you want to teach...

but HOW are you supposed to FIND TIME ⏲️while also
✅ caring for patients
✅ writing notes
✅ completing other administrative work

Not to mention managing your personal life!

This week: tips on teaching BEFORE rounds Image
2/ This week, I will share practical tips on how to integrate teaching into your daily routine BEFORE rounds.

It's another #TweetorialTuesday from the @MedEdTwagTeam for our #MedTwitter & #MedEd friends! Image
When do you typically teach?
4/ As mentioned previously, I like to schedule teaching BEFORE rounds.

I do this because it:
*⃣ shows I PRIORITIZE teaching
*⃣ ensures we have TIME for teaching
*⃣ allows me to teach when learners are FRESH

Plus, it sets the tone for rounds as a time for teaching & learning. Image
5/ When teaching before rounds, it's critical to pay attention to⏰

Keep it short or learners start worrying about how teaching is impacting their workflow.

Primary teams tend to have busier mornings than consult teams, so 5-10 minutes of teaching before rounds works best.
6/ There are many strategies that can be used for short, focused teaching sessions.

Here are 3 strategies that we have used/seen that are effective teaching methods.

(Alternatively, you can use the pre-round teaching time to get to know your team members!) Image
7/ Here are examples of peer teaching.

If you create a central repository to store the teaching points & learning resources, learners can reference it in the future!

Example: @ricapitt creates a Google slideshow & has learners add a slide w/ their teaching point each day. Image
8/ Peer teaching benefits everyone.

1. Teaching is a powerful way to learn a concept better.
2. Peers' cognitive congruence with each other results in content being taught at the appropriate level.
3. It takes pressure off the attending.

Read more here:
tandfonline.com/doi/abs/10.108…
9/ Retrieval practice refers to the process of having learners "retrieve" information from inside their head, usually by answering questions.

This is a great way to teach, and it requires very little prep from the teacher.

Here is how I use it for inpatient teaching. Image
10/ If the concept of retrieval practice is new for you, use one of these excellent resources that summarize how to use it effectively:

An infographic:
learningscientists.org/retrieval-prac…

A video:


A website:
retrievalpractice.org
11/ Bite-sized teaching sessions allow you to teach content in a short amount of time.

The key is to limit what is taught in a single session; however, the same topic can be covered over multiple sessions allowing more comprehensive coverage of a single topic, if desired. Image
12/ Developing chalk talks will be covered in a future tweetorial.

For now, you can adapt others' chalk talks for your teaching. Examples:
*⃣@teachIM_org, teachim.org
*⃣@CPSolvers, clinicalproblemsolving.com

More about bite-sized teaching: bmcmededuc.biomedcentral.com/articles/10.11…
13/ So, in summary, try to incorporate short 5-10 minute teaching sessions before rounds using:

*⃣ peer teaching
*⃣ retrieval practice
*⃣ bite-sized teaching sessions

Doing it at the beginning of rounds ensures that it happens, but make sure that you don't lose track of time! Image
14/ Are there other ways that you incorporate teaching before rounds? If so, please share!

Next week, stay tuned for @GStetsonMD who will discuss using questions for "priming".

See you then #MedTwitter #MedEd! Image

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More from @JenniferSpicer4

12 Oct
1/ You are standing in front of your team, getting ready to teach about diabetic foot infections.

HOW will you get them interested in this topic?

And how are you going to teach so that EVERYONE learns, from student all the way up to the fellow?!

#MedEd #MedTwitter: HELP!
2/ This week, I will share tips on teaching to multiple learner levels AND interests to help you effectively engage your entire team during inpatient teaching sessions.

It's another #TweetorialTuesday from the @MedEdTwagTeam for our #MedTwitter & #MedEd friends.
3/ You have a team of learners and a patient to discuss.

How will you make the teaching both INTERESTING & RELEVANT for your learners?

I mean, you're teaching about diabetic foot infection. Everyone's going to 😴💤 as soon as you start teaching. How can you keep them engaged?!
Read 15 tweets
21 Sep
1/ Have you ever...

...promised yourself that THIS time you'll prioritize teaching while on the inpatient service but then get TOO BUSY?

...or WANT to teach something on rounds but realize that you have FORGOTTEN the details of that clinical pearl.

Then this week is for you!
2/ This week, I will share tips to help you prepare to teach effectively on rounds as one of our “foundational skills” for inpatient teaching.

It's another #TweetorialTuesday from the @MedEdTwagTeam for our #MedTwitter & #MedEd friends.
3/ Before we get started, I want you to reflect on something:

When you travel, do you tend to plan an itinerary for your trip or "wing it"?

Now, what if you only had a single day in that city but wanted to see all the famous sites?

Would your answer change?
Read 16 tweets
7 Sep
1/ It's another #TweetorialTuesday from the @MedEdTwagTeam for our #MedTwitter & #MedEd friends.

This week, I will give you a glimpse into how I structure my day on the inpatient service to balance teaching & completing my own tasks as an attending!
2/ As a reminder, we are discussing the foundational skills for inpatient teaching - i.e., how to "fit it in"

@GStetsonMD provided his perspective last week.

This week, I will compare/contrast how I approach this when I'm on a primary vs consulting team.
3/ I've used the literature to consider how I want to teach and conduct rounds.

Therefore, I consider:
1⃣ how my actions impact the learning climate
2⃣ what content my learners need to know for their future practice
3⃣how to incorporate focused, relevant teaching into rounds
Read 15 tweets
17 Aug
1/ #MedTwitter #MedEd

Welcome to our new @MedEdTwagTeam #TweetorialTuesday series on #InpatientTeaching.

We will spend several months exploring how we can improve clinical teaching focusing on the inpatient setting (where @GStetsonMD & myself do most of our teaching).
2/ So, first, let’s start out by defining what makes a good clinical teacher.

Lucky for us, this great article in @AcademicMedicine reviewed 68 articles on the topic published through 2006.

journals.lww.com/academicmedici…
3/ The article has an appendix that lists characteristics in 3 categories, which I have summarized as:

1⃣ personal attributes
2⃣ clinical abilities
3⃣ teaching practices
Read 11 tweets
23 Mar
1/ 💭 Thoughts of a trainee 💭

"I thought that rotation went well.
Why did I get straight 3s on my evaluation?
And how can I improve?
There aren't any written comments!"
Sound familiar?

How can we prevent this from happening?

Read this week's #tweetorial: Written Feedback
2/ This week we will discuss how to give effective written #feedback.

In #MedEd, written feedback is most frequently given in the form of "end-of-rotation" evaluations (also known as "in-training evaluation reports" or ITERs).
3/ We all have a long to-do list. Why should we prioritize high-quality written evaluations?

✅ They impact trainees' grades.
✅ Comments can be used for LORs.
✅ Provide a tangible record of progress during training
Read 17 tweets
16 Mar
1/ 🗣️“Let’s sit down and do feedback.”

What’s your gut reaction to that comment?
Do you cringe?
Experience anxiety?
Have palpitations?

Although I want feedback, I still kind of dread it.

How can we avoid that response?

This week: summative feedback and how to make it better!
2/ This week’s @MedEdTwagTeam #MedEd #tweetorial focuses on summative #feedback.

If you missed it, take a look at @GStetsonMD’s formative feedback thread from last week:
3/ Summative feedback differs from formative feedback in that it serves as a feedback "summary" for the rotation.

And, it is often given for the purpose of “evaluation” or “assessment” of an individual’s performance based on a collection of many observations.
Read 15 tweets

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