1/ It is near the end of your time on inpatient service and it has been BUSY!

Spirits are high, but folks are tired.
You want to make sure rounds are high-yield, but how to focus their energy?

Welcome back #MedTwitter & #MedEd for another #TweetorialTuesday from @MedEdTwagTeam!
2/ This week, I will share tips on how to use questions to get ”the wheels turning” for your learners before rounds.

In just a few minutes, this focuses energy, engages team members in the cases they may not be following, and enhances bedside learning for everyone.
3/ Today’s 🧵 harkens back to one I posted about ”prediction questions”.

Inspiration: #SmallLearning from @LangOnCourse. It is tremendous, with a lot of useful ideas that can be applied in the classroom or clinical setting. FYI - 2nd ed just came out.
4/ @LangOnCourse provides a great analogy about the power of prediction: "[Predictive exercises] till the soil of your students minds and prepare a fertile ground for the learning that will follow."
5/ So, what is the science here?

Generating a prediction does a few things to improve learning from an emotional & cognitive standpoint:
6/ So how is it done? Here are some examples of scenarios and questions that can be asked about patients on a team that can prep your team for learning:
7/ What makes a good prediction question:
✅ It is posed as a fun activity to get people thinking
✅ It activates previous knowledge
✅ There is no ”right answer”. You all will discover the answer later when you see the patient, the consultant weighs in, or some result returns.
8/ This is a GREAT way to get all learners involved.
The primary provider has been thinking deeply about the patient, while others may not know much about them.
This helps focus all learners before meeting a new patient & prepares them to incorporate new information.
9/ After a prediction is made, however, it is important to discover the right answer ASAP.
One cannot let an incorrect prediction linger too long, as that risks cementing that prediction as “truth.”
10/ After you discover the truth, reflecting on your predictions is key to learning:
❓ Were you right? Wrong? Somewhere in between? Why?
❓ Did the patient’s presentation differ from a typical presentation? Why?
❓ Are there assumptions you made that must be challenged?
11/ This process is summed up with three key ideas:
🔑 Prediction (before rounds)
🔑 Exposure (getting the answer, during or after rounds)
🔑 Reflection (best as a group, during or after rounds)
12/ Are there other ways that you all get your learners ready to learn at the beginning of a clinical day?

Here’s a summary of how prediction questions can be used to prime learning and why it works.
13/ Thanks for joining us today!

The @MedEdTwagTeam is taking a break for a few weeks to spend some holiday QT with our families. For those who celebrate, we hope you are able to do the same!

Thanks #MedEd & #MedTwitter for all the support & engagement! Tweet you in 2022!

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More from @GStetsonMD

28 Sep
1/ Learning objectives? For serious?!? 🤔
Aren’t those for boring pre-clinical lectures?
Are they even necessary? I seem to get by just fine without them.

You may get by fine but knowing how to use learning objectives will take your game to a new level. Let's go!
2/ Welcome back, #MedEd and #MedTwitter friends, for another exciting week of learning from the @MedEdTwagTeam.

For orientation, we are still in our foundational skills section of #InpatientTeaching.
3/ Every resident who rotates with me leaves my team knowing why learning objectives (LOs) are important, how to make them, and how to apply them.

LOs provide structure to all didactic content, and IMHO, are the single most useful tool to power up your teaching.
Read 15 tweets
31 Aug
1/ Merry #TweetorialTuesday to all our #MedEdTwagTeam, #MedEd, and #MedTwitter friends!

Today we will be chatting about how to fit in teaching when on an #InpatientTeaching service.
2/ As @JenniferSpicer4 outlined two weeks ago, we are going to structure our upcoming content in terms of different times when teaching can occur.

However, today is going to be an overview of structuring one’s day, and is part of our foundational skills section.
3/ And, as with all #MedEd, what I do will NOT translate directly to your practice, as learning contexts are so unique and specific. However, the big ideas and concepts are transferrable.
Read 14 tweets
15 Jun
1/ Welcome back to #TweetorialTuesday with the #MedEdTwagTeam!

Today we will be summarizing what we have learned throughout the #EffectiveQuestions series.

Thanks for joining us, #MedTwitter, #MedEd, #Tweetatrician, & #MedStudentTwitter Friends!
2/ I have had an excellent time sharing with you all my approach to #EffectiveQuestions in the clinical setting.

Here is where we have been during this journey.
3/ In the intro we talked about ”pimping” and the psychologically dangerous environment it creates, as illustrated by these drawings in this fascinating study:

pubmed.ncbi.nlm.nih.gov/31084222/
Read 14 tweets
8 Jun
1/ Welcome back to #TweetorialTuesday with the #MedEdTwagTeam!

We are in our #EffectiveQuestions series.

Thanks for joining us, #MedTwitter, #MedEd, #Tweetatrician, & #MedStudentTwitter Friends! Image
2/ This is our last specific topic in the #EffectiveQuestions series, and it is a favorite!

Today is about how to leverage the power of prediction to engage your trainees and enhance their learning. Image
3/ Today’s thread is based on Chapter 2 from #SmallTeaching.

I love this book by @LangOnCourse. It is right up there with #MakeItStick and #HowLearningWorks, IMHO.

Really digestible, and the information can be applied to your practice the following day. Image
Read 12 tweets
1 Jun
1/ Welcome back to #TweetorialTuesday with the #MedEdTwagTeam!

We are in our #EffectiveQuestions series.

Thanks for joining us, #MedTwitter, #MedEd, #Tweetatrician & #MedStudentTwitter Friends! Image
2/ Today we are touching on how to advance reasoning through inquiry. One of the best and most appropriate uses of questions in the clinical setting. Image
3/ Back when this series started, I asked y’all how you use questions in clinical teaching.

Two long-time friends of the @MedEdTwagTeam, @LiangRhea & @GIMaPreceptor left answers that perfectly set up this thread. Image
Read 12 tweets
25 May
1/ Welcome back to #TweetorialTuesday with the #MedEdTwagTeam!

We are in our #EffectiveQuestions series.

Thanks for joining us, #MedTwitter, #MedEd, & #MedStudentTwitter Friends! Image
2/ This week we continue talking about my favorite uses of questions in the clinical learning environment.

Last week was questions as a needs assessment. Go back and check that out if you missed it.

This week is questions for retrieval practice. Image
3/ Much of today’s thread is derived from a favorite book...Make It Stick: The Science of Successful Learning.

It is very approachable and has super useful content. Today, we will talk about retrieval practice, and briefly touch on spaced learning and interleaving. Image
Read 15 tweets

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