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Driving Performance Through Learning (2019) by @AndyLancasterUK. This is right in my area of interest in #MedEd.
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We gain our skill over the course of our careers, not through attending courses." Learning takes place all the time" and we need to have a broader perspective of what learning looks like. i.e. we need to change our epistemology or concept of how we learn.
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"Employees often learn more effectively in-the-flow of work, rather than in a course."

I think this is the principle underlying the work-integrated-learning movement. (Billett)
Actually, I'm wrong. @StephenBillett5 @StephenBillett4 @StephenBillett3 calls it situated learning. Here is one of his early articles from the 1990s. sciencedirect.com/science/articl…
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In spite of all the changes and disruption to work, one thing remains constant-the need for workers to learn, adapt and improve. The normal go to for organisations are (mandatory) training courses. But these are not the most effective ways of learning.
"Employees often learn more effectively in-the-flow of work, rather than in a course... A lot of the time, learning should simply take place when it’s actually needed, while staff members are doing their jobs."

They call this learning-in-the-flow of work.
Lancaster writes about the 70:20:10 rule. en.m.wikipedia.org/wiki/70/20/10_…

It's based on self-report survey data, so is not completely without evidence, but the evidence is tenuous. The principle is that people learn in different ways- experience, coaching, and didactic lessons.
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For effective learning, you need to perform a learning needs analysis.
1/What do they need to learn and why?
2/How big is the project & is it achievable?
3/Identify and implement solutions
My case study-small groups at church: Encourage those with flourishing small groups to coach new small group leaders rather than running a once-off course to addess a perceived issue or deficiency in knowledge or training.
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"Instead of chasing perfection, design agile, responsive learning solutions."

And iterate.

"How quickly staff become competent is vital for a business's bottom line... if you take too long... (the solution) will be outdated (before implementation)"
Therefore its best to adopt an agile or responsive approach. With iteration, you should end up with a "minimum viable proposition".

In this process it's essential to engage key stakeholders so that you get the feedback to iterate the system. It may also involve microlearning.
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Lancaster outlines the importance of tracking the outcomes of learning, but notes that it's hard. He writes of the Kirkpatrick model and "happy sheets".

Kirpatrick sounds familiar,,,
Four levels in Kirkpatrick's model
1/Reaction
2/Learning
3/Behaviour
4/Results

Some suggest a fifth level- return on investment.
en.m.wikipedia.org/wiki/Donald_Ki…
Lancaster starts talking about metrics and KPIs. Returns to the return on investment, and suggests crowdsourcing. "Simply ask staff what ROI they think they're generating as a result of their learning."
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"technology is changing everything. The number of people with a mobile phone is north of five billion...
it's not much of a surprise that YouTube, Twitter, and LinkedIn are now some of the most valued learning resources out there – not to mention Google."
"Digital learning solutions can have a transformational effect... (but) solution isn’t necessarily better just because it’s digital."

Examples: BP leadership app; Boeing using AR and VR to traing workers to assemble aircraft wings; podcasts, youtube; twitter.
Where possible, we shouldn't reinvent the wheel or create new content. This reminds me of the flipped classrooms I've done where I've used documentaries about patient's lived experiences of the opioid crisis.
Lancaster also suggests using content curation. It's agile, encourages diverse thinking, and points learners towards self-direction - the holy grail of CPD.
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"Enabling community involvement is a great way to encourage workplace learning."

Here Lancaster is probably touching upon socioconstructivist paradigms like Communities of Practice theory.
Benefits of community learning:
1/Staff can learn from each other and resolve issues quickly
2/It's targeted and applicable
3/It fosters thought leadership and trust formation
To do it, you can utilise technology. The author suggests Linkedin or Facebook. This reminds me of the platform that Eastern Health has implemented. I'm not sure whether there's a great deal of activity or buy-in though.
Learning and development depts can also help encourage self-direction. Lancaster uses the acronym COGS: foster curiosity; leading to ongoing commitment; encourages a growth mindset; and self-awareness.
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"For coaching to have real impact, it needs to become more broadly part of workplace culture... Coaching is a time-honored method of learning, but it has to be embedded in-the-flow of work."
Coaching helps to encourage talent identification and nurturing; helps engagement; helps support performance. Peer coaching gets a mention too, as does training for coaches.

Lancaster also mentions mistakes as learning opportunities.
This was a great book summary. It's led me to the next book I'll look at - The Chief Learning Officer

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More from @DrAndrewHuang

2 Dec
I've finished my CPD triennium, and I'm thinking of how to best incorporate feedback and reflective processes into my practice going forward rather than the last minute scramble that it was this year. I'm thinking of two automated systems.
The first is routine MSF. I could set up an online anonymous database (like survey or qualtrics), print out business cards with the site/QR codes, and hand them out each time I work. A simple: What's one thing I did well? What's one thing I could do better?journals.lww.com/jcehp/Abstract…
The 2nd is patient feedback. Can do it the same way (surveymonkey/qualtrics), but what do I measure? The DISQ might be the answer. ncbi.nlm.nih.gov/pmc/articles/P…
Read 4 tweets
2 Dec
Listening to the #MedEd roundtable @UniMelbMDHS.

They're talking about trust. Immediately I think of Brene Brown, Onora O'Neill, and most recently @CasDamian's paper. Image
"Trust is evidence resistant" according to @AndreaRizziMelb. It works on a number of different levels as outlined in this slide. Image
Trust signalling is a rhetorical device.

Interesting - as an anaesthetist I recognise I trust signal to the patient that I'm going to take good care of them when I render them unconscious to decrease their anxiety. Image
Read 8 tweets
30 Nov
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Bliss More (2018) by @LightWatkins. This one's about meditation so should be interesting and pertinent.
blinki.st/c87019b62fd6?b…
You can try too hard to mediate.

OK. Fair enough. I hope he tells us how to get the balance right.
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Meditation is meant to be easy. You don't have to follow eastern monastic traditions and poses.

Also, like anything, be consistent. It doesn't have to be a long time. 10-20 minutes daily is better than an hour once a week.
Read 15 tweets
28 Nov
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The Power of Pressure blinks by @danejensen. He teaches at a couple of university and contributes to the Harvard Business Review. Let's see what I can learn.
blinki.st/c87019b62fd6?b…
"pressure doesn’t have to be a negative thing"

This reminds me of the Yerkes-Dodson Curve which we learnt about in medical school in 2nd or 3rd year.
scholar.google.com.au/scholar_url?ur…
This paper, which is essentially a history/review of the Yerkes Dodson curve has over 500 citations. The original paper from 1908 experimented with "dancing mice". They didn't teach us that at medical school! Makes it so much more fascinating.
Read 21 tweets
28 Nov
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Constitution of Liberty by Hayek. Apparently this is a "seminal text of modern liberalism". Let's see what I can learn.
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Hayek was one fo socialism's most important critics, outlining classical liberalism "guided by the values of individual liberty, limited government, and the rule of law"
blinki.st/c87019b62fd6?b…
"Individual liberty is the cornerstone of a free society."

Hayek tries to define freedom. "free people are those who make their own decisions without any external coercion."

But do we really make free decisions? eg nudge factors &subconscious bias.
Read 15 tweets
24 Nov
blinki.st/c87019b62fd6?b…
Why Does He Do That? by Lundy Bancroft is today's free Blink. This one is a bit different to the normal self-help and psychology books. This one is about abusive men.

@LBancroftquotes
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Bancroft says abuse is complicated and encompasses a wide range of behaviours, both emotional and physical.

He notes that a lot of abusive men can be "charismatic, kind and fun to be around".
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The author here outlines a case of what he considers an emotionally abusive man. Moods could change in a flash, accused the other of being self-centred, overweight, lazy, etc.

According to Bancroft, abusive men seek power and control over their partners.
Read 16 tweets

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