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…
Actually, I think it's actually the DISQ B. The scale is biased though. I'd modify the scale to 5 point Likert. Very good-good-not good and not bad-bad-very bad. tandfonline.com/doi/abs/10.120…
So I have gone with a narrative MSF for myself, and tried to make it very specific - one thing I did well, and one thing I could do better. This Danish study also looked at narrative only MSF. The majority of supervisors and trainees preferred narrative.
bmjopen.bmj.com/content/11/7/e…

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More from @DrAndrewHuang

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.
"Trust is evidence resistant" according to @AndreaRizziMelb. It works on a number of different levels as outlined in this slide.
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.
Read 8 tweets
30 Nov
blinki.st/c87019b62fd6?b…
Driving Performance Through Learning (2019) by @AndyLancasterUK. This is right in my area of interest in #MedEd.
blinki.st/c87019b62fd6?b…
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.
blinki.st/c87019b62fd6?b…
"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)
Read 25 tweets
30 Nov
blinki.st/c87019b62fd6?b…
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.
blinki.st/c87019b62fd6?b…
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
blinki.st/c87019b62fd6?b…
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
blinki.st/c87019b62fd6?b…
Constitution of Liberty by Hayek. Apparently this is a "seminal text of modern liberalism". Let's see what I can learn.
blinki.st/c87019b62fd6?b…
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
blinki.st/c87019b62fd6?b…
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".
blinki.st/c87019b62fd6?b…
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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