1/
#MedTwitter: ever learn a mnemonic that you can’t remember 5 minutes later? 🙋‍♀️

What makes a mnemonic useful (or not)?

A 🧵 about the good – and the bad – of mnemonics

#MedEd #NeuroTwitter #Tweetorial
2/
First, some background:

Mnemonic = relating to memory

Mnemonic devices/techniques (often called mnemonics for short) = memory aids or strategies that help with recall

Goal: transition info from working memory to long-term memory (and then be able to retrieve it later!)
3/
Let’s review 3 mnemonic techniques:

1⃣ Method of loci AKA “memory palace”
▪️ Type of imagery mnemonic
▪️ Info mentally placed at important landmarks along an imagined path ➡️ recall by re-tracing the route
▪️ Vivid images are helpful

Image from pubmed.ncbi.nlm.nih.gov/33613393/
4/
Method of loci pros:
▪️ What “memory athletes” use
▪️ Seems to work after 6 weeks of training:
pubmed.ncbi.nlm.nih.gov/33658191/

⚠️ Need to pick a familiar place - may be challenging to find one in common if trying to use same "palace" for a large group
5/
2⃣ Chunking = break up larger list into smaller chunks
▪️ Try for 3-5 chunks
pubmed.ncbi.nlm.nih.gov/20445769/
▪️ Classic: learning a US phone # by area code ➡️ next 3 digits ➡️ last 4
▪️ Can help chunk info for learners by creating an agenda/”chunking map”
▪️ Acronyms & acrostics
6/
Acronym = abbreviation from 1st letters, pronounced as a word
◾️ Ex: AIDS for acquired immune deficiency syndrome

Acrostic = use 1st letters of items to make a new, memorable sentence or phrase
◾️Ex: "To Zanzibar By Motor Car": 5 facial nerve branches
radiopaedia.org/articles/facia…
7/
Chunking pros:
▪️ Chunks recalled better than random lists pubmed.ncbi.nlm.nih.gov/29698045/

⚠️ Sometimes can remember acronyms & acrostics but not what they represent ➡️ may need an additional link
⚠️ Watch out for too many chunks!
8/
3⃣ Music & rhymes
▪️ Use acoustic encoding
▪️ Rhymes: another reason why “To Zanzibar By Motor Car” sticks!
▪️ Check out this song to help with learning the brachial plexus by @UMICHNeuroRes & #umichchildneuro alums:
@NotoriousEMG @zach_london
9/
Music & rhymes pros:
▪️ Sung texts better than spoken for recall:
pubmed.ncbi.nlm.nih.gov/25951905/

⚠️ In this study, written was associated w/ better recall than spoken or sung (but comprehension better w/ sung):
pubmed.ncbi.nlm.nih.gov/29375429/
⚠️ A familiar melody may be important
10/
Do you use mnemonics in teaching or learning?

Comment 👇: why or why not?
11/
What’s your favorite medical mnemonic?

Key points:
🔑 Goal: working ➡️ long-term memory, for later recall
🔑 3 commonly used: method of loci, chunking (including acronyms & acrostics), music & rhymes
🔑 Creativity & humor are helpful – please keep it appropriate

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More from @RGottliebSmith

Feb 3
1/12
How does botulinum neurotoxin (BoNT) work to improve chronic migraine? 🤔

⚡️ Spoiler: it's probably not what you think!

A 🧵 about BoNT & #migraine

#MedTwitter #NeuroTwitter #tweetorial
2/
Let's start with a definition: what makes a migraine "chronic?"

◾️ Headache occurs at least 1⃣5⃣ days per month
◾️ Of which at least 8⃣ have features of migraine headache
◾️ For 3⃣ months or more

From: Int'l Classification of Headache Disorders ichd-3.org/1-migraine/1-3…
3/
And a bit of history: botulinum neurotoxin (BoNT) came to be studied for chronic migraine after anecdotes suggested that BoNT injections to treat wrinkles also helped with headaches!
Read 12 tweets
Jan 22
1/
What's the best strategy for effective - and time efficient - teaching in clinic?

A 🧵 for 4⃣ teaching strategies when 🕗 is limited (& how they might be used in #neurology)

#MedEd #NeuroTwitter

pubmed.ncbi.nlm.nih.gov/18276715/
pubmed.ncbi.nlm.nih.gov/29383053/
2/
1⃣ One-minute preceptor (initially called: 5-step microskills)
pubmed.ncbi.nlm.nih.gov/1496899/

5 steps & examples 👇

Pros:
✅ Assess learner's knowledge
✅ 👍 & constructive feedback "built in"
✅ Clinical reasoning
✅ Good for novice learners

Cons:
⛔️ "1 min" is a bit unrealistic
3/
2⃣ SNAPPS
pubmed.ncbi.nlm.nih.gov/14507619/

Pros:
✅ Very learner-driven
✅ Aligns well w/ traditional presentation model
✅ Clinical reasoning

Cons:
⛔️ May not work as well for novice learners
Read 7 tweets

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