Yihan Yang, MD MHS-MedEd Profile picture
Jun 7, 2022 11 tweets 6 min read Read on X
1/ Your intern on rounds: “I’m worried about Ms. H & think we need a family meeting.”

You mentally check your schedule to decide where to fit a 30-60 min family meeting AND make it a good learning experience.

#MedEdTwagTeam is back w tips on the latter!

#MedTwitter #MedEd Image
2/ As a reminder, we are continuing our discussion about opportunities for inpatient teaching after rounds. We return to the bedside this week to discuss teaching around family meetings Image
3/ What are your objectives for using the family meeting as a method of teaching?

Common areas for intentional skill-building with family meetings are highlighted 👇🏼 Image
4/ Before the family meeting gather your team for a pre-brief to:

- Decide who is leading
- Agree on a skill to observe
- Review agenda & pt care goal
- ✅ are necessary members of the interdisciplinary team present
- Anticipate challenging scenarios. Consider a brief role pla
5 / If you need a framework for family meetings, @vitaltalk is a great resource for communication around serious illness. Check link👇🏼 for a video & step-wise approach

The guide can also serve as a framework for feedback on the meeting

vitaltalk.org/topics/conduct…
6/ If you have other learners joining but not leading the meeting, how do you keep them from drifting off?

Assign roles for learners to practice their skills of observation & peer feedback. Image
7/ During the meeting, sit back, let your learners do the talking, & make your observations.
8/ If you feel an aspect of communication was skipped or could be improved/clarified, gently step in and role model what to say.

An example of further exploring patient wishes 👇🏼 Image
9/ Post family-meeting, make sure to debrief!

✨Ask for reflections about the meeting

✨Did the team learn anything new about the pt / family members?

✨Have observing learners provide peer feedback

✨Provide your own feedback Image
10/ With a little pre-planning & time set aside before, during, and after your family meeting, there can be plenty to learn & teach about your team and your patients! Image
11/ Stay tuned for next week’s #TweetorialTuesday on teaching learners when delivering difficult news

Make sure to follow @MedEdTwagTeam members @GStetsonMD @JenniferSpicer4 @ChrisDJacksonMD & @YihanYangMD so you don’t miss anything! Image

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More from @YihanYangMD

Jul 26, 2022
1/ “When you have time, can we look over one of my notes?”

Do you have an approach to teaching when learners ask for feedback on documentation? Check out the following thread for some high-yield tips!

#MedEd #MedEdTwagTeam #TweetorialTuesday #MedTwitter Image
2/ As a reminder, we are still in our series on inpatient teaching. I typically will teach about notes after rounds. Image
3/ First… in your opinion, how valuable is it for learners to receive feedback from notes?
#MedEd #MedTwitter #MedStudentTwitter
Read 14 tweets
Jul 19, 2022
1/ You’re prepping a 15min post-rounds talk on anticoagulation. To excite the crowd, you say, “This is going to be interactive!”

How do you avoid learners reflexively cringing,waiting to be “socratically” questioned?

#MedEd #MedTwitter #MedEdTwagTeam #TweetorialTuesday
2/ We are still covering teaching in the inpatient setting. Interactive teaching can be done in most settings, but I’ll focus on opportunities before/after rounds. We covered interactive teaching during rounds & @ bedside earlier this series
3/ When people say, “This session is going to be interactive,” a talk where learners are asked a series of ?s akin to the socratic method often comes to mind.

For this thread, I'd like to frame “interactive teaching” as below:
Read 14 tweets
Jul 5, 2022
1/ Last week, @ChrisDJackson dropped some serious 🔥tips on putting together the content of chalk talks. Check it out if you missed it ⬇️

Part 2 this wk will cover high yield delivery tips!

#MedEd #MedTwitter #MedEdTwagTeam #TweetorialTuesday Image
2/ As a reminder, we are still covering teaching in the inpatient setting. Again, chalk talks are fair game both during or after rounds, depending on how much time you have available Image
3/ We will cover the following tips for chalk talk delivery in this week’s🧵: Image
Read 16 tweets
Jun 14, 2022
1/ A new dx of cirrhosis…
Recurrence of cancer…
A Monday procedure is canceled & your pt waited since Friday…

We’re frequently the bearer of bad news in the hospital.

Today #MedEdTwagTeam shares tips on incorporating teaching when giving difficult news.

#MedTwitter #MedEd Image
2/ As a reminder, we are continuing our discussion inpatient teaching.

Last wk, we covered tips on teaching around family meetings:

This wk, we focus on teaching when delivering difficult news, which can also be done during rounds & routine patient care Image
3/ But 1st… what counts as “difficult news?” We often think of cancer or terminal illnesses.

But with the definition ⬇️ I think we can agree there are plenty of times when we may be delivering difficult news to patients without even identifying it as such. Image
Read 11 tweets
Apr 12, 2022
1/ A room full of rising chief residents discussing report facilitation - wonderful to teach in person again @AAIMOnline #AIMW22!

If you missed our workshop, please check out the following links for my report facilitation tweetorials! #MedEd #MedTwitter
2/ In our #AIMW22 workshop we shared 8 tips for facilitating resident report

Tip 1 - Starting on Time in the link below!

Tips 2-8 in the following 🧵
Read 7 tweets
Mar 15, 2022
1/ Your student is trying to characterize the pt’s aortic stenosis murmur. The pt looks concerned. The rest of your team looks bored, waiting to examine the pt.

How to make PE teaching fruitful & engaging for EVERYONE?

#TweetorialTuesday #MedTwitter #MedEdTwagTeam #MedEd Image
2/ As a reminder, we are continuing our discussion about opportunities for inpatient teaching during rounds.

Today is the final installment on the physical exam. Image
3/ You’ve decided to teach exam skills. You’ve prepped WHAT you’d like to teach.

But with so many different levels of learners on a team, keeping all your learners & the pt engaged can be a challenge during exam teaching.
Read 16 tweets

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