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
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 👇🏼
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
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.
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 👇🏼
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
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!
11/ Stay tuned for next week’s #TweetorialTuesday on teaching learners when delivering difficult news
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:
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
3/ We will cover the following tips for chalk talk delivery in this week’s🧵:
This wk, we focus on teaching when delivering difficult news, which can also be done during rounds & routine patient care
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.
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?