Jennifer Spicer, MD, MPH Profile picture
Oct 7, 2022 12 tweets 6 min read Read on X
1/ Do you want to know tips & tricks for incorporating technology into teaching?

Here are the take home points from my presentation today at #iMed2022. Image
2/ First, remember that technology can *augment* teaching but can't replace good instructional design.

Just like a good stethoscope is helpful to hear a murmur but can't replace the skills and knowledge necessary to diagnose valvular dysfunction. Image
3/ So before you think about what technology to use, first think about:

*⃣ WHAT learners should able to do afterwards (i.e., learning objectives)
*⃣ HOW you should teach it to achieve your goals (i.e., teaching methods)

Then, and ONLY then, should you select a tech tool. Image
4/ Therefore, I want you to approach integrating technology by considering

WHAT the educational *problem* is....

...and HOW technology provides a *solution* Image
5/ Problem #1: I can't tell if my learners understand what I'm teaching!

Although "raising hands" is a low-tech option, polling provides an opportunity to get more responses since people feel safer answering if they are anonymous, making answers are more representative. Image
6/ I use @polleverywhere since our institution has access.

But to use it well, it's important to consider:
*⃣ WHY - create a valuable question (application > recall)
*⃣ WHEN - before, during, or after teaching the concept?
*⃣ HOW - open-ended, close-ended, or combined format? Image
7/ Problem #2: I don't have time to prepare a teaching session for the clinical setting.

Another great opportunity to use a quiz software to have 5 pre-made questions (e.g., board-review questions) grouped on a topic.

Answer & discuss as a group (and share with other faculty!) Image
8/ Problem #3: I can't get people to actively engage in discussions during small groups or case conferences.

Use a collaborative document/board, like @padlet to have learners provide input during class. Then it's easy to jump off of input to start a conversation. Image
9/ Problem #4: I have so much to teach in my course, but I don't have time to teach it all!

A great way to reinforce content (or teach facts that you don't want to waste time on during class) is to create electronic flashcards in a spaced repetition platform like @AnkiDroid. Image
10/ Problem #5: I can't get people to engaged in deeper discussions during journal club!

A social annotation platform like @perusall allows you to upload a file, like an article, and then the entire group can annotate, including responding to ?s the facilitator creates. Image
11/ Problem #6: I've created so many chalk talks but always forget them when I want to teach again!

Use a note-taking app like @evernote or @NotabilityApp to store images of your chalk talks (and even audio!), then create tags (i.e., "chalk talk", "[topic]") for easy searching. Image
12/ This is just a start...brainstorm your own ideas for using tech to augment teaching and share below
👇👇👇

Consider how you could use:
✅ Polling software
✅ Collaborative documents
✅ Spaced repetition platforms
✅ Social annotation
✅ Note-taking apps

Or share a new one! Image

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More from @JenniferSpicer4

Mar 17, 2023
Kicking off BST Mode ⁦@emoryimchiefs⁩ Grady campus on #MatchDay2023

@gradydoctorImage
Do you want a 4-step process for questions to ask when you get a page next year when you’re alone on nightfloat or ICU call?

Check out this framework! Image
And now, do you wanna remember who the heck to order DEXA scans for in clinic?

Thankfully Miko De Bruyn comes to the rescue. Image
Read 16 tweets
Mar 7, 2023
1/ You're seeing a new consult with your team, and you want to teach the primary team too.

But WHEN is the best time to teach them?

On the phone?
At the bedside?
In their team room?

And in the morning?
Or maybe the afternoon?

This week: Image
2/ Last week @VarunPhadke2 described all of the individuals whom we can teach during the day.



But when should we teach them?

Often we default to teaching on the phone when receiving the consult or giving recommendations, but there are other options too.
3/ This week we will discuss the pros & cons of those options.

With one caveat.

Often the best time to teach is the one most convenient to your team & the primary team, which depends on your local institution's workflow.

But let's explore some general principles to consider.
Read 15 tweets
Feb 21, 2023
1/ You're finishing your last consult of the day.

It's late.
And it's been a long day.

You intended to find the primary team to teach them, but you have a million other things on your "to do" list.

Here are 8 reasons why you should still find time to teach the primary team. Image
2/ Reason #1: They want to learn

The primary team called with a question.
They are invested in the answer.

It's all about finding out what they want to know and targeting your teaching accordingly.
3/ Reason #2: It empowers them

Often the primary team has an idea of what to do but wants reinforcement that their plan is correct.

Teach them general rules that they can re-use. Image
Read 12 tweets
Jan 31, 2023
1/ Your team just saw a patient with syphilis, and you're ready to teach, but:

Resident #1: on week 2 of their rotation
👉 Has already seen 2 patients w/ syphilis

Resident #2: started today
👉 Hasn't seen a single patient with syphilis

What should you do now? Image
2/ Unfortunately, learners on our team may miss teaching that occurs during the rotation for multiple reasons. Image
3/ As @VarunPhadke2 previously pointed out, all learners on the team are usually not present all day, every day for the entire time we are on clinical services.

Image
Read 16 tweets
Jan 24, 2023
1/ A member of your consult team presents a patient w/ suspected neurosyphilis.

Your team:
⭐️ 3rd year medical student
⭐️ IM intern
⭐️ 2nd year IM resident
⭐️ 1st year ID fellow

How can you possibly provide valuable teaching to all of them?

This week: Multi-level teaching Image
2/ Teaching multi-level learners is hard.

Their range in baseline knowledge means a single teaching point is often not effective for everyone.

So how can you support everyone's learning without taking too long and/or boring others?
3/ A prior thread discussed the importance of clarifying learners' needs & interests at the beginning of the rotation.

This is one 🗝️ for effective multi-level teaching.

Know what materials is RELEVANT and INTERESTING for each learner level.

Read 14 tweets
Jan 10, 2023
1/ *Re-consult 📞*

You: What did the last consult note say?

Them: I don't know how to interpret it...

*reading the ✍️ yourself*
#Sepsis
- send tick serologies
- start broad-spectrum antibiotics
- we will follow up OSH data

You: 🤦 I feel you... We'll see the patient again. Image
2/ You wonder...

💭 What tick serologies were we referring to?
💭 What antibiotics were we wanting to start?
💭 And which OSH has prior records?

And you're not the only one wondering...

How can we ✍️ more effective notes?
3/ Clinical notes are used for many purposes, as previously highlighted by @YihanYangMD

Read 15 tweets

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