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

May 31
1/ "Do you have a second to chat?"

(i.e., The phrase that results in almost a reflex cringe 😳...)

We all want feedback,
but we dread it at the same time.

How can we deliver better feedback?

Check out this week's thread for some tips! Image
2/ This week we will discuss giving feedback in the inpatient setting with a focus on integrating it into daily clinical care.

For more detailed threads on feedback, check out our prior 11-week series on the topic:
twitter.com/i/events/13632… Image
3/ For feedback to be well-received, there needs to be a culture of trust and respect between you and your learner(s).

Seriously, this is THE most important part.

Check out @GStetsonMD's prior thread on the topic:
Read 17 tweets
May 10
1/ *Case presentation of MSSA osteomyelitis*
...
Expert 1: Clearly we should treat w/ IV ceftriaxone
Expert 2: WHAT?! I would never use ceftriaxone to treat this
...
💭Trainee in the audience: What the heck should I be doing?

This week: teaching management reasoning effectively
2/ This week we will discuss how to teach management reasoning, also sometimes referred to as "therapeutic reasoning."
3/ Management reasoning is more complex than diagnostic reasoning because:

1⃣there's usually more than one "right" answer
2⃣many factors must be considered
3⃣a degree of uncertainty about the diagnosis or "best" choice almost always exists
Read 17 tweets
May 3
1/During case conference (& on rounds), we often see master clinicians come up w/ brilliant diagnoses before the HPI is even finished.

But how did they get there?
And how can you teach yourself & others those skills?

This week: how to teach diagnostic reasoning more explicitly Image
2/ This week, we will discuss how to teach clinical reasoning.

Clinical reasoning can be divided into 2 distinct domains.

1⃣Diagnostic reasoning
2⃣Management reasoning

This week we will focus on diagnostic reasoning, and we will cover management reasoning next week. Image
3/ If you want a great primer on the differences between diagnostic and management reasoning, check out this paper in @AcadMedJournal by @CookMedEd @sherbino @lgruppen:
pubmed.ncbi.nlm.nih.gov/31460922/ Image
Read 16 tweets
Apr 12
1/ As the team starts discussing patient #16 on the list during rounds, you look around & notice:

Learner 1: *👀 at their phone*
Learner 2: *🥱, almost 🛌*
Learner 3: *🥺 pleading for rounds to end*

How can you keep everyone engaged?!

If this feels familiar, check out this 🧵! Image
2/ This week, we are continuing our discussion about opportunities for inpatient teaching during rounds with a focus on how to keep learners engaged.

Although these tips are primarily for rounds that do NOT occur at the bedside, many of the same principles apply. Image
3/ For tips on how to engage all learners at the bedside, check out this recent thread from @YihanYangMD on engaging all learners at the bedside with physical exam teaching:

Read 17 tweets
Mar 22
1/ Are you struggling to get buy-in from learners/administrators who prioritize learning "real medicine" (i.e. medical knowledge) > "soft skills" (e.g. patient-physician communication)?

Then this 🧵 is for you!

This week I highlight the importance of the so-called "soft skills"
2/ This week, we are continuing our discussion about opportunities for inpatient teaching during rounds with a focus on communication.

This will be a 3-week series on patient-physician communication, and this week we will highlight WHY it’s important to teach.
3/ As poignantly stated by Robin Williams in the movie Patch Adams...

"You treat a disease, you win, you lose. You treat a person, I guarantee you, you’ll win, no matter what the outcome.”

Read 12 tweets
Mar 1
1/ I’m at the bedside.
I want to teach.
This patient has a great lung exam.

🔴But is it high-yield to teach? We already have the CT...
🔴And do I do my exam "correctly"?
🔴And what's the best way to teach it?

If you have these ❓ too, then the 🧵 these next 3 weeks are for you!
2/ This week, we are continuing our discussion about opportunities for inpatient teaching during rounds with a focus on the physical exam.

This will be a 3-week series, beginning with an introduction today.
3/ So first, we'd like to know:

When you're in the inpatient or outpatient setting, how often do you teach physical exam skills?
Read 13 tweets

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