Jennifer Spicer, MD, MPH Profile picture
ID MD @EmoryMedicine/@GradyHealth. Curriculum development, instructional methods, #MedEd research, #IDMedEd, #SoMe education, visual design. @MedEdTwagTeam
Claudia Gomez, MD.🇨🇦🌻 Profile picture Luis Miguel Noriega Profile picture Sarah Owens Profile picture 3 added to My Authors
May 31 17 tweets 8 min read
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:… Image
May 10 17 tweets 8 min read
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."
May 3 16 tweets 9 min read
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
Apr 12 17 tweets 8 min read
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
Mar 22 12 tweets 6 min read
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.
Mar 1 13 tweets 7 min read
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.
Nov 2, 2021 14 tweets 8 min read
1/ You're on the inpatient service,
and you want to teach...

but HOW are you supposed to FIND TIME ⏲️while also
✅ caring for patients
✅ writing notes
✅ completing other administrative work

Not to mention managing your personal life!

This week: tips on teaching BEFORE rounds Image 2/ This week, I will share practical tips on how to integrate teaching into your daily routine BEFORE rounds.

It's another #TweetorialTuesday from the @MedEdTwagTeam for our #MedTwitter & #MedEd friends! Image
Oct 12, 2021 15 tweets 8 min read
1/ You are standing in front of your team, getting ready to teach about diabetic foot infections.

HOW will you get them interested in this topic?

And how are you going to teach so that EVERYONE learns, from student all the way up to the fellow?!

#MedEd #MedTwitter: HELP! 2/ This week, I will share tips on teaching to multiple learner levels AND interests to help you effectively engage your entire team during inpatient teaching sessions.

It's another #TweetorialTuesday from the @MedEdTwagTeam for our #MedTwitter & #MedEd friends.
Sep 21, 2021 16 tweets 8 min read
1/ Have you ever...

...promised yourself that THIS time you'll prioritize teaching while on the inpatient service but then get TOO BUSY?

...or WANT to teach something on rounds but realize that you have FORGOTTEN the details of that clinical pearl.

Then this week is for you! 2/ This week, I will share tips to help you prepare to teach effectively on rounds as one of our “foundational skills” for inpatient teaching.

It's another #TweetorialTuesday from the @MedEdTwagTeam for our #MedTwitter & #MedEd friends.
Sep 7, 2021 15 tweets 8 min read
1/ It's another #TweetorialTuesday from the @MedEdTwagTeam for our #MedTwitter & #MedEd friends.

This week, I will give you a glimpse into how I structure my day on the inpatient service to balance teaching & completing my own tasks as an attending! 2/ As a reminder, we are discussing the foundational skills for inpatient teaching - i.e., how to "fit it in"

@GStetsonMD provided his perspective last week.

This week, I will compare/contrast how I approach this when I'm on a primary vs consulting team.
Aug 17, 2021 11 tweets 6 min read
1/ #MedTwitter #MedEd

Welcome to our new @MedEdTwagTeam #TweetorialTuesday series on #InpatientTeaching.

We will spend several months exploring how we can improve clinical teaching focusing on the inpatient setting (where @GStetsonMD & myself do most of our teaching). 2/ So, first, let’s start out by defining what makes a good clinical teacher.

Lucky for us, this great article in @AcademicMedicine reviewed 68 articles on the topic published through 2006.…
Mar 23, 2021 17 tweets 9 min read
1/ 💭 Thoughts of a trainee 💭

"I thought that rotation went well.
Why did I get straight 3s on my evaluation?
And how can I improve?
There aren't any written comments!"
Sound familiar?

How can we prevent this from happening?

Read this week's #tweetorial: Written Feedback 2/ This week we will discuss how to give effective written #feedback.

In #MedEd, written feedback is most frequently given in the form of "end-of-rotation" evaluations (also known as "in-training evaluation reports" or ITERs).
Mar 16, 2021 15 tweets 9 min read
1/ 🗣️“Let’s sit down and do feedback.”

What’s your gut reaction to that comment?
Do you cringe?
Experience anxiety?
Have palpitations?

Although I want feedback, I still kind of dread it.

How can we avoid that response?

This week: summative feedback and how to make it better! 2/ This week’s @MedEdTwagTeam #MedEd #tweetorial focuses on summative #feedback.

If you missed it, take a look at @GStetsonMD’s formative feedback thread from last week:
Feb 23, 2021 16 tweets 8 min read
1/ Have you ever finished a feedback session as a teacher (or learner) and thought, “Wow, that went really badly?”

I know I have.
As a teacher AND a learner.

This week the #MedEdTwagTeam is providing you w/ a framework to analyze feedback.

To prevent that from happening again! 2/ This week’s @MedEdTwagTeam #MedEd tweetorial focuses on defining the characteristics of effective feedback.

This is Week #3 in our 10-week #feedback tweetorial series.
Sep 15, 2020 16 tweets 7 min read

Have you ever a junior member of your team ask you a question, and you had NO IDEA what the answer was?

Like, literally no clue.
Racking your brain.

Nope, just me?

This week’s #MedEdTwagTeam #ClinicalTeaching topic: Humility.

#MedTwitter #MedEd Image 2/

On my first day as a senior resident, I was terrified that my interns would ask me a question that I didn’t know.
…And they did.

So I said, “I don’t know, let’s look it up.”

And, (not surprisingly) they appreciated that.
Me, admitting my limitations & offering to help.
Sep 1, 2020 16 tweets 7 min read
1/ 💭Thoughts of a trainee💭

“Should I call my [resident/fellow/attending]?”
“I don’t want to be a bother.”
“I don’t want them to think I’m dumb.”

Sound familiar?
I know these thoughts plagued me.

How can we prevent this?

This week’s #ClinicalTeaching topic: Be Available 2/ To me, “Being Available” means ensuring that my team feels that I am their safety net

Nothing is beneath me.
I’m here to help.

WE, as a team, are responsible for our patients.

A failure of one, is a failure of all.
Yet, an accomplishment of one should be celebrated by all.
Aug 18, 2020 17 tweets 8 min read
1/ As a learner, why do some rotations have you looking forward to work but then others leave you counting down the days until it’s over?

And, as a team leader, how can you create an environment that results in the former?

This week: Rapport & Inclusion - the #MedEd foundation Image 2/ The concepts of rapport & inclusion speak to the team environment that we build.

⭐️ Rapport = “bonding” or building positive relationships
⭐️ Inclusion = making everyone on the team feel valued

#MedTwitter Image
Aug 4, 2020 7 tweets 1 min read
1/ For the #MedEdTwagTeam's next phase, @GStetsonMD & I plan to discuss clinical teaching, with tips for all teachers (student to attending!).

First, some questions for you.

Students, residents, & fellows: which of the following holds you back from teaching the most? 2/ For everyone: now think about one of your favorite residents from your clinical rotations. Why were they your favorite resident?
Jul 14, 2020 17 tweets 8 min read
1/ Have your #VirtualTeaching sessions started to feel like “Death by Powerpoint” with crickets 🦗 in the audience?

Then read this #TweetorialTuesday #MedEdTwagTeam thread on integrating interactive #TechTools into your #VirtualTeaching sessions Image 2/ (And if you want some tips to liven up your actual Powerpoints, check out this @TEDTalks by @davidjpphillips)

Jun 30, 2020 17 tweets 11 min read
1/ Trying to figure out how to connect to your learners during #VirtualTeaching & avoid this response?

Don’t worry, the #MedEdTwagTeam has you covered w/ today’s #TweetorialTuesday on optimizing the virtual #LearningClimate

#MedEd #EdTech #VirtualLearning Image 2/ In my previous poll, most of you identified “lack of interaction” as the most challenging aspect of #Virtual Teaching.

Today we will discuss how to increase interaction. Image
Jun 16, 2020 17 tweets 11 min read
1/ Welcome to the first #TweetorialTuesday from the #MedEdTwagTeam

This week, we will discuss optimizing #Zoom settings for the #VirtualLearningEnvironment

#EdTech #MedEd #VirtualLearning #VirtualTeaching 2/ Here's an outline of our sessions for the next 7 weeks.

The aqua icons will be #tweetorials by @JenniferSpicer4
The blue icons will be #tweetorials by @GStetsonMD

Last week I provided an introduction to #virtualteaching & #virtuallearning