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 2/ This week, we will discuss how to teach clinical reasoning.
Clinical reasoning can be divided into 2 distinct domains.
This week we will focus on diagnostic reasoning, and we will cover management reasoning next week.
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 🧵! 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.
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 2/ This week, I will share practical tips on how to integrate teaching into your daily routine BEFORE rounds.
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"
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.
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?