Yihan Yang Profile picture
Academic Hospitalist @UWDeptMedicine via @EmoryMedicine @YaleIMed res/chief/ #MedEd fellow | #MedEdMethodsMonday | Frenchie mom | Boba enthusiast
Tricia Marriott Profile picture Robert Trevino, MD, PhD Profile picture 2 added to My Authors
1 Jun 20
1/ #MedEdMethodsMonday this wk is on DEEP LISTENING.

2020 has been full of challenges & events revealing the divisiveness in our world.

#MedTwitter, as leaders in #MedEd we must practice to listen deeply to pts, colleagues, & learners.

What do I mean by “deep listening?”
2/ Good Listener, redefined

I’ve always thought I was a good listener. My friends and patients often told me so.

Then I took a leadership class @YaleSOM this spring for my #MedEd Masters & 🤯

Have you heard of the 3 levels of listening??
3/ Listening Levels
I never heard of levels of listening until my class when we were discussing #coaching.

The authors of “Coactive Coaching” describe 3 levels of listening. tiny.cc/CoActiveCoachi…

1. Internal listening
2. Focused listening
3. Global listening
Read 15 tweets
25 May 20
1/ #MedEdMethodsMonday #MorningReport edition ends this week with:

Tip 7-Abandon Objectives PRN
Tip 8-Consolidate Learning

#MedEd #MedTwitter #MedStudentTwitter #FacDev #MedEdPearls #ChiefResidents
2/ Tip 7 - Abandon Objectives

The chief resident has started on time, asked questions, engaged learners, embraced silence, managed faculty, modeled humility...

Then says:

“Okay. We have 5 minutes left. Let’s quickly talk about this slide...”

😱🤯
3/ Abandon Objectives - Ever fill a water balloon?

Ever try to get the water balloon super juicy by trying to squeeze in that last drop of water and then have the whole thing sadly explode?

Teaching is like that.

Try to cram in too much knowledge and you risk losing it all.
Read 12 tweets
18 May 20
1/ #MedEdMethodsMonday #MorningReport edition this wk:

Tips 5&6: Manage Faculty & Model Humility

See last 3 wks for: Start on ⏰ | Ask ? Effectively | Engage All Learners & Embrace Silence

#MedEd #ChiefResidents #MedEdPearls #FacDev #MedStudentTwitter #MedTweetorial Image
2/ Tip5 Manage Faculty | The Opinions

Seems like faculty attendance @ morning report is all over the map.

Interestingly, when @StephenHolt7 and I conducted our multi-institute stakeholder interviews, many more residents said faculty SHOULDN’T be @ report than #Medtwitter did Image
3/ Manage Faculty | Conflicted

In fact, the tension between why faculty should be present @ report & why faculty shouldn’t be present was often palpable within the SAME interview.

Why?
Read 16 tweets
11 May 20
1/ #MedEdMethodsMonday, wk 3 of #MorningReport theme!

Now that you've 1) Started on time & 2)Asked ?s effectively...

Tip 3 Engage All Learners & Tip 4 Embrace Silence

#ChiefTips #MedEd #MedTwitter #MedStudentTwitter #MedEdPearls #FacDev ImageImage
2/ Engage Learners - There are too many strategies to help engage all learners to cover them all. For this thread, I'll focus on:

⚡️Names
⚡️Microgroups
⚡️Deflection
3/ Engage Learners - Names

Use them!

Seems basic. How many reports have you been to where the facilitator did not use (or perhaps did not know) learners' names?

When I was a medical student, esp with a non-Western name, I can tell you it was near 100%
Read 21 tweets
4 May 20
1/ Today’s #MedEdMethodsMonday continues the #MorningReport theme. Last week covered strategies for starting on time.

Today’s Tip 2 - Asking Questions Effectively!

#MedEd #MedEdPearls #Medtwitter #Medtweetorial #FacDev #MedStudentTwitter #ChiefResidents Image
2/ Over the weekend, around 3/4 of respondents to the poll below said they sometimes felt uncomfortable asking learners directed questions while facilitating report:
3/ Cause of discomfort was a tie between not wanting to appear like “pimping,” and avoiding calling learners out.
Read 13 tweets
30 Mar 20
1/ Today’s @MedEdMethodsMonday is the 1st of 3 #Medtweetorial threads on #CurriculumDevelopment!

Have an idea for a #meded innovation/new method to teach old concepts?

#FacDev #MedEdPearls Image
2/ Have you ever, like me, created a new intervention/curriculum and realized after the fact that you should have designed X or measured Y or assessed Z differently?

A systematic approach to curric dev can elevate your work & help it count 2x (presentations/pubs).
3/ While there are several frameworks out there for curric dev, the Kern’s 6-Steps to Curriculum Development in MedEd is a commonly-cited method in the literature for innovation development, and is a MUST read/learn.

As in the title, there are 6 steps (fig from @aafp): ImageImage
Read 18 tweets
23 Mar 20
1/ For today’s #MedEdMethodsMonday, I will be highlighting and amplifying great work posted this past week by #Medtwitter #MedEd colleagues on teaching during times of COVID19.

No COI to disclose, just sharing Good Stuff!
2/ @TChanMD and @ALiEMteam created a wonderful 8-part series on virtual teaching in the age of COVID, including helpful infographics like the one below!

aliem.com/teaching-age-c… Image
3/ @DxRxEdu @rabihmgeha and team at @CPSolvers starting online @zoom_us virtual didactics and morning reports.
clinicalproblemsolving.com/learn-live/
Read 12 tweets
17 Feb 20
1/ Today's #MedEdMethodsMonday reviews strategies for responding as a bystander to #microagressions and #bias from patients.

Have you seen a patient make a #sexist, #racist, ***ist comment towards a learner or peer?
2/ Why speak up as a bystander?

It lets the targetted individuals know that they are not alone, and that biased or abusive comments are not tolerated in your learning environment.

#MedThread #Medtweetorial #MedEdPearl #Medtwitter #medstudenttwitter #MedEd #MedEdMethodsMonday
3/ Speaking up or correcting a pt CAN feel uncomfortable though.

What happens to the doctor-patient relationship if I call the patient out?

There are several resources out there to build skills in responding as a bystander to microaggressions or bias in pts...
Read 15 tweets
10 Feb 20
1/ Do you mentor or are you: a learner wanting to improve exam scores? Dx the reason for low test scores in today’s #MedEdMethodsMonday!

Inspired by @thecurbsiders ep193 featuring @Missydoc0128

#MedEd #MedThread #MedEdPearl #MedTweetorial #FacDev #Medtwitter #medstudenttwitter
2/ Self-Regulated Learning Microanalytic Assessment and Training (SRL-MAT) - a tool that can identify 6 test-taking problems, described by Dr. Andrews @williamkellymd @GenesseyFlint & Dr. Dezee from @USUhealthsci in @AcadMedJournal

tiny.cc/SRLtool
3/ The tool is used between a mentor & learner in a 60-min session.

The learner 1st reads & thinks aloud while going through a vignette appropriate for their level, with the actual question and answers covered.

They then talk through a Question Review Form:
Read 9 tweets
3 Feb 20
1/ Time Management is today's #MedEdMethodsMonday #MedThread

As junior faculty & a #GIM fellow working on a #MedEd Masters, life is often a precarious juggling act. How do you stay on track in #academics?

#Medtwitter #MedEdPearl #FOAMed
2/ Components of Time Management
Gordon & Borkan’s lit review highlights 4 principles of time management tiny.cc/MedEdTime:

1. Set goals
2. Prioritize competing responsibilities
3. Plan & organize activities
4. Minimize wasted time
3/ Set Goals
- Set short- (1-3yr) & long-term (5-10yr) goals for your career
(see tiny.cc/MedEdGoals)
- Break long-term ends goals into bite-sized means goals
- Monitor past & current activities for goal compatibility
Read 11 tweets