#meded Archive | Participate

MedEdChat - Moderator Aug 17 @ 9:00 PM EDT

Welcome to the Medical Education chat (US) I am your moderator for the next hour, @RyanMadanickMD #meded

FVUrgentCare Aug 17 @ 9:00 PM EDT

"Review, Redirect, and Repeat, to continually improve" by @doccottle https://t.co/71MkgTicrG #5ShotFriday #meded

MedEdChat - Moderator Aug 17 @ 9:01 PM EDT

The topic & questions will be announced in a moment…for now, please introduce yourselves #meded

MedEdChat - Moderator Aug 17 @ 9:02 PM EDT

If you are tuning in to the #meded chat, remember to use the #meded hashtag and try to answer with the Topic numbers (T1, T2, T3)

02amor Aug 17 @ 9:02 PM EDT

Hi #meded! Renee, checking back in from Philly

RyanMadanickMD Aug 17 @ 9:03 PM EDT

Hello Renee! Great to see you here again #meded

In reply to @02amor

AJKleinhex Aug 17 @ 9:03 PM EDT

Good evening #MedEd chat! I’m an educational researcher at @AUG_EII. I often study simulation and the assessment of clinical reasoning.

RyanMadanickMD Aug 17 @ 9:03 PM EDT

Good evening AJ! #meded

In reply to @AJKleinhex, @AUG_EII

MedEdChat - Moderator Aug 17 @ 9:03 PM EDT

We will assume that all of your tweets are your own during this hour unless otherwise stated #meded

02amor Aug 17 @ 9:04 PM EDT

#meded Hi Ryan- good to be back

In reply to @RyanMadanickMD

MedEdChat - Moderator Aug 17 @ 9:05 PM EDT

T1 about to come up in a few moments #meded

centegracareers Aug 17 @ 9:06 PM EDT

This #job might be a great fit for you: Environmental Service Worker - https://t.co/nglM8USR29 #MedEd #Scrublife #HospitalLife #Healthcare

MedEdChat - Moderator Aug 17 @ 9:07 PM EDT

A recent story discussed how @uw_medicine is using improv theatre to refine communication skills with pts #meded https://t.co/usnQ32LXxy

DrMcInnisDIT Aug 17 @ 9:07 PM EDT

Hello, #meded! Long time no see. I'll try to follow along as I can.

In reply to @MedEdChat

MedEdChat - Moderator Aug 17 @ 9:08 PM EDT

TOPIC 1: How could improv theatre & other performing arts be integrated into curricula to augment #meded?

JenniferAdaeze Aug 17 @ 9:09 PM EDT

Hi! Pgy-2 in psychiatry @challiance! Dropping in. Y'all got snacks? #meded

FVUrgentCare Aug 17 @ 9:10 PM EDT

"Proper diet is way more important than exercise when it comes to fat loss" @doccottle https://t.co/p8bg7tAssa #5ShotFriday #meded

RyanMadanickMD Aug 17 @ 9:10 PM EDT

WOW LTNS! Hi, Jennifer #meded

In reply to @JenniferAdaeze, @challiance

RyanMadanickMD Aug 17 @ 9:11 PM EDT

T1 now live @ #meded chat: How could performing arts be incorporated into medical curricula? #medsm #hcsm #medschool #medstudents

AJKleinhex Aug 17 @ 9:12 PM EDT

T1 Interesting question! I think that any activity that promotes neuroplasticity is incredibly valuable. Formal or informal. #MedEd

ImmohMD Aug 17 @ 9:12 PM EDT

Have You Experienced Workplace Violence? https://t.co/YWR7zyItUp #Meded

AmaniElghafri Aug 17 @ 9:13 PM EDT

How twitter influencing #meded in #GME @harvardmacy #hmieducators @kristinadzara

WTGatewoodDO Aug 17 @ 7:10 PM EDT

Tweedle Do: Twitter is Changing the Framework of Resident Medical Education - TiME https://t.co/Blupscty9K

VHCCareers Aug 17 @ 9:13 PM EDT

We're #hiring! Click to apply: Hospitalist, PRN - https://t.co/zfGe4VRFCS #Doctor #MedEd #MD #Physician #Arlington, VA #Job #Jobs

GLBDallaghan Aug 17 @ 9:13 PM EDT

#meded T1 Improv cud be used to help #medstudents in beginning doctoring courses @SecondCityChiTC

AJKleinhex Aug 17 @ 9:14 PM EDT

T1 I wonder how many students would participate if performing arts were encouraged but not mandatory though. #MedEd

02amor Aug 17 @ 9:14 PM EDT

T1 Love! Performing arts training directly translates to #meded. Character building gives insight into other people #empathy

RyanMadanickMD Aug 17 @ 9:14 PM EDT

FYI… y’all may be interested in participating in tonite’s #meded chat right now, talking about incorporating performing arts into meded

In reply to @jwonguprcmeded, @myheroistrane, @mbstephensmd, @drdanshapiro

RyanMadanickMD Aug 17 @ 9:15 PM EDT

T1 The ones who know the value of teaching/learning beyond a lecture hall… :) #meded

In reply to @AJKleinhex

AJKleinhex Aug 17 @ 9:15 PM EDT

T1 But, one of the great things about improv is that it can be time boxed. Ice breakers on academic half-days? #MedEd

myheroistrane Aug 17 @ 9:16 PM EDT

T1: We did a systematic review of using the #arts to #teach topics in #MedEd : https://t.co/AEIdIMVRkz

02amor Aug 17 @ 9:17 PM EDT

T1 #meded med students should leave the value of theater games, too. Observation games, mirroring, & trustteamwork building

FVUrgentCare Aug 17 @ 9:20 PM EDT

"Health and Wellness?, Obamacare vs. Trumpcare" @doccottle https://t.co/wRh93dPcUq #5ShotFriday #meded

myheroistrane Aug 17 @ 9:20 PM EDT

T1: lotsa interest in #improv these days in #MedEd; I have believed it for some time to be the seventh competency @boedudley @acgme

SaraHegabMD Aug 17 @ 9:21 PM EDT

Innovation in #MedEd and something we should be thinking about in #GME https://t.co/iFesegnu8b

GLBDallaghan Aug 17 @ 9:21 PM EDT

#meded T1 Using the arts is a great way to give concrete examples #medstudents can use to recall concepts

kristinadzara Aug 17 @ 9:22 PM EDT

Quickly signing in for #meded chat from #boston.

RyanMadanickMD Aug 17 @ 9:22 PM EDT

T1 Can you give some examples of what that’d look like? #meded

In reply to @GLBDallaghan

RyanMadanickMD Aug 17 @ 9:22 PM EDT

Hi Kristina! Hope you enjoy tonight’s #meded chat

In reply to @kristinadzara

MedEdChat - Moderator Aug 17 @ 9:23 PM EDT

Keep rolling on T1. T2 will be up in just a few minutes #meded

myheroistrane Aug 17 @ 9:23 PM EDT

Agreed; things learned within the #arts might be more transferrable to #meded than learning them in #medicine in the first place

In reply to @GLBDallaghan

Mededucation101 Aug 17 @ 9:24 PM EDT

Macrobid (nitrofurantoin) is used for UTI’s, but may not be effective or have increased side effects in CKD #meded #foamed

02amor Aug 17 @ 9:25 PM EDT

T1 #Meded Going down the interweb rabbit hole looking up theater games for my fellows 😄

MedEdChat - Moderator Aug 17 @ 9:25 PM EDT

TOPIC 2: What roles (no pun intended) could professional performers, pts, or other non-HCPs play in improving thru performing arts? #meded

myheroistrane Aug 17 @ 9:25 PM EDT

We used jazz to #teach #patientcenteredcare communication skills. Check out the qualitative comments: https://t.co/qEIl5SG4Es #meded

In reply to @RyanMadanickMD, @GLBDallaghan

GLBDallaghan Aug 17 @ 9:26 PM EDT

T1 #meded A portrayal of some disease process may help recall signs and symptoms associated with a disease...that type of idea

In reply to @RyanMadanickMD

MedEdChat - Moderator Aug 17 @ 9:26 PM EDT

TOPIC 2: What roles (no pun intended) could professional performers, pts, or other non-HCPs play in improving #meded thru performing arts?

centegracareers Aug 17 @ 9:26 PM EDT

Join the Centegra Health System team! See our latest #job opening here: https://t.co/Cog1M1jVN9 #MedEd #Scrublife #HospitalLife #Healthcare

amyshawmd Aug 17 @ 9:27 PM EDT

Also might be easier to learn communication/improv if disconnected from learning of medical facts T1 #meded

myheroistrane Aug 17 @ 9:23 PM EDT

Agreed; things learned within the #arts might be more transferrable to #meded than learning them in #medicine in the first place
In reply to @GLBDallaghan

AJKleinhex Aug 17 @ 9:28 PM EDT

T2 I think that any role is a good role if it contributes to students’ exposure to authentic, diverse voices. #MedEd

RyanMadanickMD Aug 17 @ 9:29 PM EDT

T2 now live @ #meded chat: how could professionals & amateurs help improve #meded thru performing arts? #medsm #hcsm #medschool #medstudents

laurenlicatino Aug 17 @ 9:29 PM EDT

T1 I can also imagine some role in simulation. Learning how to better "play a part" might help with engagement and learning #MedEd

FVUrgentCare Aug 17 @ 9:30 PM EDT

Know Your Risks, but Meat Still Isn’t the Enemy @UpshotNYT @aaronecarroll https://t.co/oKg3nY0EKv #5ShotFriday #meded

myheroistrane Aug 17 @ 9:30 PM EDT

T2: they can teach #learners stuff in their worlds (theater, dance, music) - the learners then need to be tasked to translate to #MedEd

GLBDallaghan Aug 17 @ 9:30 PM EDT

#meded T2 @uiowa converted pt stories into poetry we read at a conference. Even my cold heart felt greater #empathy for the pt experience

emilyfrancko Aug 17 @ 9:31 PM EDT

Great discussion at journal club tonight with @LakelandEMRes! #FOAMed #meded

myheroistrane Aug 17 @ 9:31 PM EDT

Check this out: https://t.co/9viOdm67w9 they do a course, too #MedEd

laurenlicatino Aug 17 @ 9:31 PM EDT

T2 they can humanize medical conditions in a safe learning environment #MedEd

CarloRajMD Aug 17 @ 9:32 PM EDT

More Preterm Infants Surviving without Developmental Deficits (CME/CE) #MedEd https://t.co/DMqDAY3Dgw

DrMcInnisDIT Aug 17 @ 9:33 PM EDT

T1 #meded Agreed. Teach cultural competency by role playing. Teach how to deal with difficult patients.

In reply to @laurenlicatino

myheroistrane Aug 17 @ 9:33 PM EDT

Here's another one: https://t.co/4ge9rfbKp4 #MedEd

02amor Aug 17 @ 9:33 PM EDT

T2 #meded for practice, maybe in small groups. If you’ve never done any before, you can feel awkward. People don’t want to feel silly

laurenlicatino Aug 17 @ 9:34 PM EDT

Just added to my Amazon wish list! Thanks #MedEd

In reply to @myheroistrane

DrMcInnisDIT Aug 17 @ 9:34 PM EDT

T1/T2 #meded Actors could improv the worst possible behavior, giving trainees practical experience staying calm when insulted or accused.

In reply to @laurenlicatino

02amor Aug 17 @ 9:35 PM EDT

T2 #meded But observation exercises can be directly translated to physical exam. Mirroring can give insight into physical limitations etc...

RyanMadanickMD Aug 17 @ 9:35 PM EDT

Would be interesting to be able to provide directed remediation to specific individuals #meded

In reply to @DrMcInnisDIT, @laurenlicatino

DrMcInnisDIT Aug 17 @ 9:36 PM EDT

T1/T2 #meded I'm thinking of desensitizing Civil rights activists in the 60s to being yelled at, cussed at, tainted. Same for doctors.

In reply to @laurenlicatino

DrMcInnisDIT Aug 17 @ 9:37 PM EDT

T1/T2 #meded I've been in confrontational clinical scenarios and have been at a loss for what to do/say. Practical training could be useful.

In reply to @laurenlicatino

AJKleinhex Aug 17 @ 9:37 PM EDT

Is it more important to expose students to difficult patients, or teach empathy? & does the answer depend on level of the learner? #MedEd

In reply to @DrMcInnisDIT, @laurenlicatino

RyanMadanickMD Aug 17 @ 9:37 PM EDT

#meded

MWEnergy Aug 17 @ 9:33 PM EDT

MUSIC! "Sepsy Back" from @KernMedical is a PERFECT example of teaching #sepsis awareness effectively. https://t.co/kqK4GFH7Pb
In reply to @RyanMadanickMD, @KernMedical

myheroistrane Aug 17 @ 9:37 PM EDT

Artists know the score - first two pp of @herbiehancock 's book: awesome description of adaptive expertise https://t.co/LdAOHLGpVa #MedEd

laurenlicatino Aug 17 @ 9:37 PM EDT

That would be interesting! I like where your mind is headed! #MedEd

In reply to @RyanMadanickMD, @DrMcInnisDIT

RyanMadanickMD Aug 17 @ 9:37 PM EDT

#meded

MWEnergy Aug 17 @ 9:36 PM EDT

#Improv is an outstanding way to learn and embody listening skills, essential to effective learning & effective interactions w/ patients.
In reply to @RyanMadanickMD

GLBDallaghan Aug 17 @ 9:38 PM EDT

#meded T2 What a brilliant idea for remediation!

In reply to @RyanMadanickMD, @DrMcInnisDIT, @laurenlicatino

laurenlicatino Aug 17 @ 9:39 PM EDT

Couldn't agree more. This kind of training would be an excellent way to bring conflict resolution into medical practice #MedEd

In reply to @DrMcInnisDIT

hedy_wald Aug 17 @ 9:40 PM EDT

American College of Physicians says hate crimes are public health issue https://t.co/XWLzkkXYRI TY @acpinternists #meded

FVUrgentCare Aug 17 @ 9:40 PM EDT

What are the keys to success in your field? @fakedanjohn @MrLeonardKim @drjoyce_knudsen @MarqueMedical https://t.co/p8bg7tAssa #meded

DrMcInnisDIT Aug 17 @ 9:40 PM EDT

#meded Can we train the nastiness out of the curmudgeonly head of surgery via role-playing?

In reply to @RyanMadanickMD, @laurenlicatino

MedEdChat - Moderator Aug 17 @ 9:41 PM EDT

We’re coming down the home-stretch in #meded chat tonight… T3 will be right up

MedEdChat - Moderator Aug 17 @ 9:41 PM EDT

TOPIC 3: How could we research/measure the success of integrating performing arts programs in #meded?

myheroistrane Aug 17 @ 9:42 PM EDT

He's gotta want to change. #meded

In reply to @DrMcInnisDIT, @RyanMadanickMD, @laurenlicatino

laurenlicatino Aug 17 @ 9:42 PM EDT

Maybe the empathy is best taught (or most important) with the difficult patient. I think they would be more powerful together #MedEd

In reply to @AJKleinhex, @DrMcInnisDIT

MWEnergy Aug 17 @ 9:43 PM EDT

Same as anything. What did they know/how did they perform b/4 vs. after. Doesn't matter HOW they learn, just that they DO. #MedEd

In reply to @MedEdChat

tmalinMLS Aug 17 @ 9:43 PM EDT

#MNFutura17 Welcome to the #Knowmad Society! @moravec @erhall1 @KreuterMD @KatePendry #FOAMed #MedEd #sketchnotes

MWEnergy Aug 17 @ 9:44 PM EDT

#Improv teaches you that the only way to show empathy toward others is to first feel it in/toward yourself. Now THAT would be good #MedEd.

In reply to @laurenlicatino, @AJKleinhex, @DrMcInnisDIT

myheroistrane Aug 17 @ 9:44 PM EDT

Here's an example that just came out: https://t.co/XhPfzEOGhu #meded

MedEdChat - Moderator Aug 17 @ 9:41 PM EDT

TOPIC 3: How could we research/measure the success of integrating performing arts programs in #meded?

RyanMadanickMD Aug 17 @ 9:44 PM EDT

T3 now live @ #meded chat: How can we measure outcomes of incorporating performing arts into #meded? #medsm #hcsm #medschool #medstudents

i3waitematadhb Aug 17 @ 9:44 PM EDT

Congrats @eleri26 on @HQSCNZ leadership award @i3waitematadhb @WaitemataDHB #i3Qi #MedEd

hedy_wald Aug 17 @ 9:45 PM EDT

Very much hoping medical training not perceived as "suffering"-there's much beauty in the journey&mentors2help #meded @lifeofmedstudnt

LifeofMedstudnt Aug 17 @ 7:30 AM EDT

"I hated every min of training, but I said, 'Don’t quit. Suffer now and live the rest of your life as a champion'"-M. Ali #Lifeofamedstudent

myheroistrane Aug 17 @ 9:45 PM EDT

Here's what Bill Evans had to say about communication- check out the first 4 paragraphs. https://t.co/ZHuf3vooBJ #MedEd

DrMcInnisDIT Aug 17 @ 9:46 PM EDT

#Meded T3 Reduction in patient complaints? Reduction in complaints from nursing staff? Fewer instrument-throwing tantrums in the OR?

In reply to @MedEdChat

AJKleinhex Aug 17 @ 9:46 PM EDT

T3 Identifying the measurable objectives of the activities determines evaluation. Good LO = accurate assessment #MedEd

DrMcInnisDIT Aug 17 @ 9:47 PM EDT

#Meded Never got around to saying this in T2, but role-playing difficult end-of-life conversations could also be VERY valuable.

In reply to @MedEdChat

centegracareers Aug 17 @ 9:47 PM EDT

If you're looking for work in #CrystalLake, IL, check out this #job: https://t.co/XM8cReJOod #MedEd #Scrublife #HospitalLife #Healthcare

i3waitematadhb Aug 17 @ 9:47 PM EDT

Great work supporting young doctors @eleri26 #MedEd #ptsafety #i3Qi

laurenlicatino Aug 17 @ 9:47 PM EDT

It would be really interesting to research which order is most effective #MedEd

In reply to @AJKleinhex, @DrMcInnisDIT

myheroistrane Aug 17 @ 9:47 PM EDT

Measurement is critically important. Just because you build it does not necessarily mean they will come #meded

RyanMadanickMD Aug 17 @ 9:44 PM EDT

T3 now live @ #meded chat: How can we measure outcomes of incorporating performing arts into #meded? #medsm #hcsm #medschool #medstudents

DrMcInnisDIT Aug 17 @ 9:48 PM EDT

#meded T3 And you can measure that EOL-conversation success via fewer futile codes, fewer ethics team consults, more DNR (when appropriate).

In reply to @MedEdChat

NCHMedEd Aug 17 @ 9:48 PM EDT

Why are #FoodAllergies on the rise? Find out on our #MedEd #FOAMed #podcast @nationwidekids https://t.co/ihHVQSPMNz

MWEnergy Aug 17 @ 9:48 PM EDT

Ouchies! How about improved patient outcomes, lower staff turnover, lower infection rates, fewer medical errors? #MedEd #FocusOnThePositive

In reply to @DrMcInnisDIT, @MedEdChat

GLBDallaghan Aug 17 @ 9:49 PM EDT

T3 #meded Wouldn't it be fun to approach assessment using qualitative methodologies...like phenomenology to assess outcomes?

In reply to @DrMcInnisDIT, @MedEdChat

FVUrgentCare Aug 17 @ 9:50 PM EDT

"Democracy relies on trust" @IAmMarkManson @doccottle https://t.co/wRh93dPcUq #5ShotFriday #meded

laurenlicatino Aug 17 @ 9:50 PM EDT

T3 Patient satisfaction and the impression of shared decision making #MedEd

myheroistrane Aug 17 @ 9:52 PM EDT

In my experience, role plays most impactful when created in the course of discussion rather than being preplanned #meded

DrMcInnisDIT Aug 17 @ 9:47 PM EDT

#Meded Never got around to saying this in T2, but role-playing difficult end-of-life conversations could also be VERY valuable.
In reply to @MedEdChat

DrMcInnisDIT Aug 17 @ 9:52 PM EDT

#Meded LOL The "impression" of shared decision making. We go through a lot to guide patients toward the "right" decision…

In reply to @laurenlicatino

MWEnergy Aug 17 @ 9:53 PM EDT

And let's not forget physician satisfaction, staff satisfaction, and impression of (or even measurable) shared decision making. #MedEd

In reply to @laurenlicatino

SapiensMedicus Aug 17 @ 9:53 PM EDT

Complejo PQRST en el Electrocardiograma: Aquí inicia la interpretación. https://t.co/vyZc3Vv9Qx #Loquedebessaber #FOAMed #MedEd

DrMcInnisDIT Aug 17 @ 9:54 PM EDT

#meded …and often feel like a failure when their decisions don't reflect our own (or don't match published guidelines or quality measures).

In reply to @laurenlicatino

DrMcInnisDIT Aug 17 @ 9:54 PM EDT

#meded Interesting. Tell me more?

In reply to @myheroistrane

myheroistrane Aug 17 @ 9:54 PM EDT

SDM only occurs when there's shared UNDERSTANDING; most improv fields (theater, jazz, etc) place a premium on this. #meded

laurenlicatino Aug 17 @ 9:50 PM EDT

T3 Patient satisfaction and the impression of shared decision making #MedEd

GLBDallaghan Aug 17 @ 9:55 PM EDT

#meded How could you help other faculty develop that skill? I can see you naturally doing this.

In reply to @myheroistrane

MedEdChat - Moderator Aug 17 @ 9:55 PM EDT

Well, we have about 5 more minutes left in our discussion. Please feel free to give some final thoughts #meded

DrMcInnisDIT Aug 17 @ 9:56 PM EDT

#meded Good question. Not a pessimistic guy. Seems like those things are easier to measure? Or easier to tie to the intervention?

In reply to @MWEnergy, @MedEdChat

MWEnergy Aug 17 @ 9:56 PM EDT

#Improv teams compare it to football. You practice, practice, practice but in a real game you just have to trust each other. #MedEd

In reply to @GLBDallaghan, @myheroistrane

sasanof Aug 17 @ 9:56 PM EDT

Congrats @eleri26 great work supporting young docs #MedEd #leadership #i3Qi #ptsafety https://t.co/pvsnzQmvf6

DrMcInnisDIT Aug 17 @ 9:57 PM EDT

#meded And in my experience we don't do NEARLY enough of it. Certainly not enough to get good at it before we're thrown into the Real World.

In reply to @melsulistio, @MedEdChat

myheroistrane Aug 17 @ 9:57 PM EDT

preplanned role plays hard to get buy-in, but when created in the moment when struggling w a concept to make it real - powerful. #meded

In reply to @DrMcInnisDIT

DrMcInnisDIT Aug 17 @ 9:57 PM EDT

#meded

melsulistio Aug 17 @ 9:55 PM EDT

Agreed! #Simulation for this is critical in teaching med students & residents
In reply to @DrMcInnisDIT, @MedEdChat

melsulistio Aug 17 @ 9:58 PM EDT

T3 measure with direct observation & checklists, pt surveys - depends on the task taught #meded

In reply to @MedEdChat

DrMcInnisDIT Aug 17 @ 9:58 PM EDT

#meded I can see that. There's no doubt that most people roll their eyes when you say "lets role-play this".

In reply to @myheroistrane

MWEnergy Aug 17 @ 9:59 PM EDT

I believe "you get what you measure". So measure the good, you get more of that. Measure the bad, you get more of that too. #MedEd

In reply to @DrMcInnisDIT, @MedEdChat

melsulistio Aug 17 @ 9:59 PM EDT

Couldn't agree more. Our residents &a fellows ask for more #simulation training #meded

In reply to @DrMcInnisDIT, @MedEdChat