#meded Archive

All ideas and resources tweeted alongside #meded are curated and collected here.

Thursday May 4, 2017
9:00 PM EDT

  • KelleyIndy May 4 @ 9:00 PM EDT
    Teaching physicians travel to Cuba to learn about global #healthcare. https://t.co/AvweczsVoR #MedEd @KelleyBizMed
  • MedEdChat - Moderator May 4 @ 9:00 PM EDT
    Welcome to the Medical Education chat (US) I am your moderator for the next hour, @RyanMadanickMD #meded
  • MedEdChat - Moderator May 4 @ 9:00 PM EDT
    The topic & questions will be announced in a moment…for now, please introduce yourselves #meded
  • mahoneyr May 4 @ 9:01 PM EDT
    Joining #meded from water-logged Saint Louis, Missouri. Evening, everyone.
  • RyanMadanickMD May 4 @ 9:01 PM EDT
    Stay safe!!! #meded
    In reply to @mahoneyr
  • MedEdChat - Moderator May 4 @ 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)
  • mahoneyr May 4 @ 9:02 PM EDT
    If you forget to use the #meded hashtag, your thoughts will likely be discarded forever.
    In reply to @MedEdChat
  • MedEdChat - Moderator May 4 @ 9:03 PM EDT
    We will assume that all of your tweets are your own during this hour unless otherwise stated #meded
  • mahoneyr May 4 @ 9:04 PM EDT
    You can assume my #meded tweets are my own, but the good ones have probably been claimed by someone else.
    In reply to @MedEdChat
  • 02amor May 4 @ 9:04 PM EDT
    Greetings from Philly all #meded people!
  • nxtstop1 May 4 @ 9:04 PM EDT
    REC: Medical Education in/for The Future by @Doctor_V via @HealthRosetta | #meded #FOAMed
  • RyanMadanickMD May 4 @ 9:05 PM EDT
    Welcome again Renee #meded
    In reply to @02amor
  • MedEdChat - Moderator May 4 @ 9:06 PM EDT
    T1 about to come up in a few moments #meded
  • CPHJobs May 4 @ 9:06 PM EDT
    Interested in a #job in #Soldotna, AK? This could be a great fit: https://t.co/0aPBDMGOd7 #Alaskan #MedEd #MedField #RN #Hiring
  • IURadFellowship May 4 @ 9:06 PM EDT
    @IURadiology we are committed to being on the leading edge of #radres & fellow #MedEd thanks to faculty like @DarelHeitkamp
  • laurenlicatino May 4 @ 9:06 PM EDT
    Hello from Minnesota! (first time participant) #meded
  • MedEdChat - Moderator May 4 @ 9:07 PM EDT
    For yrs medical trainees have seemed to live in Lake Wobegon: they are all "above average”. i.e, grade inflation as a problem #meded
  • RyanMadanickMD May 4 @ 9:07 PM EDT
    Hi Lauren, nice to have you join! #meded
    In reply to @laurenlicatino
  • MedEdChat - Moderator May 4 @ 9:07 PM EDT
    TOPIC 1: Why has grade inflation become so rampant in clinical clerkships and GME training? What do “grades” mean anymore? #meded
  • centegracareers May 4 @ 9:08 PM EDT
  • TISLEP_MD May 4 @ 9:08 PM EDT
    MT "@cichla123: Your health may depend on being polite - #MedEd tips https://t.co/ZTKLaPezqJ
    In reply to @cichla123
  • RyanMadanickMD May 4 @ 9:09 PM EDT
    T1 now live @ #meded: What’s up w grade inflation in clerkships/GME? What do clinical grades mean now? #medschool #medstudents #medsm #hcsm
  • gene_hobbs May 4 @ 9:09 PM EDT
    T1 #MedEd: Who has time to answer to the snowflake (or their parent) if it is anything else? (OK, that happened once but I'm still shocked)
    In reply to @MedEdChat
  • RyanMadanickMD May 4 @ 9:09 PM EDT
    ouch! #meded
    In reply to @gene_hobbs, @MedEdChat
  • 02amor May 4 @ 9:10 PM EDT
    T1 #meded Reminds me of a PD (not mine!) who, in the old assessment system, once said he spent his whole life looking at 7s
  • mahoneyr May 4 @ 9:11 PM EDT
    T1 #meded grade inflation is part of a natural cycle. The grades get reset every 10 years or so when everyone gets an A++.
  • jashenson May 4 @ 9:11 PM EDT
    T1 When "bad" grades are punitive, not constructive, students only see one option: evolve to get the A. #meded
    In reply to @MedEdChat
  • gene_hobbs May 4 @ 9:11 PM EDT
    #MedEd The kids missed almost all of a research year, yes, year. His attorney dad asked the mentor why he didn't pass... :-O
    In reply to @RyanMadanickMD, @MedEdChat
  • RyanMadanickMD May 4 @ 9:11 PM EDT
    T1 A friend of mine, former GI PD, once said: “I spent 12 years collecting the number 7” #meded
    In reply to @02amor
  • RyanMadanickMD May 4 @ 9:12 PM EDT
    S.M.H. #meded
    In reply to @gene_hobbs, @MedEdChat
  • mahoneyr May 4 @ 9:12 PM EDT
    T1 #meded Criterion-based grading can help. Removes the subjective component, and focuses on behaviors and competencies.
  • jashenson May 4 @ 9:12 PM EDT
    T1 Limited tools to evaluate residency applicants --> undue pressure on schools to inflate grades for their students' benefit. #Meded
    In reply to @MedEdChat
  • 02amor May 4 @ 9:12 PM EDT
    T1 #meded serious now- truthful assessment is hard. Giving low scores can be difficult, as is hearing it
  • laurenlicatino May 4 @ 9:12 PM EDT
    T1 #meded I think it's also a symptom of a fear of giving feedback. It's easier just to say everything is going well.
  • VHCCareers May 4 @ 9:13 PM EDT
    We're #hiring! Click to apply: Pediatrician, Arlington Pediatric Center - https://t.co/CtvM25hzML #Doctor #MedEd #MD #pediatrician #Job
  • RyanMadanickMD May 4 @ 9:13 PM EDT
    Interesting viewpoint @jashenson #meded
    • jashenson May 4 @ 9:12 PM EDT
      T1 Limited tools to evaluate residency applicants --> undue pressure on schools to inflate grades for their students' benefit. #Meded
      In reply to @MedEdChat
  • mahoneyr May 4 @ 9:13 PM EDT
    You mean, sometimes students get high grades because their evaluators never gave feedback otherwise? Say it isn't so....... #meded
    In reply to @laurenlicatino
  • Jfpohl May 4 @ 9:14 PM EDT
    T1. I think the problem first started in undergrad and simply has moved up to medical school/GME #meded https://t.co/itjFUFOgXB
    In reply to @MedEdChat
  • 02amor May 4 @ 9:14 PM EDT
    Every1 gets a 7 RT @RyanMadanickMD T1 A friend of mine, former GI PD, once said: “I spent 12 years collecting the number 7” #meded
  • jashenson May 4 @ 9:14 PM EDT
    Absolutely! Systemic bias toward praise + we don't teach how to give feedback. #meded
    In reply to @laurenlicatino
  • mahoneyr May 4 @ 9:14 PM EDT
    But residency programs eventually figure it out. And may stop taking a program's students altogether if evaluations are not reliable. #meded
    In reply to @jashenson, @MedEdChat
  • gene_hobbs May 4 @ 9:15 PM EDT
    T1 #MedEd I'm not sure fear of feedback so much as not having time. If students seek, they find. Otherwise, where is that EMR again?
    In reply to @laurenlicatino
  • GenNextMD May 4 @ 9:16 PM EDT
    It might have started with sport trophies - all are winner! #meded #lakewobegoneffect
  • jashenson May 4 @ 9:17 PM EDT
    But that raises the question of how we evaluate residents, and how a program would know that students from a given program not good. #meded
    In reply to @mahoneyr, @MedEdChat
  • mahoneyr May 4 @ 9:17 PM EDT
    Can be hard to turn your subjective impression of a student into concrete, formative feedback. That said, it is the educator's job #meded
    In reply to @gene_hobbs, @laurenlicatino
  • jonhagedornmd May 4 @ 9:17 PM EDT
    Schools improve their reputation by having "good" match lists. They do this by having competitive apps-including clerkship grades #meded
    In reply to @MedEdChat
  • 02amor May 4 @ 9:18 PM EDT
    T1 #meded Schools/residents have pressure to graduate & match well. Then complete residency, get fellowships, get jobs
  • mahoneyr May 4 @ 9:19 PM EDT
    If a program sends enough students who don't successfully complete residency (or require remediation), residency program takes note. #meded
    In reply to @jashenson, @MedEdChat
  • GenNextMD May 4 @ 9:19 PM EDT
    I came across med schools that has honor grade in medicine sub-I rotation for 80% of students - go figure! #readthefineprint #meded
  • GenNextMD May 4 @ 9:19 PM EDT
    They may be future trustees too #meded
    • 02amor May 4 @ 9:18 PM EDT
      T1 #meded Schools/residents have pressure to graduate & match well. Then complete residency, get fellowships, get jobs
  • laurenlicatino May 4 @ 9:19 PM EDT
    I would agree. I think giving formative feedback is one of the most essential aspects of the job and needs to be actively cultivated #meded
    In reply to @mahoneyr, @gene_hobbs
  • mahoneyr May 4 @ 9:20 PM EDT
    They are definitely not helping themselves -- instead of conveying good/better/best, all they are conveying is good/not good. #meded
    In reply to @GenNextMD
  • NinaNguyenMD May 4 @ 9:20 PM EDT
    What if caring for others made you kill yourself? "Kathryn" https://t.co/FPn5galnGl v @NEJM #meded #medhum
  • gene_hobbs May 4 @ 9:21 PM EDT
    Im biased to simulations. We did 1 today where we had concrete feedback. Great way to get #MedEd facilitators experience as well. #Planning
    In reply to @mahoneyr, @laurenlicatino
  • GenNextMD May 4 @ 9:21 PM EDT
    but why the hard way @mahoneyr #meded. med school has fiduciary responsibility towards society, no?
    • mahoneyr May 4 @ 9:19 PM EDT
      If a program sends enough students who don't successfully complete residency (or require remediation), residency program takes note. #meded
      In reply to @jashenson, @MedEdChat
  • mahoneyr May 4 @ 9:21 PM EDT
    More than just giving the feedback, though -- it is analyzing why performance is good/not good and ensuring feedback is constructive. #meded
    In reply to @laurenlicatino, @gene_hobbs
  • MedEdChat - Moderator May 4 @ 9:22 PM EDT
    Nice discussion about clinical grade (& evaluation) inflation tonight in #meded chat. T2 will be up shortly.
  • myheroistrane May 4 @ 9:22 PM EDT
    T1 It's differential; everyone scores high on communication, less so on things like H&Ps. Hidden curriculum values things differently #meded
  • mahoneyr May 4 @ 9:22 PM EDT
    The fiduciary responsibility may take a back seat to the responsibility to graduate and place all of its students. Just sayin'. #meded
    In reply to @GenNextMD
  • jonhagedornmd May 4 @ 9:22 PM EDT
    Faculty gives real feedback and gets the reputation of being "mean". It's even happened to me as a resident when speaking to juniors #meded
    In reply to @laurenlicatino
  • 02amor May 4 @ 9:23 PM EDT
    t1 #meded Also- I have never had any formal training in assessment. Here’s an evaluation, do your best. I think I’ve figured it out. Maybe
  • RyanMadanickMD May 4 @ 9:23 PM EDT
    Do you think there is a way to give “real” feedback without being considered “mean”? #meded
    In reply to @jonhagedornmd, @laurenlicatino
  • mahoneyr May 4 @ 9:24 PM EDT
    This is part of "teaching to teach". Often lost in faculty development, but gradually gaining a foothold. #meded
    In reply to @02amor
  • MedEdChat - Moderator May 4 @ 9:24 PM EDT
    TOPIC 2: What can be done to help combat grade inflation within courses & GME programs? How effective are these interventions? #meded
  • mahoneyr May 4 @ 9:25 PM EDT
    T2 #meded. Criterion and milestone-based grading. Seems like a good idea. No idea how effective it is, though.
    In reply to @MedEdChat
  • laurenlicatino May 4 @ 9:25 PM EDT
    The SIM environment is a great place to develop feedback skills and confidence. Techniques I've learned in SIM are useful elsewhere #meded
    In reply to @gene_hobbs, @mahoneyr
  • RyanMadanickMD May 4 @ 9:25 PM EDT
    T2 now live @ #meded chat: How can grade inflation be combatted? How well will it work? #medsm #hcsm #medschool #medstudents
  • JanelleRBlu May 4 @ 9:25 PM EDT
    Some is pressure from uni on programs to maintain high cohort grades. Deters challenging assessments for fear they'll tank grades. #MedEd
    In reply to @MedEdChat
  • CPHJobs May 4 @ 9:26 PM EDT
    If you're looking for work in #Soldotna, AK, check out this #job: https://t.co/7gKq8OSdMo #Alaskan #MedEd #MedField #RN #Hiring
  • laurenlicatino May 4 @ 9:26 PM EDT
    I do, but I think it takes a considerable amount of effort. I like the advocacy-inquiry technique used in SIM #meded
    In reply to @RyanMadanickMD, @jonhagedornmd
  • GenNextMD May 4 @ 9:26 PM EDT
    T2 - 1. start with standardizing grades across all AAMC schools; 2. transparency in methods 3. candid disclosure helps everyone #meded
  • gene_hobbs May 4 @ 9:27 PM EDT
    Structured feedback. Tools provide safety for both parties. Important 4 them to know what they did well, not just areas to improve #MedEd
    In reply to @RyanMadanickMD, @jonhagedornmd, @laurenlicatino
  • RyanMadanickMD May 4 @ 9:27 PM EDT
    Someone works around the corner from me!! Hi Tarheelian :) #meded
    In reply to @JanelleRBlu, @MedEdChat
  • mahoneyr May 4 @ 9:27 PM EDT
    T2 How do you standardize grades when each program is more or less selective than others (and knows it)? #meded
    In reply to @GenNextMD
  • laurenlicatino May 4 @ 9:28 PM EDT
    Great point. Making feedback a regular event and part of a culture of learning can make it seem more constructive and less "mean" #meded
    In reply to @jonhagedornmd, @RyanMadanickMD
  • RyanMadanickMD May 4 @ 9:28 PM EDT
    Hey! You two are jumping to T3 already! ;) #meded
    In reply to @mahoneyr, @GenNextMD
  • centegracareers May 4 @ 9:28 PM EDT
    Join the Centegra Health System team! See our latest #job opening here: https://t.co/d5JulUq7e5 #MedEd #Scrublife #HospitalLife #Nursing
  • JanelleRBlu May 4 @ 9:28 PM EDT
    I'd rather have learners with lower grades & higher knowledge than vice versa. Not all agree. #MedEd
    In reply to @MedEdChat
  • mahoneyr May 4 @ 9:28 PM EDT
    Oops. Apologies. (sits back down) #meded
    In reply to @RyanMadanickMD, @GenNextMD
  • jonhagedornmd May 4 @ 9:31 PM EDT
    Get rid of grades. Focus on improving clinical skills. Though personally I still think grades hold some benefit. #meded
    In reply to @MedEdChat
  • KaitlynJP May 4 @ 9:31 PM EDT
    So much pre-clinical work is pass/fail now, why are clinical grades necessary when so subjective anyway?(possibly naive question) #meded
  • blausenmedical May 4 @ 9:32 PM EDT
    Thank you for your help lifting awareness about our #free #meded platform #21languages @ https://t.co/CAj0MR6i8T @PochatTraining
  • cmtomblinson May 4 @ 9:32 PM EDT
    Yes crucial for #trainee growth. Be honest & fair when giving feedback. Better received & serves as #rolemodel of #professionalism. #MedEd
    In reply to @RyanMadanickMD, @jonhagedornmd, @laurenlicatino
  • RyanMadanickMD May 4 @ 9:32 PM EDT
    Do not speak so sacrilegiously! No grades? 😱#meded
    In reply to @jonhagedornmd, @MedEdChat
  • laurenlicatino May 4 @ 9:32 PM EDT
    T2 #meded - I agree that transparency is vitally important. It can help those reviewing applications to see what a grade actually reflects
    In reply to @GenNextMD
  • GavinPrestonMD May 4 @ 9:32 PM EDT
    When we wake up each morning, let us be grateful that every part of our body works. #meded #gratitude
  • subatomicdoc May 4 @ 9:32 PM EDT
    It would also help if educational focus is less on avoiding failure than learning from it. #meded
    In reply to @laurenlicatino, @RyanMadanickMD, @jonhagedornmd
  • mahoneyr May 4 @ 9:32 PM EDT
    You could argue to get rid of "grades" for clerkships - should describe strengths/weaknesses, not traditional "performance" #meded
    In reply to @jonhagedornmd, @MedEdChat
  • RyanMadanickMD May 4 @ 9:32 PM EDT
    To “differentiate” the really great students from the great ones? #meded
    In reply to @KaitlynJP
  • JanelleRBlu May 4 @ 9:33 PM EDT
    This. #MedEd
    • subatomicdoc May 4 @ 9:32 PM EDT
      It would also help if educational focus is less on avoiding failure than learning from it. #meded
      In reply to @laurenlicatino, @RyanMadanickMD, @jonhagedornmd
  • GenNextMD May 4 @ 9:33 PM EDT
    more like #montessori school! #meded
    • jonhagedornmd May 4 @ 9:31 PM EDT
      Get rid of grades. Focus on improving clinical skills. Though personally I still think grades hold some benefit. #meded
      In reply to @MedEdChat
  • myheroistrane May 4 @ 9:33 PM EDT
    T2: I like to think in terms of "educational prescriptions" - what do I want the student to work on practicing this week? Next week? #meded
  • jonhagedornmd May 4 @ 9:34 PM EDT
    Hopefully peoples grades reflect effort, willingness, attitude, and knowledge. Not just shelf exam scores. #meded
    In reply to @mahoneyr, @MedEdChat
  • RyanMadanickMD May 4 @ 9:34 PM EDT
    Taking the Devil’s Advocate approach now: If no grades, what goes onto the university transcript? #meded #DisruptingThinking
    In reply to @mahoneyr, @jonhagedornmd, @MedEdChat
  • mahoneyr May 4 @ 9:34 PM EDT
    That is useful feedback to provide as educator, but not as useful as evaluation or to make residency decisions. #meded
    In reply to @myheroistrane
  • cmtomblinson May 4 @ 9:34 PM EDT
    Getting rid of grades similar to participation trophies. We need to improve way we grade, but I don't think doing away will remedy. #MedEd
    In reply to @RyanMadanickMD, @jonhagedornmd, @MedEdChat
  • 02amor May 4 @ 9:35 PM EDT
    #meded When I read a res/fellow applicantion, I read the MSPE to look for comments. Of course, usually only good comments make the cut...
    In reply to @mahoneyr, @jonhagedornmd, @MedEdChat
  • subatomicdoc May 4 @ 9:35 PM EDT
    thanks! That's why it's called medical 'practice'. Mastery is fleeting, the need to learn and relearn is the constant. #meded
    In reply to @JanelleRBlu
  • gene_hobbs May 4 @ 9:36 PM EDT
    Who assesses the assessors? #MedEd #DisruptingThinking :)
    In reply to @RyanMadanickMD, @mahoneyr, @jonhagedornmd, @MedEdChat
  • laurenlicatino May 4 @ 9:36 PM EDT
    I think you've hit a vital culture shift needed in #meded Learning from failure can humanize medicine and promote learning and innovation
    In reply to @subatomicdoc, @RyanMadanickMD, @jonhagedornmd
  • RyanMadanickMD May 4 @ 9:36 PM EDT
    This reminds me of the discussion in #meded chat years ago, re: LORs. “I support this student’s application” vs “I strongly endorse” #meded
    In reply to @02amor, @mahoneyr, @jonhagedornmd, @MedEdChat
  • GenNextMD May 4 @ 9:37 PM EDT
    one way would be performing well at a structured interview; we already have USMLE; good brand schools; performance is not transparent #meded
    • RyanMadanickMD May 4 @ 9:34 PM EDT
      Taking the Devil’s Advocate approach now: If no grades, what goes onto the university transcript? #meded #DisruptingThinking
      In reply to @mahoneyr, @jonhagedornmd, @MedEdChat
  • Jfpohl May 4 @ 9:37 PM EDT
    T2. And also, if no grades, what goes on letter of recommendation? #meded #DisruptingThinking
    In reply to @RyanMadanickMD, @mahoneyr, @jonhagedornmd, @MedEdChat
  • jonhagedornmd May 4 @ 9:37 PM EDT
    All of my mentors teach me lessons on previous mistakes. Rarely their successes. #meded
    In reply to @laurenlicatino, @subatomicdoc, @RyanMadanickMD
  • subatomicdoc May 4 @ 9:37 PM EDT
    Sorry - forgot to say hello - Hi, Matt Katz here, radiation oncologist in Massachusetts. Good evening #meded!
  • RyanMadanickMD May 4 @ 9:37 PM EDT
    Welcome as always, my friend! #meded
    In reply to @subatomicdoc
  • CPHJobs May 4 @ 9:37 PM EDT
    This #job might be a great fit for you: RN - Obstetrics - https://t.co/LXHXGlXcoe #MedEd #Alaskan #RN #Soldotna, AK #Hiring
  • TirathPatelMD May 4 @ 9:38 PM EDT
    .@jonhagedornmd @laurenlicatino Yes. Candor is always appreciated as a trainee. Sugar-coating helps almost no one. #meded
    • RyanMadanickMD May 4 @ 9:23 PM EDT
      Do you think there is a way to give “real” feedback without being considered “mean”? #meded
      In reply to @jonhagedornmd, @laurenlicatino
  • MedEdChat - Moderator May 4 @ 9:38 PM EDT
    Tonight in #meded chat, we’re having a vibrant talk about grade inflation in clinical rotations & GME. T3 will be right up...
  • MedEdChat - Moderator May 4 @ 9:38 PM EDT
    TOPIC 3: How could clinical grades or evaluations at individual schools/programs be standardized to allow comparisons nationally? #meded
  • RyanMadanickMD May 4 @ 9:39 PM EDT
    T3 now live at #meded chat: How can evals be standardized across programs to allow true comparisons? #medsm #hcsm #medstudents #medschool
  • subatomicdoc May 4 @ 9:39 PM EDT
    Thanks Lauren. The internet shreds any illusion of omniscience we have. Embrace ignorance, it frees us to learn+empathize better! #meded
    In reply to @laurenlicatino, @RyanMadanickMD, @jonhagedornmd
  • mahoneyr May 4 @ 9:40 PM EDT
    T3 If we can get a reliable "good/better/best" from each program, we can learn to make our own decisions. #meded
  • jonhagedornmd May 4 @ 9:40 PM EDT
    This is the crux of the problem. Thus, why the USMLE is so important and often a cutoff for programs. The great equalizer. #meded
    In reply to @MedEdChat
  • victorng_md May 4 @ 9:40 PM EDT
    Well said @munsifio #emergencymedicine #meded #hardworkpaysoff
  • TirathPatelMD May 4 @ 9:40 PM EDT
    @RyanMadanickMD To limit "meanness," the candor must be bookended by concrete details on "next steps" (how to improve going forward). #MedEd
    In reply to @jonhagedornmd, @laurenlicatino, @RyanMadanickMD
  • mahoneyr May 4 @ 9:40 PM EDT
    Which has to be different from the feedback provided to students, which needs to be more specific and actionable. #meded
  • RyanMadanickMD May 4 @ 9:41 PM EDT
    Sad but true #meded
    • jonhagedornmd May 4 @ 9:40 PM EDT
      This is the crux of the problem. Thus, why the USMLE is so important and often a cutoff for programs. The great equalizer. #meded
      In reply to @MedEdChat
  • GenNextMD May 4 @ 9:41 PM EDT
    T3 - consensus driven standardized tasks for performance for reach rotation? #meded
    • MedEdChat - Moderator May 4 @ 9:38 PM EDT
      TOPIC 3: How could clinical grades or evaluations at individual schools/programs be standardized to allow comparisons nationally? #meded
  • myheroistrane May 4 @ 9:41 PM EDT
    T3: it's a dicey question - Step 2 CS was designed to do exactly this, but students and teachers alike seem to hate it. #meded
  • laurenlicatino May 4 @ 9:41 PM EDT
    Possibly more formalized assessments w specific evaluation of professionalism, work ethic, capability, etc. Grades are easier though #meded
    In reply to @RyanMadanickMD, @mahoneyr, @jonhagedornmd, @MedEdChat
  • RyanMadanickMD May 4 @ 9:41 PM EDT
    T3 Well…it’s Pass/Fail, right? #meded
    In reply to @myheroistrane
  • cmtomblinson May 4 @ 9:41 PM EDT
    First, define terms with values. Pass/fail? High pass? Honors? What do these even mean? #MedEd
    In reply to @MedEdChat
  • GenNextMD May 4 @ 9:42 PM EDT
    no more cost burden for med students please #meded
    • myheroistrane May 4 @ 9:41 PM EDT
      T3: it's a dicey question - Step 2 CS was designed to do exactly this, but students and teachers alike seem to hate it. #meded
  • myheroistrane May 4 @ 9:42 PM EDT
    Yup, but there is an internal "score" for each of three big areas - english proficiency, communication, PE/note writing. #meded
    In reply to @RyanMadanickMD
  • jonhagedornmd May 4 @ 9:42 PM EDT
    I'd take a student who smiles, arrives early, works hard, and is easy to chat with over someone that answers all my ques correct. #meded
    In reply to @laurenlicatino, @RyanMadanickMD, @mahoneyr, @MedEdChat
  • JanelleRBlu May 4 @ 9:42 PM EDT
    I beg to ask: should they? Wouldn't you rather have diverse "good" programs than standard "fair" programs? #MedEd
    In reply to @MedEdChat
  • JanelleRBlu May 4 @ 9:43 PM EDT
    I beg to ask: should they? Wouldn't you rather have diverse "good" programs than standardized "fair" programs? #MedEd
    In reply to @MedEdChat
  • RyanMadanickMD May 4 @ 9:43 PM EDT
    Defining Honors in the Surgery Clerkship. @JAmCollSurg https://t.co/OpfjokYo8V #meded
    • cmtomblinson May 4 @ 9:41 PM EDT
      First, define terms with values. Pass/fail? High pass? Honors? What do these even mean? #MedEd
      In reply to @MedEdChat
  • CharityH4TW May 4 @ 9:43 PM EDT
  • laurenlicatino May 4 @ 9:44 PM EDT
    Agreed! I believe that those who are socially competent and diligent often make better providers than those who simply "know it all" #meded
    In reply to @jonhagedornmd, @RyanMadanickMD, @mahoneyr, @MedEdChat
  • mahoneyr May 4 @ 9:44 PM EDT
    Nice and hard-working can get you so far, but smart (as opposed to "knowledgeable") is important, too. #meded
    In reply to @jonhagedornmd, @laurenlicatino, @RyanMadanickMD, @MedEdChat
  • gene_hobbs May 4 @ 9:44 PM EDT
    I think anesthesia has the right idea with standardized OSCE boards in 2018. If each rotation had a similar assessment, goal is known #MedEd
    • laurenlicatino May 4 @ 9:41 PM EDT
      Possibly more formalized assessments w specific evaluation of professionalism, work ethic, capability, etc. Grades are easier though #meded
      In reply to @RyanMadanickMD, @mahoneyr, @jonhagedornmd, @MedEdChat
  • JanelleRBlu May 4 @ 9:44 PM EDT
    And by "fair" I mean "average" not "equitable." All programs should have equality. #MedEd
    In reply to @MedEdChat
  • RyanMadanickMD May 4 @ 9:45 PM EDT
    T3 Combating Grade Inflation in Neph Rotation Evals w Fac Educ & 5-Point Centered Rating Scale #meded @JournalofGME https://t.co/TGomUSIHUF
  • mahoneyr May 4 @ 9:45 PM EDT
    My job as educator is to convert "smart" into "knowledgeable". Seems unfair to grade fund of knowledge if that's my job. #meded
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    This #job might be a great fit for you: Care Navigator - https://t.co/NVFsxv2GCh #Alaskan #MedEd #MedField #Healthcare #Soldotna, AK
  • myheroistrane May 4 @ 9:46 PM EDT
    Heretical thought - if USMLE provides data for State Boards to make decisions about licensing, then shouldn't the states pay for it? #meded
    • GenNextMD May 4 @ 9:42 PM EDT
      no more cost burden for med students please #meded
      • myheroistrane May 4 @ 9:41 PM EDT
        T3: it's a dicey question - Step 2 CS was designed to do exactly this, but students and teachers alike seem to hate it. #meded
  • RyanMadanickMD May 4 @ 9:47 PM EDT
    T3 As clinical work & rotations change (e.g., Longitudinal clerkships), it gets harder to standardize between schools #meded
    In reply to @gene_hobbs
  • victorng_md May 4 @ 9:47 PM EDT
    Great work @ivyomd and education team! #MedEd #CCME2017 #familymedicine #teachingtools
    • ivyomd May 2 @ 9:45 AM EDT
      Special thx to an amazing @FamPhysCan Education Dept Team for sharing great teaching resources created by members for members at #CCME17
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    .@GoldfishSwim shares the ins and outs of swimming lessons! #MedEd #FOAMed #podcast @nationwidekids https://t.co/Vha0cFvReJ
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    Thank you, for your help in lifting awareness about our #free #meded platform at https://t.co/CAj0MR6i8T @PochatTraining
    In reply to @PochatTraining, @PochatTraining
  • gene_hobbs May 4 @ 9:47 PM EDT
    #MedEd BUT, consistent lack of knowledge could also point our poor instructors #AlsoImportantToKnow
    In reply to @mahoneyr
  • laurenlicatino May 4 @ 9:47 PM EDT
    Interesting point. Do you think it would be possible to standardize assessments or metrics and not standardize curriculum? #meded
    In reply to @JanelleRBlu, @MedEdChat
  • Jfpohl May 4 @ 9:47 PM EDT
    T3: First might be good to standardize between institution clerkships. Work on clerkships that have issues. #meded https://t.co/w8VUspCTYb
    In reply to @MedEdChat
  • KaitlynJP May 4 @ 9:48 PM EDT
    And how do the standards get "reset" in programs now shifting clinical work to second year? Should it matter? #meded
  • subatomicdoc May 4 @ 9:48 PM EDT
    "Know it all" = hazard. https://t.co/AvmbWdkYrP #meded
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    We're #hiring! Read about our latest #job opening here: Security Officer I - https://t.co/n0f3vmpiSk #MedEd #Scrublife #HospitalLife
  • mahoneyr May 4 @ 9:49 PM EDT
    Agree. I can assess a student's acquisition and application of knowledge -- the knowledge itself is our responsibility. #meded
    In reply to @gene_hobbs
  • KaitlynJP May 4 @ 9:49 PM EDT
    I totally agree. Just seems ironic that the easiest part to quantify isn't and the hardest part is #meded
    In reply to @RyanMadanickMD
  • JanelleRBlu May 4 @ 9:50 PM EDT
    Well, aren't they linked? Assessments assess learning objectives. Learning objectives are delivered in the curriculum. #MedEd
    In reply to @laurenlicatino, @MedEdChat
  • gene_hobbs May 4 @ 9:50 PM EDT
    T3 and yet the USMLE remains. Content needed was defined with milestones for residency, why can't groups standardize core content in #MedEd
    In reply to @RyanMadanickMD
  • JanelleRBlu May 4 @ 9:51 PM EDT
    But your point is interesting, too. Hurts my brain to brainstorm how in 140 characters. #MedEd
    In reply to @laurenlicatino, @MedEdChat
  • laurenlicatino May 4 @ 9:54 PM EDT
    I think that's true of knowledge, but what about performance? What if we could standardized reporting performance, not knowledge? #meded
    In reply to @JanelleRBlu, @MedEdChat
  • MedEdChat - Moderator May 4 @ 9:55 PM EDT
    Well, we have about 5 more minutes left in our discussion. Please feel free to give some final thoughts #meded
  • laurenlicatino May 4 @ 9:55 PM EDT
    I have no idea developing a standardized assessment of performance is possible by the way, just brainstorming #meded
    In reply to @JanelleRBlu, @MedEdChat
  • PIPSQC May 4 @ 9:56 PM EDT
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  • gene_hobbs May 4 @ 9:58 PM EDT
    It can be done... Hard... But worth while. #MedEd https://t.co/jnTxVSYjA8
    In reply to @laurenlicatino, @JanelleRBlu, @MedEdChat
  • JanelleRBlu May 4 @ 9:59 PM EDT
    I'd defer to @gene_hobbs here. I have a feeling he has ideas. #MedEd
    In reply to @laurenlicatino, @MedEdChat, @gene_hobbs