#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
HealthRosetta
May 4 @ 12:32 PM EDT
Health Rosetta Guiding Principles - Scaling medical education for the future.
https://t.co/g5V40VWlEt
#HRPrinciples
#ThursdayThoughts
#MedEd
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
DarelHeitkamp
May 4 @ 5:04 PM EDT
Radiology Program Directors: The Need For Universal Curricula
@theapdr
@RadiologyACR
@JACRJournal
@SIIM_Tweets
https://t.co/aL6L6b6sHr
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
Can you recommend anyone for this
#job
in
#McHenry
, IL?
https://t.co/m79ApU0Utz
#MedEd
#Scrublife
#HospitalLife
#Clerical
#Hiring
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
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
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
PochatTraining
May 2 @ 11:58 AM EDT
For
#WorldAsthmaDay
, why not watch this grt
#asthma
vid by
@blausenmedical
?
https://t.co/MswSTrXPwf
#WorldAsthmaDay2017
#uksopro
#flockbn
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
munsifio
May 4 @ 5:15 PM EDT
How many times do we feel dejected post case/shift/nights and finally we talk about it at EMU
@EmICUcanada
#EMU2017
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
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#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
We use
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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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May 4 @ 9:46 PM EDT
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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
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#MedEd
#CCME2017
#familymedicine
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ivyomd
May 2 @ 9:45 AM EDT
Special thx to an amazing
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May 4 @ 9:47 PM EDT
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May 4 @ 9:47 PM EDT
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@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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May 4 @ 9:48 PM EDT
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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
Leadership - C-suite ambassadors of patient safety (Webinar - May 16)
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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