#meded Archive
All ideas and resources tweeted alongside #meded are curated and collected here.
Thursday May 25, 2017
9:00 PM EDT
MedEdChat
- Moderator
May 25 @ 9:00 PM EDT
Welcome to the Medical Education chat (US) I am your moderator for the next hour,
@RyanMadanickMD
#meded
MedEdChat
- Moderator
May 25 @ 9:00 PM EDT
With me tonight as a co-host is
@kogillil
, my colleague
@UNC_SOM
in co-directing the Foundation Phase of the TEC curriculum
#meded
MedEdChat
- Moderator
May 25 @ 9:00 PM EDT
The topic & questions will be announced in a moment…for now, please introduce yourselves
#meded
kogillil
May 25 @ 9:01 PM EDT
Greetings from the Univ of North Carolina at Chapel Hill
#meded
In reply to @MedEdChat, @UNC_SOM
MedEdChat
- Moderator
May 25 @ 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)
MedEdChat
- Moderator
May 25 @ 9:02 PM EDT
We will assume that all of your tweets are your own during this hour unless otherwise stated
#meded
RyanMadanickMD
May 25 @ 9:04 PM EDT
Hi Lauren. Make sure to use the
#meded
hashtag to be part of the chat!
In reply to @laurenlicatino, @MedEdChat
GLBDallaghan
May 25 @ 9:04 PM EDT
Good evening
@kogillil
&
@RyanMadanickMD
#meded
In reply to @MedEdChat, @kogillil, @UNC_SOM, @kogillil, @RyanMadanickMD
laurenlicatino
May 25 @ 9:04 PM EDT
Oops forgot the
#meded
hashtag!
laurenlicatino
May 25 @ 9:03 PM EDT
Hello from Minnesota!
In reply to @MedEdChat
02amor
May 25 @ 9:04 PM EDT
Hi
#meded
! It’s Renee in Philly. At least the hail stopped...
RyanMadanickMD
May 25 @ 9:04 PM EDT
I think
@mahoneyr
may scold you ;)
#meded
In reply to @laurenlicatino, @mahoneyr
RyanMadanickMD
May 25 @ 9:05 PM EDT
Haha… All hail the end of the hail!
#meded
In reply to @02amor
CPHJobs
May 25 @ 9:05 PM EDT
We're
#hiring
! Click to apply: RN - Preceptee -
https://t.co/TH1FOFojM8
#Alaskan
#MedEd
#MedField
#Nursing
#Soldotna
, AK
#Job
#Jobs
MedEdChat
- Moderator
May 25 @ 9:05 PM EDT
T1 about to come up in a few moments
#meded
ParsonsDPT
May 25 @ 9:06 PM EDT
So is barefoot running ready to die?
#solvept
#foamed
#running
#meded
https://t.co/N3qNm7Qty8
02amor
May 25 @ 9:06 PM EDT
🍻 RT
@RyanMadanickMD
: Haha… All hail the end of the hail!
#meded
centegracareers
May 25 @ 9:06 PM EDT
Interested in a
#job
in
#CrystalLake
, IL? This could be a great fit:
https://t.co/OcNcOdVIqW
#MedEd
#Scrublife
#HospitalLife
#Clerical
MedEdChat
- Moderator
May 25 @ 9:07 PM EDT
A recent
@washingtonpost
article discussed effects of Pass-Fail curricula, incl greater emphasis on Boards
#meded
https://t.co/XHoE1Pwzto
MedEdChat
- Moderator
May 25 @ 9:07 PM EDT
TOPIC 1: How much could Pass-Fail curricula affect pt care & the medical community? How have they increased emphasis on Board scores?
#meded
RyanMadanickMD
May 25 @ 9:09 PM EDT
T1 now live @
#meded
: How do Pass-Fail
#medschool
curricula affect pt care & the emphasis on Boards?
#hcsm
#medsm
#medstudents
kogillil
May 25 @ 9:10 PM EDT
T1 I like the collegiality produced by P/F, but the middle 1/3 no longer chases honors and the top 1/3 no longer tries to keep honors.
#meded
In reply to @MedEdChat
GLBDallaghan
May 25 @ 9:10 PM EDT
T1 Only speculating that it cud improve pt care as
#MedStudents
focus on mastery learning not grades
#meded
In reply to @MedEdChat
AIHMGlobal
May 25 @ 9:11 PM EDT
Connect for Community & Mental Health, free pain online CME, Annual Conference: May newsletter
https://t.co/UkmV2DCTsY
#MedEd
#medicine
RyanMadanickMD
May 25 @ 9:11 PM EDT
T1 That was the hope, I think
#meded
In reply to @GLBDallaghan, @MedEdChat
02amor
May 25 @ 9:11 PM EDT
T1
#meded
We recently went p/f. There’s still internal student ranking & ways to differentiate the students on MSPE. Students seem OK
GLBDallaghan
May 25 @ 9:11 PM EDT
T1 Is there greater stress over being prepared for
#USMLE
?
#meded
In reply to @kogillil, @MedEdChat
RyanMadanickMD
May 25 @ 9:12 PM EDT
Oh.Em.Gee, Yes
#meded
GLBDallaghan
May 25 @ 9:11 PM EDT
T1 Is there greater stress over being prepared for
#USMLE
?
#meded
In reply to @kogillil, @MedEdChat
AmolUtrankar
May 25 @ 9:12 PM EDT
.
@VUSM
one of the few schools with P/F clerkship year; IMO, lets us focus more on contributing to the clinical team, vs. shelf prep!
#MedEd
laurenlicatino
May 25 @ 9:12 PM EDT
T1: Coming from one of the last graded Med schools, I think P/F might actually have given more flexibility to learn what I wanted
#meded
In reply to @MedEdChat
kogillil
May 25 @ 9:13 PM EDT
@@MedEdChat
#meded
On the stress spectrum (distress to eustress) we are leaning toward distress right now... eustress = good stress
In reply to @GLBDallaghan, @MedEdChat, @MedEdChat
GLBDallaghan
May 25 @ 9:13 PM EDT
T1 Do you find
#MedStudents
are more collaborative?
#meded
In reply to @02amor
02amor
May 25 @ 9:13 PM EDT
Relating to a recent topic- I think anxiety is way up in students either way
#meded
T1
https://t.co/mXstYuNlUE
RyanMadanickMD
May 25 @ 9:12 PM EDT
Oh.Em.Gee, Yes
#meded
GLBDallaghan
May 25 @ 9:11 PM EDT
T1 Is there greater stress over being prepared for
#USMLE
?
#meded
In reply to @kogillil, @MedEdChat
AmolUtrankar
May 25 @ 9:13 PM EDT
Yes! Can focus more on learning common complaints versus often-tested zebras!
#MedEd
In reply to @laurenlicatino, @MedEdChat
VHCCareers
May 25 @ 9:14 PM EDT
This
#job
might be a great fit for you: Urologist -
https://t.co/QMOQHO9kyn
#Doctor
#MedEd
#MD
#Physician
#Arlington
, VA
#Hiring
KarisaWalkerMD
May 25 @ 9:14 PM EDT
T1 Article says stdnts r xperts in focusing on what "counts"=MCQ at expense of other learning opportunities. Discourages curiosity.
#MedEd
In reply to @MedEdChat
GLBDallaghan
May 25 @ 9:14 PM EDT
T1 Any concerns about competitiveness of
#nrmp
?
#meded
In reply to @AmolUtrankar, @VUSM
AIHMGlobal
May 25 @ 9:15 PM EDT
Want to change healthcare? Be the change! Apply interprofessional Board of Integrative Medicine Fellowship at
https://t.co/KfdBLE9bkc
#MedEd
KarisaWalkerMD
May 25 @ 9:15 PM EDT
Hi from Omaha!
#meded
In reply to @MedEdChat
RyanMadanickMD
May 25 @ 9:16 PM EDT
Welcome!
#meded
In reply to @KarisaWalkerMD, @MedEdChat
laurenlicatino
May 25 @ 9:16 PM EDT
T1 Having P/F base years but graded or stratified clerkships may also help differentiate more on clinical skill than test taking
#meded
02amor
May 25 @ 9:16 PM EDT
#meded
T1 p/f classes are just rising to clinical yrs (where I see them). My colleagues think so
In reply to @GLBDallaghan
RyanMadanickMD
May 25 @ 9:16 PM EDT
T1 The unintended consequences of the P/F curricula
#meded
In reply to @KarisaWalkerMD, @MedEdChat
AmolUtrankar
May 25 @ 9:16 PM EDT
TBD, I suppose. But the first class to go through matched well this year, which is somewhat reassuring for those of us following em!
#meded
In reply to @GLBDallaghan
abhaydandekar
May 25 @ 9:17 PM EDT
T1 p/f produce better baseline entrustment by defining the "floor", w/milestones to help describe the pathway to the "ceiling"
#meded
In reply to @MedEdChat
AIHMGlobal
May 25 @ 9:18 PM EDT
Feeling burnt out? Recharge at
#AIHM17
medical conference
https://t.co/Qhkm1VkGQ0
#CME
#MedEd
#interprofessional
GLBDallaghan
May 25 @ 9:18 PM EDT
T1 Fantastic! Argument is always needing tiered grading in clerkships to help with Match
#meded
In reply to @AmolUtrankar
AmolUtrankar
May 25 @ 9:19 PM EDT
But with grading/expectations as variable as they are across schools, are these as reliable as something like Step, anyway?
#meded
In reply to @GLBDallaghan
KarisaWalkerMD
May 25 @ 9:20 PM EDT
T1: might P/F/honors be a solution?
#meded
In reply to @dinkjardine, @MedEdChat
GLBDallaghan
May 25 @ 9:20 PM EDT
T1
#meded
Exactly!
In reply to @AmolUtrankar
02amor
May 25 @ 9:20 PM EDT
#meded
T1 re:the Match. Pre-clinical grades not as highly rated on PD surveys. We have many ways to measure brainpower
Kind4Kids
May 25 @ 9:21 PM EDT
Consider the relationship between pass/fail courses in
#medschool
and wellness/burnout.
#meded
@MedEdChat
AmolUtrankar
May 25 @ 9:21 PM EDT
Patients are a pretty strong motivator .. even with P/F, our motivation is that our patients will expect us to be knowledgeable
#meded
In reply to @dinkjardine, @MedEdChat
laurenlicatino
May 25 @ 9:22 PM EDT
T1 how are students differentiated in deans letters etc? Is it more comment based and less stratification? Just curious
#meded
In reply to @GLBDallaghan, @AmolUtrankar
RyanMadanickMD
May 25 @ 9:22 PM EDT
T1 Is there an inverse relationship?
#meded
In reply to @Kind4Kids, @MedEdChat
laurenlicatino
May 25 @ 9:23 PM EDT
T1 I'm very curious about this
#meded
In reply to @Kind4Kids, @MedEdChat
AmolUtrankar
May 25 @ 9:23 PM EDT
my understanding is (a) qualitative comments on performance, and (b) grades on post-clerkship elective rotations
#meded
In reply to @laurenlicatino, @GLBDallaghan
StephRStarr
May 25 @ 9:24 PM EDT
T1 > 10 years ago we saw significant decrease in student distress with change to P/F in first 2 years
#meded
Kind4Kids
May 25 @ 9:21 PM EDT
Consider the relationship between pass/fail courses in
#medschool
and wellness/burnout.
#meded
@MedEdChat
MedEdChat
- Moderator
May 25 @ 9:24 PM EDT
Nice discussion about the effect of P/F curricula & the Boards tonight in
#meded
chat. T2 will be up shortly.
abhaydandekar
May 25 @ 9:24 PM EDT
Maybe Outcome descriptors help qualify the granularity a bit: team honors, professional honors, inquiry honors, etc...
#meded
In reply to @dinkjardine, @MedEdChat
GLBDallaghan
May 25 @ 9:24 PM EDT
T1 Stu Slavin at SLU showed there was
#meded
In reply to @RyanMadanickMD, @Kind4Kids, @MedEdChat
ProFemaleVO
May 25 @ 9:25 PM EDT
#Fiverr
#vo
#voiceover
#narration
#physician
#MedEd
#mdehr
#medicalbilling
-
https://t.co/PQ9pPGrhni
MedEdChat
- Moderator
May 25 @ 9:25 PM EDT
TOPIC 2: What are the pros/cons of taking Step 1 AFTER clerkships? What would be the pros/cons a “gateway exam” (Step 1+2)?
#meded
CPHJobs
May 25 @ 9:25 PM EDT
We're
#hiring
! Read about our latest
#job
opening here: Resident Assistant -
https://t.co/HW72EevPQY
#Alaskan
#MedEd
#MedField
#Healthcare
sendelb2
May 25 @ 9:26 PM EDT
T1 we've seen students do just enough to pass, spend the rest of their time prepping for Step 1. Unintended consequence
#meded
In reply to @MedEdChat
DrKirtyBrown
May 25 @ 9:26 PM EDT
My in-laws are here so I'm creeping on this. Gr8 chat! Sad to not officially participate
#meded
MedEdChat
- Moderator
May 25 @ 9:24 PM EDT
Nice discussion about the effect of P/F curricula & the Boards tonight in
#meded
chat. T2 will be up shortly.
GLBDallaghan
May 25 @ 9:27 PM EDT
T1
#meded
MSPE becoming more fact based with expl re grading on clerkships & stratification by quartiles...not rank
In reply to @laurenlicatino, @AmolUtrankar
centegracareers
May 25 @ 9:27 PM EDT
We're
#hiring
! Click to apply: Certified Clinical Medical Assistant or LPN -
https://t.co/smBe1yZPH7
#MedEd
#Scrublife
#HospitalLife
#Job
MedEdChat
- Moderator
May 25 @ 9:27 PM EDT
T2 now live @
#meded
chat: What are pros/cons of moving Step 1 after clrkshps? what about a combo exam?
#medsm
#hcsm
#medstudents
#medschool
RyanMadanickMD
May 25 @ 9:27 PM EDT
T2 now live @
#meded
chat: What are pros/cons of moving Step 1 after clrkshps? what about a combo exam?
#medsm
#hcsm
#medstudents
#medschool
sood_lonika
May 25 @ 9:27 PM EDT
#meded
T2:Testing might reflect actual transfer to clinical medicine
In reply to @MedEdChat
DrKirtyBrown
May 25 @ 9:28 PM EDT
@RyanMadanickMD
you're killing me with these topics! So sad to miss. Looking forward to transcript
#meded
AmolUtrankar
May 25 @ 9:28 PM EDT
Pro: able to use clerkships to build cognitive frameworks for common complaints. Works well for increasingly clinical Step 1 stems
#meded
laurenlicatino
May 25 @ 9:29 PM EDT
T2
#meded
Pro: may develop a more clinical framework on which to build knowledge. Con: may focus more on the test than patient care
GLBDallaghan
May 25 @ 9:29 PM EDT
T2 Pro: experience with
#NBME
exams may help prep for Step 1. Con: Forgetting a lot of basic sci material
#meded
In reply to @MedEdChat
GLBDallaghan
May 25 @ 9:31 PM EDT
T2 Combo exam might be better.
#USMLE
was investigating at one point
#meded
In reply to @RyanMadanickMD
Kind4Kids
May 25 @ 9:31 PM EDT
Why not wait... to read this article:
https://t.co/JynWG1ChFW
#meded
@MedEdChat
@AcadMedJournal
AmolUtrankar
May 25 @ 9:32 PM EDT
If the end-effect is that the exam starts to move away from less-clinically relevant basic sci material, that’s a win.
#meded
In reply to @GLBDallaghan, @MedEdChat
DrKirtyBrown
May 25 @ 9:32 PM EDT
Glad you're on top of this chat Dean Kind! 👍
#MedEd
In reply to @Kind4Kids, @MedEdChat, @AcadMedJournal
RyanMadanickMD
May 25 @ 9:33 PM EDT
Dean? And to think, I knew her when! ;)
#meded
In reply to @DrKirtyBrown, @Kind4Kids, @MedEdChat, @AcadMedJournal
AmolUtrankar
May 25 @ 9:34 PM EDT
If I can go through a year of clerkships without hearing "Hurthle cell," is it really a must-know item for all docs?
#MedEd
In reply to @GLBDallaghan, @MedEdChat
DaveLewMD
May 25 @ 9:35 PM EDT
T1 there will always be rankings by schools and residencies. Thus increases importance of Step scores.
#meded
In reply to @MedEdChat
RyanMadanickMD
May 25 @ 9:35 PM EDT
LOL cc
@kogillil
#meded
AmolUtrankar
May 25 @ 9:34 PM EDT
If I can go through a year of clerkships without hearing "Hurthle cell," is it really a must-know item for all docs?
#MedEd
In reply to @GLBDallaghan, @MedEdChat
DaveLewMD
May 25 @ 9:36 PM EDT
T1 T1 I'm sure most schools would still have internal rankings based on exams regardless of P/F to create MSPE quintiles
#MedEd
In reply to @MedEdChat
GLBDallaghan
May 25 @ 9:37 PM EDT
T1 or some other metric will be used to stratify
#MedStudents
#meded
In reply to @DaveLewMD, @MedEdChat
DaveLewMD
May 25 @ 9:38 PM EDT
T2 allows framework for understanding clinical vignettes. Puts basic science knowledge into clinical context. Spaced repetition.
#MedEd
In reply to @RyanMadanickMD
DrKirtyBrown
May 25 @ 9:38 PM EDT
T2 would our
#meded
students prefer P/F to honors etc? What about delaying Step 1? Very interested in student perceptions
Kind4Kids
May 25 @ 9:38 PM EDT
Aww, you'll always be my first, chat.
@RyanMadanickMD
@MedEdChat
#meded
RyanMadanickMD
May 25 @ 9:33 PM EDT
Dean? And to think, I knew her when! ;)
#meded
In reply to @DrKirtyBrown, @Kind4Kids, @MedEdChat, @AcadMedJournal
MedEdChat
- Moderator
May 25 @ 9:39 PM EDT
Enjoying our
#meded
chat tonight about the effects of P/F curricula & Boards. T3 will be right up
AmolUtrankar
May 25 @ 9:39 PM EDT
Is it “true” P/F if there are still reported ranks, or Deans letter code-words? This feels like somewhat of a cop-out, to me.
#MedEd
In reply to @DaveLewMD, @MedEdChat
MedEdChat
- Moderator
May 25 @ 9:39 PM EDT
TOPIC 3: What would be the pros/cons of creating a Pass/Fail Board exam, without releasing scores? How would it change our pedagogy?
#meded
02amor
May 25 @ 9:39 PM EDT
T2
#meded
I think “Honors” grade has more power in clinical rotations
In reply to @DrKirtyBrown
Kind4Kids
May 25 @ 9:39 PM EDT
Is T3 like step 3?
#meded
AmolUtrankar
May 25 @ 9:40 PM EDT
Also, how does this reconcile with the philosophy of competencies (comparing students to a standard of ‘goodness,’ vs. each other)?
#meded
In reply to @DaveLewMD, @MedEdChat
sood_lonika
May 25 @ 9:40 PM EDT
#meded
T3: implications for recruitment to GME
In reply to @MedEdChat
DaveLewMD
May 25 @ 9:40 PM EDT
T1 how do we get out of coded quintile language if ACGME and LCME want this? If I were a PD that's info I want to know too
#MedEd
In reply to @AmolUtrankar, @MedEdChat
DrKirtyBrown
May 25 @ 9:41 PM EDT
Can you do P/F rotations with ranking? If we need to be consistent all 4 years what r current models
#meded
In reply to @02amor
RyanMadanickMD
May 25 @ 9:41 PM EDT
T3 now live @
#meded
chat: Shld Boards be Pass/Fail, w/o scores? Pros/cons? How would pedagogy change?
#medsm
#hcsm
#medstudents
#medschool
mahoneyr
May 25 @ 9:41 PM EDT
The
#meded
hashtag is very important. Without it, your precious thoughts will be lost forever.
In reply to @RyanMadanickMD, @laurenlicatino
RyanMadanickMD
May 25 @ 9:42 PM EDT
T3 BUT! Boards were never designed to be used for GME stratification
#meded
In reply to @sood_lonika, @MedEdChat
GLBDallaghan
May 25 @ 9:42 PM EDT
T3
#meded
This is my soapbox issue. Unintended consequence would be a rise in using (or abusing) other metrics to screen for residency
In reply to @MedEdChat
DaveLewMD
May 25 @ 9:43 PM EDT
Core competencies are vital. But P/F puts large emphasis on Step scores. May not reward excellent ward MS-3/4 but poor-average USMLE
#meded
In reply to @AmolUtrankar, @MedEdChat
DrKirtyBrown
May 25 @ 9:43 PM EDT
Oh Ryan is going there!
#meded
🙃
In reply to @MedEdChat
laurenlicatino
May 25 @ 9:43 PM EDT
T3
#meded
I think there would be less stress about the test but there would be lots of growing pains in GME
In reply to @MedEdChat
02amor
May 25 @ 9:43 PM EDT
#meded
T2 There ways to rank behind the scenes. I think PDs like to see the “Honors” in their specialty rotation or SubI in an applicant
In reply to @DrKirtyBrown
garyschwartzmd
May 25 @ 9:43 PM EDT
Thank you
@EMARIANOMD
for helping to engage with
#twitter
and expanding
#socialmedia
for
#meded
and anesthesia
@RAPMOnline
@ASRA_Society
EMARIANOMD
May 25 @ 9:35 PM EDT
Upgrading a
#SocialMedia
Strategy to Increase Conference
#Twitter
Engagement
https://t.co/SJLWWSgIyP
#hcsm
RyanMadanickMD
May 25 @ 9:43 PM EDT
USMLE Steps
#meded
In reply to @sood_lonika, @MedEdChat
RyanMadanickMD
May 25 @ 9:45 PM EDT
That’s the unfortunate part :/
#meded
In reply to @sood_lonika, @MedEdChat
CPHJobs
May 25 @ 9:45 PM EDT
Can you recommend anyone for this
#job
in
#Soldotna
, AK?
https://t.co/8EvRsx7oHt
#Alaskan
#MedEd
#MedField
#Clerical
#Hiring
#CareerArc
DrKirtyBrown
May 25 @ 9:45 PM EDT
We have had multiple convos about other issues (P/F) & those cause concerns for match and residency. This would be more difficult IMO
#meded
laurenlicatino
May 25 @ 9:43 PM EDT
T3
#meded
I think there would be less stress about the test but there would be lots of growing pains in GME
In reply to @MedEdChat
02amor
May 25 @ 9:46 PM EDT
T3
#meded
If any Step should be p/f I think it should be Step 3. Or eliminate Step 3 (& the CS, but I digress)
Kind4Kids
May 25 @ 9:46 PM EDT
This is an excellent
@MedEdChat
Excellent = second quartile.
#meded
RyanMadanickMD
May 25 @ 9:46 PM EDT
Haha
#meded
Kind4Kids
May 25 @ 9:46 PM EDT
This is an excellent
@MedEdChat
Excellent = second quartile.
#meded
centegracareers
May 25 @ 9:47 PM EDT
This
#job
might be a great fit for you: Financial Counselor, CMS -
https://t.co/66qfxXRE27
#MedEd
#Scrublife
#HospitalLife
#Clerical
DrKirtyBrown
May 25 @ 9:47 PM EDT
I think they're anxious all the time. Not sure there is a right answer
#meded
In reply to @02amor
RyanMadanickMD
May 25 @ 9:47 PM EDT
#meded
DaveLewMD
May 25 @ 9:47 PM EDT
T3 pro: focus on learning for learning sake. Con: you need some really mature motivated self directed students
In reply to @RyanMadanickMD
DaveLewMD
May 25 @ 9:48 PM EDT
T3 con: students may only learn what they think is "sexy" or relevant to future field.
#medschool
is time to increase breadth
#meded
In reply to @RyanMadanickMD
AmolUtrankar
May 25 @ 9:48 PM EDT
Before medical school, I used to be so pleased to be referred to as “excellent” …
#MedEd
In reply to @Kind4Kids, @MedEdChat
NCHMedEd
May 25 @ 9:48 PM EDT
Families need YOUR help. Combat toxic stress by promoting resilience.
#MedEd
#FOAMed
#podcast
@nationwidekids
https://t.co/BggJJsqpia
GLBDallaghan
May 25 @ 9:48 PM EDT
T3
#meded
Technically all of the Steps are P/F cuz they r normed exams with defined cut point for passing.
In reply to @02amor
02amor
May 25 @ 9:49 PM EDT
#meded
I agree.So much more anxiety. And I thought I was anxious! They make me & my friends look zen
#notzen
In reply to @DrKirtyBrown
RyanMadanickMD
May 25 @ 9:49 PM EDT
T3 True, but they are no longer thought as *truly* pass/fail
#meded
In reply to @GLBDallaghan, @02amor
DaveLewMD
May 25 @ 9:49 PM EDT
T3 pro: increase emphasis of clinical competencies, humanism. Con: we need objective std. for likelihood to pass specialty board
#meded
In reply to @RyanMadanickMD
DrKirtyBrown
May 25 @ 9:49 PM EDT
Truth. 6 yrs PhD immediately after undergrad. I'm not sure I was truly self directed until year 4. Not sure what I would do here...
#meded
DaveLewMD
May 25 @ 9:47 PM EDT
T3 pro: focus on learning for learning sake. Con: you need some really mature motivated self directed students
In reply to @RyanMadanickMD
02amor
May 25 @ 9:50 PM EDT
Riiiiiiiight
#scores
MT
@GLBDallaghan
T3
#meded
Technically all of the Steps are P/F cuz they r normed exams /defined cut point for passing.
RyanMadanickMD
May 25 @ 9:51 PM EDT
T3 Agree. Undergraduate schools really need to start help students develop more independent learning & thinking early on
#meded
In reply to @DrKirtyBrown
AmolUtrankar
May 25 @ 9:51 PM EDT
But really: when each attending uses diff. hierarchy of (+) adjectives, it's impossible for the learner to ID strengths/weaknesses
#meded
In reply to @Kind4Kids, @MedEdChat
abhaydandekar
May 25 @ 9:51 PM EDT
T3 make UME▶️GME continuum more linear + transparent. Don't release scores, create progress report for learner inclusive of str/imp
#meded
In reply to @MedEdChat
DaveLewMD
May 25 @ 9:51 PM EDT
And superior sounds great but it's worse than excellent for MSPE!!
#meded
In reply to @AmolUtrankar, @Kind4Kids, @MedEdChat
kogillil
May 25 @ 9:52 PM EDT
@@MedEdChat
#meded
It won't take long before the concept of the gateway exam is reintroduced
In reply to @MedEdChat, @MedEdChat
AmolUtrankar
May 25 @ 9:52 PM EDT
or @ start of med school, allocate time for talks on how to learn, how to develop learning plans, how to request/interpret feedback
#meded
In reply to @RyanMadanickMD, @DrKirtyBrown
sood_lonika
May 25 @ 9:53 PM EDT
#meded
T3: in an ideal world CEPAER should preceded EPA seamlessly... but will it?need standardization of assessments in the workplace
In reply to @abhaydandekar, @MedEdChat
GLBDallaghan
May 25 @ 9:53 PM EDT
T3
#meded
True....but
#USMLE
is violating AERA/NCME Standards for reporting P/F exams...which annoys me to no end
In reply to @RyanMadanickMD, @02amor
AmolUtrankar
May 25 @ 9:53 PM EDT
it is?! ugh, and here i thought I was actually *good* at that stuff 😒
#meded
In reply to @DaveLewMD, @Kind4Kids, @MedEdChat
DrKirtyBrown
May 25 @ 9:53 PM EDT
Any faculty are being innovative..and many r going 4
#tenure
etc and don't have time. That's a whole other chat 😁
#meded
RyanMadanickMD
May 25 @ 9:51 PM EDT
T3 Agree. Undergraduate schools really need to start help students develop more independent learning & thinking early on
#meded
In reply to @DrKirtyBrown
RyanMadanickMD
May 25 @ 9:53 PM EDT
T3 Can you elaborate?
#meded
In reply to @GLBDallaghan, @02amor
laurenlicatino
May 25 @ 9:54 PM EDT
T3 Changing the
#meded
culture to one of more self directed learning and thinking could greatly improve the future of medicine
In reply to @RyanMadanickMD, @DrKirtyBrown
wellmighty
May 25 @ 9:54 PM EDT
#AlzheimersDisease
Deaths Up 55 Percent
https://t.co/VC2YjGqvyb
#mentalillness
#seniors
#elderlycare
https://t.co/t8mX5h8DQI
#cme
#meded
GLBDallaghan
May 25 @ 9:55 PM EDT
T3 Can you standardize
#CBME
? Seems to directly contradict the premise of competency
#meded
In reply to @sood_lonika, @abhaydandekar, @MedEdChat
ProFemaleVO
May 25 @ 9:55 PM EDT
#Fiverr
#vo
#voiceover
#narration
#physician
#MedEd
#mdehr
#medicalbilling
-
https://t.co/PQ9pPGISeQ
MedEdChat
- Moderator
May 25 @ 9:55 PM EDT
Well, we have about 5 more minutes left in our discussion. Please feel free to give some final thoughts
#meded
DrKirtyBrown
May 25 @ 9:55 PM EDT
Agree. I also see students think they know how to learn and then won't let that preconception go. Takes a lot work!
#meded
In reply to @AmolUtrankar, @RyanMadanickMD
kogillil
May 25 @ 9:55 PM EDT
@@mededchat
#meded
Step 1 after preclinical needs critical thinking... Step 1 after clerkship needs pattern recognition
In reply to @GLBDallaghan, @RyanMadanickMD, @02amor, @MedEdChat
Kind4Kids
May 25 @ 9:56 PM EDT
P=MD But P must include Professionalism!
#meded
@MedEdChat
kogillil
May 25 @ 9:56 PM EDT
T3
@mededchat
#meded
...except for the rare diseases which are rare no matter when you take the exam
In reply to @GLBDallaghan, @RyanMadanickMD, @02amor, @MedEdChat, @MedEdChat
kogillil
May 25 @ 9:57 PM EDT
T3
@mededchat
#meded
Oh, CS... $$$$$$$$$$$
In reply to @02amor, @MedEdChat
GLBDallaghan
May 25 @ 9:58 PM EDT
T3 Standards lay out guidelines for reporting norm vs criterion exams. Normed exams identify a passing score so only report P/F
#meded
In reply to @RyanMadanickMD, @02amor
AmolUtrankar
May 25 @ 9:59 PM EDT
There’s no clarity on what an “A”/“H” means; if I get a competency eval, it’s, “This is what I’ve seen you do; next, do this.”
#meded
In reply to @GLBDallaghan, @sood_lonika, @abhaydandekar, @MedEdChat
wellmighty
May 25 @ 9:59 PM EDT
#Vermont
Turns Its Backs on
#Vaccine
Debate
https://t.co/8EmzcQqIj0
#immunization
#prevention
#wellness
https://t.co/t8mX5h8DQI
#cme
#meded