T1 I need more than 240 characters for that list. But the most challenging experiences I've had have been in designing authentic simulations (e.g., virtual patients). #meded
T1: Encounters with generation gaps are unavoidable, with 4 generations in the workforce. For students, the gap is generally ‘above;’ mid-career faculty have at least one gap above and one below! #meded
T1 As a educational researcher I've also had to balance most learners' expectations to have input on their curriculum with the fact that they are survey fatigued. #creativedatacollection#MedEd
T1. #meded I suppose if diversity of any kind isn’t managed, cultivated to leverage everyone’s strengths and buttress weaknesses, it would negatively affect patient care.
T1 You compromise your level of immersion if the simulated patient isn't realistic to the participants. So you can't have them listening to MC Hammer a walkman. #meded
T1 #meded Doesn't that fall on our shoulders as educators to ensure they understand the purpose of the feedback? Perhaps it is meant to be evaluative judgment....but we often times fail to point out the formative feedback clearly enough
In reply to
@anna_cianciolo, @Top_Gundersen, @hur2buzy, @Alliance4ClinEd
T1 Nostalgialitis imperfecta profunda. This is a common syndrome where older physicians (like me😁) talk about a) how much harder they worked in training, b) students today are not as motivated, c) students today more interested in lifestyle.
Gary, I think this goes to being transparent with our learners! This is ever so more important in the age of #CBME. Are we being clear about why we as the educator are teaching in some way or offering feedback in some way? #MedEd
In reply to
@GLBDallaghan, @anna_cianciolo, @Top_Gundersen, @hur2buzy, @Alliance4ClinEd
My school has "feedback mentors" for the M3 students. We meet with students every quarter and review the feedback they've gotten during their clerkships. It adds an extra layer of reflection that I think is helpful. #meded
In reply to
@GLBDallaghan, @anna_cianciolo, @hur2buzy, @Alliance4ClinEd
There’s certainly a skill to preparing for, seeking, digesting, and responding productively to feedback - and I don’t think we’re doing a good job teaching this to our students in most cases. #MedEd
In reply to
@GLBDallaghan, @anna_cianciolo, @Top_Gundersen, @hur2buzy, @Alliance4ClinEd
I've designed computer-based virtual patients, high fidelity mannequin cases, and SP assessments. I think they all have their place. But in my experience students prefer well-designed, efficiently-run, and accurately-assessed sims regardless of the modality. #meded
T1. #meded Sure, but feedback also comes from the environment if you understand how to see it. I think the non-stop helicoptering and testing of young people guts their impression that worthwhile information comes from the world around them.
In reply to
@GLBDallaghan, @Top_Gundersen, @hur2buzy, @Alliance4ClinEd
T2. This drives me crazy. It is VERY challenging to be a student and resident today - more to do, more to know, clinical care compressed, more debt, and in many ways more responsibility. Older genera complaining about younger ones is as old as dirt.
I also think this ties to adult learning theory - a key component I really embrace is the 'learner's need to know,.' Are we telling them 'why' this is essential content for them to understand? @GLBDallaghan#MedEd
In reply to
@GLBDallaghan, @anna_cianciolo, @Top_Gundersen, @hur2buzy, @Alliance4ClinEd, @GLBDallaghan
T2: Keeping up with social media has been an anecdotal success for me. Twitter & Snapchat are good ways to communicate effectively yet informally with students. #meded
T3. This is also part of the hidden curriculum and frankly unhelpful. All of us across generations can learn from each other - let’s co-learn and co-produce education and clinical care - when we do, everyone, especially patients, win.
T2 Listen for sincere understanding of their stories. Empathize with their struggles and fears. And collaborate to improve care, learning environment #meded
T2. This drives me crazy. It is VERY challenging to be a student and resident today - more to do, more to know, clinical care compressed, more debt, and in many ways more responsibility. Older genera complaining about younger ones is as old as dirt.
T2: Absorb and grow from my learners’ enthusiasm and empathy. Their presence makes me a better physician every day I’m on a teaching service. It’s truly a symbiotic relationship. #meded
T2- we use @Yammer social media platforms engage students in asynchronous discussions with peers and core faculty during the Medicine clerkship. #MedEd
#Meded Although it often devolves into complaining about young people, talk about generational differences doesn’t have to be that. Hopefully, we are thinking about what the full range of generational influences adds to our teaching and practice.
T2 I'm a fan of humble inquiry. I ask a lot of questions and try to listen non-judgmentally so that I can get a better understanding of where the learner is coming from. #MedEd
The results sound like a student evaluation of teaching! And assessment...
"feedback is likely to be more influential if it is specific, collected through credible methods and contains narrative information."#meded#feedbackhttps://t.co/oPGRi25skF
Yes! I know for sure that millennials are tired of everyone tearing their hair out asking "how do you solve the problem of millennials?"! No one likes being put in a box - it hurts motivation. #meded
T2 #meded For the future of education that is truly where things are at. Why not leverage #medstudent enthusiasm and energy and be there to offer guidance?
@IanMeducator talk on #followership makes me wonder if clinical supervisors are effective at doing that when allowing their trainees to run clinical scenarios and learn from them effectively. #EMSA18#MedEd
T2: And again looking at the generation gap above me, I’ve had some success streamlining processes that used to take more time and effort. Exam databasing comes to mind as a big improvement in this area. #meded
#meded I think one of the best things I often hear from students is “it doesn’t have to be this way.” That enthusiasm to make a difference is life-giving.
T2 That sounds great! We just had interns who came up with the idea to do "person on the street" interviews as part of a new curriculum to train staff on inclusive language changes to patient medical records. We just have to get out of their way. #meded
T2: Young faculty member w/ many nontrad learners here 🙋🏻♀️!
I’m proud to have introduced and validated the utility of #SoMe, tech, and #FOAMed to my *ahem* mature learners.
#MedEd
Q2b Any examples of using technology and #some to encourage learners to get to the top of Blooms taxonomy to create, synthesize, critique and disseminate findings? #meded
T3 #meded I honestly think navigating generational differences is much easier than cultural differences and even gender differences. I do my level best, but having not had those experiences culturally it is more challenging.
T2: Scary to say, millennials are almost out of medical school! The youngest millennials are ~22 now. Generation Z (and the attendant new generation gap) will be entering our classrooms and clinics soon! #meded
T3 #meded Excellent question. If I'm uncertain I ask. I always preface my question with "Please forgive my ignorance, but I have to ask this question...."
Indeed. And George Engel wrote a JAMA commentary in 1976 (!) lamenting the lack of proficiency in clinical skills among students and residents. To his credit, he blamed the educational system and design (e.g. lack of direct observation).
T3 I've found most generational differences to be superficial. Everyone learns better from better pedagogy. As we discover and apply best practices in education the touchstones become less important. #meded
T3 #meded I was hoping you'd bring that up. @BJBRoman shared this article with me this morning about the newest generation coming up https://t.co/89bNpVi525
Absolutely! Same goes with teaching in the presence of patients. Generational differences can be muted by going to the bedside. Or sometimes used to enhance care. #MedEd
T3 #meded Excellent question. If I'm uncertain I ask. I always preface my question with "Please forgive my ignorance, but I have to ask this question...."
#meded I think @hur2buzy son says it all.....when you meet one Millennial you've met one Millennial. Individuals are unique and should not be compartmentalized
Join us again next week at 9 pm Thursday as @alliance4clined President @bzmorgenstern guest hosts. Don't forget to suggest topics by DM or email #meded
