#meded Archive

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

Thursday December 7, 2017
9:00 PM EST

  • MedEdChat - Moderator Dec 7 @ 9:00 PM EST
    Welcome to the Medical Education chat (US) I am your moderator for the next hour, @alliance4clined #meded
  • ranitmd Dec 7 @ 9:00 PM EST
    War games: using an online game to teach medical students about survival during conflict ‘When my survival instincts kick in, what am I truly capable of in times of conflict?’ #MedEd #HumanRights
  • MedEdChat - Moderator Dec 7 @ 9:01 PM EST
    The topic & questions will be announced in a moment…for now, please introduce yourselves #meded
  • MedEdChat - Moderator Dec 7 @ 9:03 PM EST
    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 Dec 7 @ 9:04 PM EST
    We will assume that all of your tweets are your own during this hour unless otherwise stated #meded
  • GLBDallaghan Dec 7 @ 9:04 PM EST
    Gary here in Chicago tonight for the #meded chat!
    In reply to @MedEdChat
  • 02amor Dec 7 @ 9:04 PM EST
    Hi #meded It’s Renee in Philly. I’m looking forward to tonight’s chat 😄
  • MedEdChat - Moderator Dec 7 @ 9:04 PM EST
    Welcome, Renee #Meded
    • 02amor Dec 7 @ 9:04 PM EST
      Hi #meded It’s Renee in Philly. I’m looking forward to tonight’s chat 😄
  • MedEdChat - Moderator Dec 7 @ 9:05 PM EST
    Topic 1: How are residents incorporated into the curriculum as educators at all levels of training? #meded
  • mmteacherdoc Dec 7 @ 9:05 PM EST
    Hey everyone. Marty in MCW @MedicalCollege in Milwaukee here. #meded
  • Alliance4ClinEd Dec 7 @ 9:05 PM EST
    We're talking about residents as teachers tonight! We know they teach in patient care settings...but what about pre-clinical teaching? #MedEd
    • MedEdChat - Moderator Dec 7 @ 9:05 PM EST
      Topic 1: How are residents incorporated into the curriculum as educators at all levels of training? #meded
  • MedEdChat - Moderator Dec 7 @ 9:06 PM EST
    Welcome, Marty! #meded
  • GLBDallaghan Dec 7 @ 9:07 PM EST
    T1 #meded We have had residents help with small group teaching in intro to clinical medicine courses...but not a lot.
    • MedEdChat - Moderator Dec 7 @ 9:05 PM EST
      Topic 1: How are residents incorporated into the curriculum as educators at all levels of training? #meded
  • centegracareers Dec 7 @ 9:08 PM EST
    Interested in a #job in #Huntley, IL? This could be a great fit: https://t.co/vYxyRZF7wa #MedEd #Scrublife #HospitalLife #BusinessMgmt #Hiring
  • 02amor Dec 7 @ 9:08 PM EST
    T1 #meded In terms of fellows, we use them as teaching extensions of the attendings. Our fellows have done formal lectures, led a workshop, and mentored resident’s preparing presentions
  • Alliance4ClinEd Dec 7 @ 9:08 PM EST
    T1 #meded I would say both. Thoughts?
    • JanetRiddleDME Dec 7 @ 9:07 PM EST
      This is an interesting question - Do we mean in the formal, explicit curriculum? Or in the enacted curriculum?
      In reply to @MedEdChat
  • mmteacherdoc Dec 7 @ 9:09 PM EST
    Us too. They’re busy & hard to break away all the time with inflexible start times. On electives can be easier #meded
    In reply to @GLBDallaghan
  • Chris__Merritt Dec 7 @ 9:09 PM EST
    What does it mean to be a coach? #MedEd via @MikeGisondi https://t.co/yjSiQBga9M
  • MedEdChat - Moderator Dec 7 @ 9:10 PM EST
    T1 #meded What type of teaching would you try to involve them in if they were free?
    In reply to @mmteacherdoc, @GLBDallaghan
  • 02amor Dec 7 @ 9:10 PM EST
    Our fellows don’t *currently* work directly with pre-clinical students. Though that may change w/our new curriculum T1 #meded
  • JanetRiddleDME Dec 7 @ 9:10 PM EST
    T1 #meded Some of our IM residents teach in TBLs in the preclinical curriculum. Some residents serve as mentors to pre-clinical students.
    In reply to @Alliance4ClinEd, @MedEdChat
  • Alliance4ClinEd Dec 7 @ 9:11 PM EST
    T1 #meded How so? Do you have plans in mind?
    • 02amor Dec 7 @ 9:10 PM EST
      Our fellows don’t *currently* work directly with pre-clinical students. Though that may change w/our new curriculum T1 #meded
  • GLBDallaghan Dec 7 @ 9:11 PM EST
    T1 #meded How so? Do you have plans in mind?
    • 02amor Dec 7 @ 9:10 PM EST
      Our fellows don’t *currently* work directly with pre-clinical students. Though that may change w/our new curriculum T1 #meded
  • mmteacherdoc Dec 7 @ 9:12 PM EST
    I said over and over that our clerkship success was in large part due to our excellent internal med resident teachers. #truth @Mcw_Medchiefs @kathlynsafedoc @MichaelFrankMCW #meded
  • VHCCareers Dec 7 @ 9:13 PM EST
    Want to work at Virginia Hospital Center? We're #hiring in #Arlington, VA! Click for details: https://t.co/ZSoMRGNeIY #Doctor #MedEd #MD #Physician #Job #Jobs
  • GLBDallaghan Dec 7 @ 9:14 PM EST
    T1 #meded Do they have structured time for the mentoring? Or is it more flexible depending on both the fellows and #medstudents schedules?
    In reply to @JanetRiddleDME, @Alliance4ClinEd, @MedEdChat
  • 02amor Dec 7 @ 9:14 PM EST
    #meded T1 we have a new curriculum and are kicking around the idea of incorporating them into the small groups. Problem is there are way more of them, then us! But it would be fun
    In reply to @Alliance4ClinEd
  • mmteacherdoc Dec 7 @ 9:14 PM EST
    All of it. Interviewing, physical exam, H&P review, oral presentation, EBM, clinical correlations in basic science courses, professionalism/ethics. #meded
    In reply to @MedEdChat, @GLBDallaghan
  • DrAdamBitterman Dec 7 @ 9:15 PM EST
    The 4 R's for all involved in the medical profession | Reps, Trainees, Allied Health, Professionals, Colleagues, Administration. #meded
  • ReedOmary Dec 7 @ 9:15 PM EST
    Q: What happens when you combine two brilliant @VUSM MD/PhD students & a strong desire to solve clinician frustration with the #EMR? A: A new health informatics company that uses #AI to replace scribes. Well done, @Vote_ForPedro & @ravivatreya! #MedEd
  • Orla91 Dec 7 @ 9:16 PM EST
    How many medical wards do your FY1s cover overnight back of house? #meded #nhs @TheBMA
  • Alliance4ClinEd Dec 7 @ 9:19 PM EST
    T1 #meded How much time do residents get with senior #medstudents in a formal educator capacity?
  • GLBDallaghan Dec 7 @ 9:22 PM EST
    Topic 2: What guidelines are used to determine residents as teachers at your institution? #meded
  • GLBDallaghan Dec 7 @ 9:22 PM EST
    T1 #meded On subinternships they do quite a bit; however, in some of the more clinically oriented rotations it's not been done quite as well. I wonder if it is different depending on the discipline?
    In reply to @Alliance4ClinEd
  • 02amor Dec 7 @ 9:22 PM EST
    #meded T2 do you mean beyond the resident supervising the SubI? https://t.co/XeNE1eVRfe
  • Alliance4ClinEd Dec 7 @ 9:23 PM EST
    T1 #meded Yes.
    In reply to @02amor
  • mmteacherdoc Dec 7 @ 9:23 PM EST
    Think it depends what you mean by “formal.” Our subinterns work in intern capacity with direct senior resident supervision & teaching. Just like interns. #meded
    In reply to @Alliance4ClinEd
  • MedEdChat - Moderator Dec 7 @ 9:25 PM EST
    Topic 2: What guidelines are used to determine if residents are ready to be teachers at your institution? #meded
  • 02amor Dec 7 @ 9:25 PM EST
    #meded T2 I think in medicine most residents on subspecialty electives probably defer a lot of teaching students to a fellow. Might be different in surgery or ob
    In reply to @GLBDallaghan, @Alliance4ClinEd
  • Alliance4ClinEd Dec 7 @ 9:25 PM EST
    T2 #meded How do we train residents to be teachers? When do we know they are ready to teach?
    • MedEdChat - Moderator Dec 7 @ 9:25 PM EST
      Topic 2: What guidelines are used to determine if residents are ready to be teachers at your institution? #meded
  • RKmd Dec 7 @ 9:25 PM EST
  • GLBDallaghan Dec 7 @ 9:27 PM EST
    T2 #meded This is an excellent question. We give them a brief orientation before July 1 then turn them loose to teach. Is that sufficient? Should we be doing more before they can teach students in clinical settings?
    In reply to @MedEdChat
  • 02amor Dec 7 @ 9:27 PM EST
    I was told- here’s your student. Go teach 😆 RT @Alliance4ClinEd: T2 #meded How do we train residents to be teachers? When do we know they are ready to teach? https://t.co/Tl0myZSzfA
    • MedEdChat - Moderator Dec 7 @ 9:25 PM EST
      Topic 2: What guidelines are used to determine if residents are ready to be teachers at your institution? #meded
  • centegracareers Dec 7 @ 9:28 PM EST
  • Alliance4ClinEd Dec 7 @ 9:29 PM EST
    T2 #meded How did you feel about that? Would other training have helped you feel more prepared?
  • knowmedge Dec 7 @ 9:29 PM EST
    A1: 11 times more likely #ABIM #USMLE #ABFM #MedEd
    • knowmedge Dec 7 @ 9:13 AM EST
      Q1: Having an S3 heart sound increases the likelihood of CHF by what fold? #ABIBM #MedEd
  • mmteacherdoc Dec 7 @ 9:32 PM EST
    It depends. I think some fellows teach to the resident level. Good senior residents will “repackage” for students. There’s loads a good resident can teach students on a subspecialty service. #meded
    In reply to @02amor, @GLBDallaghan, @Alliance4ClinEd
  • dramybsmith Dec 7 @ 9:32 PM EST
    T2 #meded who observes the residents teach and how do they receive feedback?
  • DavidCookeMD Dec 7 @ 9:33 PM EST
    Why should you attend the @STS_CTsurgery 2018 Annual Meeting? Well watch this video to learn why: https://t.co/jnMv5rlehq via @YouTube #STS2018 #TSSMN #MedEd
  • Alliance4ClinEd Dec 7 @ 9:33 PM EST
    T2 #meded Exactly! How much are we actually training them to teach....especially since they spend the most time with #medstudents?
    • dramybsmith Dec 7 @ 9:32 PM EST
      T2 #meded who observes the residents teach and how do they receive feedback?
  • mmteacherdoc Dec 7 @ 9:35 PM EST
    Agree! Usually ok. In July, new clerkship students are VERY green. Loads of low-hanging fruit to teach/learn. And hopefully teaching is a team activity in #meded
  • 02amor Dec 7 @ 9:35 PM EST
    #meded T2 Oh, I had no idea what I was doing. Just about anything would have helped! Our IM residents due get some in the transition to resident retreat. But smaller, more frequent instruction would be my ideal
    In reply to @Alliance4ClinEd
  • Alliance4ClinEd Dec 7 @ 9:36 PM EST
    T2 #meded Ideally it is, but what about on rotations where it may be just the intern and a fresh faced clerk in July?
    • mmteacherdoc Dec 7 @ 9:35 PM EST
      Agree! Usually ok. In July, new clerkship students are VERY green. Loads of low-hanging fruit to teach/learn. And hopefully teaching is a team activity in #meded
  • GLBDallaghan Dec 7 @ 9:37 PM EST
    #meded Since we are moving to competency based education....shouldn't there be some baseline standards for being a medical educator? @MedEdChat @Alliance4ClinEd
    • JanetRiddleDME Dec 7 @ 9:36 PM EST
      What more would you like, Gary? Did you have in mind that residents should be held to a competency standard?
      In reply to @GLBDallaghan, @MedEdChat
  • mmteacherdoc Dec 7 @ 9:38 PM EST
    Every ACGME residency program is required to have a residents as teachers program. Ours starts at orientation with early intern year sessions on teaching in the first few months. #meded
  • 02amor Dec 7 @ 9:38 PM EST
    #meded I think it varies. If a resident has matched into that field for a fellowship, he/she may try out some teaching with the students. Ex: teaching ekg reading if you’re going into Cards
    In reply to @mmteacherdoc, @GLBDallaghan, @Alliance4ClinEd
  • Alliance4ClinEd Dec 7 @ 9:39 PM EST
    T2 #meded Peds has that as well, but we have never really done anything locally to determine if the residents are truly prepared to teach. We just assume a lecture once a month will do the trick. Do you do anything different?
    • mmteacherdoc Dec 7 @ 9:38 PM EST
      Every ACGME residency program is required to have a residents as teachers program. Ours starts at orientation with early intern year sessions on teaching in the first few months. #meded
  • MedEdChat - Moderator Dec 7 @ 9:40 PM EST
    Topic 3: How do you assess effectiveness of RATs? #meded
  • SapiensMedicus Dec 7 @ 9:40 PM EST
    Neuralgia trigeminal: Clasificación y Claves del Tratamiento. https://t.co/pSiOWzhDCt #FOAMed #MedEd #Medicina
  • mmteacherdoc Dec 7 @ 9:40 PM EST
    Interns need supervision too. 😬 #meded
    In reply to @Alliance4ClinEd
  • Alliance4ClinEd Dec 7 @ 9:40 PM EST
    T3: We've been leading to this question....How are RATs programs assessed? #meded
  • GLBDallaghan Dec 7 @ 9:41 PM EST
    T3 #meded About the only way we can tell is through student evaluations.....but sometimes that is more about likability and not teaching. I would love to hear what others are doing.
    In reply to @MedEdChat
  • mmteacherdoc Dec 7 @ 9:43 PM EST
    Agreed. But I hope med residents not going in to cards can teach ecg. Not going in to GI can teach about upper GI bleeding. Etc. and if too complex, admit it & learn together. #meded
    In reply to @02amor, @GLBDallaghan, @Alliance4ClinEd
  • GomerBlog Dec 7 @ 9:45 PM EST
    RT Intern Fails at Champagne Tap, More Like Barolo Tap - https://t.co/DvIXpxgZX0 #meded #FOAMed #hcsm
  • GLBDallaghan Dec 7 @ 9:45 PM EST
    T3 #meded This is me being obnoxious....but simply because someone is an expert doesn't necessarily equate to being a good teacher. We've all experienced that.
    In reply to @mmteacherdoc, @02amor, @Alliance4ClinEd
  • mmteacherdoc Dec 7 @ 9:46 PM EST
    We have done some OSTEs in the past. But even with those, it’s not feasible to say residents can’t teach on most services. Get loads of feedback from students & team teaching activities w attending supervision. Variable by faculty tho. #meded
    In reply to @Alliance4ClinEd
  • dramybsmith Dec 7 @ 9:46 PM EST
    T3 #meded isn't this the same with faculty evals? often it is about the likeability of the faculty by students not necessarily the teaching.
    In reply to @GLBDallaghan, @MedEdChat
  • cmtomblinson Dec 7 @ 9:46 PM EST
    Now discussing residents-as-teachers on #MedEd chat ⬇️ How are #RadRes programs preparing trainees to become educators? cc: @YayoneRivaud
  • mmteacherdoc Dec 7 @ 9:47 PM EST
    I might ask the same question though about faculty. Do all new faculty get “certified” before allowed to start teaching? #meded
    In reply to @Alliance4ClinEd
  • Alliance4ClinEd Dec 7 @ 9:47 PM EST
    T3 #meded Do the OSTEs require a lot of time to prepare? How do the residents respond to them?
    In reply to @mmteacherdoc
  • centegracareers Dec 7 @ 9:48 PM EST
  • pediacast Dec 7 @ 9:48 PM EST
    Do you know the signs of ovarian torsion? Learn them on our #MedEd #FOAMed podcast @nationwidekids https://t.co/enGHR0eP70
  • GLBDallaghan Dec 7 @ 9:48 PM EST
    T3 #meded I completely agree with you! I have the same questions. @Alliance4ClinEd @MedEdChat
    • mmteacherdoc Dec 7 @ 9:47 PM EST
      I might ask the same question though about faculty. Do all new faculty get “certified” before allowed to start teaching? #meded
      In reply to @Alliance4ClinEd
  • Alliance4ClinEd Dec 7 @ 9:50 PM EST
    T3 #meded That's unfortunate. Do they just not find an OSTE to be valuable? Would maybe having a "secret shopper" type of student encounter be better?
    In reply to @mmteacherdoc
  • JanetRiddleDME Dec 7 @ 9:50 PM EST
    I agree - mostly feedback from students and impressions/observations from attending physicians. #MedEd
    In reply to @mmteacherdoc, @MedEdChat, @Alliance4ClinEd
  • myheroistrane Dec 7 @ 9:51 PM EST
    Coming late to the discussion- Residents = near-peer teachers. Pros and cons to this. Bottom line is that we need to partner w/ residents in teaching students and plan out who will do what when #teaching in clinical environments. #meded
  • myheroistrane Dec 7 @ 9:52 PM EST
    Ultimately, the real measure of success would be how well students learn and grow. #meded
  • mmteacherdoc Dec 7 @ 9:52 PM EST
    Ooh. I like the “secret shopper” idea. 🔥🔥🔥#meded
    In reply to @Alliance4ClinEd
  • Alliance4ClinEd Dec 7 @ 9:54 PM EST
    #meded Yes, but how can we cut that off at the pass to find out they didn't learn and grow because we didn't vet the resident's ability to teach?
    • myheroistrane Dec 7 @ 9:52 PM EST
      Ultimately, the real measure of success would be how well students learn and grow. #meded
  • MedEdChat - Moderator Dec 7 @ 9:55 PM EST
    Well, we have about 5 more minutes left in our discussion. Please feel free to give some final thoughts #meded
  • Alliance4ClinEd Dec 7 @ 9:56 PM EST
    #meded This has been a great conversation that I think raises more questions than we've gotten answers. Although residents are required training for teaching, what quality metrics do we apply to their teaching? @MedEdChat @JanetRiddleDME
  • myheroistrane Dec 7 @ 9:57 PM EST
    I don't buy into the idea of a RAT program that does some training and then just turns residents loose; we need to mentor them as teachers longitudinally. That's what we would do if they were faculty. #meded
    In reply to @Alliance4ClinEd
  • neurogiles Dec 7 @ 9:57 PM EST
    Delighted to host @ChrisWatling3 as visiting professor @WUSTLmed - excellent #meded career mentoring session with neuro residents & @misselspeth
  • mmteacherdoc Dec 7 @ 9:58 PM EST
    I think the key is to “trust but verify” rather than “pre-certification” of resident teaching. #meded
    In reply to @Alliance4ClinEd
  • GLBDallaghan Dec 7 @ 9:58 PM EST
    #meded I've seen it happen locally....and also seen very cursory training to teach for the residents.
    In reply to @myheroistrane, @Alliance4ClinEd
  • myheroistrane Dec 7 @ 9:59 PM EST
    The devil is definitely in the details. #meded
    In reply to @GLBDallaghan, @Alliance4ClinEd