#meded Archive

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

Thursday May 24, 2018
9:00 PM EDT

  • MedEdChat - Moderator May 24 @ 9:00 PM EDT
    Welcome to the Medical Education chat (US) I am your moderator for the next hour, @alliance4clined #meded
  • GLBDallaghan May 24 @ 9:00 PM EDT
    Welcome to the chat! Gary here in Omaha! #meded
    In reply to @MedEdChat, @Alliance4ClinEd
  • MedEdChat - Moderator May 24 @ 9:01 PM EDT
    The topic & questions will be announced in a moment…for now, please introduce yourselves #meded
  • MedEdChat - Moderator May 24 @ 9:03 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 24 @ 9:04 PM EDT
    We will assume that all of your tweets are your own during this hour unless otherwise stated #meded
  • MedEdChat - Moderator May 24 @ 9:05 PM EDT
    Topic 1: How do you incorporate IPE into your curriculum in a meaningful way? #meded
  • Alliance4ClinEd May 24 @ 9:05 PM EDT
    T1 #meded How can we incorporate #IPE in a meaningful way on clerkships?
  • RachelSalasMD May 24 @ 9:05 PM EDT
    This is @RachelSalasMD here. I am the director for IPE/IPCP @HopkinsMedicine and also a Neurology clerkship director; I am a new ACE representative for the @AANMember #meded
  • GLBDallaghan May 24 @ 9:07 PM EDT
    T1 #meded This is a question I want to know what others do. We have these big event days that almost make #IPE seem artificially important. Nothing truly authentic.
    In reply to @MedEdChat
  • RachelSalasMD May 24 @ 9:07 PM EDT
    @MedEdChat This @RachelSalasMD I am the Director for IPE/IPCP at Hopkins and the neurology clerkship director #meded
  • myheroistrane May 24 @ 9:08 PM EDT
    T1: tricky subject, because it’s good #interprofessional PRACTICE we’re interested in, and not certain that just putting students together in a classroom or even on the wards can get us there. #meded #ipe
  • kogillil May 24 @ 9:08 PM EDT
    T1: A new feature at UNC is that dental faculty and students are teaching medical students the oral exam, and med students have an opportunity to visit dental clinics and work with dental studnets at pts. #meded
    In reply to @MedEdChat
  • abhaydandekar May 24 @ 9:09 PM EDT
    T1: empathy and team based curriculum helps. Our medical students spend time accompanying patients and reflecting as they navigate through teammates/roles: nursing, lab/pharmacy professionals, Med assistants, receptionists. #meded
  • Alliance4ClinEd May 24 @ 9:10 PM EDT
    T1 #meded Do they have other health professions students with them as they do this?
    In reply to @abhaydandekar
  • Oleksiy_G May 24 @ 9:10 PM EDT
    What can we do? @EMARIANOMD @dr_rajgupta #MedEd @MedEdBot @AnesthesiolPAIN #underpaidanesthesiaclaims
  • RachelSalasMD May 24 @ 9:10 PM EDT
    It is important to label it as IPE if it is Recognition of IPE is key #meded
    In reply to @MedEdChat
  • GLBDallaghan May 24 @ 9:10 PM EDT
    T1 #meded How did you get this coordinated? Was there a lot of struggle to get schedules to jive?
    In reply to @kogillil, @MedEdChat
  • GLBDallaghan May 24 @ 9:12 PM EDT
    T1 #meded I completely agree. How do we get beyond that when the schools are focused on training their professions? Sometimes #IPE can seem like another add on to a bloated curriculum.
    In reply to @myheroistrane
  • mbstephensmd May 24 @ 9:12 PM EDT
    @Alliance4ClinEd #meded. Stopping by for ideas on IPE. Help!!
  • GLBDallaghan May 24 @ 9:13 PM EDT
    T1 #meded How important is timing of the introduction of #IPE and #interprofessional practice? Year 1, Year 3? Is there an optimal time?
    In reply to @RachelSalasMD, @MedEdChat
  • kogillil May 24 @ 9:14 PM EDT
    T1: The easier part with full participation was getting dental faculty/students to visit the med student physical exam course. The harder part with only partial participation was having our students visit dental clinics due to schedules and capacity. #meded
    In reply to @GLBDallaghan, @MedEdChat
  • kogillil May 24 @ 9:15 PM EDT
    T1: The main message was “screen, counsel, refer.” #meded
    In reply to @GLBDallaghan, @MedEdChat
  • myheroistrane May 24 @ 9:15 PM EDT
    Ultimately, #IPE and IPEP is all about power, IMO... reducing power differentials in clinical practice empowers everyone and actually leads to more overall power in the system. Power is not a zero-sum game, but it does require a paradigm shift for MDs to share. #meded
    In reply to @GLBDallaghan
  • GLBDallaghan May 24 @ 9:21 PM EDT
    T1 #meded Now we're talking....what do you say to people who remark the ultimate responsibility lies with the physician? Shouldn't that automatically imply they hold the power?
    In reply to @myheroistrane
  • MedEdChat - Moderator May 24 @ 9:23 PM EDT
    Topic 2: How do you structure the learning so that students are actually learning from, with and about students from other professions? #meded
  • Alliance4ClinEd May 24 @ 9:23 PM EDT
    T2 #meded With the World Health Org definition of #IPE, how can we provide authentic learning activities in clinical settings? #meded
  • TomVargheseJr May 24 @ 9:24 PM EDT
    Grateful to hear from one of our sheroes & amazing leader in the world of Trauma - @dakuhls at the Utah @AmCollSurgeons chapter meeting. #MedEd @WomenSurgeons
  • myheroistrane May 24 @ 9:24 PM EDT
    All members of the team (including the patient) should participate in, be invested in, and feel responsibility for decisions that get made. True shared decision making. Takes high degrees of trust. #meded #ipe
    In reply to @GLBDallaghan
  • h21969 May 24 @ 9:25 PM EDT
    T1 #meded Agree with the value of longitudinal curricula and must be embedded in clinical learning. However, all this is anecdotal - does anyone have solid outcomes data on how IPE teams of students impact patient outcomes?
    In reply to @MedEdChat
  • debsimpson3 May 24 @ 9:25 PM EDT
    T1 #meded meaningful inclusion of IPE focuses@on Colloborative Care. Start by looking where #HPE learners are co-located and bring them together around the patient’s care not an IPE objective. Focus on patient. It works @AuroraMedEd @macyfoundation @TheCgea
  • kogillil May 24 @ 9:27 PM EDT
    T1: The med students learn what to do in a primary care environment (screen counsel, refer). The reciprocal activity is in development... the dental faculty would like their students to learn more about taking a social history and doing other aspects of the physical exam. #meded
    In reply to @h21969, @MedEdChat
  • BenChinYee May 24 @ 9:27 PM EDT
    Excellent talk by Kira Feldman & Pier Bryden at Toronto Medical Historical Club on importance of health history in #meded - important work developing historical vignettes for curriculum @uoftmedicine @Royal_College @eweidenh
  • Justinrt4444 May 24 @ 9:28 PM EDT
    T2 - IPE incorporation for us kind of starts with involving the medical student in actual functional interdisciplinary processes, meetings, committees, etc. unfortunately we don’t have a robust array of non-provider training programs, so they gotta see the real thing. #meded
  • GLBDallaghan May 24 @ 9:29 PM EDT
    T2 #meded Here's a nice article about some work that's being done https://t.co/UOfOJgSejm
  • AnneRx May 24 @ 9:30 PM EDT
    Use the IPEC competencies to design your activity. Decide which domain and competency you want to focus on #meded
    In reply to @MedEdChat
  • Alliance4ClinEd May 24 @ 9:31 PM EDT
    T1 #meded How do you foster that trust?
    In reply to @myheroistrane, @GLBDallaghan
  • myheroistrane May 24 @ 9:31 PM EDT
    T2: include lots of breaks. If you believe that inter professional practice takes trust, then students can do this work with social chit chat during the breaks. #meded
  • h21969 May 24 @ 9:32 PM EDT
    T2 #meded Hi Anne! As we've discussed before in person, the struggle of how to help students learn about each other before they know their own roles is difficult. When and how do you first introduce IPE?
    In reply to @MedEdChat
  • AnneRx May 24 @ 9:32 PM EDT
    T1: We work with Johns Hopkins SOM & SON. Picked specific IPEC competencies & design activities to have progressive development @RachelSalasMD #meded
    In reply to @MedEdChat, @RachelSalasMD
  • VHCCareers May 24 @ 9:34 PM EDT
    Interested in a #job in #Arlington, VA? This could be a great fit: https://t.co/g8dh3nE2MC #Doctor #MedEd #MD #Physician #Hiring
  • Alliance4ClinEd May 24 @ 9:34 PM EDT
    T2 #meded Is our definition of #IPE too restrictive by defining it as students involved? Since health care professionals are lifelong learners, aren't we continuous students? It seems rigid adherence to this definition limits authentic patient care activities.
  • myheroistrane May 24 @ 9:34 PM EDT
    My dream hospital: no cafeteria. Only place to eat and take breaks are intimate break rooms on the wards that docs, nurses, redo therapists, etc have to share (and hopefully talk to each other) during down time. #meded
    In reply to @Alliance4ClinEd, @GLBDallaghan
  • AnneRx May 24 @ 9:34 PM EDT
    T1 The earlier you start the better since students will start to develop perceptions early in the program #meded
    In reply to @MedEdChat
  • KamalFAAP May 24 @ 9:35 PM EDT
    T1 - seems a lot of planning has to take place (timing, decision about participating teams, finding common themes, points to learn) #meded
    In reply to @MedEdChat
  • Amber__Gautam May 24 @ 9:35 PM EDT
    The @ECUBrodySOM is a stronger program thanks to the keen ambition and #leadership of @LibbyBaxley as Sr Assoc Dean of Academic Affairs. I know I have grown as a medical student from her #mentorship and I am so excited to follow her career at @TheABFM! #MedEd #WomenInMedicine
  • GLBDallaghan May 24 @ 9:39 PM EDT
    T2 #meded This is what I continually hear. Practice is still siloed with nurses doing their thing, docs doing theirs. Even tho they care for the patients, there is not true interprofessional practice. How can we train #medstudents then?
    In reply to @myheroistrane, @Alliance4ClinEd
  • MedEdChat - Moderator May 24 @ 9:40 PM EDT
    Topic 3: How do you teach the difference between leadership and being “the leader” on a team? #meded
  • Alliance4ClinEd May 24 @ 9:40 PM EDT
    T3 #meded Better yet, how do you role model the difference between leadership and being “the leader” on a team?
  • Justinrt4444 May 24 @ 9:40 PM EDT
    T1/2- workin in @MilitaryHealth we have a facinating and unique IPE dynamic that is strong in the #milmed curricula seen at places like @USUhealthsci and @metc_mil. #MedEd
  • AnneRx May 24 @ 9:40 PM EDT
    We begin in year 1 - 1 event per semester for first 2 years. Have been doing this for 5 years and had worked well. Need to prep your own students before going into event. Even learning about each other’s curriculum is helpful. #Meded @RachelSalasMD
    In reply to @h21969, @MedEdChat, @RachelSalasMD
  • SDRME_Meded May 24 @ 9:40 PM EDT
    Agree that more research is needed. Does your school have a member of #SDRME ? They can help! #meded
    In reply to @h21969, @MedEdChat
  • KamalFAAP May 24 @ 9:43 PM EDT
    T3: great question. The answer may he to show by example various leadership qualities and explore ways to promote good qualities. Actively listening is vital #MedEd
    In reply to @MedEdChat
  • BIDMC_IM May 24 @ 9:43 PM EDT
    Looking forward to a wonderful #facultydevelopment session on #simulation in #MedEd facilitated by our own APD @DanRicotta
  • myheroistrane May 24 @ 9:44 PM EDT
    T3: sometimes being a good #leader is about being a good follower: https://t.co/cXr4lp8k5I Important concept in #ipe #meded
  • Alliance4ClinEd May 24 @ 9:44 PM EDT
    T3 #meded @drjfrank produced this nice piece that offers food for thought https://t.co/HjgXITD4m6
    In reply to @drjfrank
  • drneel1973 May 24 @ 9:45 PM EDT
    #connections #connection #compassion #community #human #humanity #creativity #MedEd #medtwitter
  • Justinrt4444 May 24 @ 9:46 PM EDT
    T3- oh goodness that’s a deep one. I suppose you’re asking about traits versus being thrust into a position, and it’s one of the strong points of the persistent apprenticeship model in #meded...allows for safe trial/error for the latter and the time for complexity of the former.
  • AnneRx May 24 @ 9:46 PM EDT
    T2: this year held 4 events with 3rd yr pharmacy students and FNP students. 1st-assumptions and team building, 2 simulations that build on one another, 4th event wrap up. Worked well with Dr Jennifer Trautman at Hopkins SON #meded @RachelSalasMD
    In reply to @MedEdChat, @RachelSalasMD
  • GLBDallaghan May 24 @ 9:47 PM EDT
    T3 #meded Listening is crucial. It truly is a way to show mutual respect and sets the stage for engagement of the team
    In reply to @KamalFAAP, @MedEdChat
  • Kind4Kids May 24 @ 9:47 PM EDT
    Helps if the learners have a common goal. As in teamwork. #meded
  • virenkaul May 24 @ 9:48 PM EDT
    You might be into something. Practical applications in #MedEd .. VR won’t even match up!
    • DrJenGunter May 24 @ 4:30 PM EDT
      Honestly, if I knew how to develop a scratch and sniff I would totally invent one for the range of normal for vaginal scents because people don’t know and the “hygiene” mega industry has fucked it all up (and many men too). I’d hand the cards out to every girl and boy in sex ed
  • myheroistrane May 24 @ 9:49 PM EDT
    Great TED talk on leadership in the music world with important lessons for interprof practice - teams are harmonious when all are part of the story creation. https://t.co/Qra9WGS5SD #meded
  • GLBDallaghan May 24 @ 9:49 PM EDT
    T3 #meded How do you address potential attitudinal issues? Some #IPE research I've done here showed one profession's attitudes declined in year 2....didn't matter that a common goal was present.
    In reply to @Kind4Kids
  • Kind4Kids May 24 @ 9:51 PM EDT
    One demo or simulation about leadership vs leading may be exemplified in the role of the leader in a code. Isn’t the person performing chest compressions. #meded
  • Marina__Haque May 24 @ 9:52 PM EDT
    As a med student, the residents I think of most highly & appreciate are the ones willing to spend even a few mins helping me out; such residents tend to support not only ever member of their team like me, but are exceptional team leaders all around. #MedEd
    In reply to @TomVargheseJr, @drmlb, @acgme
  • Kind4Kids May 24 @ 9:53 PM EDT
    Have the leaders, the ones with the “titles” model listening and learning. #meded
  • cacace_frank May 24 @ 9:53 PM EDT
    T3 : coaching someone to 'lead' a team is to promote observation and strengthening of non hierarchical interprofessional team dynamic, leadership on one's own is to set and mold that dynamic. @IMPACcT_IPE #MedEd #ipe
    In reply to @MedEdChat, @IMPACcT_IPE
  • MedEdChat - Moderator May 24 @ 9:55 PM EDT
    We have about 5 more minutes left in our discussion. Please feel free to give some final thoughts #meded
  • myheroistrane May 24 @ 9:57 PM EDT
    “Power without love is reckless and abusive, and love without power is sentimental and anemic. Power at its best is love implementing the demands of justice, and justice at its best is power correcting everything that stands against love.” - MLK #meded #IPE
  • GLBDallaghan May 24 @ 9:58 PM EDT
    #meded Final Thoughts: #IPE is truly an important goal. We really need to demonstrate the value of interprofessional practice as @debsimpson3 noted because it's about the patients.
    In reply to @MedEdChat, @debsimpson3
  • MedEdChat - Moderator May 24 @ 9:59 PM EDT
    Join us again next week at 9 pm Thursday. Don't forget to suggest topics by DM or email #meded
  • drewooltorton May 24 @ 9:59 PM EDT
    Thanks to Drs Robin Kennie and Chuck Su, and all the local doctors who were willing to chat about #meded opportunities in Kemptville Ontario. It’s great to hear about what works (and doesn’t) for #Ruralfamilymed Faculty #ermep Rural docs rock!
  • MedEdChat - Moderator May 24 @ 10:00 PM EDT
    That's a wrap...I will be posting the transcript tomorrow morning. Thanks everyone for participating! #meded