#meded Archive
All ideas and resources tweeted alongside #meded are curated and collected here.
Thursday January 19, 2017
9:00 PM EST
MedEdChat
- Moderator
Jan 19 @ 9:00 PM EST
Welcome to the Medical Education chat (US) I am your moderator for the next hour,
@RyanMadanickMD
#meded
In reply to @RyanMadanickMD
MedEdChat
- Moderator
Jan 19 @ 9:00 PM EST
The topic & questions will be announced in a moment…for now, please introduce yourselves
#MedEd
whole_patients
Jan 19 @ 9:01 PM EST
Hi, Ryan!
#meded
In reply to @MedEdChat, @RyanMadanickMD
RyanMadanickMD
Jan 19 @ 9:01 PM EST
Hello!! Nice to see you!
#meded
In reply to @whole_patients
myheroistrane
Jan 19 @ 9:02 PM EST
Paul Haidet here, cleaning vinyl and looking forward to
@MedEdChat
!
#meded
In reply to @MedEdChat
RyanMadanickMD
Jan 19 @ 9:03 PM EST
Hey there Paul, welcome back!
#meded
In reply to @myheroistrane
MedEdChat
- Moderator
Jan 19 @ 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)
02amor
Jan 19 @ 9:03 PM EST
Hello again
#meded
! Glad to join you again from Philadelphia
STPHCareers
Jan 19 @ 9:03 PM EST
Interested in a
#job
in
#Covington
, LA? This could be a great fit:
https://t.co/rkqsy6RW49
#AlliedHealth
#MedEd
#Healthcare
#Hiring
JenniferAdaeze
Jan 19 @ 9:03 PM EST
hi!
#meded
psych resident
@challiance
here and columnist for
@statnews
! happy i caught this chat tonight. its been a long time!
In reply to @challiance, @statnews
whole_patients
Jan 19 @ 9:04 PM EST
Hi, Paul - it's been a long time!
#meded
In reply to @myheroistrane, @MedEdChat
RyanMadanickMD
Jan 19 @ 9:04 PM EST
Hello Renee!
#meded
In reply to @02amor
CPHJobs
Jan 19 @ 9:04 PM EST
Can you recommend anyone for this
#job
in
#Soldotna
, AK?
https://t.co/jgyw9tJXxO
#Alaskan
#MedEd
#MedField
#RN
#Hiring
RyanMadanickMD
Jan 19 @ 9:04 PM EST
WOW! Welcome, old friend! You weren’t even a med student when I joined Twitter!
#meded
@challiance
@statnews
In reply to @JenniferAdaeze, @challiance, @statnews
whole_patients
Jan 19 @ 9:05 PM EST
Hi there!!
#meded
In reply to @JenniferAdaeze
RyanMadanickMD
Jan 19 @ 9:05 PM EST
Hi Gary! Make sure to use the
#meded
hashtag to be seen in the chat stream
@MedEdChat
In reply to @GLBDallaghan, @MedEdChat
MedEdChat
- Moderator
Jan 19 @ 9:05 PM EST
We will assume that all of your tweets are your own during this hour unless otherwise stated
#meded
whole_patients
Jan 19 @ 9:05 PM EST
Hi!
#meded
In reply to @02amor
MedEdChat
- Moderator
Jan 19 @ 9:06 PM EST
T1 about to come up in a few moments
#meded
whole_patients
Jan 19 @ 9:06 PM EST
my tweets are those of
@myheroistrane
#meded
In reply to @MedEdChat, @myheroistrane
02amor
Jan 19 @ 9:06 PM EST
Hello again
#meded
In reply to @whole_patients
dpaustralia
Jan 19 @ 9:07 PM EST
Lovely example of an
#obstetrics
and
#gynaecology
practice facebook page:
https://t.co/fAA1PIbJU9
|
#obgyn
#meded
#HITsm
#hcsm
MedEdChat
- Moderator
Jan 19 @ 9:07 PM EST
Morbidity & mortality (M&M) conference is a standard in most training programs, but its structure & purpose vary widely
#meded
JenniferAdaeze
Jan 19 @ 9:07 PM EST
Yeah time flies! and the
#meded
community grows stronger everyday!
In reply to @RyanMadanickMD, @challiance, @statnews
MedEdChat
- Moderator
Jan 19 @ 9:07 PM EST
TOPIC 1: What purposes should M&M conference serve in training? What principles should be standard across specialties?
#meded
medicalschoolhq
Jan 19 @ 9:08 PM EST
Hi
#meded
folks! Ryan here! I host lots of podcasts including my newest - Specialty Stories
RyanMadanickMD
Jan 19 @ 9:08 PM EST
T1 now live @
#meded
chat: What purposes should M&M conf have in training? Any standards across specs?
#medsm
#hcsm
#medstudents
#medschool
centegracareers
Jan 19 @ 9:09 PM EST
This
#job
might be a great fit for you: Material Technician I -
https://t.co/qsDYJ0MpGn
#MedEd
#Scrublife
#HospitalLife
#Huntley
, IL
RyanMadanickMD
Jan 19 @ 9:09 PM EST
OK, I’ll allow another Ryan here tonight. Welcome back! ;)
#meded
In reply to @medicalschoolhq
STPHCareers
Jan 19 @ 9:09 PM EST
Want to work in
#Covington
, LA? View our latest opening:
https://t.co/qKo7ZogfaM
#Job
#MedEd
#NorthShoreLA
#Lakepontchartrain
#Nursing
medicalschoolhq
Jan 19 @ 9:09 PM EST
T1 - need to learn from Toyota and improve processes through M&M. No one is to blame. The system is.
#meded
michele_daly
Jan 19 @ 9:09 PM EST
Always willing to throw ideas around :)
#meded
#predictors
#professionalism
#medicolegalmatters
In reply to @jballs1908
gene_hobbs
Jan 19 @ 9:10 PM EST
T1
#MedEd
- A "just culture" is a must. Hard to achieve
https://t.co/uKz9rPVVoU
MedEdChat
- Moderator
Jan 19 @ 9:07 PM EST
TOPIC 1: What purposes should M&M conference serve in training? What principles should be standard across specialties?
#meded
elewMD
Jan 19 @ 9:11 PM EST
T1: M&M great for learning biases
#meded
medicalschoolhq
Jan 19 @ 9:11 PM EST
much harder to join now that I’m in Colorado.
#meded
In reply to @RyanMadanickMD
whole_patients
Jan 19 @ 9:11 PM EST
I see ya have the little blue ✔️
@RyanMadanickMD
@challiance
@statnews
#meded
In reply to @JenniferAdaeze, @RyanMadanickMD, @challiance, @statnews
02amor
Jan 19 @ 9:11 PM EST
T1
#meded
Our Dept has moved away from past M&M to focus more on systemic solutions when something happens. Still nerve-racking, tho
RyanMadanickMD
Jan 19 @ 9:12 PM EST
#meded
? or
#hcsm
?
In reply to @mahoneyr
myheroistrane
Jan 19 @ 9:12 PM EST
T1: relationship-centered medicine would dictate that respect be the foundation for conducting M&Ms
#meded
RyanMadanickMD
Jan 19 @ 9:12 PM EST
Yeah, we come on a bit earlier in Colorado
#meded
In reply to @medicalschoolhq
medicalschoolhq
Jan 19 @ 9:13 PM EST
yes! Systems and processes are key! Whole culture needs to accept it though.
#meded
In reply to @02amor
mahoneyr
Jan 19 @ 9:13 PM EST
Let's try this again. Joining
#meded
even later from foggy St. Louis, MO.
#proofreading
VHCCareers
Jan 19 @ 9:14 PM EST
Join the Virginia Hospital Center team! See our latest
#job
opening here:
https://t.co/OvnEs4upHe
#Doctor
#MedEd
#MD
#Arlington
, VA
RyanMadanickMD
Jan 19 @ 9:14 PM EST
T1 That’s an interesting thought, I hadn’t heard that before
#meded
In reply to @elewMD
amyshawmd
Jan 19 @ 9:14 PM EST
T1
#meded
we do systems-focused conference separately and for M&M prefer doctoring/cognitive issues. But goal is learning, not hostility
medicalschoolhq
Jan 19 @ 9:16 PM EST
should be a given. Unfortunately not always the case.
#meded
.
In reply to @myheroistrane
myheroistrane
Jan 19 @ 9:16 PM EST
T1: could u imagine a world where people looked forward to M&M - where folks come together as one team.
#meded
elewMD
Jan 19 @ 9:16 PM EST
my favorite lectures were M&M and how we make decisions and how cognitive bias can play role
#Meded
In reply to @RyanMadanickMD
RyanMadanickMD
Jan 19 @ 9:17 PM EST
T1 How does that work out?
#meded
In reply to @amyshawmd
whole_patients
Jan 19 @ 9:18 PM EST
Respect, resources & recognition of human-centered care
@PeterPronovost
in final video here
https://t.co/DDxeJYMHQ2
#meded
In reply to @myheroistrane, @PeterPronovost
RyanMadanickMD
Jan 19 @ 9:18 PM EST
T1 Does anyone know if the traditional surgical M&M (with lots of blame & shame) still happens?
#meded
elewMD
Jan 19 @ 9:18 PM EST
learning must be key
#meded
In reply to @RyanMadanickMD, @amyshawmd
mahoneyr
Jan 19 @ 9:18 PM EST
T1
#meded
the purpose of M&M is to learn from situations where care did not result in the expected outcome.
kristinadzara
Jan 19 @ 9:18 PM EST
Kristina here from Boston - Learner & researcher
@HarvardMedEd
. Also great to 'see' you again so soon
@whole_patients
@myheroistrane
!
#meded
In reply to @HarvardMedEd, @whole_patients, @myheroistrane
RyanMadanickMD
Jan 19 @ 9:18 PM EST
#meded
amyshawmd
Jan 19 @ 9:18 PM EST
@RyanMadanickMD
generally pretty well. we have all med teams submit a case and tell them in advance if they're picked, so it is expected
In reply to @RyanMadanickMD
GLBDallaghan
Jan 19 @ 9:18 PM EST
This is a great focus for M&M
#meded
elewMD
Jan 19 @ 9:16 PM EST
my favorite lectures were M&M and how we make decisions and how cognitive bias can play role
#Meded
In reply to @RyanMadanickMD
RyanMadanickMD
Jan 19 @ 9:19 PM EST
Hi again, nice to twee you!
#meded
In reply to @kristinadzara
myheroistrane
Jan 19 @ 9:20 PM EST
M&Ms are the ideal venue for discovering opportunities for systems-based improvements:
https://t.co/1VJVtdxeIc
#meded
JenniferAdaeze
Jan 19 @ 9:20 PM EST
as a new doc, i feel eager to find out when mishaps r mine so i dont learn bad habits b4 im more responsible for pt care on my own
#meded
mahoneyr
Jan 19 @ 9:20 PM EST
T1
#meded
where M&M has become about something else (e.g., assigning blame, demonstrating superiority), it has lost its focus.
GLBDallaghan
Jan 19 @ 9:21 PM EST
T1
#meded
Do you think it could also be a way to explore how to reflect constructively?
mahoneyr
Jan 19 @ 9:18 PM EST
T1
#meded
the purpose of M&M is to learn from situations where care did not result in the expected outcome.
RyanMadanickMD
Jan 19 @ 9:21 PM EST
Remember to include the
#meded
hashtag to be seen in the chat stream!
In reply to @amyshawmd
whole_patients
Jan 19 @ 9:22 PM EST
a
#hmieducators
reunion!
#meded
In reply to @kristinadzara, @HarvardMedEd, @myheroistrane
kristinadzara
Jan 19 @ 9:22 PM EST
T1: One purpose might be to think about areas for
#QI
that is in the best interests of learners & patients
#meded
#PatientCentered
RyanMadanickMD
Jan 19 @ 9:22 PM EST
Great personal insight from
@JenniferAdaeze
#meded
In reply to @JenniferAdaeze
JenniferAdaeze
Jan 19 @ 9:20 PM EST
as a new doc, i feel eager to find out when mishaps r mine so i dont learn bad habits b4 im more responsible for pt care on my own
#meded
mahoneyr
Jan 19 @ 9:22 PM EST
I think there are many valid opportunities to reflect constructively. The "trigger" in this case remains the outcome.
@GLBDallaghan
#meded
In reply to @GLBDallaghan
GLBDallaghan
Jan 19 @ 9:22 PM EST
T1
#meded
I have observed it as a dehumanizing exercise....sad and not productive
mahoneyr
Jan 19 @ 9:20 PM EST
T1
#meded
where M&M has become about something else (e.g., assigning blame, demonstrating superiority), it has lost its focus.
RyanMadanickMD
Jan 19 @ 9:23 PM EST
Remember that the mishaps aren’t “yours” (alone). Root cause analysis will virtually always find other factors
#meded
In reply to @JenniferAdaeze
RyanMadanickMD
Jan 19 @ 9:23 PM EST
T1 We have recently started to use our M&M to inform our QI gaps
#meded
In reply to @kristinadzara
mahoneyr
Jan 19 @ 9:23 PM EST
I can't even imagine why a conference would be allowed to continue when that is the net effect.
@GLBDallaghan
#meded
In reply to @GLBDallaghan
medicalschoolhq
Jan 19 @ 9:24 PM EST
definitely!
#meded
In reply to @RyanMadanickMD, @JenniferAdaeze
RyanMadanickMD
Jan 19 @ 9:24 PM EST
3 lashes with a wet noodle ;)
#meded
In reply to @amyshawmd
CPHJobs
Jan 19 @ 9:24 PM EST
If you're looking for work in
#Soldotna
, AK, check out this
#job
:
https://t.co/ULWHA67Ivk
#Alaskan
#MedEd
#MedField
#Healthcare
#Hiring
medicalschoolhq
Jan 19 @ 9:24 PM EST
perfect! Who spearheaded that change?
#meded
In reply to @RyanMadanickMD, @kristinadzara
mahoneyr
Jan 19 @ 9:25 PM EST
Think about how expensive it is to have all of those participants spend an hour in the room. What is the ROI?
@GLBDallaghan
#meded
In reply to @GLBDallaghan
amyshawmd
Jan 19 @ 9:25 PM EST
@mahoneyr
yes! and to see how other clinicians would reflect on same or similar problem... role models are important
#meded
In reply to @GLBDallaghan, @mahoneyr
elewMD
Jan 19 @ 9:25 PM EST
@mahoneyr
must have dept buy in for a professional, learning-specific M&M. We must role model for our learners
#meded
In reply to @GLBDallaghan, @mahoneyr
MedEdChat
- Moderator
Jan 19 @ 9:25 PM EST
Nice discussion here tonight about M&M (no, not the
@mmschocolate
!)
#meded
We’ll be bringing up T2 in just a moment
In reply to @mmschocolate
RyanMadanickMD
Jan 19 @ 9:26 PM EST
It was part of our conference overhaul a few years back
#meded
@kristinadzara
In reply to @medicalschoolhq, @kristinadzara
myheroistrane
Jan 19 @ 9:26 PM EST
Great idea! What if we made M&Ms a
#patientsincluded
conference?
#meded
kristinadzara
Jan 19 @ 9:22 PM EST
T1: One purpose might be to think about areas for
#QI
that is in the best interests of learners & patients
#meded
#PatientCentered
MedEdChat
- Moderator
Jan 19 @ 9:27 PM EST
TOPIC 2: How might procedural/surgical M&M conferences differ from non-procedural fields? What similarities shd still be there?
#meded
mahoneyr
Jan 19 @ 9:27 PM EST
Doctors make mistakes. The bigger issue is building a system that is able to catch and correct them.
@RyanMadanickMD
@JenniferAdaeze
#meded
In reply to @RyanMadanickMD, @JenniferAdaeze
RyanMadanickMD
Jan 19 @ 9:28 PM EST
T1 This gets brought up from time to time, but many docs worry that confidentiality of peer review will be breeched
#meded
In reply to @myheroistrane
Jed_Gonzalo15
Jan 19 @ 9:28 PM EST
#meded
here's an M&M guide.
https://t.co/reJ9w2AB6m
mahoneyr
Jan 19 @ 9:28 PM EST
T2 the biggest deficit I find is M&Ms that focus on bad outcomes from procedures and ignore bad outcomes from not doing procedures.
#meded
whole_patients
Jan 19 @ 9:29 PM EST
participating in
#meded
is part of treatment for
@harvardmacy
#hmieducators
withdrawal syndrome
In reply to @kristinadzara, @HarvardMedEd, @myheroistrane, @harvardmacy
centegracareers
Jan 19 @ 9:29 PM EST
If you're looking for work in
#CrystalLake
, IL, check out this
#job
:
https://t.co/6DhzynZm42
#MedEd
#Scrublife
#HospitalLife
#Healthcare
02amor
Jan 19 @ 9:29 PM EST
T2
#meded
1 critique of the surgical M&M, they tend towards the OR or post-op complication. Not so much on floor issues (IMO)
STPHCareers
Jan 19 @ 9:29 PM EST
Want to work at St. Tammany Parish Hospital? We're
#hiring
in
#Covington
, LA! Click for details:
https://t.co/84Y7aaHL00
#MedEd
#Healthcare
RyanMadanickMD
Jan 19 @ 9:30 PM EST
T2 now live @
#meded
chat: How are procedural/non-proc M&M’s different? Similar?
#medsm
#hcsm
#medschool
#medstudents
medicalschoolhq
Jan 19 @ 9:30 PM EST
@kristinadzara
yeah, lawyers wouldn’t allow it b/c the peer review process isn’t admissible (correct me if I’m wrong)
#meded
In reply to @myheroistrane, @kristinadzara
myheroistrane
Jan 19 @ 9:30 PM EST
yep, they said the same thing about open notes, but they improved outcomes when done well:
https://t.co/etZ9YbGD8M
#meded
In reply to @RyanMadanickMD
mahoneyr
Jan 19 @ 9:30 PM EST
T2 (contd) How eager will you be to perform procedures when you're only accountable when you do them?
#meded
Alliance4ClinEd
Jan 19 @ 9:31 PM EST
T2
#meded
Surgical M&M tended to focus on OR errors
@Surg_Education
In reply to @Surg_Education
CPHJobs
Jan 19 @ 9:31 PM EST
Interested in a
#job
in
#Soldotna
, AK? This could be a great fit:
https://t.co/p1s43PyvQD
#MedEd
#Alaskan
#RN
#Hiring
RyanMadanickMD
Jan 19 @ 9:31 PM EST
T2 Yes, we definitely used to concentrate on how we could have prevented a perforation in endoscopy, but now broader topic
#meded
In reply to @02amor
medicalschoolhq
Jan 19 @ 9:31 PM EST
@CeliacDoc
should hang out at the
#meded
chat.
In reply to @CeliacDoc
IASISCareers
Jan 19 @ 9:31 PM EST
Can you recommend anyone for this
#job
in
#Tempe
, AZ?
https://t.co/sNYB6efPGR
#MedEd
#Nursing
#Hiring
GomerBlog
Jan 19 @ 9:32 PM EST
RT Man Gives Frozen Nintendo Cartridge 2 Rescue Breaths -
https://t.co/VoSmtZ7Pqt
#meded
#FOAMed
#hcsm
mb_Gynaecology
Jan 19 @ 9:32 PM EST
Digital Practice : Lovely example of an
#obstetrics
and
#gynaecology
practice facebook page:
https://t.co/iEB7yVCXii
|
#obgyn
#meded
#HIT
…
mahoneyr
Jan 19 @ 9:32 PM EST
This is a problem. Surgical care has to do with much more than what happens in the OR.
@Alliance4ClinEd
@Surg_Education
#meded
In reply to @Alliance4ClinEd, @Surg_Education
myheroistrane
Jan 19 @ 9:32 PM EST
Are those the same lawyers who won't let docs apologize for medical errors?
#meded
medicalschoolhq
Jan 19 @ 9:30 PM EST
@kristinadzara
yeah, lawyers wouldn’t allow it b/c the peer review process isn’t admissible (correct me if I’m wrong)
#meded
In reply to @myheroistrane, @kristinadzara
IASISCareers
Jan 19 @ 9:32 PM EST
Can you recommend anyone for this
#job
in
#Phoenix
, AZ?
https://t.co/DZ7Uiz1cw6
#MedEd
#Scrublife
#Nursing
#Hiring
CeliacDoc
Jan 19 @ 9:32 PM EST
Oh hey...
@medicalschoolhq
#meded
In reply to @medicalschoolhq
JenniferAdaeze
Jan 19 @ 9:33 PM EST
Agree But its easier 2 id system error when familiar w the system. I'm seeing a lot for the first time.
#meded
In reply to @mahoneyr, @RyanMadanickMD
medicalschoolhq
Jan 19 @ 9:33 PM EST
hopefully not. Those lawyers need a reality check. apologies help!
#meded
In reply to @myheroistrane
RyanMadanickMD
Jan 19 @ 9:34 PM EST
We have been using a fishbone diagram to go through factors: Policy, Procedure, Plant, and People
#meded
@mahoneyr
In reply to @JenniferAdaeze, @mahoneyr
DrSinhaEsq
Jan 19 @ 9:34 PM EST
Hospital legal counsel would oppose but legal risk of having patient/community attendees at M&Ms is exaggerated.
#meded
cc:
@myheroistrane
medicalschoolhq
Jan 19 @ 9:30 PM EST
@kristinadzara
yeah, lawyers wouldn’t allow it b/c the peer review process isn’t admissible (correct me if I’m wrong)
#meded
In reply to @myheroistrane, @kristinadzara
RyanMadanickMD
Jan 19 @ 9:35 PM EST
#meded
@mahoneyr
In reply to @mahoneyr
mahoneyr
Jan 19 @ 9:35 PM EST
Why it's essential to enlist people w/experience in systems practice for M&M.
@JenniferAdaeze
@RyanMadanickMD
In reply to @JenniferAdaeze, @RyanMadanickMD
mahoneyr
Jan 19 @ 9:36 PM EST
#meded
#hashtagproblems
mahoneyr
Jan 19 @ 9:35 PM EST
Why it's essential to enlist people w/experience in systems practice for M&M.
@JenniferAdaeze
@RyanMadanickMD
In reply to @JenniferAdaeze, @RyanMadanickMD
amyshawmd
Jan 19 @ 9:36 PM EST
T2
#meded
for procedural M&M could still discuss broader issues- how to recognize complication sooner? what impeded recognition? etc
Alliance4ClinEd
Jan 19 @ 9:36 PM EST
T2
#meded
Agreed. Peds tends to have a more QI approach to uncover systemic problems
@COMSEPediatrics
In reply to @COMSEPediatrics
mahoneyr
Jan 19 @ 9:32 PM EST
This is a problem. Surgical care has to do with much more than what happens in the OR.
@Alliance4ClinEd
@Surg_Education
#meded
In reply to @Alliance4ClinEd, @Surg_Education
mahoneyr
Jan 19 @ 9:37 PM EST
(Waiting for
@RyanMadanickMD
to fire me from chat due to my inexplicable hashtag performance tonite)
#meded
In reply to @RyanMadanickMD
wellmighty
Jan 19 @ 9:37 PM EST
Huge leap in
#prostatecancer
testing
https://t.co/4IRUOmnLri
#cancer
#diagnostics
#wellnessCONSTELLATION
https://t.co/t8mX5h8DQI
#CME
#MedEd
RyanMadanickMD
Jan 19 @ 9:37 PM EST
haha NAHHHH!
#meded
In reply to @mahoneyr
RossAlbertMD
Jan 19 @ 9:38 PM EST
Dont underestimate the Beneficial placebo effect of the rituals of conversation & compassion-reminds me of Dr Kaptchuk's studies
#hpm
#meded
AngeloVolandes
Jan 19 @ 8:49 AM EST
https://t.co/QFL4BLZA67
DrSinhaEsq
Jan 19 @ 9:38 PM EST
Some hospitals are improving transparency -- essential to high-quality care!
https://t.co/IVJ3tEDGRL
#meded
In reply to @medicalschoolhq, @myheroistrane
Jed_Gonzalo15
Jan 19 @ 9:38 PM EST
Best M&M I attended had the patient - success story of system. M&M helpful for gaps, and id'ing success. goal= systems thinking
#meded
amyshawmd
Jan 19 @ 9:38 PM EST
#meded
T2 and obviously could we have prevented this complication? was it directly related to procedure or indirectly?
mahoneyr
Jan 19 @ 9:39 PM EST
T2 if the only answer from a procedural M&M is "what were you thinking?" then it is a private quality issue, not a public M&M.
#meded
DrSinhaEsq
Jan 19 @ 9:39 PM EST
Technically, M&M could be recorded/broadcast on TV and still be inadmissible in court.
#meded
In reply to @medicalschoolhq, @myheroistrane, @kristinadzara
myheroistrane
Jan 19 @ 9:40 PM EST
Surgical skill exists in CONTEXT i.e., the system, so ideal for a new, systems-based approach to M&M
#meded
IJohnPereira
Jan 19 @ 9:40 PM EST
:) article
@gene_hobbs
. Social justice in medicine impacts wellbeing, which in turn impacts care. "Safety. Above all, safety".
#MedEd
T1
In reply to @gene_hobbs
02amor
Jan 19 @ 9:41 PM EST
Will u remediate 1st? RT
@mahoneyr
Waiting for
@RyanMadanickMD
to fire me from chat due to my inexplicable hashtag performance tonite
#meded
In reply to @mahoneyr, @RyanMadanickMD
medicalschoolhq
Jan 19 @ 9:42 PM EST
love the MD/JD position!
#meded
In reply to @DrSinhaEsq, @myheroistrane
IJohnPereira
Jan 19 @ 9:42 PM EST
#FailingForward
?
#MedEd
T1
@myheroistrane
In reply to @myheroistrane
DrSinhaEsq
Jan 19 @ 9:42 PM EST
Inadmissiblity means jury can't consider as evidence - does not mean M&Ms must be secret/closed-door!
#meded
In reply to @medicalschoolhq, @myheroistrane
mahoneyr
Jan 19 @ 9:43 PM EST
I will use the
#meded
hashtag I will use the
#meded
hashtag I will use the
#meded
hashtag
@02amor
@RyanMadanickMD
In reply to @02amor, @RyanMadanickMD
amyshawmd
Jan 19 @ 9:43 PM EST
what input did pt have in conference?
#meded
In reply to @Jed_Gonzalo15
Jed_Gonzalo15
Jan 19 @ 9:43 PM EST
Another route is an engineer
#meded
medicalschoolhq
Jan 19 @ 9:42 PM EST
love the MD/JD position!
#meded
In reply to @DrSinhaEsq, @myheroistrane
IJohnPereira
Jan 19 @ 9:43 PM EST
Some try. M&Ms may have shifted toward a more educational focus.
#MedEd
T1
@RyanMadanickMD
In reply to @RyanMadanickMD
MedEdChat
- Moderator
Jan 19 @ 9:43 PM EST
Glad to see everyone so rested & back to
#meded
chat after our holiday hiatus! Tonight discussing M&M conference. T3 will be right up
MedEdChat
- Moderator
Jan 19 @ 9:43 PM EST
TOPIC 3: How can the M&M conference be improved? How could social media play a role in improving M&M?
#meded
CPHJobs
Jan 19 @ 9:44 PM EST
This
#job
might be a great fit for you: Counselor III -
https://t.co/XNdShHRgm0
#Alaskan
#MedEd
#MedField
#Healthcare
#Soldotna
, AK
RyanMadanickMD
Jan 19 @ 9:44 PM EST
T3 now live @
#meded
chat: How can M&M be improved? Could social media play a role?
#medsm
#hcsm
#medschool
#medstudents
mahoneyr
Jan 19 @ 9:46 PM EST
T3
#meded
the best short-term fix for M&M is an aggressive moderator trained in redirecting discussion toward constructive areas
GLBDallaghan
Jan 19 @ 9:46 PM EST
#meded
T3 Setting clear objectives for the session. What is the outcome we want from M&M?
@alliance4clined
In reply to @Alliance4ClinEd
medicalschoolhq
Jan 19 @ 9:47 PM EST
Agree! Need experience running the show or else all hell breaks loose!
#meded
(wonder if
@RyanSeacrest
is available! ;-) )
In reply to @mahoneyr, @RyanSeacrest
mahoneyr
Jan 19 @ 9:48 PM EST
T3
#meded
if M&M practice is particularly dysfunctional, consider having an advocate for physician attend to ensure constructive discussion
GLBDallaghan
Jan 19 @ 9:48 PM EST
T3
#meded
Would it help to have a moderator with no dog in the fight lead or someone involved in the case?
mahoneyr
Jan 19 @ 9:46 PM EST
T3
#meded
the best short-term fix for M&M is an aggressive moderator trained in redirecting discussion toward constructive areas
Jed_Gonzalo15
Jan 19 @ 9:49 PM EST
#meded
Jed_Gonzalo15
Jan 19 @ 9:47 PM EST
After several conferences designed in non punitive manner, culture changes
DrSinhaEsq
Jan 19 @ 9:49 PM EST
Patients & their families want to know hospitals learn/improve from mistakes! Why not formalize?
#meded
#QI
In reply to @medicalschoolhq, @myheroistrane
centegracareers
Jan 19 @ 9:49 PM EST
This
#job
might be a great fit for you: COOK -
https://t.co/akeDWwDRrl
#MedEd
#Scrublife
#HospitalLife
#Healthcare
#Huntley
, IL
#Hiring
STPHCareers
Jan 19 @ 9:49 PM EST
Can you recommend anyone for this
#job
? RN - Neuro ICU -
https://t.co/Nk071Cd6Tj
#MedEd
#NorthShoreLA
#Lakepontchartrain
#Covington
, LA
mahoneyr
Jan 19 @ 9:50 PM EST
When you look at debriefs ("neutral" M&M's), they succeed only with really great moderation.
@medicalschoolhq
@RyanSeacrest
#meded
In reply to @medicalschoolhq, @RyanSeacrest
RyanMadanickMD
Jan 19 @ 9:51 PM EST
We have a
@RyanSeacrest
sighting in a tweet in
#meded
chat!?! ;)
In reply to @mahoneyr, @RyanSeacrest
amyshawmd
Jan 19 @ 9:51 PM EST
@mahoneyr
uninvolved moderator! much easier to rephrase and redirect
#meded
In reply to @GLBDallaghan, @mahoneyr
mahoneyr
Jan 19 @ 9:51 PM EST
The less the moderator knows about the case, the better. They need to know about moderating.
@GLBDallaghan
#meded
In reply to @GLBDallaghan
IJohnPereira
Jan 19 @ 9:52 PM EST
T3: In addition to discussing methods & results, discuss the behaviours behind the results.
#PerformanceManagement
#MedEd
T3
myheroistrane
Jan 19 @ 9:52 PM EST
Agree, a new model of leadership is needed- one that models what M&M could be.
https://t.co/LB22wxRwEY
#meded
mahoneyr
Jan 19 @ 9:46 PM EST
T3
#meded
the best short-term fix for M&M is an aggressive moderator trained in redirecting discussion toward constructive areas
medicalschoolhq
Jan 19 @ 9:54 PM EST
why not someone involved w/
#QI
process. Someone actually to ask the right ?’s for finding process flaws.
#meded
In reply to @mahoneyr, @GLBDallaghan
mahoneyr
Jan 19 @ 9:54 PM EST
I'm guessing
@RyanSeacrest
gets pulled into a lot of conversations-this is perhaps one of the more unexpected.
@RyanMadanickMD
#meded
In reply to @RyanSeacrest, @RyanMadanickMD
GLBDallaghan
Jan 19 @ 9:54 PM EST
T3
#meded
And emotional aftermath of the event
IJohnPereira
Jan 19 @ 9:52 PM EST
T3: In addition to discussing methods & results, discuss the behaviours behind the results.
#PerformanceManagement
#MedEd
T3
amyshawmd
Jan 19 @ 9:54 PM EST
and see and influence overall trajectory of case/conference
#meded
In reply to @GLBDallaghan, @mahoneyr
whole_patients
Jan 19 @ 9:54 PM EST
Sounds like you're taling about our
#meded
moderator
@RyanMadanickMD
!
In reply to @RyanMadanickMD
mahoneyr
Jan 19 @ 9:51 PM EST
The less the moderator knows about the case, the better. They need to know about moderating.
@GLBDallaghan
#meded
In reply to @GLBDallaghan
MedEdChat
- Moderator
Jan 19 @ 9:55 PM EST
Well, we have about 5 more minutes left in our discussion. Please feel free to give some final thoughts
#meded
Jed_Gonzalo15
Jan 19 @ 9:55 PM EST
Chiefs can do this well, with prep and mentoring.
#MedEd
DrSueGross
Jan 19 @ 9:55 PM EST
Thanks
@TheObGProject
summary of FDA advice for fish consumption in
#pregnancy
https://t.co/ko5Ku0Gdwm
#ObGyn
#MedEd
from your colleagues
TheObGProject
Jan 19 @ 8:00 PM EST
New advice for
#pregnant
#women
, summarized: fish to eat, fish to avoid from
@US_FDA
and
@EPA
https://t.co/rPaZky48FN
#ehealth
#meded
mahoneyr
Jan 19 @ 9:55 PM EST
Absolutely should be involved in QI. But not involved in the case.
@medicalschoolhq
@GLBDallaghan
#meded
In reply to @medicalschoolhq, @GLBDallaghan
wellmighty
Jan 19 @ 9:55 PM EST
WHY
#PNEUMONIA
STRIKES
#SENIORS
https://t.co/vif162okZp
#elderlycare
#respiratory
#wellnessCONSTELLATION
https://t.co/t8mX5h8DQI
#MedEd
DrSinhaEsq
Jan 19 @ 9:55 PM EST
Similar fears drive defensive medicine -- evidence-based clinical care with
#patientengagement
never a liability!
#meded
In reply to @medicalschoolhq
mahoneyr
Jan 19 @ 9:56 PM EST
Hmmm.
#meded
chat as M&M. That may take some adjustment.
@whole_patients
@RyanMadanickMD
@GLBDallaghan
In reply to @whole_patients, @RyanMadanickMD, @GLBDallaghan
whole_patients
Jan 19 @ 9:56 PM EST
Sounds like you're talking about our
#meded
moderator
@RyanMadanickMD
!
In reply to @RyanMadanickMD
mahoneyr
Jan 19 @ 9:51 PM EST
The less the moderator knows about the case, the better. They need to know about moderating.
@GLBDallaghan
#meded
In reply to @GLBDallaghan
myheroistrane
Jan 19 @ 9:58 PM EST
#SoMe
and M&M? How about a series of Twitter M&Ms about the us healthcare system?
#meded
medicalschoolhq
Jan 19 @ 9:58 PM EST
you can’t argue that if jury sees something - it’s hard to undo though. Do you have data showing otherwise?
#meded
In reply to @DrSinhaEsq
whole_patients
Jan 19 @ 9:58 PM EST
First & final
#MedEd
thought - our faculty don't routinely attend these, only residents, thus my experience is limited but enjoyed the convo
IJohnPereira
Jan 19 @ 9:58 PM EST
This is where I think the MEdIC series does well (and uses a social media blog):
https://t.co/1CiH5W7jur
v
@ALiEMteam
.
#MedEd
T3 c
@M_lin
In reply to @ALiEMteam, @M_Lin
IJohnPereira
Jan 19 @ 9:59 PM EST
This is where I think the MEdIC series does well (and uses a social media blog):
https://t.co/W1JL2WKKih
v
@ALiEMteam
.
#MedEd
T3 c
@M_lin
In reply to @ALiEMteam, @M_Lin
mahoneyr
Jan 19 @ 9:59 PM EST
Picturing
@RyanSeacrest
reading this: "I like eating M&Ms but I can't picture spending an hour talking about them."
@RyanMadanickMD
#meded
In reply to @RyanSeacrest, @RyanMadanickMD
