#meded Archive
All ideas and resources tweeted alongside #meded are curated and collected here.
Thursday October 5, 2017
9:00 PM EDT
MedEdChat
- Moderator
Oct 5 @ 9:00 PM EDT
Welcome to the Medical Education chat (US) I am your guest moderator for the next hour,
@Alliance4ClinEd
#meded
MedEdChat
- Moderator
Oct 5 @ 9:00 PM EDT
The topic & questions will be announced in a moment…for now, please introduce yourselves
#meded
c3nyprep
Oct 5 @ 9:00 PM EDT
Read what some of the world's foremost experts on the field of clinical skills have to say!
#MedEd
https://t.co/19EW6gIaIm
Alliance4ClinEd
Oct 5 @ 9:01 PM EDT
So excited for the opportunity to host the
#meded
chat tonight...Thanks,
@RyanMadanickMD
In reply to @MedEdChat, @RyanMadanickMD
mahoneyr
Oct 5 @ 9:01 PM EDT
Delighted to join
#meded
this evening from Saint Louis, Missouri
#meded
In reply to @MedEdChat
mahoneyr
Oct 5 @ 9:02 PM EDT
A hashtag so nice - you got to use it twice
#MedEd
In reply to @MedEdChat
StephRStarr
Oct 5 @ 9:02 PM EDT
Hello
@Alliance4ClinEd
- thanks for moderating
@MedEdChat
#MedEd
this evening
MedEdChat
- Moderator
Oct 5 @ 9:00 PM EDT
The topic & questions will be announced in a moment…for now, please introduce yourselves
#meded
MedEdChat
- Moderator
Oct 5 @ 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)
medicalschoolhq
Oct 5 @ 9:03 PM EDT
Hey
#meded
! Ryan - Physician podcaster. Instructor at
@CUMedicalSchool
. I’ll be lurking
AJKleinhex
Oct 5 @ 9:03 PM EDT
Evening all! I’m an Ed Researcher studying simulation and the measurement of higher order thinking skills at
@AUG_EII
.
#MedEd
In reply to @MedEdChat, @AUG_EII
MedEdChat
- Moderator
Oct 5 @ 9:03 PM EDT
We will assume that all of your tweets are your own during this hour unless otherwise stated
#meded
MedEdChat
- Moderator
Oct 5 @ 9:04 PM EDT
Welcome!
#meded
In reply to @AJKleinhex, @AUG_EII
mahoneyr
Oct 5 @ 9:04 PM EDT
If you veer off-topic, feel free to make up your own topic numbers (T8, T35, Terrific!)
#MedEd
In reply to @MedEdChat
MedEdChat
- Moderator
Oct 5 @ 9:04 PM EDT
#meded
Welcome, Ryan!
In reply to @medicalschoolhq, @CUMedicalSchool
MedEdChat
- Moderator
Oct 5 @ 9:04 PM EDT
T1 about to come up in a few moments
#meded
MedEdChat
- Moderator
Oct 5 @ 9:05 PM EDT
Tonight we're talking about
#facdev
across training sites
#meded
MedEdChat
- Moderator
Oct 5 @ 9:05 PM EDT
Topic 1: What are the pros/cons of using community preceptors for clinical training?
#meded
kidney_boy
Oct 5 @ 9:06 PM EDT
Topic 3.14 which version of Blade Runner is best for teaching empathy assessment? I say Final Cut
#meded
Alliance4ClinEd
Oct 5 @ 9:06 PM EDT
T1
#meded
For this topic, we have defined community preceptor as....
StephRStarr
Oct 5 @ 9:07 PM EDT
T1: Community preceptors offer authentic clinical environment to practice skills & care delivery in
#meded
EduGladiators
Oct 5 @ 9:07 PM EDT
🔬{NEW}
#EduGladiators
series: Ss Engagement w/expert
@STEMigo
leading STEM convo SATURDAY!
#AR4Learning
#atplc
#INeLearn
#meded
#NGSSchat
centegracareers
Oct 5 @ 9:08 PM EDT
If you're looking for work in
#Woodstock
, IL, check out this
#job
:
https://t.co/2yUUq2XDJk
#MedEd
#Scrublife
#HospitalLife
#Healthcare
MedEdChat
- Moderator
Oct 5 @ 9:08 PM EDT
T1 What challenges do you find using community preceptors?
#meded
In reply to @StephRStarr
DocWoc71
Oct 5 @ 9:08 PM EDT
#IDWeeek2017
#friends
#cofellows
#iloveID
#networking
#meded
@bcmhouston
@CaseWesternRe
@BIDMChealth
medicalschoolhq
Oct 5 @ 9:09 PM EDT
T1 pros: variety of clinical settings and personalities. cons: variety of teaching styles and methodologies.
#meded
StephRStarr
Oct 5 @ 9:10 PM EDT
Faculty development, balance of 'shadowing' vs actual skill practice, ensuring direct observation (as in academic centers)
#MedEd
MedEdChat
- Moderator
Oct 5 @ 9:08 PM EDT
T1 What challenges do you find using community preceptors?
#meded
In reply to @StephRStarr
AJKleinhex
Oct 5 @ 9:10 PM EDT
T1 Diverse sites and preceptors are much more likely to provide a transformative learning environment for students.
#MedEd
kidney_boy
Oct 5 @ 9:10 PM EDT
T1 I spent countless hours with earnest but ineffectual community clinicians in medical school and residency
#meded
MedEdChat
- Moderator
Oct 5 @ 9:11 PM EDT
T1
#meded
How are the teaching styles & methodologies a con?
In reply to @medicalschoolhq
MedEdChat
- Moderator
Oct 5 @ 9:12 PM EDT
T1
#meded
How so? They just had you shadow?
In reply to @kidney_boy
Kathykm
Oct 5 @ 9:12 PM EDT
Can’t wait to give this a read! Congrats
@NaheedD
#MedEd
#dyingmatters
cczodonnell
Oct 5 @ 6:15 PM EDT
So proud of my dear friend and colleague,
@NaheedD
for his new book chapter!
#welldone
kidney_boy
Oct 5 @ 9:13 PM EDT
I found a number of primary care community preceptors to be cynical and burned out. Dimmed my idealism.
#meded
myheroistrane
Oct 5 @ 9:13 PM EDT
T1: one of the key issues is why community preceptors volunteered in the first place; motivation is important here
#meded
VHCCareers
Oct 5 @ 9:13 PM EDT
Can you recommend anyone for this
#job
? Dermatologist -
https://t.co/i3vd9CwKBv
#Doctor
#MedEd
#MD
#Physician
#Arlington
, VA
#Hiring
Kind4Kids
Oct 5 @ 9:13 PM EDT
Helps students get out into communities, learning & serving. Beyond the hospital. Beyond the academic setting.
#meded
@MedEdChat
StephRStarr
Oct 5 @ 9:14 PM EDT
T1: Diverse practice settings enable learners to compare & contrast care delivery models, clinical microsystems & processes
#MedEd
Alliance4ClinEd
Oct 5 @ 9:15 PM EDT
T1
#meded
What if
#medstudents
find that too confusing?
In reply to @StephRStarr
medicalschoolhq
Oct 5 @ 9:16 PM EDT
How do you continue to measure their motivations once they become preceptors?
#meded
In reply to @myheroistrane
Kind4Kids
Oct 5 @ 9:17 PM EDT
Or at least to gain that exposure.
#meded
In reply to @StephRStarr
medicalschoolhq
Oct 5 @ 9:17 PM EDT
Getting outside of academic setting is huge! Most stdts train in urban, academic medicine. Most medicine is not practiced that way!
#meded
In reply to @Kind4Kids, @MedEdChat
MonicaSheth
Oct 5 @ 9:17 PM EDT
How clinical educators can utilizing technology to ⬆️ efficiency & improve scholarly output
@ACER_AUR
#meded
https://t.co/j8iE4dcKU7
ColleenKraft
Oct 5 @ 9:18 PM EDT
Love this meeting, sorry to miss this year!
#ICRE
#meded
ECMEcan
Oct 5 @ 2:21 PM EDT
Hope you're getting excited for the ICRE ECME session on Thursday Oct 19, 2017!
#meded
Join us!!
MedEdChat
- Moderator
Oct 5 @ 9:19 PM EDT
Keep rolling on T1. T2 will be up in just a few minutes
#meded
threepiecesofme
Oct 5 @ 9:19 PM EDT
#HMIchat
thankfully the
#meded
paradigm is shifting away from a didactic approach so we can focus on our principal teachers: the patients.
kidney_boy
Oct 5 @ 9:20 PM EDT
yup just shadow, and no meaningful education or curriculum. It was a place to stick students for an "outpt experience"
#meded
In reply to @MedEdChat
StephRStarr
Oct 5 @ 9:20 PM EDT
Priming to look and 'see ' differences in delivery, coupled with debriefing might generate new student insights
#meded
In reply to @Alliance4ClinEd
myheroistrane
Oct 5 @ 9:20 PM EDT
Good question - continued contact is important
#meded
In reply to @medicalschoolhq
Kind4Kids
Oct 5 @ 9:20 PM EDT
Was trying to think of a better word than "using" in this Q... involving/engaging/enlisting/ seeking the expertise of...
#meded
MedEdChat
- Moderator
Oct 5 @ 9:05 PM EDT
Topic 1: What are the pros/cons of using community preceptors for clinical training?
#meded
DrNickKman
Oct 5 @ 9:20 PM EDT
T1: send the right students there. Accountability may be difficult. Keep students with professionalism issues at home shop.
#meded
Alliance4ClinEd
Oct 5 @ 9:21 PM EDT
T1
#meded
How do you determine the "right" students to send?
DrNickKman
Oct 5 @ 9:20 PM EDT
T1: send the right students there. Accountability may be difficult. Keep students with professionalism issues at home shop.
#meded
mahoneyr
Oct 5 @ 9:22 PM EDT
Do academic centers have less "control" over the styles and methodologies of community physicians? Interesting question.
#MedEd
In reply to @medicalschoolhq, @MedEdChat
talentkeepers
Oct 5 @ 9:23 PM EDT
Our most popular topics, on demand!
#MHealth
#ChangeMedEd
#MedEd
https://t.co/MmIqwRN2QD
MedEdChat
- Moderator
Oct 5 @ 9:23 PM EDT
T2 relates to
#LCME
elements about
#facdev
.
#meded
kidney_boy
Oct 5 @ 9:23 PM EDT
Preceptors often found clinical work unfulfilling and volunteered to teach to try to fill the void.
#meded
MedEdChat
- Moderator
Oct 5 @ 9:23 PM EDT
Topic 2: LCME expects
#facdev
for all preceptors. How can the
#medschool
do this effectively?
#meded
mahoneyr
Oct 5 @ 9:24 PM EDT
T2 Ah, "development". The word we all use in academia, without necessarily agreeing upon the meaning.
#MedEd
In reply to @MedEdChat
cedrekmd
Oct 5 @ 9:24 PM EDT
Remembering days as a resident having a waist filled with pagers.
#MedEd
#TBT
GLBDallaghan
Oct 5 @ 9:25 PM EDT
T1
#meded
I don't agree, particularly since I've done some research on why
#pediatric
preceptors continue teaching as busy as they are
In reply to @kidney_boy
mahoneyr
Oct 5 @ 9:25 PM EDT
You could argue, for example, that development is the greatest unfunded mandate of academia.
#MedEd
In reply to @MedEdChat
StephRStarr
Oct 5 @ 9:26 PM EDT
T2: Use open access web-based examples, like fac devel videos
@COMSEPediatrics
https://t.co/F9RYKVuqMq
#meded
MedEdChat
- Moderator
Oct 5 @ 9:26 PM EDT
T2
#meded
Perhaps the term coaching or training would be better. :)
mahoneyr
Oct 5 @ 9:25 PM EDT
You could argue, for example, that development is the greatest unfunded mandate of academia.
#MedEd
In reply to @MedEdChat
MedEdChat
- Moderator
Oct 5 @ 9:27 PM EDT
T2
#meded
How do you ensure they watch and apply?
In reply to @StephRStarr, @COMSEPediatrics
DrNickKman
Oct 5 @ 9:27 PM EDT
Take the show on the road. Visit sites, go to group meetings, bring lunch, do some tips on microteaching! Engagement!
#meded
centegracareers
Oct 5 @ 9:28 PM EDT
Can you recommend anyone for this
#job
? Patient Care Tech - CTU -
https://t.co/aQouo79Ei2
#MedEd
#Scrublife
#HospitalLife
#Nursing
#Hiring
AJKleinhex
Oct 5 @ 9:28 PM EDT
T2 There are several successful models of
#facdev
, but all require buy-in from both stakeholders and faculty. Shared vision is key.
#MedEd
mahoneyr
Oct 5 @ 9:29 PM EDT
The terms are more specific but the issue remains - mandating development, coaching, or training also means mandating time to do it
#MedEd
In reply to @MedEdChat
StephRStarr
Oct 5 @ 9:29 PM EDT
T2: Everyone wants to be seen as effective at what they do - frame videos as a way to move from good to great.
#meded
In reply to @MedEdChat, @COMSEPediatrics
Alliance4ClinEd
Oct 5 @ 9:29 PM EDT
T2
#meded
Do you think it is possible to require
#facdev
for community preceptors? Particularly if they are volunteering to do this?
mahoneyr
Oct 5 @ 9:30 PM EDT
Requiring things from volunteers can be really tough.
#MedEd
In reply to @Alliance4ClinEd
DrNickKman
Oct 5 @ 9:30 PM EDT
If you are working with another health system, appoint an education liaison and schedule quarterly meetings
#meded
gene_hobbs
Oct 5 @ 9:31 PM EDT
#facdev
in
#MedEd
is not as hard as it should be IMHO. Without a clear definition, almost anything fits as long as you do the paperwork
MedEdChat
- Moderator
Oct 5 @ 9:23 PM EDT
Topic 2: LCME expects
#facdev
for all preceptors. How can the
#medschool
do this effectively?
#meded
mahoneyr
Oct 5 @ 9:31 PM EDT
Say, for example, an academic center were to have a two-day, 12-hour course on faculty development. Who would have time to attend?
#MedEd
In reply to @MedEdChat
Alliance4ClinEd
Oct 5 @ 9:31 PM EDT
T2
#meded
What if the local institution is strapped for funds and you have 400 miles between you & the site?
In reply to @DrNickKman
COMSEPediatrics
Oct 5 @ 9:32 PM EDT
Recruiting & retaining community preceptors
@AcadMedJournal
by
@GLBDallaghan
https://t.co/eMZbAfZSER
#meded
#pediatrics
GLBDallaghan
Oct 5 @ 9:25 PM EDT
T1
#meded
I don't agree, particularly since I've done some research on why
#pediatric
preceptors continue teaching as busy as they are
In reply to @kidney_boy
Dr_ScottK
Oct 5 @ 9:33 PM EDT
How about partnering. If it's a true partnership it's a win-win-win (students, preceptors, and program)
#MedEd
In reply to @Kind4Kids
GLBDallaghan
Oct 5 @ 9:33 PM EDT
T2
#meded
Exactly. I continue raising the question about the effectiveness of
#facdev
nowadays using that model
@Alliance4ClinEd
In reply to @mahoneyr, @MedEdChat, @Alliance4ClinEd
DrNickKman
Oct 5 @ 9:35 PM EDT
Difficult no doubt. Access to library? Journals? CME? Everyone needs CME. Remote Lectures for your P&T. Their CME...
#meded
Alliance4ClinEd
Oct 5 @ 9:31 PM EDT
T2
#meded
What if the local institution is strapped for funds and you have 400 miles between you & the site?
In reply to @DrNickKman
mahoneyr
Oct 5 @ 9:35 PM EDT
Would love to hear about more effective models - particularly while academia is also emphasizing improved "work/life balance"
#MedEd
In reply to @GLBDallaghan, @MedEdChat, @Alliance4ClinEd
GLBDallaghan
Oct 5 @ 9:36 PM EDT
T2
#meded
Might be a good topic for this chat at some point
@Alliance4ClinEd
In reply to @mahoneyr, @MedEdChat, @Alliance4ClinEd, @Alliance4ClinEd
MedEdChat
- Moderator
Oct 5 @ 9:38 PM EDT
Well, again the hour is flying by...One more topic to come in just a minute or two
#meded
medicalschoolhq
Oct 5 @ 9:38 PM EDT
Good question. I think maybe closer feedback loop?
#meded
In reply to @mahoneyr, @MedEdChat
mmteacherdoc
Oct 5 @ 9:39 PM EDT
T2 provide CME & MOC. Get together w other regional schools & do at regional meetings (
@acpinternist
,
@AmerAcadPeds
,
@AmCollSurgeons
)
#meded
mmteacherdoc
Oct 5 @ 9:40 PM EDT
T2 online, short bursts of high-yield material.
#meded
mahoneyr
Oct 5 @ 9:40 PM EDT
Definitely. At the same time, though, there may be a greater sense of entrenchment among academic faculty, leading to inertia
#MedEd
In reply to @medicalschoolhq, @MedEdChat
MedEdChat
- Moderator
Oct 5 @ 9:40 PM EDT
Topic 3: Regarding
#facdev
for community preceptors, what topics should be required for community preceptors to complete?
#meded
mmteacherdoc
Oct 5 @ 9:41 PM EDT
T2 compile feedback w comparison data - then help create individual improvement plan. Doesn’t need to be face to face
#meded
mahoneyr
Oct 5 @ 9:42 PM EDT
Good - but there may be an inverse relationship between the accessibility of the material and the engagement of the participants
#MedEd
In reply to @mmteacherdoc
mmteacherdoc
Oct 5 @ 9:42 PM EDT
#truth
#meded
In reply to @mahoneyr
mahoneyr
Oct 5 @ 9:43 PM EDT
I like the idea of the individual improvement plan with community faculty - I wonder how many centers make use of this?
#MedEd
In reply to @mmteacherdoc
StephRStarr
Oct 5 @ 9:43 PM EDT
T3: Topics aligned with top LCME threats, gaps based on student feedback, preceptor-identified priorities for improvement
#meded
Alliance4ClinEd
Oct 5 @ 9:43 PM EDT
T2
#meded
Although I can tell you many community preceptors want that face to face interaction.
@COMSEPediatrics
In reply to @mmteacherdoc, @GLBDallaghan, @COMSEPediatrics
mahoneyr
Oct 5 @ 9:44 PM EDT
Hard to mandate the basic science - but there are many topics academic faculty are provided (diversity, abuse, etc.) that could be
#MedEd
In reply to @MedEdChat
Alliance4ClinEd
Oct 5 @ 9:44 PM EDT
T3
#meded
What has been your experience training them how to complete a student performance evaluation?
StephRStarr
Oct 5 @ 9:43 PM EDT
T3: Topics aligned with top LCME threats, gaps based on student feedback, preceptor-identified priorities for improvement
#meded
MedEdChat
- Moderator
Oct 5 @ 9:45 PM EDT
T2
#meded
Have you used something like this? How did the preceptors receive it?
@Alliance4ClinEd
In reply to @mmteacherdoc, @Alliance4ClinEd
DrNickKman
Oct 5 @ 9:46 PM EDT
T3: few minutes on LCME standards (can’t intimidate or ridicule, duty hours) then fun tips on bedside teaching, procedures, role mdl
#meded
MedEdChat
- Moderator
Oct 5 @ 9:40 PM EDT
Topic 3: Regarding
#facdev
for community preceptors, what topics should be required for community preceptors to complete?
#meded
GomerBlog
Oct 5 @ 9:47 PM EDT
RT Breaking: Tom Price Signs Off, Turfs Department of Health & Human Services to Medicine -
https://t.co/NBiuy4BIvG
#meded
#FOAMed
#hcsm
MKChan_RCPSC
Oct 5 @ 9:47 PM EDT
MT "
@cameacem
: CAME Voice: Advancing & adopting
#CBME
: Resources to help
#meded
in this journey
https://t.co/6DK5Iozy1a
@Royal_College
”
In reply to @cameacem, @Royal_College
myheroistrane
Oct 5 @ 9:47 PM EDT
T#3: communication skills are key - comm preceptors important in countering hidden curriculum through role modeling
#meded
mahoneyr
Oct 5 @ 9:48 PM EDT
Is it possible to couple completion of these requirements with clinical promotion or other recognition?
#MedEd
In reply to @MedEdChat
mskultrasound
Oct 5 @ 9:48 PM EDT
MSK Ultrasound case.. Tibialis anterior rupture - Robert Mast, Extended Scope Physiotherapi
https://t.co/sDfwWDwCDx
#radiology
#meded
#POCUS
mmteacherdoc
Oct 5 @ 9:48 PM EDT
#Meded
we started to work on this last year. As clerkship director, I piloted with some faculty on campus. Labor intensive.
In reply to @MedEdChat, @Alliance4ClinEd
centegracareers
Oct 5 @ 9:48 PM EDT
See our latest
#Woodstock
, IL
#job
and click to apply: Registrar I -
https://t.co/5MDDloLtFj
#MedEd
#Scrublife
#HospitalLife
#Clerical
Alliance4ClinEd
Oct 5 @ 9:48 PM EDT
T3
#meded
How would you approach that topic with a volunteer faculty member?
In reply to @myheroistrane, @GLBDallaghan
mmteacherdoc
Oct 5 @ 9:49 PM EDT
#meded
faculty were hand-picked, so selection bias...but they were receptive.
In reply to @MedEdChat, @Alliance4ClinEd
Alliance4ClinEd
Oct 5 @ 9:52 PM EDT
T3
#meded
Would you be willing to chat about this off line some time? Would be interesting to see what you've done.
In reply to @mmteacherdoc, @MedEdChat
Jfpohl
Oct 5 @ 9:53 PM EDT
T3: Complete work (lectures) on mentorship. So important.
#meded
In reply to @MedEdChat
tcymet
Oct 5 @ 9:55 PM EDT
Kicking off
#OMED
with a
#COSGP
#Selfie
#MedEd
GLBDallaghan
Oct 5 @ 9:55 PM EDT
T3
#meded
Would this be to ensure a common framework is in place for all preceptors?
In reply to @Jfpohl, @MedEdChat
MedEdChat
- Moderator
Oct 5 @ 9:56 PM EDT
Well, we have about 4 more minutes left in our discussion. Please feel free to give some final thoughts
#meded
Kind4Kids
Oct 5 @ 9:57 PM EDT
Does this past
@MedEdChat
hour count for community preceptor
#facdev
? Thanks!
#meded
CatherineRLucey
Oct 5 @ 9:57 PM EDT
#amazing
#dedicated
#inspired
#collaborative
colleagues. Thanks for all you do for
@UCSFMedicine
#meded
#bridgescurriculum
KlintJaramillo
Oct 5 @ 8:14 PM EDT
Team
@UCSFODO
at this year's
#DiversityAwards
#UCSF
@LaMishaHill
@Angel2daMax
@EvolveBenton
@VCdiversityucsf
@Tu2Bene
GLBDallaghan
Oct 5 @ 9:57 PM EDT
I think it should count for
#facdev
#meded
T3
Kind4Kids
Oct 5 @ 9:57 PM EDT
Does this past
@MedEdChat
hour count for community preceptor
#facdev
? Thanks!
#meded
Alliance4ClinEd
Oct 5 @ 9:57 PM EDT
I think it should count for
#facdev
#meded
T3
Kind4Kids
Oct 5 @ 9:57 PM EDT
Does this past
@MedEdChat
hour count for community preceptor
#facdev
? Thanks!
#meded
StephRStarr
Oct 5 @ 9:58 PM EDT
Has anyone asked students what they find to be highest yield from community preceptors teaching in
#meded
?
Jfpohl
Oct 5 @ 9:59 PM EDT
T3: Yes, exactly. I've read some great reviews on mentorship (and a good book). Could be in a curriculum...
#Meded
In reply to @GLBDallaghan, @MedEdChat
Alliance4ClinEd
Oct 5 @ 9:59 PM EDT
#meded
That is an excellent question. From reading so many
#medstudent
evals, I would say the experience & apprenticeship
In reply to @StephRStarr, @GLBDallaghan