T1 #meded This is a great question, particularly in the age of curriculum revision. With information at our fingertips, how should we be teaching in #medschools?
Final thought: what do we want from #meded learners?
Systems thinking?
Adaptive expertise?
Humanism?
The growth mindset is a pathway toward all of these. We must cultivate it in ourselves in order to foster it among our #learners.
Topic 2: Which one of the “tripartite responsibilities” (education, research & clinical service) would your medical school privilege? What are the consequences of privileging this responsibility? #meded
I don't see it in real life as a patient but I do hope that new approaches in #meded that include patients as teachers, encourage design thinking, or increase compassion skills might someday produce doctors that are better at this. Still in the process though.
T2: Which would I want to be a focus? That's hard because I want physicians who are skilled at all 3 but it depends what practice they ultimately want to go into whether one should be a greater focus. #meded
Perhaps whichever speaks to their way of learning in order to teach them to be problem solvers -because ultimately that's what patients need whether in research endeavors or clinical care. We need physicians who are passionate about finding answers to complicated questions #meded
T2 #meded I just had a faculty member telling me how overwhelmed he is today because the expectation is solely on patient care. No time to teach but must. No time for research but should.
so perhaps we need to add one more portion in there - business management. sounds absurd and it shouldn't be this way but I've heard a lot of doctors say they wish they had more business background. I don't want that to be a focus, but in the current paradigm... #meded
T2 #meded I hear that frequently as well. However, does that solve a problem? The business side focuses on the bottom line...which means seeing more patients. The other two responsibilities continue to suffer. Right?
In reply to
@GilmerHealthLaw, @Alliance4ClinEd, @MedEdChat
I only wonder if it might help to manage the practice run more smoothly which might decrease stress and open up other opportunities? Doesn't really fix the long term problems though, and really shouldn't be the focus. #meded
In reply to
@GLBDallaghan, @Alliance4ClinEd, @MedEdChat
T2 #meded That's a nice idea, but there are so many new rules imposed on physicians for billing and such that even with a business background it's overwhelming. Seeing lots of burnout in clinical medical educators.
I only wonder if it might help to manage the practice run more smoothly which might decrease stress and open up other opportunities? Doesn't really fix the long term problems though, and really shouldn't be the focus. #meded
In reply to
@GLBDallaghan, @Alliance4ClinEd, @MedEdChat
Topic 3: Who is directly at the receiving end of what medical school achieves? Is it the patient, the physician, the health institution, the wider community? #meded
T3: Ultimately who benefits directly from who we graduate from medical school? Is it the patient, the physician, the health institution, the wider community? #meded@iamse
I agree. Just wish there were a way tro give tools to decrease the stress of this part of medicine so they can focus on the parts that matter (actual care or research) #meded
Perhaps the question asked is along the lines of: can we 1) select for and 2) train future healthcare professionals that will practice medicine at a defined standard of competence in accordance with (local) societal needs and available resources? T1 #MedEd#CBME / @WHO@AFMC_e
T3 #meded Not that my opinion has ever been highly regarded in this, but I've always felt it was the wider community. #medschools are responsible for training doctors to care for people in the wider community. That should always be our priority.
T2 Why do we wonder that CE's are not #Wellbeing when their economic contribution is valued over their educ? Follow the $$'s? Real issue - what value place on #Meded? See recent Physician Well-Being and the Regenerative Power of Caring https://t.co/DppML1db1I
T2 #meded Exactly the point. We are emphasizing how to make the most money at the expense of the human capital needed to fulfill the tripartite mission
T3: this may sound selfish - I see these students today, and think that they will be my doctors when I most need doctors. We do this for us, both as individuals AND as members of the population that needs healthcare. #meded
If those special topics and techniques are particular to an instruction or region whose goals may be to have them remain, perhaps so? T1 #MedEd#context
T3 #meded So here's a question....how do we adjust the focus of the mission to make #meded more of a priority? It doesn't seem that we can rely on giving back anymore.
From the little I have seen, even in a salaried environment clinical volume may trump the other parts of #MedEd (although being paid to teach seems to help!)
In reply to
@GLBDallaghan, @GilmerHealthLaw, @Alliance4ClinEd, @MedEdChat
Call me whatever you want, but I don’t think business models should apply to medicine. It should be service first, money second. I think many huge and growing academic hospital systems don’t hold this view, tho. We need to call this out often. #meded
I wonder if in many centres (around the world) residents/junior doctors are an important part of the front line helping to control healthcare costs #MedEd#hrh
In reply to
@GilmerHealthLaw, @GLBDallaghan, @Alliance4ClinEd, @MedEdChat
Final Thought: I wish more patients were included in #meded. Because if any part of it is about us, we should be part of it. And I think we could help shape it to really improve all aspects of care, research, and education.
That's a wrap...I will be posting the archive tomorrow morning. Thanks everyone for participating! #meded Please note we will be off the next 2 weeks! We'll be back April 19th!
