T1 The biggest generational difference in my experience is a lack of shared cultural touchstones. Nothing kills the class momentum like a Billy Madison reference that falls flat. Kidding! (But not really.) #meded
Today’s generation is under so much pressure to perform; no wonder we see the behaviors we do in #meded - time to do something about this, like #MakeUSMLEPassFail
But the preponderance of the evidence that I know of suggests that there is not a single new generation of students with similar preferences distinct from prior cohorts! #meded
And believe it or not, modern learners often lack the computer skills needed to succeed in a technology-rich learning environment! (see, for example, Jones 2011 and Kirschner 2013). #meded
@MedEdChat#meded am constantly amazed by the energy, sincerity and optimism of students. So many med students have already made major contributions in various endeavors. I worry they are so high achieving they will burn out.
Yes, @RobertaSchell! - this #medtwitter#meded tweet, if ok w you, is the new set up for our annual #ebm session on pre test prob, sens/spec, PPV, and likelihood ratios. I'll frame it by saying #hivalue rheumatologists out there are really burned out with inappropriate orders.
rule of thumb:
never order an ANA for “could this be SLE?” (fishing expedition). the positive ANA here generates confusion.
but for when there are enough clinical or other lab findings that is probably is SLE. the positive ANA creates clarity.
In reply to
@DrMAUrsani, @DrHedrick, @cardiojaydoc02
Every generation has their issue... ours was work life balance. This next generation’s might be altruism. We need to teach to their issues, not ours. #meded
T1 The biggest generational difference in my experience is a lack of shared cultural touchstones. Nothing kills the class momentum like a Billy Madison reference that falls flat. Kidding! (But not really.) #meded
A paradigm shift of using the contact hours for problem-solving, clinical/real-world application exercises, working on competencies outside of knowledge #meded
T1 I don't believe in the concept of digital natives either (many in Ed Tech don't). But even if you did, assuming it's a generational trait ignores the experiences of rural and low SES students with no access to internet or digital devices. Very problematic. #MedEd
T1 #meded Good point. That brings up a question I've had. Are Millennial traits more prominent depending on where you grew up? I've noticed many of our #medstudents from rural areas don't exhibit these traits.
T1 - I'm slow on the uptake, clearly not a digital native. We need to set expectations for and from the learners and give and receive feedback - after defining it. "I'm going to give you some FEEDBACK" #meded
T1 As a teacher, I need to understand that learners may be looking up info, and not just surfing the web. Is important to engage in thinking in an inperson setting. #meded
T1 - Now I'm on the upper edge of millennialism 🙄, but I gotta say, antidotally, the necessity of digitization of the educational process has been more assumed as necessity than truth, i.e./ a lot of my colleagues dont care for reading digital media. #meded
T1: More to the point: Any of the strategies proposed to meet millennials' needs are specific implementations of principles known to promote learning for learners of ALL generations, such as activation of prior knowledge, spaced learning, test-enhanced learning, etc! #meded
T2 #meded This article suggests the teacher-student relationship is much more casual. There are times I don't know if that's such a good thing. https://t.co/I4NRAV6gRl
This @Gurpreet2015 article is one of my faves. “Each aging cohort looks upon the youth & believes they have identified a fundamental change in the species.” Priceless. #MedEdhttps://t.co/IIHn2JkTba
PGY3 Dr Amir Meiri and Dr Jenny Jia lead excellent Senior Talks on the hx of Hospital unions/CIR and how good systems impact our health! Check out our insta-story for clips!! #bmcimres#mededhttps://t.co/KKhLB7HjVs
T1 #meded I don't think that urban environments promote more digital involvement- purely my observation of students, family members, etc but folks living in rural areas need more connectivity to succeed.
In reply to
@GLBDallaghan, @MedEdChat, @AJKleinhex, @mededdoc
Interesting point. Some schools use reusable online modules. Can this allow more effective learning forms with the time lecturers and students have face-to-face? #MedEd T1
T2- it’s on all of us to co-create the clinical learning environment. In fact, I’d say I have more confidence that the learners and junior docs can guide this change. #MedEd
T2 - Flexibility of thought on both sides of the intergenerational divide is pivotal. The teacher must recognize the necessity for innovative change and thought leadership, and the student much recognize, and for that matter respect, the exceptional value of #experience. #meded
T2: Relationships are built on #trust. Always have been. If we want millennials to engage with us, we need to trust that they are interested and want to learn. And stop referring to our learners as “kids” ... #meded
T2 There are no learning theories unique to younger generations. The difference I try to address is the pressure of having relatively few safe spaces to fail. Social media and camera phones create a higher level of scrutiny. So, of course, I see #simulation as a solution. #MedEd
Interesting point. Some schools use reusable online modules. Can this allow more effective learning forms with the time lecturers and students have face-to-face? #MedEd T1
T2: we should also avoid trendy, so-called “millennial learning strategies,” such as multi-tasking, fast tempo, and random information access. These practices simply contradict what we know about how humans — all humans — learn! #MedEd
T2 #meded Now you've hit on another issue that may impact learning....students' ability to cope with pressures. I've noticed some of our students really have a hard time problem solving because they had parents doing that for them. Thoughts?
Yes - and my colleagues in fov’t service have seen the same in many. Flip side: current students have been through much greater pressure than I getting to the same #meded stage
T2 #meded Now you've hit on another issue that may impact learning....students' ability to cope with pressures. I've noticed some of our students really have a hard time problem solving because they had parents doing that for them. Thoughts?
There could (possibly) be some “learning needs” that are truly unique to millennial learners, but I think we need some high-quality research to uncover these! #meded
Curious about the needed computer skills. I wonder if it's a digital disconnect between how some (including myself) use new technology for learning & how technology may best be used to learn. #MedEd T1
Maybe not voodoo...for example I don’t learn well just listening. Better reading. And even better writing.
The other side of this coin is for #MedEd students to understand their weaker learning preferences & work on improving them.
T2 #meded millennials are no different than other learners- just like baby boomers, they are a big bolus of learners coming up coincident with some major societal changes. That doesn't change underlying needs for guided instruction, SMART feedback, graduated steps to autonomy
As you well know, I have thoughts on every topic. ;-) On this one, I think that it's clear from child development research that parenting styles can affect students' resilience, persistence, and self-confidence. But it's still not really a generational trait. #MedEd
The evidence to support learning preferences and learning styles is incredibly weak. Sure, people have preferences, but that doesn’t mean those preferences are the best way to teach / learn a particular topic. #meded
No generational pressure for me re studying for SATs, taking SATs/MCATs multiple times, etc. Can’t conclude all in my cohort had same experience #MedEd
I often wonder about the same. I think we select for altruism. When that altruism meets the resource-limited realities of practice and real patients it is what is often tested most. #MedEd#Wellbeing
T2 #meded The work that has been done about Millennials sort of contradicts your perspective. With parenting styles that are referred to by some as "lawnmower" parenting, youth aren't given a chance to learn those skills.
T3: Like in parenting, arbitrary rules/inflexibility reinforced by hierarchy alone rarely works with smart humans- #MedEd generations work well if this is avoided and there is mutual respect, unconditional positive regard
It's been great to see more studies on the #FlippedClassroom approach. Seems perception may be positive, but effect on educational outcomes needs more work? The effect size was around 0 in a recent systematic review with wide bars. https://t.co/W0MDkZ5AQZ#MedEd T1
Better to ask the #MedEd internists than the pediatrician! Students do have to learn the opposite - not to get too chummy with adolescent pts because they are close in age
In reply to
@GLBDallaghan, @Alliance4ClinEd, @myheroistrane
The work I've seen on parenting styles is, in my opinion, cultural not generational. The pendulum of permissive and controlling parenting swings back & forth. But not all parents adhere to trends. Particularly families comprised of immigrants or multiple gens in the home. #MedEd
T3: Like in parenting, arbitrary rules/inflexibility reinforced by hierarchy alone rarely works with smart humans- #MedEd generations work well if this is avoided and there is mutual respect, unconditional positive regard
If millennials benefit from feedback, then #CBME/#CBD does seek to provide. However, it also comes with more paperwork that may detract from other learning opportunities. I imaging finding a balance is not easy. #MedEd T2
One way this happens is when we preach patient- centered care but patient says “just tell me what to do, doc.” But I’d bet the opposite happens more often...a more seasoned doc gets frustrated when a patient wants to participate in decision-making. #MedEd
In reply to
@StephRStarr, @GLBDallaghan, @Alliance4ClinEd, @myheroistrane
And in shorter bursts. I learned feedback as more of a summary of how am I doing. Better and easier to do frequent, specific, observation-based, & actionable feedback than what I used to give. #MedEd
T1 #meded yes we do, but we also select for uber-overachievers, who also may be stressed by the realities of practice and unwieldy systems in which medical care occurs.
#meded Final thought....Although work has been done related to Millennials, like @mededdoc suggests, sound teaching is sound teaching....regardless of your generation!
#MedEd feedback as small aliquots via drip vs. bonus method. Also makes it easier to give critical feedback for improvement when learners expect it daily
Nailed it! When it comes to teaching and learning, what works well for children also works well for adults. What works well for millennials also works well for baby boomers. #meded
Let’s not teach students how to function in a bygone era. Rather, let’s engage the smart, enthusiastic, idealistic people in transforming #MedEd together to train docs who flourish in the current/future state.
