#meded Archive

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

Thursday January 11, 2018
9:00 PM EST

  • MedEdChat - Moderator Jan 11 @ 9:00 PM EST
    Welcome to the Medical Education chat (US) I am your moderator for the next hour, @alliance4clined #meded
  • RepuGen_ Jan 11 @ 9:00 PM EST
    Tip 4: Medical specialists in a specific discipline of healthcare must not miss to choose relevant keywords while categorizing their service online on local listing sites. #TreatmentsByRepugen #hcsm #MedEd
  • MedEdChat - Moderator Jan 11 @ 9:01 PM EST
    The topic & questions will be announced in a moment…for now, please introduce yourselves #meded
  • MedEdChat - Moderator Jan 11 @ 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)
  • GLBDallaghan Jan 11 @ 9:03 PM EST
    Gary here in frozen Omaha #meded
    In reply to @MedEdChat
  • MedEdChat - Moderator Jan 11 @ 9:04 PM EST
    We will assume that all of your tweets are your own during this hour unless otherwise stated #meded
  • 02amor Jan 11 @ 9:04 PM EST
    Hi #meded. It’s been a while. Renee from Philly, trying to get back after the New Year
  • MedEdChat - Moderator Jan 11 @ 9:05 PM EST
    Topic 1: What is preferred for #medstudents vs. educators? Criterion-based exams or Norm-based exams? Why? #MedEd
  • Alliance4ClinEd Jan 11 @ 9:05 PM EST
    T1: What's preferred....criterion-referenced or norm-based exams for #meded? https://t.co/D5E638Oj2c
  • MedEdChat - Moderator Jan 11 @ 9:05 PM EST
    Welcome! #meded
    In reply to @02amor
  • GLBDallaghan Jan 11 @ 9:07 PM EST
    T1 It depends on the purpose of the exam. Nice resource explaining both... https://t.co/gPeQrzKqDN #meded
  • centegracareers Jan 11 @ 9:07 PM EST
    Can you recommend anyone for this #job? Process Improvement Facilitator - https://t.co/TSGQVA9o2R #MedEd #Scrublife #HospitalLife #Healthcare #McHenry, IL #Hiring
  • AFornari1 Jan 11 @ 9:08 PM EST
    #MedEd same for me awhile too-
    In reply to @MedEdChat, @02amor
  • MedEdChat - Moderator Jan 11 @ 9:09 PM EST
    #meded Nice to see you @AFornari1
    In reply to @AFornari1, @02amor, @AFornari1
  • RepuGen_ Jan 11 @ 9:10 PM EST
    Tip 3: Healthcare professionals with any special association are advised to include a brief detail in the description section while updating their details on local listing sites. #TreatmentsByrepugen #hcsm #MedEd
  • 02amor Jan 11 @ 9:10 PM EST
    T1 #meded Thisis a good topic. As someone whose whole personal educational experience was conditioned to grades, the shift to longitudinal milestones to eval others is sometimes hard for me
  • GLBDallaghan Jan 11 @ 9:11 PM EST
    T1 #meded I would think #medstudents would prefer criterion-referenced exams so they aren't compared to a group. Would be interesting to hear their take.
    In reply to @MedEdChat
  • AFornari1 Jan 11 @ 9:11 PM EST
    #MedEd i believe criterion based exams for assessment are more aligned wiht learnign intent and desired outcomes
    In reply to @GLBDallaghan
  • MedEdChat - Moderator Jan 11 @ 9:12 PM EST
    T1 #meded Were your exams normed or did you get graded based on individual performance?
    In reply to @02amor
  • VHCCareers Jan 11 @ 9:13 PM EST
    This #job might be a great fit for you: Internal Medicine Hospitalist - https://t.co/aZxY40ymfJ #Doctor #MedEd #MD #Physician #Arlington, VA #Hiring
  • Alliance4ClinEd Jan 11 @ 9:13 PM EST
    T1 #meded Why then do we continue to rely so much on nationally standardized exams like #USMLE if desired outcomes arise from criterion-referenced exams?
    In reply to @AFornari1, @GLBDallaghan
  • GomerBlog Jan 11 @ 9:15 PM EST
    RT Patient Demands Nurse Change The Weather - https://t.co/N20I0pNtJT #meded #FOAMed #hcsm
  • myheroistrane Jan 11 @ 9:16 PM EST
    I agree with @AFornari1; criterion based tests are more compatible with current #meded competency and EPA-based curricula IF ... the bar is set high and challenging.
  • 02amor Jan 11 @ 9:16 PM EST
    T1 #meded a but of both. Some were straight grades with objective MCQ tests or iral exams, some based on population
    In reply to @MedEdChat
  • GLBDallaghan Jan 11 @ 9:17 PM EST
    T1 #meded How high of a bar do you set? What if the exams are poorly written?
    In reply to @myheroistrane, @AFornari1
  • myheroistrane Jan 11 @ 9:18 PM EST
    I have no idea. #MakeUSMLEPassFail #meded
    • Alliance4ClinEd Jan 11 @ 9:13 PM EST
      T1 #meded Why then do we continue to rely so much on nationally standardized exams like #USMLE if desired outcomes arise from criterion-referenced exams?
      In reply to @AFornari1, @GLBDallaghan
  • GLBDallaghan Jan 11 @ 9:18 PM EST
    T1 #meded AMEN! #MakeUSMLEPassFail
    In reply to @myheroistrane
  • 02amor Jan 11 @ 9:19 PM EST
    T1 #meded steps/comlex are still defended by people who evaluate stufents coming from a wide array of schools, both usmd, usdo, and international. It gives a common, if flawed, touchstone https://t.co/hpVSw7sFqS
    • Alliance4ClinEd Jan 11 @ 9:13 PM EST
      T1 #meded Why then do we continue to rely so much on nationally standardized exams like #USMLE if desired outcomes arise from criterion-referenced exams?
      In reply to @AFornari1, @GLBDallaghan
  • SapiensMedicus Jan 11 @ 9:21 PM EST
    Sobredosis: Diagnóstico y manejo de las 7 más frecuentes. https://t.co/PAzHA925EJ #FOAMed #MedEd
  • Alliance4ClinEd Jan 11 @ 9:21 PM EST
    T1 #meded That's true, but if they would report the outcome in as per guidelines for norm-based exams (Pass/Fail) it wouldn't be such an issue. Right? #MakeUSMLEPassFail
    In reply to @02amor
  • myheroistrane Jan 11 @ 9:21 PM EST
    High enough to promote patient safety, reduce diagnostic errors, and restore public trust in the profession. A tall order, but also an important one. #meded needs to get this right.
    • GLBDallaghan Jan 11 @ 9:17 PM EST
      T1 #meded How high of a bar do you set? What if the exams are poorly written?
      In reply to @myheroistrane, @AFornari1
  • GLBDallaghan Jan 11 @ 9:23 PM EST
    T1 #meded What's your opinion on setting a bar, but being flexible if for whatever reason the exam performance is lower than anticipated? Do you feel that's lowering standards? Or bad exam writing?
    In reply to @myheroistrane
  • MedEdChat - Moderator Jan 11 @ 9:25 PM EST
    Topic 2: If we truly want #CBME, criterion-based exams are preferred. What challenges would arise for #medstudents and #medschools doing this? #meded
  • 02amor Jan 11 @ 9:25 PM EST
    #meded I’m not opposed to that, personally. Some people are horrible test takers, fine drs. Others horrible drs, great test takers. But I know people who feel they need those numbers
    In reply to @Alliance4ClinEd
  • KellyPediNp Jan 11 @ 9:26 PM EST
    @geekpharm A must read. #pharmacyproblems #pharm #MedEd
    • jc_barranco1 Jan 11 @ 5:46 PM EST
      I’d like to add the following: Lil ‘Crit DJ CAHO Yung Mag Lil PEEP (rest in peace) Baby ASA
      In reply to @WheezyNurse
  • Alliance4ClinEd Jan 11 @ 9:26 PM EST
    T2 #meded Criterion-referenced exams are better for #CBME. What are the challenges/opportunities in doing this?
  • GLBDallaghan Jan 11 @ 9:27 PM EST
    T2 #meded This is what I've been hinting at.....what if your faculty are not good at writing exam items? How can you be sure your exams then meet that bar? @myheroistrane
    In reply to @MedEdChat, @myheroistrane
  • centegracareers Jan 11 @ 9:27 PM EST
  • Alliance4ClinEd Jan 11 @ 9:28 PM EST
    T1 #meded Program directors are challenged by how to gauge candidates without the almighty score.
    In reply to @02amor
  • 02amor Jan 11 @ 9:28 PM EST
    T2 #meded competency based eval is much more labor intensive, and very few of us are really trained to do it well (myself included)
  • StephRStarr Jan 11 @ 9:29 PM EST
    #MedEd
    • StephRStarr Jan 11 @ 9:28 PM EST
      T2: Developing high-quality workplace assessments for things that are more challenging to measure (ex: clinical skills, critical thinking, systems thinking and other #healthsystemsscience skills)
      In reply to @MedEdChat
  • GLBDallaghan Jan 11 @ 9:29 PM EST
    #meded How do you ensure these assessments are being completed appropriately? Do you do a lot of #facdev?
    • StephRStarr Jan 11 @ 9:28 PM EST
      T2: Developing high-quality workplace assessments for things that are more challenging to measure (ex: clinical skills, critical thinking, systems thinking and other #healthsystemsscience skills)
      In reply to @MedEdChat
  • 2LindaMLove Jan 11 @ 9:29 PM EST
    To be an effective #MedEd #coach ⬆️ listening competence beyond everyday hearing. #Practice
    • BsharpPhd Jan 8 @ 9:01 AM EST
      “Most people do not listen with the intent to understand; they listen with he intent to reply.” — Stephen Covey Tough to realize I am guilty of this as well at times as well. #hmieducators @harvardmacy
  • Alliance4ClinEd Jan 11 @ 9:31 PM EST
    T2 #meded What kind of training would help? Do you think honest evaluations are difficult to give #medstudents?
    In reply to @02amor
  • myheroistrane Jan 11 @ 9:32 PM EST
    Could be either; this is why we need #meded research: to start connecting the dots between our assessments and patient outcomes. Organizations like #SDRME can help in this regard.
    • GLBDallaghan Jan 11 @ 9:23 PM EST
      T1 #meded What's your opinion on setting a bar, but being flexible if for whatever reason the exam performance is lower than anticipated? Do you feel that's lowering standards? Or bad exam writing?
      In reply to @myheroistrane
  • 02amor Jan 11 @ 9:33 PM EST
    #meded good question. Direct mentoring, maybe co-eval of some students/trainees for new faculty? But again, time intensive https://t.co/A1RKFuNoBl
  • GLBDallaghan Jan 11 @ 9:33 PM EST
    T1 #meded And #SDRME could partner with @Alliance4ClinEd to undertake some interesting #meded research
    In reply to @myheroistrane, @Alliance4ClinEd
  • StephRStarr Jan 11 @ 9:33 PM EST
    I think everyone in #MedEd is challenged to do enough direct obs. We have several SP OSCE stations for HSS-related skills (shared decision-making, HVCC care)
    In reply to @GLBDallaghan
  • Alliance4ClinEd Jan 11 @ 9:35 PM EST
    T2 #meded The OSCEs are great, but still an artificial experience. How can the direct obs happen more often in our RVU world so #medstudents are assessed in authentic patient encounters?
    In reply to @StephRStarr, @GLBDallaghan
  • myheroistrane Jan 11 @ 9:35 PM EST
    What if the educationo-industrial complex (that was on full display at #AAMC17) were to be oriented toward helping schools make robust assessments rather than gaming the existing test? #meded #MakeUSMLEPassFail
    • GLBDallaghan Jan 11 @ 9:27 PM EST
      T2 #meded This is what I've been hinting at.....what if your faculty are not good at writing exam items? How can you be sure your exams then meet that bar? @myheroistrane
      In reply to @MedEdChat, @myheroistrane
  • GLBDallaghan Jan 11 @ 9:36 PM EST
    #meded Mic drop!
    In reply to @myheroistrane
  • 2LindaMLove Jan 11 @ 9:38 PM EST
    Wisdom from 60+ years in #meded: Help learners create visual images in memory, not facts. 🧠@unmcfacdev
    • UNMCCOM Jan 11 @ 3:50 PM EST
      Robert Binhammer, M.D., emeritus professor in the UNMC Department of Genetics, Cell Biology & Anatomy, is one of the recipients of an Office of Academic Affairs' 2017 Impact in Education Award. He will receive the Valor in Education Service Award. https://t.co/VYdX79flCv
  • GLBDallaghan Jan 11 @ 9:38 PM EST
    T2 #meded There's also the choice of balancing the two types of exams since they have different purposes. https://t.co/HgdHUyE1T6
    In reply to @myheroistrane
  • StephRStarr Jan 11 @ 9:39 PM EST
    Great question! Working collaboratively across schools to develop good tools and faculty development #MedEd interventions
    In reply to @Alliance4ClinEd, @GLBDallaghan
  • myheroistrane Jan 11 @ 9:39 PM EST
    🤪🤗🗿 #meded
  • MedEdChat - Moderator Jan 11 @ 9:40 PM EST
    Topic 3: External forces are blamed for the reliance on norm-based exams. How can #medschools include other #assessments without them being used as another screening tool for residency? #meded
  • GLBDallaghan Jan 11 @ 9:41 PM EST
    T3 #meded It's been argued that if #USMLE is pass/fail that program directors will find another arbitrary metric to rate #medstudents. Is this an uphill battle to incorporate other forms of assessment?
  • StephRStarr Jan 11 @ 9:42 PM EST
    T3: Or - can we change the UME to GME transition & culture to acknowledge those that have ‘met the bar’ and provide rich data re unique student strengths? #MedEd
  • Alliance4ClinEd Jan 11 @ 9:42 PM EST
    T3 #meded It seems as though the proliferation of the core EPAs may be an option. Should these be reported before or after the Match?
    In reply to @GLBDallaghan
  • SimXAR Jan 11 @ 9:42 PM EST
    We were recently featured in the AMA Wire! Excited to be a part of their effort to highlight advances in Training the Physicians of Tomorrow. @AmerMedicalAssn #meded #simulation #virtualreality https://t.co/K3ETVqURCb
  • myheroistrane Jan 11 @ 9:44 PM EST
    Here’s a heretical thought: what if residencies did their own assessment? Then they could focus on abilities if importance to them, and it might keep the numbers of applicants more manageable. #meded
  • GLBDallaghan Jan 11 @ 9:44 PM EST
    T3 #meded @JaniceEducation and her crew have been using more #qualitative data for assessments. Is that a route to take? That is labor intensive.
    In reply to @StephRStarr, @JaniceEducation
  • Alliance4ClinEd Jan 11 @ 9:46 PM EST
    T3 #meded That's a brilliant idea. Instead of a day of interviews have more skill based exercises to assess readiness for residency! Programs could then customize to their needs and not an arbitrary standard.
    • myheroistrane Jan 11 @ 9:44 PM EST
      Here’s a heretical thought: what if residencies did their own assessment? Then they could focus on abilities if importance to them, and it might keep the numbers of applicants more manageable. #meded
  • 02amor Jan 11 @ 9:46 PM EST
    T3 #meded human tendency is to sort and rank. Then there’s the actual Rank Order List to fully enumerate this!
  • centegracareers Jan 11 @ 9:47 PM EST
  • Alliance4ClinEd Jan 11 @ 9:49 PM EST
    T3 #meded How could this possibly happen? It would require quite a culture shift.
    In reply to @myheroistrane
  • myheroistrane Jan 11 @ 9:49 PM EST
    What it will take is some brave residency to do the work, find a creative way to offset the cost, and ignore the urge to have 1000 applicants for 5 slots. #meded
    • Alliance4ClinEd Jan 11 @ 9:46 PM EST
      T3 #meded That's a brilliant idea. Instead of a day of interviews have more skill based exercises to assess readiness for residency! Programs could then customize to their needs and not an arbitrary standard.
      • myheroistrane Jan 11 @ 9:44 PM EST
        Here’s a heretical thought: what if residencies did their own assessment? Then they could focus on abilities if importance to them, and it might keep the numbers of applicants more manageable. #meded
  • StephRStarr Jan 11 @ 9:49 PM EST
    Certainly attractive as ideal state, but how do we disseminate to scale in a way that matches resource limitations? I know @JaniceEducation and colleagues will have great insights on this . . . #MedEd
    In reply to @GLBDallaghan, @JaniceEducation, @JaniceEducation
  • MedEdUnicorn Jan 11 @ 9:49 PM EST
    It is labor intensive, but you get richer data. I don’t think the answer is 100% one or the other, but probably some strategic qual work to support the quant info #meded
    In reply to @GLBDallaghan, @StephRStarr, @JaniceEducation
  • MedEdUnicorn Jan 11 @ 9:52 PM EST
    This would be amazing, especially if it eased the path for people with different strengths/degrees of comfort with MCQs #meded
    In reply to @myheroistrane
  • AFornari1 Jan 11 @ 9:54 PM EST
    #meded at Zucker SOM @ZuckerSoM we use only essay exams and grade questions with one grader per question and use a rubric with points assigned to increase reliability-the students are receptive to exams and feel learnign is really assessed
    In reply to @GLBDallaghan, @StephRStarr, @JaniceEducation, @ZuckerSoM
  • MedEdChat - Moderator Jan 11 @ 9:55 PM EST
    Well, we have about 5 more minutes left in our discussion. Please feel free to give some final thoughts #meded
  • myheroistrane Jan 11 @ 9:55 PM EST
    It would also free #medstudents to focus on core abilities for their chosen specialty, rather than spend time on an unfocused test. #meded
    In reply to @MedEdUnicorn
  • GLBDallaghan Jan 11 @ 9:56 PM EST
    #meded Final Thoughts.....The debate rages on between norm-based or criterion or both. Getting away from strictly normed exams is what we need to do
    In reply to @MedEdChat
  • VonAnneli Jan 11 @ 9:56 PM EST
    A day full of meetings sounds awful, but when you’re meeting with people like @JessMasonMD & discussing exciting #meded projects, it’s awesome!
  • myheroistrane Jan 11 @ 9:58 PM EST
    Final thought: if assessment drives learning, we are laboring in a system where the assessments are focused on the wrong things. Time to fix this system! #MakeUSMLEPassFail #meded
  • AFornari1 Jan 11 @ 9:58 PM EST
    #meded yes as leaders in education we must go beyond curriculum reform to assessment reform and both must happen together
    In reply to @GLBDallaghan, @MedEdChat
  • 02amor Jan 11 @ 9:59 PM EST
    #meded final thoughts- thank you for the discussion tonight
  • MedEdChat - Moderator Jan 11 @ 10:00 PM EST
    Join us again next week at 9 pm Thursday. Don't forget to suggest topics by DM or email #meded