#meded Archive | Participate

MedEdChat - Moderator Jun 15 @ 9:00 PM EDT

Welcome to the Medical Education chat (US) I am your moderator for the next hour, @RyanMadanickMD #meded

MedEdChat - Moderator Jun 15 @ 9:00 PM EDT

The topic & questions will be announced in a moment…for now, please introduce yourselves #meded

MedEdChat - Moderator Jun 15 @ 9:01 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)

kogillil Jun 15 @ 9:01 PM EDT

@uncmed2020 @MedEdChat #meded Join in, UNC MS2s!

MedEdChat - Moderator Jun 15 @ 9:00 PM EDT

Welcome to the Medical Education chat (US) I am your moderator for the next hour, @RyanMadanickMD #meded

MedEdChat - Moderator Jun 15 @ 9:02 PM EDT

We will assume that all of your tweets are your own during this hour unless otherwise stated #meded

Rigbyrice Jun 15 @ 9:03 PM EDT

Welcome to twitter @PriyaKhanna2017 follow @drjfrank @chrisr2007 @drallewellyn @boedudley @LindaSMedEd @LingardLorelei #meded

kogillil Jun 15 @ 9:04 PM EDT

Kurt Gilliland from UNC here @MedEdChat #meded

In reply to @MedEdChat, @MedEdChat

RyanMadanickMD Jun 15 @ 9:04 PM EDT

Didn’t I just see you?? ;) #meded

In reply to @kogillil, @MedEdChat

02amor Jun 15 @ 9:04 PM EDT

Hi #meded! It’s Renee, in Philly. Back after a few busy weeks, prepping for the July newbies

RyanMadanickMD Jun 15 @ 9:05 PM EDT

Oh yeah! #meded

In reply to @02amor

MedEdChat - Moderator Jun 15 @ 9:05 PM EDT

T1 about to come up in a few moments #meded

MedEdChat - Moderator Jun 15 @ 9:06 PM EDT

Recently @AAMCtoday recommended changes to the #MedStudent Performance Evaluation (MSPE), AKA "Dean's Letter” https://t.co/LTWRq7gW2k #meded

MedEdChat - Moderator Jun 15 @ 9:06 PM EDT

TOPIC 1: How much should the MSPE be “standardized” compared to being left to the discretion of the individual schools’ Deans? #meded

GLBDallaghan Jun 15 @ 9:06 PM EDT

#meded Will try to chime in from New Mexico at #ADMSEP17

In reply to @MedEdChat

02amor Jun 15 @ 9:06 PM EDT

#meded Back for more. Or at least more until my vacation next week ;)

In reply to @RyanMadanickMD

TheDoctorIsILL Jun 15 @ 9:07 PM EDT

Coronas and reliving Step One traumas with @IowaMed classmate. How did they ever let us become teachers??? #MedEd #Hawkeyes

CPHJobs Jun 15 @ 9:07 PM EDT

Interested in a #job in #Soldotna, AK? This could be a great fit: https://t.co/kaTFzECVn3 #Alaskan #MedEd #MedField #Nursing #Hiring

RyanMadanickMD Jun 15 @ 9:07 PM EDT

T1 now live at #meded chat: how much should a Dean’s letter be standrdized/individlized by the author? #medsm #hcsm #medschool #medstudents

pharmphlash Jun 15 @ 9:08 PM EDT

The use of beta-blockers (especially non-selective) in pts with asthma is not recommended, as it may induce bronchospasm. #pharm #meded

GLBDallaghan Jun 15 @ 9:09 PM EDT

T1 Enough to distinguish a student's unique assets #meded

In reply to @RyanMadanickMD

centegracareers Jun 15 @ 9:10 PM EDT

Want to work in #Huntley, IL? View our latest opening: https://t.co/ax0hyXZsBm #MedEd #Scrublife #HospitalLife #Healthcare #Job #Jobs

StephRStarr Jun 15 @ 9:10 PM EDT

T1 If we espouse competency-based #meded , how much normative data should be included in MSPE? Does this mean more flexibility for authors?

02amor Jun 15 @ 9:11 PM EDT

T1 #meded They’re helpful. IM programs can get applicants from dozens or even hundreds of schools. Nice to have some structure

DrMargareAranda Jun 15 @ 9:12 PM EDT

⚡️ “#TheRebelPatient” by #DrMargaretAranda https://t.co/P6znjZRmIj #TheRebelPatient #book by #patients #meded #booklovers #ebook #health

gene_hobbs Jun 15 @ 9:12 PM EDT

T1 #MedEd: Great topic! Personal view of strengths & an area for improvement seems appropriate. #NotAFormLetter

GLBDallaghan Jun 15 @ 9:13 PM EDT

T1 If MSPE is too formulaic how can Deans explain individual competence? #meded

In reply to @StephRStarr

paladineh Jun 15 @ 9:13 PM EDT

T1: As a residency director, helpful to have basic standardized info to compare applicants. Also balance w/individual & school info #meded

RyanMadanickMD Jun 15 @ 9:07 PM EDT

T1 now live at #meded chat: how much should a Dean’s letter be standrdized/individlized by the author? #medsm #hcsm #medschool #medstudents

02amor Jun 15 @ 9:13 PM EDT

T1 #meded also they advise some explanation of the grade/ranking system for the school. Which can be obtuse

RyanMadanickMD Jun 15 @ 9:13 PM EDT

T1 How much do you like the new recommended format? #meded

In reply to @paladineh

GLBDallaghan Jun 15 @ 9:14 PM EDT

T1 But is it at the expense of the student? #meded

In reply to @02amor

VHCCareers Jun 15 @ 9:14 PM EDT

This #job might be a great fit for you: Urgent Care Physician (PRN) - https://t.co/tHK8WjRcaf #Doctor #MedEd #MD #Physician #Arlington, VA

RyanMadanickMD Jun 15 @ 9:17 PM EDT

That could be a problem :/ #meded

In reply to @GLBDallaghan, @02amor

02amor Jun 15 @ 9:17 PM EDT

#meded T1 Maybe students at the extremes impacted, but I think many will benefit from more consistency to compare across schools

In reply to @GLBDallaghan

paladineh Jun 15 @ 9:18 PM EDT

Agree,but we(PDs)make a numerical rank list.If schools don't provide comparative info after 4 yrs,how can we after 1 interview day? #meded

gene_hobbs Jun 15 @ 9:12 PM EDT

T1 #MedEd: Great topic! Personal view of strengths & an area for improvement seems appropriate. #NotAFormLetter

RyanMadanickMD Jun 15 @ 9:18 PM EDT

Interesting perspective #meded

paladineh Jun 15 @ 9:18 PM EDT
Agree,but we(PDs)make a numerical rank list.If schools don't provide comparative info after 4 yrs,how can we after 1 interview day? #meded
- gene_hobbs Jun 15 @ 9:12 PM EDT
  
  T1 #MedEd: Great topic! Personal view of strengths & an area for improvement seems appropriate. #NotAFormLetter

MGKatz036 Jun 15 @ 9:18 PM EDT

T1: i just read the sample letters…. very boring. #meded

02amor Jun 15 @ 9:19 PM EDT

#meded T1 Wouldn’t better LORs help support the MSPE? Maybe we should write better LORs

In reply to @RyanMadanickMD, @GLBDallaghan

paladineh Jun 15 @ 9:20 PM EDT

@RyanMadanickMD Seems like a good balance of individual highlights & comparative info. Also easier if I have to read 100s. #MedEd

RyanMadanickMD Jun 15 @ 9:13 PM EDT

T1 How much do you like the new recommended format? #meded
In reply to @paladineh

StephRStarr Jun 15 @ 9:20 PM EDT

Do we need to reimagine what to do on interview day? Should it go beyond interviews only? #meded

paladineh Jun 15 @ 9:18 PM EDT
Agree,but we(PDs)make a numerical rank list.If schools don't provide comparative info after 4 yrs,how can we after 1 interview day? #meded
- gene_hobbs Jun 15 @ 9:12 PM EDT
  
  T1 #MedEd: Great topic! Personal view of strengths & an area for improvement seems appropriate. #NotAFormLetter

RyanMadanickMD Jun 15 @ 9:21 PM EDT

T1 what about the MMIs? #meded

In reply to @StephRStarr

gene_hobbs Jun 15 @ 9:21 PM EDT

Format data as data. Then simplify personal info. Cut your objective list then refine from subjective. #HR does this why not #MedEd

paladineh Jun 15 @ 9:18 PM EDT
Agree,but we(PDs)make a numerical rank list.If schools don't provide comparative info after 4 yrs,how can we after 1 interview day? #meded
- gene_hobbs Jun 15 @ 9:12 PM EDT
  
  T1 #MedEd: Great topic! Personal view of strengths & an area for improvement seems appropriate. #NotAFormLetter

MedEdChat - Moderator Jun 15 @ 9:23 PM EDT

Talking about the MSPE (“Dean’s Letter”) tonight in #meded chat. T2 will be up shortly

gene_hobbs Jun 15 @ 9:23 PM EDT

I still wonder why we waste SO MUCH attending time on selection process in #MedEd. Whole industry built around this. #biased #HR trained

MedEdChat - Moderator Jun 15 @ 9:23 PM EDT

And T2 kind of gets at some of the things we have just been saying… #meded

StephRStarr Jun 15 @ 9:24 PM EDT

I don't have firsthand experience with them in #meded -- if we want them to work in teams, should this suggest activity for interview?

RyanMadanickMD Jun 15 @ 9:21 PM EDT

T1 what about the MMIs? #meded
In reply to @StephRStarr

MedEdChat - Moderator Jun 15 @ 9:24 PM EDT

TOPIC 2: How important is the MSPE for #medstudents in the applications & Match process? How could the changes affect low performers? #meded

RyanMadanickMD Jun 15 @ 9:24 PM EDT

Me neither. I like the concepts of the MMI though #meded

In reply to @StephRStarr

MLaFleurBrooks Jun 15 @ 9:25 PM EDT

What I Learned Outside of My Comfort Zone https://t.co/gvSxZU1hC4 #MedicalSchool #MedStudents #MedEd

RyanMadanickMD Jun 15 @ 9:25 PM EDT

T2 now live @ #meded chat: How important is MSPE in the applic process? How could chgs affect weaker #medstudents? #hcsm #medsm #medschool

AshWallenberg Jun 15 @ 9:26 PM EDT

@MedEdChat Scores for IMGs? #MedEd

myheroistrane Jun 15 @ 9:26 PM EDT

My experience: #medstudents hyperfocused on USMLE step 1. We create our own demons. #MedEd

RyanMadanickMD Jun 15 @ 9:26 PM EDT

What do you mean? #meded

In reply to @AshWallenberg, @MedEdChat

CPHJobs Jun 15 @ 9:27 PM EDT

See our latest #Soldotna, AK #job and click to apply: RN - Preceptee - https://t.co/is7JgXxfZl #Alaskan #MedEd #MedField #Nursing #Hiring

02amor Jun 15 @ 9:28 PM EDT

T2 #meded MSPE -I even look at them during fellowship application review. Most helpful if a school is new/unfamiliar to me #deepdive

GLBDallaghan Jun 15 @ 9:28 PM EDT

T2 If MSPE was released same time as applications they'd perhaps be more meaningful. #meded

In reply to @RyanMadanickMD

myheroistrane Jun 15 @ 9:28 PM EDT

Program directors: how important are AI rotations? Chance to "try out" prospective residents? #MedEd

RyanMadanickMD Jun 15 @ 9:29 PM EDT

#meded

SchneiderBn Jun 15 @ 9:29 PM EDT

Transparency across all 6 Competencies is risky. PDs and SOM will need to acknowledge that not everyone is above average.
In reply to @RyanMadanickMD

RyanMadanickMD Jun 15 @ 9:30 PM EDT

The Lake Wobegone effect? #meded

In reply to @SchneiderBn

Jfpohl Jun 15 @ 9:30 PM EDT

T2 I like "Include details on professionalism—both deficient and exemplary performance." Covers performance? #meded

In reply to @MedEdChat

paladineh Jun 15 @ 9:30 PM EDT

@myheroistrane Yes! And worse for URM students than looking at clerkship performance. I'd make step 1 P/F and standardize MSPE #MedEd

myheroistrane Jun 15 @ 9:26 PM EDT

My experience: #medstudents hyperfocused on USMLE step 1. We create our own demons. #MedEd

centegracareers Jun 15 @ 9:30 PM EDT

Want to work at Centegra Health System? We're #hiring in #Huntley, IL! Click for details: https://t.co/lUqAsZmj2b #MedEd #Scrublife #Job

knowmedge Jun 15 @ 9:30 PM EDT

A1: NSAIDs can decrease risk of progression of biliary colic to acute cholecystitis #ABIM #MedEd #FamilyMed

knowmedge Jun 15 @ 9:47 AM EDT

Q1: What agents can decrease risk of progression of biliary colic to acute cholecystitis? #ABIM #MedEd

paladineh Jun 15 @ 9:31 PM EDT

@myheroistrane In Family Medicine, just as important for student to try out prospective programs. It's mutual! #MedEd

myheroistrane Jun 15 @ 9:28 PM EDT

Program directors: how important are AI rotations? Chance to "try out" prospective residents? #MedEd

GLBDallaghan Jun 15 @ 9:31 PM EDT

#meded No one is....that's the problem in that faculty are too timid to point out that fact

In reply to @SchneiderBn, @RyanMadanickMD

AshWallenberg Jun 15 @ 9:31 PM EDT

are caribbean grads more favoured compared to other IMGs? #MedEd

choo_ek Jun 15 @ 9:31 PM EDT

Except at the Medical School of Lake Wobegon, of course. #meded

SchneiderBn Jun 15 @ 9:29 PM EDT

Transparency across all 6 Competencies is risky. PDs and SOM will need to acknowledge that not everyone is above average.
In reply to @RyanMadanickMD

EMIMDoc Jun 15 @ 9:32 PM EDT

How many PDs read the MSPE thoroughly? Have been placing more weight on SLOE/LoR and CV. #meded

In reply to @RyanMadanickMD

RyanMadanickMD Jun 15 @ 9:32 PM EDT

Or couldn’t you just look at the adjective(s) in the last paragraph? #meded

In reply to @EMIMDoc

myheroistrane Jun 15 @ 9:34 PM EDT

Another issue is that not every student from prestigious schools is great, and not every one from middling schools mediocre. #MedEd

paladineh Jun 15 @ 9:34 PM EDT

I've heard that negative comments on MSPE are most predictive of residency performance. I read them carefully. #meded

RyanMadanickMD Jun 15 @ 9:32 PM EDT

Or couldn’t you just look at the adjective(s) in the last paragraph? #meded
In reply to @EMIMDoc

EMIMDoc Jun 15 @ 9:34 PM EDT

The length is really a deterrent. #meded

In reply to @RyanMadanickMD

RyanMadanickMD Jun 15 @ 9:34 PM EDT

Make sure to use the #meded hashtag so you’re able to be followed in the chat! :)

In reply to @SchneiderBn, @GLBDallaghan

RyanMadanickMD Jun 15 @ 9:35 PM EDT

#meded

SchneiderBn Jun 15 @ 9:34 PM EDT

I don't think it's timidness as much as fear to be one of the only transparent programs. If not socialized, it could harm avg applicants.
In reply to @GLBDallaghan, @RyanMadanickMD

GLBDallaghan Jun 15 @ 9:36 PM EDT

#meded Agreed. It truly would require a culture change.

In reply to @SchneiderBn, @RyanMadanickMD

GalanteMD Jun 15 @ 9:36 PM EDT

Pre-class screencast hereditary fructose intolerance https://t.co/DpGI8fG5do via @youtube #meded #flippedclassroom

RyanMadanickMD Jun 15 @ 9:37 PM EDT

No problem, glad to have you join! #meded

In reply to @SchneiderBn, @GLBDallaghan

Jfpohl Jun 15 @ 9:38 PM EDT

T2 I look for specific adjectives. And adverbs (ex. "slowly"). Here the MSPE is important. #meded

In reply to @RyanMadanickMD, @EMIMDoc

MedEdChat - Moderator Jun 15 @ 9:38 PM EDT

Tonight we’re talking about the "Dean’s Letter”/MSPE. T3 will be right up #meded

MedEdChat - Moderator Jun 15 @ 9:39 PM EDT

TOPIC 3: What are the most important parts of the MSPE? In actuality, how much does the final overall “adjective” matter most? #meded

EduGladiators Jun 15 @ 9:40 PM EDT

🏖 Is the work-life struggle real?SATURDAY #EduGladiators talks balance! #atplc #ar4learning #sstlap #meded #teachmindful #K12ArtChat

RyanMadanickMD Jun 15 @ 9:40 PM EDT

T3 now live at #meded chat: What’s most important in the MSPE? What about the overall assessment? #medsm #hcsm #medschool #medstudents

paladineh Jun 15 @ 9:41 PM EDT

@AshWallenberg So variable,but UScitizen IMGs(often from Caribbean schools)may perform worse than other IMGs https://t.co/b56h0XsnZw #MedEd

AshWallenberg Jun 15 @ 9:31 PM EDT

are caribbean grads more favoured compared to other IMGs? #MedEd

myheroistrane Jun 15 @ 9:42 PM EDT

I would like to see an MSPE with an honest appraisal of a candidate's strengths, weaknesses, and things to be worked on. #MedEd

Jfpohl Jun 15 @ 9:42 PM EDT

T3. I do spend some time reviewing the MSPE. You can find helpful sentences / statements being helpful in a decision (either way). #meded

In reply to @MedEdChat

drpmiron Jun 15 @ 9:43 PM EDT

Great work with @nosm @RobAnders1 in SIM #ConFESS2017 #MedEd

RyanMadanickMD Jun 15 @ 9:43 PM EDT

That is surely a lot of tedious work! #meded

In reply to @Jfpohl, @MedEdChat

SchneiderBn Jun 15 @ 9:44 PM EDT

Moving CBE into the UME world may allow for more of a common handoff language for the transition from UME to GME #MedEd

myheroistrane Jun 15 @ 9:42 PM EDT

I would like to see an MSPE with an honest appraisal of a candidate's strengths, weaknesses, and things to be worked on. #MedEd

AshWallenberg Jun 15 @ 9:46 PM EDT

What are some of the things PDs 'check off' during the IV to determine weather to rank a candidate or not? #MedEd

GLBDallaghan Jun 15 @ 9:47 PM EDT

Thank you for such a fantastic commentary! #meded needs to reinforce that learning styles are mythic

JimmieLeppink Jun 15 @ 9:44 PM EDT

Now with link: https://t.co/qU4YfOhB20
In reply to @JournalofGME

Jfpohl Jun 15 @ 9:47 PM EDT

T3 1. I oversee a fellowship 2. I need information because fellowships generally have smaller #s. Potential risk for error. #meded

In reply to @RyanMadanickMD, @MedEdChat

phdhpe Jun 15 @ 9:47 PM EDT

Paper by @thorsley_handle I've tweeted: Reporting quality and risk of bias in HPE trials (CC @LingardLorelei) https://t.co/wsyeYKh4Rk #meded

CPHJobs Jun 15 @ 9:47 PM EDT

Want to work in #Soldotna, AK? View our latest opening: https://t.co/b9C4Tu5wCb #Alaskan #MedEd #MedField #Healthcare #Job #Jobs #Hiring

GomerBlog Jun 15 @ 9:48 PM EDT

RT Amateur Tightrope Walker Looks Forward to First Level I Trauma Visit - https://t.co/ON0zsjFVC0 #meded #FOAMed #hcsm

Jfpohl Jun 15 @ 9:48 PM EDT

T3. I have a responsibility for my fellowship & my division. It is worth the time. #meded

In reply to @RyanMadanickMD, @MedEdChat

drpmiron Jun 15 @ 9:49 PM EDT

MSPE can be useful if school puts useful info.In Canada, very standard and hard to find useful information. Good to pick up red flags #meded

In reply to @MedEdChat

phdhpe Jun 15 @ 9:49 PM EDT

Thank you! Are you familiar with the work of @tarynsuzanne on residents' post-call behaviour? https://t.co/cVcwKrajbA #meded

In reply to @Sonia_Sampson, @tarynsuzanne

NCHMedEd Jun 15 @ 9:49 PM EDT

Maximizing #patient #satisfaction and #compliance. Learn how on our #MedEd #FOAMed #podcast @nationwidekids https://t.co/3CVyZYIhZu

myheroistrane Jun 15 @ 9:50 PM EDT

Some love here for the personal statement; combined w/ careful interview probing, can give insight about candidate's depth of thought #MedEd

centegracareers Jun 15 @ 9:50 PM EDT

Want to work in #McHenry, IL? View our latest opening: https://t.co/IY6Sf1GJzq #MedEd #Scrublife #HospitalLife #Healthcare #Job #Jobs

GalanteMD Jun 15 @ 9:52 PM EDT

T3 #meded I think the more detail in qualifying, the better. Otherwise every letter starts to blend together

In reply to @MedEdChat

davidkaplanmd Jun 15 @ 9:52 PM EDT

Congratulations to my sister Elisa on winning the #physiotherapist preceptor tonight at @NYGH_News Educational Award Evening #MedEd

RobAnders1 Jun 15 @ 9:53 PM EDT

Awesome. Funny, spent today talking vital issues in healthcare today. Kindness, introducing yourself, respect. SK and #meded have same goal

adambluedryden Jun 15 @ 6:35 PM EDT

Sad to be missing #confess2017 with @RobAnders1 but apparently SK grad at St. Joes is going to be off the hook! #SKgrad

AshWallenberg Jun 15 @ 9:54 PM EDT

Whats better?; doing clerkships in one state or rotating around in a couple of states? (for NON-US IMG) #MedEd

MedEdChat - Moderator Jun 15 @ 9:55 PM EDT

Well, we have about 5 more minutes left in our discussion. Please feel free to give some final thoughts #meded

Dr_A_Rashid Jun 15 @ 9:55 PM EDT

#juniordoctor specialist training in Ireland - anger, fear and intimidation characterise trainee-trainer relationships #meded

MandiBPro Jun 15 @ 9:56 PM EDT

Addressing #MedEd for #transgender patients by working with actual trans individuals. Should be #wellduh, right? Too rare yet. Bravo! #SDOH

rvaughnmd Jun 15 @ 8:18 AM EDT

These Doctors Are Being Trained by a Transgender Actress https://t.co/UqmsQVgHp7 via @thedailybeast

GalanteMD Jun 15 @ 9:56 PM EDT

T3 #meded look at 1. Performance evals in focused area, 2. Performance evals elsewhere.

drpmiron Jun 15 @ 9:57 PM EDT

Firs time joining - a little late. Plan to join again! #familymed #pgme #sitedirector #NOSM #meded

In reply to @MedEdChat

GalanteMD Jun 15 @ 9:58 PM EDT

T3 #meded Helps when comments use specific performance. E.g. Relative to level of training, competent vs proficient, level of autonomy

RyanMadanickMD Jun 15 @ 9:58 PM EDT

Please do! #meded

In reply to @drpmiron, @MedEdChat

SchneiderBn Jun 15 @ 9:59 PM EDT

Features of effective MSPE Brevity, Transparency, Standardization and Consistency #MedEd

MedEdChat - Moderator Jun 15 @ 9:55 PM EDT

Well, we have about 5 more minutes left in our discussion. Please feel free to give some final thoughts #meded