T1: on top of the Standard core EPA’s, humility to learn from patients, courage to embrace ambiguity, inquiry thirst to seek deeper answers, facile ability to use EHR to strengthen patient and team relationships #MedEd
https://t.co/F2IHm7NGaR this study reminds me of your passionate desire for clinicians to refer to “drug seeking behavior” as “untreated addiction” a practice I’ve adopted in my charting and communications since you brought my attention to it) #MedEd@RyanGamlin
Topic 2: How do you determine which skills are necessary for clinical training (before clerkships)? Why might these be different than the skills needed for graduation? #MedEd
T2 #meded This sort of relates to our discussion last week. Is this for the undifferentiated #medstudent ? Should we be considering skills that transcend all disciplines initially?
T1: What I’ve noticed most working with new interns recently is they still have issues boiling things down to a concise assessment/plan, communicating w families avoiding jargon, and reassessing as things change (premature closure) #MedEd
T2: critical thinking is a key ability for #medicalstudents going into clinical rotations: can’t learn without curiosity, open mindedness, intellectual humility, balanced skepticism, and metacognition. #meded
T2 set the stage in preclinical years through a curriculum that requires critical thinking. Be a role model for students by telling them stories about what we learned from patients. #Meded
Tweetorial on carcinoid tumor of the lung. I’ll add to it little by little every week 😊
#pathology#pulmpath
1/
Carcinoid tumor is the lower grade end of the spectrum of neuroendocrine tumors in the lung.
Caution: lung terminology is different from GI tract terminology
T1: history taking, clear/concise sign out, communicating plans to other providers and FAMILIES, IV access, how to function within a multidisciplinary team #meded
T2- skills in recognizing burnout & other challenges to well-being in self & others. And the ability/willingness to seek help or encourage others to do so. #MedEd
T2: Systematic organization (for notes, presentations, etc), knowing when to ask for help or clarification, interdisciplinary communication (eg send them to shadow RN, RT, SW), how to do quick lit search for clinical questions #MedEd#medstudent
Topic 3: Even though medical schools sign off on these skills being required, residency programs often disregard this. How can that gap be bridged? #MedEd
T3: Even though medical schools sign off on these skills being required, residency programs often disregard this. Should we worry about levels of competence when students start over again on July 1 of their internship? #MedEd
T3: warm handoff - a true & authentic post match conversation between faculty from both sides to gauge learner strengths and opportunities for growth prior to starting residency! #MedEd
T3 #meded This is part of my problem with the EPA framework. Should med schools spend as much time and energy on these if program directors don't accept competency designations by the school? @acgme
Totally agree, and I would posit that faculty who don’t actively reflect probably aren’t very good faculty.. it’s a key activity for BOTH clinical effectiveness AND educational effectiveness
#meded
With newer BP targets is this a better options?? Good morning report topic to discuss!! #MedEd#PrimaryCare Effect of Fixed Low-Dose Combination Antihypertensive Medication vs Usual Care on Blood Pressure https://t.co/DYACUpKppm
What if the learner actively participated in the warm handoff, bringing the areas they were actively working on to each new set of teachers? #meded nirvana...
I think this is a subtle and important part of the hidden curriculum that rarely gets talked about... docs often won’t trust any data that they did not collect themselves... leads to all kinds of waste
#meded
In reply to
@GLBDallaghan, @Alliance4ClinEd, @acgme
T3 #meded So then how can we bridge this handoff between medical school and residency? Are we just paying lip service to wanting it without seriously planning to do it?
In reply to
@myheroistrane, @Alliance4ClinEd, @acgme
T2 absolutely-FSB [feedback seeking behavior] lit from org psych and industrial psych that this read references is pretty amazing. Want to advance quickly? Ask for specific actionable feedback. Would that we as #meded -ucators role model this behavior. Am trying. @AuroraGME
An honor to present GME wide grand rounds @HCAhealthcare @BrandonRegional to an exceptional group of residents and faculty. #MedEd and faculty development happening through HCA consortium model thanks to @ACGME
Final Thoughts: Some interesting ideas about necessary clinical skills that don't fit into some of the more traditional notions. Great discussion #meded
Gonna let Aretha have the final word tonight:
“You better think...
Think about what you tryin to do to me.
Think...
Let your mind go, let yourself be free”
#meded
As tech and AI continue to integrate further into care delivery, will need to redefine knowledge/skills and therefore entrustment to be curators of effective use and how this translates to real patients! #MedEd
