Welcome to the Medical Education chat (US) I am your moderator for the next hour, @alliance4clined Big thanks to @TLMedEd for the topic tonight! #meded
T2: Is there even an ounce of evidence out there supporting this or just a bunch of us overworked, cynical, jaded folks spreading this myth? 🤦♀️
#MedEd
T1 #meded in #neurology, in one paper, at tertiary centers, there is less tPa given, less dysphagia screening but functional outcome and death rates remained the same during the months July and August with new interns and residents. https://t.co/dH7aARQP2w
And if there is evidence to suggest a July effect, can it actually help to build explanations, approaches to promoting safety? Much of what is out there is a-theoretical. #meded
Not much experience in July, but lots of vigilance, IMO. Danger comes in September when complacency sets in. If I was going to check outcomes, I would study diagnostic error in July, sloppiness (handoffs, etc) in September #meded
We should ask @hswapnil and #nephjc. They have mastered the art of Twitter moments, blogs, online journal club, and more. Leaders in #meded on social media.
In reply to
@venkmurthy, @ADAlthousePhD, @EJSMD, @Doctor_V, @rwyeh, @ethanjweiss, @ProfDFrancis, @VinayPrasadMD, @Twitter, @hswapnil
Many residencies starting their interns in June with lots of supervision and extra staffing for the first two weeks. Good idea, but the dark side is that some programs do not start paying salary until July 1. #meded
T2 #meded when I was a resident at UVA & UVM, med. students worked up patients from scratch, formed DDx, rounded and followed pts. They didn’t take call though which may be a shock when you suddenly enter internship. Perhaps more responsibility is needed
Excellent notion! Here is info on our invited reviews program: https://t.co/CDndRPTTYE ... watch for this year’s call for proposals, which should be out in September. #meded
AMSER/ACER also has an extensive educational scholarship webinar series. Catered to jr faculty, but never too early for those interested in #MedEd. Any of these tracks require a VERY motivated, self-directed #radres
In reply to
@DarelHeitkamp, @RichDuszak, @sethmhardy, @PBalthazarMD, @Skepticscalpel, @Hopkins_Rad, @RadiologyACR, @RLI_ACR, @EmoryRadiology, @AlexDabrowiecki, @brainbanker, @theAPDR, @RSNA
Interesting paper analysing medical residency recommendation letters for plagiarism: https://t.co/3YzYvgDPHs
Makes me re-analyse my own letter writing!
#meded#plagiarism
Excellent notion! Here is info on our invited reviews program: https://t.co/CDndRPTTYE ... watch for this year’s call for proposals, which should be out in September. #meded
1) Rxns after direct challenges were rare & MILD.
2) Can't compare direct challenge study to one where challenges skipped due to +PCN SPT (n=11). Authors commended for this study and admitting prior fault and striving towards #evidencebased approach to #PCNallergy#MedEd#FOAMed
More evidence for using direct oral challenges to confirm penicillin tolerance.
Safety and Outcomes of Oral Graded Challenges to Amoxicillin without Prior Skin Testing. - PubMed - NCBI https://t.co/nE08wWFjtX
Thank you @SAttspeech! What great questions and I very much enjoyed our discussions. Helpful for the development of @Monash_MCSHE education research strategy! #mededuc
In reply to
@SAttspeech, @Flinders, @SAttspeech, @Monash_MCSHE
Topic 3: Residents are particularly susceptible to toxic stress and burnout due to transition issues. How can we foster resident wellness and patient care with the same initiatives? #meded
T3 #meded Part of the stress is the rocky transition. That's why it may be better to have nationally developed bootcamp/preparatory training for interns.
T3 #meded residency working hours are already greatly reduced compared to when I was resident. Anything less than that leaves residents not as well-trained especially in procedural or interventional specialties. Perhaps quarterly retreats, we had those at U. of Roch. It was great
If rockiness is due to organizational issues, national boot camp will help, but only partially address the problem. It’s interesting this is so little studied! #meded
'Reliance on SET scores for evaluating teaching may contribute, paradoxically, to a culture of less rigorous education': Student Evaluations of Teaching are Not Valid | AAUP: https://t.co/MMbbOKUyqq
T3- learner handoffs through self-directed and mentor guided and curated assessment can help address clinical skills as they synch with transition/life skills (time mgmt, fatigue mgmt). This must be a shared conversation : learner, Med school, residency #meded
Both? For example, triage and prioritization skills, given PGY1s less likely to have same/any cap on #of patients on service, relate to both types #MedEd
So happy to be part of a project that works collaboratively to increase education about mential illness for medical students and graduate students in Tanzania @UCalgaryMed@para_ab@ResidentDoctors@CMA_Docs#meded
Great question. IM residency at our institution has a boot camp on the receiving end of the UME GME transition, which is an example of systems approach @AmyOxentenkoMD#MedEd
