The ever expanding fascination with technology has changed our practice of medicine again and again... here is a great read about some of the historical milestones and their fundamental effect on the way medicine is learned and practiced:
https://t.co/p8JbaDBhgR#Meded
I see the pressure to publish/present transfered early on from faculty to students. And novice researchers are so focused on acceptance they often pander to the associations when forming their research questions. That's a nasty habit to break. #MedEd
We just spent our whole morning looking at our GQ results, because of LCME's focus on them. Problem is, GQ may have serious issues from a psychometric standpoint (nobody ever seems to talk about this), and may actually harm innovation rather than stimulate it...
#Meded
T1 #meded It's been a topic of conversation here as well. It's amazing how much impact it has when it honestly doesn't tell you much (no comments no context)
T1 #meded But couldn't it be that it is of interest to the organization? That may be the reason they've put it out there for their particular strategic initiatives.
There's something to be said for generalizable research experience. But if we want to train more people into academic medicine we have to teach them how to answer the questions that keep them up at night. #MedEd
In one of the organizations I frequent, I have seen such a singular focus on the methods being "correct" and "rigorous" that the actual importance of the question being asked has been lost.
We need to be asking the important questions in #meded.
In one of the organizations I frequent, I have seen such a singular focus on the methods being "correct" and "rigorous" that the actual importance of the question being asked has been lost.
We need to be asking the important questions in #meded
T1 There's a place for tailoring a research agenda to strategic aims. But we also need to create space for people to ask questions that no one has thought to ask yet. #meded
.@NIHDirector on the Hill: 100% of the kids who got the highest dose of gene therapy were alive at 20 months. Nearly all could talk & feed themselves. And some, like little Evelyn Villarreal, shown here in a video taken two months ago, could talk, walk and even do push-ups! #NIH
T2 It is imperative that administration proactively acknowledge and then respond to the issues that affect patients, their students, and their faculty. Why else are we even here? #meded
Of course the provocative question would be that, if we had taught our students to actually act in evidence-based ways and not be swayed by big pharma as docs, would we have gotten into the opioid mess in the first place?
#meded
T2 What I think we need to see more of is context-specific reactions. Schools need to tailor their responses to their mission and the demographics of the populations they serve. #meded
that's because we all like to think it doesn't affect us.
When I was an intern in the early 90s, the local pharma rep used to take every ward team to lunch at the fine dining restaurant in town each month
He knew what he was doing. The educators and learners didn't.
#meded
assuming they actually have a clearly defined mission (not just a mission statement that is so pie in the sky it doesn't say anything), and that they actually understand (or are even looking at) the demographics that they serve.
#meded
T3: How should medical schools prioritize responding to some of these issues...particularly if they choke up valuable time in a packed curriculum? #meded
T3 #meded This gets back to @AJKleinhex comments about tailoring responses to the mission and population being served. That will help prioritize things.
T3: IF we actually had a handle on the core concepts, and IF the curriculum were not a political space, and IF we were actually focused on learning rather than content coverage, there would probably be lots more space...
#meded
T3 Priorities will often fall in line with cost-benefit analysis, but I think the #1 priority for any school should be justice (i.e., social justice, health equity, academic fairness, etc.). #meded
T3 #meded In my former life in the Midwest, I would say at least once a year we were asked by the AMA or AAMC to report on how we were teaching whatever perceived crisis of the month was. It was truly a hassle and not productive.
Very interesting re: quality of problem solving in constantly mingled groups vs. individual work only, vs. intermittent mingled group and isolated time back and forth. Considering what this may mean for inter professional care and education teams in #MedEd and #healthcare
Solving a problem in a group leads you to more good ideas but fewer great ideas. The opposite is true if you solve it alone.
The best of both worlds is intermittent collaboration: alternating between independent and group work.
#WednesdayWisdom: https://t.co/HHMSMibZgM
T3 #meded Here's an example of what another agency thinks should happen with #meded Feels like this is what inspired AMA Accelerating Change activities https://t.co/6y8eUI5G2E
Once again, content comes and goes.
We cannot ignore content -- our curriculum must be relevant, BUT...
We also need to be thinking process. How will doctors practice when @IBMWatson is in their pocket? How do we prepare our #students for that kind of practice?
#meded
Cryptic Final thought: Institutional culture sits within local culture, which sits within national culture, creating a system with TONS of inertia. Can't just focus on changing the local culture; must also focus on the INTERSECTION between the multiple layers of culture.
#meded
Final Thoughts: Rather than worry about what external entities want #meded should focus on preparing #medstudents to adapt to the ever changing landscape that is the practice of medicine
