please label your card now green card side #1 = ‘handout’ (for insights & tactics) side #2 =...
TRANSCRIPT
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Please LabelYour Card Now
GREEN Card
• Side #1 = ‘Handout’ (for insights & tactics)
• Side #2 = ‘Action Tool’
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Mornin’
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Celebrating Our Learners’ Questions
Mark C. Wilson, MD, MPHAssociate Dean, Graduate Medical Education Associate Program Director, Internal Medicine
University of Iowa Carver College of MedicineUniversity of Iowa Hospitals & Clinics
McMaster 2012
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How Do You Spell Iowa?
a) Illinoisb) Idaho
c) Iowad) Ohio
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Yes, I’m from Iowa City
A recent descriptor:
Iowa City …
We used all our creativity on the name
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New General Hospital (1928)
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We Enjoy Winter Sports Just Like Our Canadian Hosts
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Celebrating Our Learners’ Questions
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Defining ‘Celebrate’
• To observe or commemorate
• To make known publicly
• To proclaim
• To honor or applaud/praise widely …
with ceremonies or festivals
Celebration = Uninhibited Good Time
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Ask
Acquire
AppraiseApply
Action
Patient Dilemma
Evidence Cycle of EBM
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Action Verbs for Your Morning
• Reflect
• Embrace
• Commit
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Action Verbs for Your Morning
• Reflect on Origin of Questions
• Embrace Notion of Learners’
• Commit to Whitewater Kayaking
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Watch & Listen Carefully
One of Our Learners …
What Did You Notice?
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Listen Carefully …
• Put yourself in this situation
• Listen to the presentation
and
• Listen to this teacher’s efforts to teach in a busy clinic
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‘Hoot Groups’ Task
• Groups of 2 – 3
Half of Room
(a)What were learner’s needs?
(b)What were teacher’s focus?
• Return in 2 minutes
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What You Noticed
Learner’s Needs•make Dx•further imaging?•Px validation•More time•know what to ask and how to ask•Focus on pt needs•Summarize findings•Present better•Read attending better
Teacher’s Focus•time/through put•Prompt – Q on Rx•Avoided reverse SLR•Therapy optimization•Level of learner•Rapid closure on Dx
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Why Don’t We Use Learner’s Questions?
• We don’t know answer
• No TIME• No question• (he’s had his
curiosity surgically extracted)
• My agenda – I know what he needs
• Not relevant
• Want to encourage self-directed
• Separate care and learner
• Respect?
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So, We Found Stuff About …
Us• Our capabilities & comfort
Them• Their capabilities & learned behaviors• Their preferences
Setting
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Counting Basketball Passes
• Count the Number of passes by the team in
white• It Goes Quickly, so please be quiet
What about Us …
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What if I don’t know the answer to their questions?
Concerns about
• Losing Control
• Affective Responses
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But It’s Also THEM …
The children now love luxury; they have bad manners, contempt for authority; they show disrespect for elders.
They no longer rise when elders enter the room. They contradict their parents, chatter before company, gobble up food at the table, cross their legs, and tyrannize their teachers.
Socrates
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They Appear to be Wired Differently
Baby Boomers 1946 – ‘64(MidLevel & Sr Fac) workaholic, competitive,
individual achievement
Generation X 1965 – ‘79(MidLevel & Jr Fac) skeptical, more to life than
work, prefer individual work over group work
Millennials 1980 – 2001(student/resident) ‘praise generation’, socially
conscious, team-oriented
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They Appear to be Wired Differently
Millennials 1980 – 2001 (student/resident)
• Team-oriented; share accountability• Socially conscious; into safety• Collaborative; crave interactivity• Value life-work balance & flexible schedules
Prefer:• Learn by discovery; hands-on learners• Group work & visual learning; techy + social• Entertaining education (‘edutainment’)
• Feedback + Encouragement; Coaching
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Additionally, Stakes are High
Interprofessional Education & Practice
IPE IPP
IPP IPE
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Buzz with Your Neighbor
What Specifically could we try to engage Millennials - et al - that will
CELEBRATE Their Questions?
Recall … Celebrate is:
- make known publicly
- applaud/praise with ceremony
- uninhibited good time
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And What About Our Setting …
We usually have no control
Yet we persist in belief that we can teach more & better only when we gain control
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Teaching Clinical Medicine(& Celebrating Our Learners’ Questions)
• Analogous to entering permanent, turbulent whitewater in a kayak
• We can improve chances for survival with the right skills & insights
• If we expect chronic whitewater and grow necessary skills, we can relish playing in our turbulent environment
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Didn’t You Hear Me …“I Got No Time”
Sorry, we don’t have time to address this one …
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“Got no time …” • Acknowledge real time limits
• Pick one thing to teach, anything, but NOT everything
• Get past misperception – time is tight no matter whose question it is
• It takes gumption …
• Just do it!
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Action Verbs for Your Morning
• Reflect on Origin of Questions
• Embrace Notion of Learners’
• Commit to Whitewater Kayaking
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Reflect for a Moment
About what we’ve covered today and commit to new ways you could ‘play in the whitewater’
Green ‘Action Tool’ Card
1. Jot Down*2-3 specific ways you could better address teaching with learner’s questions
2. Use it to drive your daily work Periodically pull out to assess your progress
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Your Questions about ‘Q’?