Not all who wander are lost…but many of us are. How often have you wandered through a day unaware of your own physical and emotional presence as you walk from one patient to the next? Take it a step further – how often have you cared for “another (insert common diagnosis) patient” with a checklist of management protocols? How often have you felt on the verge of burnout?
Have you ever asked yourself what you would attempt to do if you knew you could not fail? Failure is scary. It is typically not celebrated or advertised. However, in this #MedEdPearls, we look at ways to acknowledge and embrace our vulnerabilities and find the childlike wonder that comes from failure and leads to innovation. If we are not attempting great things, amazing things stop happening. By embracing failure, amazing things become possible.
Take one minute to think about the first time you realized you mattered as an educator. What happened? How did you feel?
Whether it was an action from organizational leadership taken in your favor, an encouraging word spoken over you by a student, or an object that represented deep meaning to efforts, you experienced the power of mattering: you felt valued and knew you added value.
One year ago, I contributed a MedEdPearl titled "Mastering Adaptive Teaching in the Midst of COVID-19" that offered strategies for maintaining teacher, social and cognitive presence during our rapid transition to remote online learning. And now, I consider our needs as educators as we prepare for the possible transition back to the classroom this fall. Unlike last year, though, this possibility is conflated by more issues than merely the learning environment. As I write this blog, I reflect on a recent opinion article titled "America Isn't Ready for the Coming Wave of Grief." In addition to the direct human cost and long-haul effects of the pandemic, delayed mourning, physical isolation, economic burden, and exaggerated inequalities have compounded the toll on our collective mental health. So once again, I find myself asking how we as medical and health professions educators can prepare, stay resilient and step courageously into this unfamiliar territory?
Although many of us will reflect on the COVID-19 pandemic as disruptive to our way of life, COVID-19 has radically transformed the process of medical education and has served as a catalyst for incorporation of new technologies, remote learning platforms, and novel methods of instruction. These changes have placed faculty development at the forefront of the medical education response to COVID-19. Faculty developers provided continual and responsible support during this “emergency online education pivot” as institutions minimized the catastrophic spread of disease and by changing the traditional medical education approach. Faculty developers, as experts in online learning pedagogy, educational technology tools, and online student services, designed, produced, and delivered training quickly and effectively to meet the immediate needs of faculty and to save institutions.
Health Professions Education thought leaders consider reflective practice to be an essential characteristic for professional competence. However, the start of spring semester does not usually elicit reflection about “How am I going to teach next fall?” However, these are unique times and instead of a normal evolution of our curricula, teaching, and assessment strategies, we may find ourselves returning to old strategies or perhaps on new trajectories. Chances are Fall of 2021 will not look like Fall of 2020 or 2019. What are good questions to ask as you reflect on fall of 2020 and begin to plan for fall of 2021? That question was posed to the team of faculty developers from the MedEdPearls team who developed the following list of ideas for health professions educators to consider.
How are you teaching? The question, and aptly titled teaching initiative, posed by The Michael V. Drake Institute of Teaching and Learning asks us to reflect on what discoveries about remote learning have surfaced and consider artifacts to curate and share with colleagues. What instructional strategies worked? What do you need to be successful in the virtual environment? Furthermore, what are the ways in which we are staying connected with peers and student learners? Quickly establishing communities of practice during the COVID-19 Pandemic is important. This #MedEdPearls highlights a teaching initiative leveraging an iterative rapid prototyping strategy for professional development.
The Ohio State University's Vi...
This #MedEdPearls highlights the importance of and need to understand the Professional Identify Formation (PIF) of physicians considered to be under-represented in medicine (URM) as supported by in the article Whispers and Shadows: A critical review of the professional identity literature with respect to minority physicians by Tasha Wyatt and colleagues. Dr. Wyatt first presented on this topic at the 2019 Generalists in Medical Education conference via an Ignite session which exposed the gap in the current PIF literature and the need to illuminate race and ethnicity as it relates to PIF.
Mentoring, coaching, and sponsoring are terms sometimes used interchangeably and often performed fluidly without role identification. This blogpost focuses specifically on the role of coaching in medical education.
The business leadership world has inspired medical educators to introduce coaching into the academic arena. Coaching best practices have been developed and disseminated for undergraduate and graduate medical trainees. Coaching has also been described as an important need for faculty in continuing professional development.
Peer review of articles submitted to journals is the standard for determining the value of scientific scholarship for publication. As trained faculty and educators, it is part of our professional development and contribution to our scientific community to engage in peer review. However, the experience can be intimidating, isolating, and time consuming, especially when completed by an individual reviewer. Moreover, trainees or junior faculty may eschew peer review opportunities for lack of prior experience or feelings that they do not have the skills or preparation to complete a peer review independently.
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The start of the academic year is the perfect time to re-evaluate and re-scope our career goals. Work on one of the following tasks every month throughout the school year, or use them as a guide to engage with a peer mentoring group to push everyone further, faster.
Fall semester is a time for new starts, new students, and new faculty. As we continue to navigate what we do to help our students learn in a virtual environment, how might you apply some of the same approaches to orient new faculty? Consider incorporating some of these ideas:
In HyFlex courses, students can decide for each and every class meeting, group activity, assignment and assessment whether to sit in the classroom, join via videoconference in real-time, or complete online activities later. The HyFlex model offers institutions and programs the flexibility to deliver educational experiences as safely as possible and enhances their ability to pivot to remote teaching and learning quickly, if needed.
Martin & Bolliger describe Moore’s three types of interaction in effective online courses: (1) learner-to-learner interaction, (2) learner-to-instructor interaction, and (3) learner-to-content interaction and provide strategies to increase engagement.
As educators, we must remember to go “back to basics,” in times of uncertainty or when we experience new teaching and learning challenges. Adult learners desire to give and receive feedback about their learning experiences. Educators navigating the transition to online teaching and learning can utilize this in their favor. Although varied methods can be utilized, one simple, efficient, translatable, and free way to do so is to implement the “Plus/Delta Debriefing Model” (Plus/Delta) as part of routine educational quality improvement.
The current coronavirus outbreak is forcing all educators to rapidly adapt to a new method of teaching - online. While many educators may have mastered their teaching domains in the classroom, virtual teaching will certainly challenge their mastery of adapting to this new learning environment. With the help of faculty development colleagues, we can remain nimble during times of rapid transition. How do we as medical educators stay resilient and step courageously into this unfamiliar territory?
Have you ever encountered a cohort of learners who are all exactly the same? Likely not.Diversity in learning style preferences is increasing! A learning style preference is a desired or default set of cognitive, psychological, and social characteristics that learners exhibit in educational environments. In education, it is sometimes important to introduce desirable difficulty so learners are challenged to make concepts stick.
However, preceptors must be mindful of the myriad interactions with learners and modify their teaching styles accordingly to the learning style preference encountered (2). To illustrate, try this simple activity: Using a pencil, print your first and last name. Now repeat this same task but switch hands. What did you experience? While using your non-dominant hand, you probably experienced increased anxiety and decreased confidence and automaticity, and the task required increased time, concentration, effort, and attention while the quality of your handwriting decreased. By not attending to learning style preferences, it is akin to forcing learners to write with their non-dominant, non-preferred hand (3).
This pearl is a first of three devoted to the application of learning styles research in medical education.
How do you recognize learning style preference in your learners? Share your thoughts on Twitter at #MedEdPearls!
In support of learnign prefere...
Think of a time when you were a member of an effective team (that was diverse or geographically dispersed. Why was it effective? How did this make you feel as a team member?
Medical Education
Let’s be honest about one thing: No one likes giving constructive feedback to learners. Even with the brightest learners, the process can be quite daunting and, at times, repetitive. Yet, we find ourselves seeking support from colleagues and other experts in the field to find fresh ways to deliver effective feedback. This #MedEdPearls highlights the SPIKES protocol as a tool for learner feedback. In 2011, the tool was adapted by Thomas and Arnold to identify parallels between giving feedback and delivering bad news to patients. Additionally, they found the structure of the SPIKES protocol served as a buttress of support for medical professionals newer to the role of instructor. Consider the use of SPIKES the next time you deliver feedback:
This #MedEdPearls highlights the Ignite session that focused on the book “Make It Stick” and was facilitated by Deb Hagen Moe and Carrie Bowler at The Generalists in Medical Education - #TGME19. The session highlighted how the principles in the book have both empowered learners and faculty and led to curricular innovations within Pathology programs at the Mayo Clinic.
