T1) what is your initial response when asked (or challenged as to) whether CME works? #CMEchat

T2) what evidence do you use to demonstrate the ‘effect’ of medical education? #CMEchat

T3) more specifically, how do you explain the role of CME as it relates the overall quality of the healthcare system? #CMEchat

T4) to quiet naysayers and definitively prove CME works, what needs to change? (or what needs to be studied?) #CMEchat

T5) who are the best advocates for CME and the CME profession? And why? #CMEchat

From User           Tweet

BrianSMcGowan              4 hours until #CMEchat: Today we seek out a definitive answer to the age-old question does CME work? Please join us!

BrianSMcGowan              Medical education and technology - circa 1970 - t.co/vIZfQ43V #meded #CMEChat

BrianSMcGowan              ~2.5 hours until #CMEchat: Today we seek out a definitive answer to the age-old question does CME work? Please join us!

BrianSMcGowan              1 hour until #CMEchat: Today we seek out a definitive answer to the age-old question does CME work? Please join us!

BrianSMcGowan              about to start #CMEchat...that is if #TEDMED is not breaking twitter ;-)

CMEChat             Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

CMEChat             Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat             Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat             Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat             Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat             Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat             Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat             Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat             As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat             As with each #CMEchat the archive will be available at t.co/2gCKw2QS and archived on t.co/4muKUnRH

theCMEguy        Derek in Chestnut Hill. FINALLY a wednesday with no meetings... #cmechat

BrianSMcGowan              GOOD Morning! #CMEchat tweeps...looking forward to an important conversation today!

meducate           #cmechat Lawrence on Long Island, NY - multitasking as usual

BrianSMcGowan              must be founder's day at #CMEchat ;-)

theCMEguy        Drinking coffee and tweeting is tough... :-) RT @meducate: #cmechat Lawrence on Long Island, NY - multitasking as usual

meducate           I was thinking the same thing #cmechat

rmtyner               Michelle from Indiana #CMEchat

BrianSMcGowan              seems like we will be missing out on Cookie monster here...but maybe @CMEHulk could stop by? #CMEchat

theCMEguy        Sorry to miss your chat last week... RT @rmtyner: Michelle from Indiana #CMEchat

meducate           If no one else joins #cmechat, should we hold off until next week?

BrianSMcGowan              btw - last round of #SOCIALQI revision should be turned in by week's end...got the artwork comps yesterday ;-) #CMEchat

eLearningSara   Sara Beth from DC (eLearning in MSS) - I always seem to have a meeting during #CMEchat, but not today! #woot

meducate           @BrianSMcGowan #cmechat #socialqi congrats!

BrianSMcGowan              This is #CMEchat #52! moving into our second year of our regular wednesday meet ups...amazing!

theCMEguy        @BrianSMcGowan Ooo...pics? #cmechat

meducate           @BrianSMcGowan I remember sitting in an airline lounge in Berlin for #cmechat number 1...

BrianSMcGowan              lets wait a few more minutes for straglers and lurkers to settle in #CMEchat

BrianSMcGowan              @meducate - i remember being on a call w/ @theCMEguy as we launched week one...had a lot of angst back then... #cmechat

BrianSMcGowan              helooooo Sara! welcome back to #CMEchat

theCMEguy        @BrianSMcGowan @meducate Ha ha...I remember that. That's when I learned how much faster TweetDeck was then HootSuite #cmechat

CMEChat             T1) what is your initial response when asked (or challenged as to) whether CME works? #CMEchat

theCMEguy        #CMEchat? RT @aperch: Anne - The Methodist Hospital System - Houston

CMEChat             small groups so far....please remember to use the hashtag #CMEchat to participate!

aperch  RT @aperch: Anne - The Methodist Hospital System - Houston #cmechat

timclynch             joining late #cmechat

theCMEguy        T1: Yes #cmechat

BrianSMcGowan              T1: so this might sound a bit odd, but when asked if CME works, my first response is, 'sometimes..' #CMEchat

timclynch             RT @CMEChat: T1) what is your initial response when asked (or challenged as to) whether CME works? #cmechat

meducate           #cmechat T1 I say that good CME can work

theCMEguy        T1: Depends on what definition of "works" is... #CMEchat

BrianSMcGowan              RT @eLearningSara: @briansmcgowan Thank you! I've added it to my calendar in hopes I can make it more often! #CMEChat

aperch  +1 @briansmcgowan: T1: so this might sound a bit odd, but when asked if CME works, my first response is, 'sometimes..' #CMEchat

theCMEguy        T1: Does "works" mean "improves patient outcomes"? #cmechat

meducate           #cmechat T1 It also depends on the definitions of works, effectiveness, value, etc.  There is a lot of good education that doesn't "work"

BrianSMcGowan              T1 - ...but there is soo much bad CME out there and so much unmeasured CME out there....ratio may stll be 20:1 #CMEchat #ugh

rmtyner               I agree - I say that CME can work! RT @meducate: #cmechat T1 I say that good CME can work

eLearningSara   T1) I say I have proof! We have follow-up data that shows our docs were able to make changes in practice. #CMEchat

BrianSMcGowan              @meducate - what do you mean by good education that doesn't work? #cmechat

theCMEguy        @BrianSMcGowan Does "unmeasured" mean it doesn't work? Just means we can't give evidence it works #cmechat

timclynch             RT @eLearningSara: T1) I say I have proof! We have follow-up data that shows our docs were able to make changes in practice. #cmechat

meducate           @BrianSMcGowan T1 #cmechat That there are fundamental elements missing - content good but not appropriate for venue/medium for instance

BrianSMcGowan              @theCMEguy - right unmeasured means we will never know...and it waters down the answer... #cmechat

theCMEguy        @eLearningSara Nice! #cmechat

meducate           #cmechat T1 I am looking at this as an enterprise; most providers have evidence that their CME shows effectiveness...

eLearningSara   We don't have responses from all of our initiatives and are looking for ways to better measure the change in practice. #CMEchat

BrianSMcGowan              t1: ...not sure we have moved the needle at all/enough to help folks have faith that this community has significant impact #CMEchat

CMEChat             T2) what evidence do you use to demonstrate the ‘effect’ of medical education? #CMEchat

theCMEguy        @meducate sort of depends on what you're looking at. If goal was to improve knowledge, and you have data that shows that...works! #cmechat

meducate           @BrianSMcGowan T1 #cmechat A collective review of CME activities would be helpful...

meducate           T2 #cmechat As opposed to the "affect"...?

theCMEguy        @meducate @BrianSMcGowan Are you suggesting an outcomes data depot? Didn't we try that already? #cmechat

BrianSMcGowan              t1/2: if 1 person learned something but 29 didn't, did 'it' work? if 30 learned something, but forgot it in 4 wks, did 'it' work? #CMEchat

BrianSMcGowan              using an appropriate method overtime directed by the planned objectives... RT @carvicab:  How do you measure a "good" CME? #cmechat

rmtyner               @BrianSMcGowan T2 knowledge is important - but isn't behavior change/improve patient care what we are ultimately looking for? #CMEchat

theCMEguy        @BrianSMcGowan If 30 leaned something and forgot it in 4 weeks, but did something with it during the first week, yes, it worked. #cmechat

BrianSMcGowan              T2: the evidence that we should be using must be more than a bar chart - it needs a time component, needs a planned objective piece #CMEchat

aperch  T1- If CME is avenue to bring awareness, then it should be recognized as effective. Hopeful this bring about change in practice. #cmechat

BrianSMcGowan              t2 - @aperch @theCMEguy - then you would both agree that context is vital to any evidence base...#CMEchat

aperch  Definitely @briansmcgowan: t2 - @aperch @theCMEguy - then you would both agree that context is vital to any evidence base...#CMEchat

theCMEguy        @BrianSMcGowan @aperch Context is vital to everything we do in life... #cmechat

BrianSMcGowan              t2 - ...a few data sets that we should all be using to level set the conversation, including the AHRQ study...this is our floor. #CMEchat

CMEChat             T3) more specifically, how do you explain the role of CME as it relates the overall quality of the healthcare system? #CMEchat

BrianSMcGowan              t3 - even if we cannot (or shouldn't) measure performance & outcomes for every prgrm, shouldn't we be able to connect the dots? #CMEchat

theCMEguy        T3: So you're basically asking for ACCME's C21... #cmechat

aperch  T2 - We all recognize end goal of practice change but got to start somewhere.  Sometimes have to be happy with light-bulb moments. #cmechat

theCMEguy        @BrianSMcGowan Why shouldn't we measure performance for every program? Seriously. #CMEchat

rmtyner               T3 lifetime education is important for every profession and that CME does have an important role in healthcare #CMEchat

BrianSMcGowan              @aperch - lightbulb for learners...but how do we connect (tell) the story more broadly to the medical community?  #cmechat

rmtyner               how do we build on the lightbulb moment - use the momentum and motivation? #CMEchat

CMEChat             T4) to quiet naysayers and definitively prove CME works, what needs to change? (or what needs to be studied?) #CMEchat

BrianSMcGowan              @theCMEguy - still seems like majority of CME is too disconnected from the practice of medicine to commonly measure performance #CMEchat

theCMEguy        T4: Hardcore data showing patient care improved as direct result of CME. Not sure "connecting the dots" is enough #cmechat

rmtyner               T4 the use of formative assessment #CMEchat

BrianSMcGowan              t4: critical questions to answer: how does the CME community effectively address real-time questions/needs? #CMEchat

JediPD  """It is the content"" methinks

""It is the content"" he says

That lingers

Simmelwies with hand-washing proof that saved lives...etc. #CMEChat"

JediPD  That was a fly on the wall comment. Sorry #CMEChat

aperch  @briansmcgowan Help hosp and MD leaders to connect dots to lay bread crumb trail. Light bulb=knowledge to lead to enhanced practice.#cmechat

BrianSMcGowan              @JediPD - and yet handwashing is still well below 'guideline recommendations' and still leads to disease and death.. #CMEChat

theCMEguy        @JediPD Exactly! The handwashing example is excellent. It's something concrete people can latch onto. #cmechat

BrianSMcGowan              @JediPD - please wash your hands on the way out of the chat.... #CMEChat

theCMEguy        @aperch @briansmcgowan If CME is battling a "perception" problem, is focus on Knowledge changing going to be enough? #cmechat

BrianSMcGowan              t4 - what is 2012 was the year of cognitive dissonance and all we did is eye opening (motivational) programs? #CMEchat

JediPD  That is what "studies" will have one believe. The knock on that knock is glove use, sterility in surgical procedures. #CMEChat

meducate           @BrianSMcGowan T4 #cmechat That makes me uncomfortable...

meducate           @JediPD May the force be with you #cmechat

CMEChat             T5) who are the best advocates for CME and the CME profession? And why? #CMEchat

JediPD  @meducate And with you. #CMEChat

BrianSMcGowan              t5: if someone was to present the CME community to congress, or the AMA, or AAMC, or the IHI - who shld carry the torch? #CMEchat

aperch  @thecmeguy Focusing on knowledge not enough. Cannot forget that there is value in knowledge on the learning spectrum. #cmechat

theCMEguy        T5: Wow, loaded question...#cmechat

rmtyner               talk about cognitive dissonance MT @BrianSMcGowan: t5:...to congress, or the AMA, or AAMC, or the IHI - who shld carry the torch? #CMEchat

meducate           #cmechat T5 All stakeholder in the CME continuum should have a role in advocacy

beth333SP          #CMEChat Joining late, but need to know, what is the definite answer to "Does CME work?" Recall the Hitchhiker's Guide to the Galaxy...42?

theCMEguy        Well played #runforoffice RT @meducate: #cmechat T5 All stakeholder in the CME continuum should have a role in advocacy

BrianSMcGowan              @meducate - SHOULD yes, but 'could' is a huge limiting factor given the challenges we've identified with our evidence base... #cmechat

BrianSMcGowan              @beth333SP - or is it rolling rock's 33? #CMEChat

meducate           @BrianSMcGowan T5 #cmechat I didn't say it would be easy

theCMEguy        @beth333SP I believe the answer was: "blue" #cmechat

BrianSMcGowan              t5 - does anyone want to take a shot at naming one person who should be the advocate for CME? #CMEchat

theCMEguy        T5: Fine. Damon Marquis. As head of ACEHP, it SHOULD be him. Not sayiing it IS. #cmechat

rmtyner               T5 i have a top five list… but not sure i want to name names! #CMEchat

theCMEguy        Hint? RT @rmtyner: T5 i have a top five list… but not sure i want to name names! #CMEchat

CMEChat             Thx for participating in #CMEchat. Discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

CMEChat             As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

CMEChat             The real impact of the #CMEchat lies in your action - please engage others to participate & take action on things your have learned! G’day!

rmtyner               TOTD RT @theCMEguy: Well played #runforoffice RT @meducate: #cmechat T5 All stakeholder in the CME continuum should have a role in advocacy

beth333SP          #CMEChat the answer was 42: to "Ultimate Ques of Life, the Univ & Everything" which begs the question, what was the question? Like blue too

theCMEguy        T5: I'm changing my vote to @beth333SP #cmechat

From User           Tweet

BrianSMcGowan              #CMEchat in 23rd hours with @rmtyner. Looking at #meded and gender differences in learning and teaching. Tomorrow 11 am edt!

theCMEguy        @rmtyner Good luck today! Hoping my meeting ends soon so I can chime in... #CMEchat

rmtyner               Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

rmtyner               Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

rmtyner               Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

rmtyner               Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

rmtyner               Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

rmtyner               Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

rmtyner               Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

rmtyner               Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

rmtyner               As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

rmtyner               As with each #CMEchat the archive will be available at t.co/mk8YqOJ8 and archived as a pdf on t.co/EJaXZJWT

rmtyner               T1 Current research shows that gender bias remains in #meded, what role can CME play in reducing bias in education? #CMEchat

greyelmy             T1 we talk about disparities in healthcare but it is important to remember and address diversity as well which includes gender #CMEchat

rmtyner               @greyelmy #CMEchat there are definitely disparities in healthcare but what do you think about the inequities for women in #meded

greyelmy             I am receiving these very slow today FYI. It may be on my end. #CMEchat

drerikbrady        T1 - As with any key issue, covering gender bias in the needs assessment is the best way to get it addressed in the content.  #CMEchat

aCMEstory          We dissect learner preferences by practitioner type and specialty, region, etc. Why not gender? #CMEchat

greyelmy             T1 are you referring to women not being rep as learners in CME programs (male based learning styles, wmn's concerns not addressed)? #CMEchat

rmtyner               @aCMEstory learning prefs are important - some of the major implications are result of  gender bias against the women during #meded #CMEchat

rmtyner               @greyelmy my research thus far has focused on GME and academic medicine still a lot of concerns about the bias during #meded #CMEchat

spelletier             t1 what is the gender bias in #meded? Topics covered? Gender of faculty? Gender of learners? Diff in care 4 diff genders? #cmechat

spelletier             Me too RT @greyelmy: I am receiving these very slow today FYI. It may be on my end. #cmechat

rmtyner               T1 gender bias in #meded ranges from sexual harassment - gender discrimination - impacts professional identity of female physicians #CMEchat

rmtyner               T1 #CMEchat the long-term effects  are somewhat unknown -  issues include loss of self-esteem & PTSD t.co/P4vwZFNv

aCMEstory          Equalize female faculty educator participation in CME. More female thought leaders in prominent positions within our programs #CMEchat

rmtyner               @aCMEstory #CMEchat ABSOLUTELY but there is a big issue with the glass ceiling for women in academic medicine

rmtyner               T2 how do you increase the number of female thought leaders when the definition of the doctor is still more male and female #CMEchat

rmtyner               T2 hidden curriclum can be detrimental to gender equity in medicine t.co/XTwlopMN #CMEchat

greyelmy             T2 yes CME can counter the bias but real change comes from addressing the systemic inequities. CME in parterships with institutes? #CMEchat

rmtyner               T3 The gender bias in education translates to patient care – what do you think about gender specific CME to address performance? #CMEchat

spelletier             t2 and 2 Do CME providers actively seek female faculty to serve as role models/thought leaders? Should they? #cmechat

drerikbrady        My ? as well... @spelletier: Me too RT @greyelmy: I am receiving these very slow today FYI. It may be on my end. #cmechat T1

rmtyner               @spelletier that is a great question - what are the criteria when choosing faculty, esp for a women's issue activity #CMEchat

greyelmy             @rmtyner it is a very male-centric system down to its roots #CMEchat

rmtyner               @greyelmy that is very true - many like to tout the statistic that over 50% of the med students are female #CMEchat

aCMEstory          T3: IME, #Nursing & womens health CME have traditionally had the most female faculty. But we aren't represented as well in Onc, CV #CMEchat

spelletier             @rmtyner but if you specify female faculty for women-issue activities, u risk making that topic a CME "pink ghetto" #cmechat

rmtyner               @spelletier true there is a way to strike a balance #CMEchat hate going to meeting about women's health where all the faculty are men #fail

spelletier             @rmtyner with so many women coming into med, maybe it will naturally evolve to be more inclusive? Next gen not as tolerant of bias #cmechat

rmtyner               @spelletier current research shows that this is not the case - hidden curriculum too powerful #CMEchat

spelletier             @aCMEstory Curious—resistance from whom? #cmechat

rmtyner               @spelletier the # of female med students has been >50% for over 15 years #CMEchat

rmtyner               Thx for participating in #CMEchat. Discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

rmtyner               As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

spelletier             @rmtyner I'm getting depressed now! If pop shifts don't make a diff, outing that hidden curriculum has 2 b key.  #cmechat

rmtyner               @spelletier the hidden curriculum is the key - and so hard to define and address #CMEchat

rmtyner               @spelletier don't be depressed - i believe the more people understand about the detriments of gender bias that change can happen #CMEchat

rmtyner               The real impact of the #CMEchat lies in your action - please engage others to participate & take action on things your have learned! G’day!

NicoleMAnzuoni              Can you explain a bit more what you mean by hidden curriculum? #CMEchat

rmtyner               @NicoleMAnzuoni the hidden curriculum - informal teaching that occurs; the students learn from the teachers outside of the class #CMEchat

rmtyner               @aCMEstory @spelletier it is getting better more and more reseach is being done on mentoring and tenure #CMEchat

rmtyner               thanks to everyone for sticking with this week's chat - i know that it was painfully slow! #CMEchat

greyelmy             Thanks for a great topic and the two articles you sent out. Good conversation today! #CMEchat

rmtyner               Thank you! @greyelmy i will be sending out more links to refs this afternoon #CMEchat

aCMEstory          Thanks for gender-centric discussion, @rmtyner. Got me thinking abt education on hidden curricula of gender bias. #CMEchat

rmtyner               @aCMEstory always around for more discussion - i live and breath this right now #CMEchat

NicoleMAnzuoni              Got it.  Thanks.  Interesting chat today. #CMEchat

spelletier             Can we do this topic again on a day when Twitter isn't dragging its feet?  #cmechat

rmtyner               @spelletier sure i can talk to @BrianSMcGowan about it - there was an additional topic that we didn't even get to #CMEchat

rmtyner               @NicoleMAnzuoni thanks for joining Nicole - nice to see a new face on #CMEchat

T1) connecting traditional CME to real-life, systems-based barriers —- what are your most pressing questions/ideas #CMEchat

T2) supporting behavior change (motivation x ability x triggers) —- what are your most pressing questions/ideas #CMEchat

T3) 'knowing your audience' (ie. assessment) à what are your most pressing questions/ideas #CMEchat

From User           Tweet

BrianSMcGowan              Two hours until #CMEchat - please join us for our 50th chat! Today we focus on pressing questions connecting learning to behavior change!

BrianSMcGowan              20 mins until #CMEchat - please join us for our 50th chat! Today we focus on pressing questions connecting learning to behavior change!

ElinSilveous        RT @BrianSMcGowan: 20 mins until #CMEchat - please join us for our 50th chat! Today we focus on pressing questions connecting learning to behavior change!

drerikbrady        +1 @thecmeguy: The Unspoken Casualties Of Reducing Industry Support Of CME t.co/kM3Xr6jK "Probably" isn't good enough #cmechat

CMEChat             Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

CMEChat             Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat             Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat             Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat             Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat             Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat             Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat             Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat             As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat             As with each #CMEchat the archive will be available at t.co/2gCKw2QS and archived as a pdf on t.co/4muKUnRH

BrianSMcGowan              Welcome to the 50th #CMEchat - could not be more proud of what this community has come to be. thank you thank you thank you!

greyelmy             Heather Guerrero, Foster City, CA. Congrats on 50th chat! #Cmechat

BrianSMcGowan              looking fwd to a great discussion this week - as we share our most pressing questions #CMEchat

BrianSMcGowan              @greyelmy - good morning! #Cmechat

jjuch      John from American Academy of CME—glad to be back after several weeks away. Couldn't miss the golden chat #cmechat

BrianSMcGowan              @jjuch - welcome back john...hopefully we will have a few more joining us this morning. but i am sure the lurkers are lurking! #cmechat

drerikbrady        Wow! The 50th #CMEchat! Erik, in Raleigh, glad to be here today.

beth333SP          Beth Brillinger from Philly, Dir of Accred at CME Outfitters. Still on Cloud 9 from word of Accreditation w Commendation achieved. #CMEchat

BrianSMcGowan              @beth333SP - as you should be Beth...seems like "Accred w/ Commendation" is the perfect tattoo? #CMEchat

greyelmy             @beth333SP Congratulations! #Cmechat

MedPedsDoctor               I will be in and out today for this chat. But looking forward to learning #Cmechat

aperch  Anne from The Methodist Hospital System, Houston, TX.  #cmechat

CMEChat             This week we continue w/ a slightly different format: I will provide a general topic area and you ask your most pressing question #CMEchat

rmtyner               Michelle - checking in from Indiana #CMEchat

timclynch             RT @BrianSMcGowan: Welcome to the 50th #CMEchat - could not be more proud of what this community has come to be. thank you! #cmechat

CMEChat             T1) Connecting traditional CME to real-life, systems-based barriers —- what are your most pressing questions/ideas #CMEchat

beth333SP          Not a tattoo type of gal my friend @BrianSMcGowan- you should be Beth...seems like "Accred w/ Commendation" is the perfect tattoo? #CMEchat

BrianSMcGowan              t1 - this is a topic we cld spend the rest of the day on. not sure CME folks consider systems-based barriers all that often...sadly #CMEchat

beth333SP          @greyelmy @jjuch @BrianSMcGowan- Thanks! #CMEchat

BrianSMcGowan              t1 - during planning how aware are faculty and planners about the local challenges that prevent 'best practice'? #CMEchat

BrianSMcGowan              T1 - how many times does a learner leave a CME activity only to realize they are not empowered to make the needed changes? #CMEchat

drerikbrady        Congrats @Beth333SP #CMEchat

BrianSMcGowan              ...lets try to get some other thoughts...#CMEchat What are your pressing challenges w/ system-based barriers to practice change?

timclynch             T1, you mean more then just asking the "intent" to change on the evals?!   #cmechat

drerikbrady        T1 - access to a system: never easy unless you are employed by a system #CMEchat

BrianSMcGowan              @aperch - its like having a staff meeting w/o the decision makers in the room...lots of talking but little action... #cmechat

BrianSMcGowan              @drerikbrady - but can we 'teach' learners to navigate their systems more effectively? #CMEchat

greyelmy             T1 great questions! If you do a program on hep c screening but the front office intake form doesn't ask about risk factors... #Cmechat

BrianSMcGowan              @timclynch - great first step...but what happens when they get back to practice to 200 emails and 15 voicemails...and ol habits #cmechat

beth333SP          T1 Most imprtnt step is asking for system or pt safety barriers in the planning process (says person who just went thru Self Study) #CMEchat

timclynch             RT @greyelmy: T1  If you do a program on hep c screening but the front office intake form doesnt ask about risk factors... #cmechat

drerikbrady        @briansmcgowan Yes, if we can anticipate (or verify) what the systems barriers are - T1 #CMEchat

greyelmy             @BrianSMcGowan Or even teaching them to assess their barriers and systems as part of the education. #Cmechat

BrianSMcGowan              @timclynch - it is a necessary step to distinct understand knowledge (learning needs) and systems'based needs (implementation)!!! #cmechat

beth333SP          T1... and then incorporating those barriers into the education, follow up w outcomes plan to verify adoption #CMEchat

aperch  @drerikbrady Understandably.  I am employed by a system and it can still be a challenge.  Education of systems-thinking necessary. #cmechat

BrianSMcGowan              t1- give'em fish...the eat for a day; teach'em to fish...they eat if there r fish available; teach them to survive...they survive. #CMEchat

jjuch      "Need to teach/empower learners to become champions so that they might be able to work on addressing those systems barriers

 #cmechat"

BrianSMcGowan              What if 2012 was the year of system-based CME. a grass roots campaign to bring learning to the bedside/exam room? #CMEchat #meded

beth333SP          Thanks! @drerikbrady: Congrats @Beth333SP #CMEchat

CMEChat             T2) supporting behavior change (motivation x ability x triggers) —- what are your most pressing questions/ideas #CMEchat

aperch  @briansmcgowan T1 - you can lead a horse to water....Is it obvious I am having a systems-barrier moment?  #cmechat

timclynch             GR Campaign, like Occupy The Bedside!  RT @BrianSMcGowan: What if 2012 was the year of system-based CME. a grass roots campaign..   #cmechat

greyelmy             @BrianSMcGowan RT love this idea #Cmechat

BrianSMcGowan              @aperch - anything in particular we can help with? manybe we can crowdsource a solution for you! #wondertwinpowersactivate #cmechat

timclynch             T2, how do you modify the B=mat to include system?  B=MAT-(system barrier) #cmechat

beth333SP          Yes, "Make one change" is a concept we use in our CME/CPD @BrianSMcGowan: t2 - @bjfogg simplifying an action - can apply to CME? #CMEChat

BrianSMcGowan              Thx! all about addressing the real culture of learning in medicine...RT @greyelmy: @BrianSMcGowan RT love this idea #Cmechat

improvecme      T2 #CMEChat @bjfogg simplifying an action-agreed. Have found that breaking down complex behaviors into elemental components works well.

BrianSMcGowan              @timclynch - the m = motivation, a = ability, t = trigger - these are all systems-based, no? #cmechat

BrianSMcGowan              t2 - commitment to change is but a grain of salt on the beach of behavior change - a wind blown and polluted beach ;-) #CMEchat

improvecme      T2 #CMEChat Address elemental components of more complex behaviors with practical, evidence-based clinical strategies.

timclynch             @BrianSMcGowan No the M is willingness to adopt new info, A is capability, T is my impressive CME symposium :-).   #cmechat

timclynch             B should be the outcomes, but B is limited by -(sb) system barriers #cmechat

pjmachado         Underway! RT @BrianSMcGowan What if 2012 yr of system-based CME-grass roots campaign-learning to bedside/exam room? #CMEchat #meded

CMEChat             great ideas and questions so far...lets keep them coming; t1) systems barriers and t2) behavior change/motivation #CMEchat

aperch  @briansmcgowan Yes, because my carrot does not equal their carrot. #cmechat

greyelmy             T1 Sometimes its connecting with barriers the system is already wanting to address - a hospital addressing Joint Comm issues for ex #Cmechat

CMEChat             T3) 'knowing your audience' (ie. assessment) —> what are your most pressing questions/ideas #CMEchat

beth333SP          An esteemed lurker... @bjfogg: @beth333SP @briansmcgowan how do you  explain the magic of one small change? (in a tweet) #CMEchat

BrianSMcGowan              t3 - i still struggle w/ defining audience as a generalizable crowd vs group of individuals. the latter is rarely available in CME #CMEchat

BrianSMcGowan              t3 - there is a sliding scale b/w personalizing education & pedagogy - and still not sure we can hit the right spot in CME #CMEChat

BrianSMcGowan              @greyelmy - so aligning motivations of the person and the systems seems to grease the wheels of improvement... #Cmechat

greyelmy             @BrianSMcGowan Well said! #Cmechat

BrianSMcGowan              t1 - educators shld be liable for revving up a learner just so they can leave the room and crash headlong into their systems #CMEchat

BrianSMcGowan              Missing @thecmeguy @meducate @dean_jenkins  today! #CMEchat - those guys always have tons of questions ;-)

aperch  nailed it @briansmcgowan: @greyelmy-so aligning motivations of the person and the systems seems to grease the wheels of improvement #Cmechat

beth333SP          Seems less risky than partnering CME w QI. My exp = fear of exposure & liability @greyelmy: T1 a hospital address Joint Comm #Cmechat

BrianSMcGowan              t3 - how can we move from perceived needs to 'real' needs - especially when perceived needs so often drive participation #CMEchat

BrianSMcGowan              @beth333SP - so if @TJCommission sets an expectation then systems have less need to admit weaknesses... #Cmechat

CMEChat             As we wrap up today please tell us what you would want to see more of in upcoming #CMEchat. What can we do to improve our next 50?

greyelmy             @BrianSMcGowan That is the quintessential question! The unknow unknowns learners have #Cmechat

drerikbrady        That was fast. Sorry to have not participated greatly. When your Onc GM makes time for you, you make time for her phone call #CMEchat

CMEChat             Thx for participating in #CMEchat. Discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

CMEChat             As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

CMEChat             The real impact of the #CMEchat lies in your action - please engage others to participate & take action on things your have learned! G’day!

beth333SP          True but QI data is often not shared externally @BrianSMcGowan: @beth333SP - so if @TJCommission sets an expectation #Cmechat

drerikbrady        T3- Keeping your audience engaged over time remains a big challenge, in a world of many competing priorities #CMEchat

BrianSMcGowan              Parting shot: please go out & buy "A New Culture of Learning" by @jseelybrown —-> as a community we need these lessons!!! #CMEchat

To help the balling rolling I propose 3 general topics:

T1) improving engagement in live learning —-  what are your most pressing questions/ideas #CMEchat

T2) extending learning beyond live programs (in time & space) —- what are your most pressing questions/ideas #CMEchat

T3) supporting self-directed learning/personal learning networks —- what are your most pressing questions/ideas #CMEchat

From User           Tweet

BrianSMcGowan              4 hours until #CMEchat - today we support each other! I bring a few main topics & you pose your most pressing questions! Join us W 11AM EDT

BrianSMcGowan              45 mins until #CMEchat - today we support each other! I bring a few main topics & you pose your most pressing questions!

drerikbrady        Just over 20 minutes until #CMEchat.  Make it a part of your personal learning plan.

CMEChat             Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat             Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat             Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat             Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat             Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat             Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat             Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat             As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat             As with each #CMEchat the archive will be available at t.co/2gCKw2QS and archived as a pdf on t.co/4muKUnRH

BrianSMcGowan              Welcome to #CMEchat 49 - getting close to a big number and trying to mix up the format just a bit today...see where this gets us!

BrianSMcGowan              I am Brian, I will be moderating today and hoping forward to a great conversation! #CMEchat

BrianSMcGowan              Lets give everyone some extra time getting to their computers this morning...#CMEchat

rmtyner               Michelle in Chicago for this weeks chat #CMEchat

BrianSMcGowan              Good Morning @daeva_dionysius  and @rmtyner #CMEchat

improvecme      I'm lurking for about 20 minutes on #CMEChat Interested in outcomes measurement and needs assessment

CMEChat             This week we try a slightly different format: I will provide a general topic area and you ask your most pressing question #CMEchat

MedPedsDoctor               Alex, from Indianapolis, here for a brief time this morning. #CMEchat

aperch  Anne in Houston #cmechat

Daeva_Dionysius             I am Dale and currently working in Medical Education with BMS #cmechat

brenstrong         #CMEChat bren nearly here (here and away over course of hour), but hoping to contribute/learn from discussion

drerikbrady        Erik here, obviously late, thunderstorms in Raleigh #CMEchat

CMEChat             T1) improving engagement in live learning  what are your most pressing questions/ideas #CMEchat

brenstrong         #CMEChat I'm based in Ireland work for a medical society, developing eLearning for medical professionals.

BrianSMcGowan              T1 - so we are looking for the crowd to pose their own questions this week...#CMEchat

improvecme      T1 Live engagement. What works best to help clinicians gain the patient's perspective? #CMEchat

drerikbrady        T1 - for me, "purity" of data, i always have this fear that, when we use ARS that people are just picking up any keypad #CMEchat

BrianSMcGowan              t1: for example: for live programs i am constantly challenged to integrate more interactivity, w/o overwhelming learners? #CMEchat

BrianSMcGowan              now we are rolling #phew #CMEchat!

improvecme      T1 Live engagement. How can we help clinicians develop greater empathy for their patients? #CMEChat

aperch  T1- MD course directors want engagement but challenged to understand complexity it adds to planning/logistics #cmechat

MedPedsDoctor               T1.  Some of the most effective sessions I have attended included having patients as part of the "presentation" #CMEchat

BrianSMcGowan              @drerikbrady - short of retinal scanning, how do you keep learners 'honest'. I think frequency and communication are key here! #CMEchat

drerikbrady        @brenstrong Kind of depends on the room and the person, but i think goal is always to pull the audience into a live discussion #CMEchat T1

BrianSMcGowan              @aperch - can we create general resources that simplify planning and educate faculty on the complexity of planning? #cmechat

theCMEguy        Hi all! In Hershey for a staff meeting today. Gonna be in and out... #cmechat

drerikbrady        @medpedsdoctor Agree, that can be very powerful, particularly if you have an objective that focuses on counseling patients T1 #CMEchat

BrianSMcGowan              @improvecme - how do we get 'the' patients perspective vs 'a' patients perspective? anecdote vs data/evidence....great question! #CMEchat

MedPedsDoctor               T1. Do not require patients who are part of presentations to have to register for the event. #CMEchat

BrianSMcGowan              @brenstrong - another great question. we say we want engagement, but many learners wld rather not be bothered. #toomucheffort #CMEChat

theCMEguy        “@improvecme: T1 Live engagement. How can we help clinicians develop greater empathy... #CMEChat”>> excellent session on this at #acehp12

MedPedsDoctor               "A" patient versus "the patients"?  Great ?  Consider a patient who may be part of an organization (e.g., CF foundation) #CMEchat

drerikbrady        @briansmcgowan it's tough, if we r transparent about assessing impact of education, learners tend to be more willing to adhere T1 #CMEchat

theCMEguy        @BrianSMcGowan @brenstrong Agreed. I know many who head out the door once they hear "breakup into small groups and discuss..." #cmechat

improvecme      @drerikbrady T1 purity of data is a concern. We developed a script read by moderator that reinforces need for good ARS data #CMEChat

BrianSMcGowan              t1: two main themes: ensuring broader perspective in content and making that content more engaging...anything else? #CMEchat

aperch  @BrianSMcGowan general resources would be a great skeleton to help CME pros guide faculty plus be a tool for faculty.  Got ideas? #cmechat

BrianSMcGowan              @aperch - @rmtyner and I proposed a needs assessment wall art resource for CME planners - submitted abstract to #acehp13!  #cmechat

drerikbrady        @improvecme Same here, we're getting more deliberate about what we expect learners to do as a part of the session upfront T1 #CMEchat

cmaer   T1 How low or high should the engagement bar be set for accredited cme? #cmechat

MedPedsDoctor               T1.  Does audience want an "expert" who may not be great speaker, versus a great speaker who may not be an expert? #CMEchat

brenstrong         @BrianSMcGowan agreed sometimes I think also differing levels of knowledge/ability - not wanting to look silly plays a part :-( #CMEChat

BrianSMcGowan              t1- so one lesson is to be sure learners know what they are expected to do...before they walk into the room. #cultureshift #CMEchat

drerikbrady        @briansmcgowan 3rd theme: purity of data collection T1 #CMEchat

theCMEguy        T1: How do we keep certain individuals from dominating discussion? How do we engage the quiet guy in the back corner? #cmechat

BrianSMcGowan              '11' ? RT @cmaer: T1 How low or high should the engagement bar be set for accredited cme? #cmechat

CMEChat             T2) extending learning beyond live programs (in time & space) —- what are your most pressing questions/ideas #CMEchat

MedPedsDoctor               Some meetings I have attended require learners to choose which workshop ahead of time.  Others: choose last minute. #CMEchat

theCMEguy        @MedPedsDoctor Or would a good facilitator be better then a good presenter? #cmechat

BrianSMcGowan              Hank Slotnick PhD PhD! RT @theCMEguy: @MedPedsDoctor Or would a good facilitator be better then a good presenter? #cmechat

aperch  @thecmeguy So instead of the virtual lurker it's the live lurker? #cmechat

BrianSMcGowan              t1) i might also through the 'learning styles' debate into the ring for discussion...#CMEchat

theCMEguy        “@aperch: @thecmeguy So instead of the virtual lurker it's the live lurker? #cmechat” >> Yep. #guilty

MedPedsDoctor               @theCMEguy Interesting thought.  Not too many put "facilitator" on the CV, but many put "presenter at natl meeting" in some manner #CMEchat

BrianSMcGowan              t2 - so the meeting has ended and we know 70-90% of the content might have already been forgotten...now what? #CMEchat

cmaer   @BrianSMcGowan So, can you have acceptable engagement in #cmechat without real-time interaction?

theCMEguy        @drerikbrady Bingo! I think twitter is an excellent option (of course I do...) #cmechat

aperch  @thecmeguy Guilty to be the live lurker also.  #cmechat

BrianSMcGowan              @cmaer - that is a great questions...in reality the engagement we want is cognitive...we use ARS as a proxy device. right? #cmechat

drerikbrady        T2 - ensuring depth of engagement. So many ways to be distracted, so little time to focus #CMEchat

MedPedsDoctor               T2. Use the QR code to link to handout that provides refresher on key takehome points.  Max of 1-2 pages of info. #CMEchat

BrianSMcGowan              t2) and folks are 50 ft or 5000 miles away and they are restricted from learning what was just learned. #stillsadreality #CMEchat

brenstrong         #CMEChat T2 certainly for eLearning, key for us is 1 fostering, 2 maintaining motivation to complete programmes and 3 interact w/h others

theCMEguy        T2: What are your best practice reminders for live meetings? #cmechat

onlinemeetings                interesting chat #CMEChat

brenstrong         @MedPedsDoctor very nice suggestion! #CMEChat

brenstrong         RT @drerikbrady  T2 - ensuring depth of engagement. So many ways to be distracted, so little time to focus #CMEchat <+1

improvecme      T2 #CMEChat The most motivated learners (perhaps "highest performing" in practice?) are most likely to continue something after.

MedPedsDoctor               @brenstrong but might have to add a slide on how to get a QR code reader, for those who don't have it/know about it #CMEchat

BrianSMcGowan              t2) i have certainly been excited by Qstream lately - even gotten press in TIME! t.co/Ihw65w53 #CMEchat

BrianSMcGowan              t2) @rmtyner and I are also proposing QR codes for our #acehp13 educational materials...link to videos of us discussing the content #CMEChat

cmaer   @MedPedsDoctor Good idea but does anybody use QR codes on a consistent basis? #cmechat

theCMEguy        T2: How about a follow-up Twitter chat with faculty members involved? #cmechat #pipedream

aperch  T2-when meeting treated as an event, reinforcement not considered as part of planning. Back to faculty/course director development #cmechat

drerikbrady        @medpedsdoctor I like this for extending a live meeting, but what about those standalone online, self-paced activities? T2 #CMEchat

BrianSMcGowan              t2) so general themes with extending live learning is to use technology to share resrouces or reminders (or both) #CMEchat Anything else?

CMEChat             T3) supporting self-directed learning/personal learning networks —- what are your most pressing questions/ideas #CMEchat

theCMEguy        “@cmaer: @MedPedsDoctor Good idea but does anybody use QR codes on a consistent basis? #cmechat”> I hope so! t.co/CT7dostJ

MedPedsDoctor               @drerikbrady I feel that one could do exactly the same for an e-learning, self-paced activity (but after completion) #CMEchat

theCMEguy        T3: Most common question/issue I hear is time. How do I find time to facilitate my own PLN? #cmechat

drerikbrady        T3 - what does successful "moderation" entail, how frequent, how personal? #CMEchat

MedPedsDoctor               T3.  I think the role of personal learning networks will grow, as current generation of learners have ILPs (indiv learning plans) #CMEchat

BrianSMcGowan              T3) of all the surveys done to look at how physicians answer questions, what do we actually know? how fast is this changing? #CMEchat

MedPedsDoctor               ILPs in residency: t.co/3ByKIPTI  #CMEchat

brenstrong         @BrianSMcGowan t2 Still in vein of using technology, but also to build networks among learners (altho, this is v difficult) #CMEChat

BrianSMcGowan              @brenstrong - or more specifically to build 'communities' amongst learners? building the network is necessary first step! #CMEChat

MedPedsDoctor               Gotta run, folks.  Great to briefly chat.  Have a wonderful Wednesday. #CMEchat

brenstrong         #CMEChat T3 for self-directed learning, would love to hit point between personal exploration for learning & ensuring curriculum covered!

BrianSMcGowan              t3) is there a way the CME community can support physician 'search' (google or otherwise) or intercolleague consults? #CMEchat

drerikbrady        +1 @medpedsdoctor: T3.  I think the role of personal learning networks will grow, as current generation of learners have ILPs #CMEchat

BrianSMcGowan              #TOTD RT @brenstrong: #CMEChat T3 wld love to hit point b/w personal exploration for learning & ensuring curriculum covered!

BrianSMcGowan              t3) are docs really self-directed learners? if so, who taught them how to be? #CMEchat

theCMEguy        @BrianSMcGowan Still think a brief course on searching (Google, PubMed, etc) would be a vlauable resource... #cmechat

drerikbrady        @briansmcgowan whether they are trained or not, adults generally seek needed knowledge, but i take your point #CMEchat T3

brenstrong         @theCMEguy @BrianSMcGowan #CMEChat +1 on course for searching. Can be surprising how few docs fully engage with such tools

theCMEguy        “@drerikbrady: @briansmcgowan whether they are trained or not, adults generally seek needed knowledge, but i take your point #CMEchat T3” +1

BrianSMcGowan              @theCMEguy - no doubt. and the need for guidance on how to search will not end soon: t.co/Ind2k928 #cmechat

drerikbrady        @thecmeguy Okay, as long as their is a reminder that google/wikipedia are not peer reviewed sources... #CMEchat

BrianSMcGowan              t3) the ability to search is not getting better: The Google Gap: College Kids Aren’t Good At Searching t.co/mTFufjdl #CMEchat

theCMEguy        @drerikbrady But google can lead you to peer reviewed sources...like Wikipedia #cmechat #joking

CMEChat             Thx for participating in #CMEchat. Discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

CMEChat             As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

CMEChat             The real impact of the #CMEchat lies in your action - please engage others to participate & take action on things your have learned! G’day!

BrianSMcGowan              so as we wrap up - this new format seems to have gone smoothly. what do you think? #CMEchat

brenstrong         .@BrianSMcGowan that is amazing! (College kids not good at searching t.co/xflKIpEq) #CMEChat

BrianSMcGowan              Thx to everyone for participating and I look forward to seeing you all next week for #CMEChat 50!!!!!

theCMEguy        @BrianSMcGowan I liked it. Let others feel free to ask Q's #cmechat

drerikbrady        @briansmcgowan Not sure if people were just busy today, but i feel like participation was a little tempered #CMEchat

BrianSMcGowan              @drerikbrady - you mean less people or less participation from the people here? #CMEchat

brenstrong         .@BrianSMcGowan #CMEChat rapid fire, but enjoyed it immensely. Really helps to rigorously focus on what I know and need to know.

drerikbrady        @briansmcgowan Argument is that the rise of social media is placing content right in front of people, search is less necessary? #CMEchat

BrianSMcGowan              @drerikbrady - ooh not sure I agree that that is the argument...i think many assume that since kids are natives, they are better. #CMEchat

drerikbrady        @drerikbrady Less people, unless the count was the same and they just participated less.  Can't quantify that. #CMEchat

BrianSMcGowan              @drerikbrady - and since many think kids are native to online search, than no courses are needed...#flawedthinking #CMEchat

BrianSMcGowan              @drerikbrady - agreed that there was a smaller crowd and some of the regs were missing, but overall still about the same volume... #CMEchat

drerikbrady        @briansmcgowan The brief nature of the link doesn't really offer much of an explanation. Interesting topic though. #CMEchat

brenstrong         #TOTD #CMEChat MT @MedPedsDoctor  T3. ...role of personal learning networks will grow, as current generation of learners have ILPs

dean_jenkins    Missed #CMEchat today but managed to catch up with it on GrabChat ... http://t.co/Nm2TpOsG

T1 – Primary Care Docs come up w/ 15-20 questions/day, but more than 1/3^rd go unanswered. How can we help? #CMEchat http://t.co/d6g4xGon

T2 – 52% of docs use ‘doc-only online communities’ to find answers. How can we support these efforts? #CMEchat

T3 – What are the strengths & weaknesses of social learning through ‘doc-only online communities’? #CMEchat

T4 – Fewer docs use Twitter (7%) or Facebook (19%) to learn & share w/ other docs. How can we support these efforts? #CMEchat

T5 – What are the strengths & weaknesses of social learning through general SoMe platforms like Twitter & Facebook? #CMEchat

From User           Tweet

BrianSMcGowan              4 Hrs until #CMEchat!!! Join us as we explore how Docs use social media to answer their questions in practice. W 11AM EDT  > Happy Pi Day!

BrianSMcGowan              3 Hrs until #CMEchat!!! Join us as we explore how Docs use social media to answer their questions in practice. W 11AM EDT

BrianSMcGowan              60 minutes until #CMEchat!!! Join us as we explore how Docs use social media to answer their questions in practice. W 11AM EDT

BrianSMcGowan              [7 minutes] until #CMEchat!!! Join us as we explore how Docs use social media to answer their questions in practice. W 11AM EDT

CMEChat             Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

CMEChat             Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat             Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat             Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat             Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat             Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat             Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat             Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat             As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat             As with each #CMEchat the archive will be available at t.co/2gCKw2QS and archived as a pdf on t.co/4muKUnRH

theCMEguy        Derek in Chestnut Hill. No conference calls during #cmechat today!

BrianSMcGowan              Welcome to the #CMEchat-ters this week! from a beautiful SE PA...70+ sunny...at least from what i can tell as I slave away on my computer...

greyelmy             Heather Guerrero, Foster City, CA. #CMEchat

drerikbrady        Erik here, in Raleigh, currently on a conference call too, paying better attention soon #CMEchat

rmtyner               Michelle from Indiana - greetings from basketball central - so excited to be back on terre firma  #CMEchat

BrianSMcGowan              Thrilled to be working on a full-day mtg at NY Medical College on Social Media & the medical student in late April! #CMEchat

theCMEguy        @BrianSMcGowan Almost got out in the hammock for this one... #cmechat

timclynch             Tim here from Warm and Sunny Stamford #cmechat

BrianSMcGowan              Lots of great topics today - hoping for a really engaging 45 mins of social learning #CMEchat

BrianSMcGowan              hope everyone has begun filling out their #CMEchat brackets...

theCMEguy        Is it just me or is twitter/tweetdeck running a little slow today? #cmechat

timclynch             RT @theCMEguy: @BrianSMcGowan Almost got out in the hammock for this one... #cmechat

CMEChat             T1 – Primary Care Docs come up w/ 15-20 questions/day, but more than 1/3rd go unanswered. How can we help? #CMEchat t.co/ZZqso3sI

BrianSMcGowan              @theCMEguy - so far all good on my end... #cmechat

dpguinee             Daniel Guinee here #cmechat Central NJ feeling much like South Carolina for this time of year

Sarah_drmatt1  Hi everyone. It's an hour earlier this week for us. Did you change the clocks? Sarah. #CMEchat

BrianSMcGowan              daylight savings in the US! RT @Sarah_drmatt1: Hi every1. It's an hour earlier this week for us. Did you change the clocks? Sarah. #CMEchat

BrianSMcGowan              t1 - this idea of helping docs answer questions in practice should be one of our core competencies, but it goes largely ignored #CMEchat

BrianSMcGowan              t1: 5-8 practice related questions a day go unanswered (at least in Primary care)...and the causes are diverse and complicated #CMEchat

theCMEguy        T1: I'm always curious, how many docs use Point-of-Care CME actually at the point of care and not later on... #cmechat

theCMEguy        “@BrianSMcGowan: hope everyone has begun filling out their #CMEchat brackets...” >> and who are the #1 seeds?

drerikbrady        T1 - An evidence-based google-like search tool. We have one for onc, HIV, and hepatology. t.co/KJFqbSpp #CMEchat #shamelessplug

dpguinee             Whose core comps? RT @briansmcgowan: t1 - helping docs answer questions in practice should be one of our core competencies #CMEchat

BrianSMcGowan              @dpguinee - CME peeps #CMEchat

greyelmy             @theCMEguy I think its POC value is still there - in the room with the patient or used later when wrapping up clinic #CMEchat

BrianSMcGowan              @drerikbrady - it is one of the better models...but not sure of the penetrance...and still 'forces' question asking. #CMEchat #shamelessplug

timclynch             T1: I don't know, is there anyone that has created POC CME that is faster then asking a collegue or Google? #cmechat

theCMEguy        T1: perhaps a good starting point is simply showing docs where they can find the tools to answer there questions #cmechat

greyelmy             @timclynch - inPractice is a great POC tool #CMEchat

BrianSMcGowan              t1: have we sufficiently thought thru the complexity of dissonance, question formation, search (time/source), & sense making??? #CMEchat

drerikbrady        @briansmcgowan we didn't build it for PCPs, but our membership is using in very respectable numbers #CMEchat

theCMEguy        @greyelmy Agreed. Still, maybe we should come up w/ better name than "POC" #cmechat

timclynch             @theCMEguy agree, the problem that I have is that you need to show them 100 sites with 100 logins to get the information. NotEasy #cmechat

dpguinee             Wikipedia-like ptnt care question forum? RT @briansmcgowan: t1: 5-8 practice related qs a day unanswered (at least in Primary care) #CMEchat

improvecme      T1 #CMEChat Sometimes we force the burdensome structural requirements of CME on learning that doesn't benefit from those requirements.

Sarah_drmatt1  Think there can be resistance to asking colleagues sometimes. #Idontwanttolookstupid #CMEchat

BrianSMcGowan              .@theCMEguy - would you acknowledge that 'asking a question' is one problem in and of itself... #cmechat

timclynch             @dpguinee Isn't @Sermo doing just that? #cmechat

BrianSMcGowan              docs are human, true. RT @Sarah_drmatt1: Think there can be resistance to asking colleagues sometimes. #Idontwanttolookstupid #CMEchat

greyelmy             @theCMEguy I completely agree.  #CMEchat

dpguinee             TOTD RT @improvecme: T1 #CMEChat we force the structural requirements of CME on learning that doesn't benefit from those requirements.

theCMEguy        @timclynch Right. We need a CME Google. One place to go and search for everything #cmechat

drerikbrady        We sure think so!  RT @greyelmy: @timclynch - inPractice is a great POC tool #CMEchat t.co/Xj0QG0b3

BrianSMcGowan              T1: lots of attention on asking colleagues - good! this is what 80% of docs state is their favorite/best/most used avenue for ??'s #CMEchat

timclynch             @theCMEguy Right, when is Watson going to graduate from Vanderbilt? #cmechat

theCMEguy        @BrianSMcGowan Yes. One of most beneficial college courses I had was learning how to do a proper Medline search. #CMEchat

BrianSMcGowan              t1: questions can be answered through 'search' or through 'social' channels...they have different strengths, no? #CMEchat

rmtyner               #TOTD RT @timclynch: @theCMEguy Right, when is Watson going to graduate from Vanderbilt? #CMEchat

Sarah_drmatt1  T1: We use GP notebook a lot in the UK. Written by one of our GPs in Coventry and very useful. #CMEchat

BrianSMcGowan              T1 - hey @IBMwatson some discussion here that you may be able to help docs answers questions as they arise in practice...#CMEchat

greyelmy             @BrianSMcGowan We should leverage this more in CME. #CMEchat

CMEChat             T2 – 52% of docs use ‘doc-only online communities’ to find answers. How can we support these efforts? #CMEchat

theCMEguy        @BrianSMcGowan But are colleagues a BETTER source? Quicker, yes, but what about accuracy, relevance, etc? #cmechat

BrianSMcGowan              .@theCMEguy - it seems that in medicine many have settled on most convenient possibly right answer...cognitively pleasing... #cmechat

theCMEguy        T1: How about a combo of Watson & Siri at point of care? #cmechat #dreaming

timclynch             Imagine the day when InPractice, has the friendliness of @Siri and the knowledge engine of trained @IBMWatson.   #cmechat

rmtyner               T2 could we help validate the answers with guidelines, refs, etc? #CMEchat

theCMEguy        @timclynch Beat you! :-) #cmechat

BrianSMcGowan              Bones MacKay? Actually this is on the horizon! RT @theCMEguy: T1: How about a combo of Watson & Siri at point of care? #cmechat #dreaming

Sarah_drmatt1  @CMEChat Encourage people to join in!! I have lots of resistance from colleagues about my membership of Twitter. #CMEchat

BrianSMcGowan              T2 - to @improvecme's point i am hesitant to interfere in the ongoing social learning on 52% of docs...#CMEchat

drerikbrady        T2-Evidence-based information is key. Just because you "saw" it, doesn't make it best practice. I worry about communities a little. #CMEchat

timclynch             @theCMEguy I think that was a Twitter TIE.  :-)  #greatminds #cmechat

BrianSMcGowan              t2 - the fact that more than half docs are learning via online doc-only communities tells me there is a need for better answers...#CMEchat

theCMEguy        T2: This can be difficult. How many of these communities allow non-docs to join/participate? #cmechat

BrianSMcGowan              @theCMEguy - the 'doc only' piece seems fundamental in most existing models, though some enterprise systems are popping up... #cmechat

timclynch             @BrianSMcGowan What are the other half doing?   #cmechat

BrianSMcGowan              @timclynch - up to 20% see no value in online communities and the rest are 'on the fence' and working w/ google & hallway convos... #cmechat

CMEChat             T3 – What are the strengths & weaknesses of social learning through ‘doc-only online communities’? #CMEchat

timclynch             @BrianSMcGowan But dosen't doc-only community info flow through the hallway condo?  If there are 2 talking 1 of them is online... #cmechat

BrianSMcGowan              T3 - first thought: we have little proof these online communities support doc learning...still just anecdotal #CMEchat

BrianSMcGowan              @drerikbrady ;-) #CMEchat

drerikbrady        T3-docs can be more open about their thinking-pro, not necessarily evidence-based info-con #CMEchat

theCMEguy        T3: The anonymity factor for some (SERMO) can be both a positive and a negative, depending who you talk to... #cmechat

Sarah_drmatt1  @CMEChat Online has been seen as the place you go to hide for your CME if you're not good at groups/ social interactions...changing #CMEchat

BrianSMcGowan              @timclynch - quick thinking! but no assurances that the math works like that, nor is 'use' that frequent. but smart thinking! #cmechat

BrianSMcGowan              @Sarah_drmatt1 - interesting thought...is hiding from peers a behavior that should be supported? tough question... #CMEchat

theCMEguy        T3: Potential gateway to other SoMe ventures. After experience in closed community, may be more willing to expand into other areas #cmechat

BrianSMcGowan              @theCMEguy - what are your thoughts about the anonymity of physicians - especially as it relates to online social learning? #cmechat

CMEChat             T4 – Fewer docs use Twitter (7%) or Facebook (19%) to learn & share w/ other docs. How can we support these efforts? #CMEchat

timclynch             @Sarah_drmatt1 Is it hiding? or expanding?  Is Facebook hiding?  #DigitalExtroverts #cmechat

BrianSMcGowan              T4: i have major reservations about open SoMe applications and professional developement...especially as a gateway for new users #CMEchat

rmtyner               T4 need to dispel myths that it is about what you ate for breakfast #challenge #CMEchat

greyelmy             @timclynch i agree - is this chat we are engaged in now hiding? i don't think so. Learning yes.  #CMEchat

theCMEguy        @BrianSMcGowan If anonymity increases comfort & better opportunity 4 learning, I'm great! If it encourages trolling, I'm against #cmechat

BrianSMcGowan              T4: but of the various 'meaningful uses' of SoMe by docs (&HCPs) engaging w/ others in social learning is a relatively safe use. #CMEchat

Sarah_drmatt1  @timclynch We are who we say we are. I'm concerned about those who hide behind an 'identity' e.g. A&Edoc etc. #CMEchat

timclynch             RT @theCMEguy: If anonymity increases comfort & better opportunity 4 learning, Im great! If it encourages trolling, Im against #cmechat

theCMEguy        @BrianSMcGowan Really? Why? #cmechat

BrianSMcGowan              @theCMEguy - but can anonymity and 'professionalism' co-exist...instead of managing the trolling which is the real problem, no? #cmechat

BrianSMcGowan              t4: in the beginning sources like Fb and Tw are tough to control, overwhelming = firehose...closed communities on the other hand... #CMEchat

theCMEguy        @BrianSMcGowan I'd like to think so, but I don't know. Some people get crazy behind a mask... #cmechat #EyesWideShut

timclynch             @Sarah_drmatt1 it goes away once they engage.  Dets pour, region, hosp. sys, the username doesn't need to be Stan to figure it out. #cmechat

drerikbrady        T4 - I guess i'm less concerned about anonymity and more concerned about whether the guidance on closed sites is evidence based #CMEchat

BrianSMcGowan              T4/T5 thr r new skills that we need when trying out these online, virtual communities...skills that are at the heart of learning... #CMEchat

theCMEguy        T4: We need to show the value of open community learning and show why it is worth the effort to learn to control the "firehose" #cmechat

BrianSMcGowan              @drerikbrady - but what about the 50-80% of medicine that is not evidence based...the evidence based stuff we can look up quickly! #CMEchat

Sarah_drmatt1  @drerikbrady Good concern, but surely good as one of multiple sources of info? Especially if clinically isolated e.g.1 man practice #CMEchat

theCMEguy        @drerikbrady Agreed. Bad info is bad info, regardless of whether or not we know who it's coming from. #cmechat

dean_jenkins    Sorry late to (and missed most of) #CMEchat ... grrr, gnash, deep breaths, conflict resolution, contracts, pharma ahhhh!

BrianSMcGowan              T5 - i tell new users know that there's no such thing as anonymity in online engagement...eventually everything is findable. #truth #CMEchat

drerikbrady        @briansmcgowan I guess it's a fair point, the greatest need, then, is in the gray areas? #CMEchat

BrianSMcGowan              @drerikbrady - if the question has a black/white answer i can esaily look it up, but much of medicine is gray = social learning... #CMEchat

timclynch             @dean_jenkins Its about time! :-) #cmechat

Sarah_drmatt1  @BrianSMcGowan Head of GPs college here suggests that any comment we make could have to be defended as professional if asked. #CMEchat

theCMEguy        T5: My standard point: As long as there is "Print Screen", anything you say/write can be reproduced. Open or closed community #cmechat

BrianSMcGowan              t5 - Important to teach new users to be skeptical & fact-check - docs are no different than Pts (or any1) is the needing reminders #CMEchat

dean_jenkins    Where's @CMEhulk these days. Got a quick job for him. #cmechat

rmtyner               for some reason, that made me smile :) RT @dean_jenkins: Wheres @CMEhulk these days. Got a quick job for him. #CMEchat

BrianSMcGowan              @Sarah_drmatt1 - ...the magic of social technologies is the trace that they allow us to measure = meta learning data #CMEchat

drerikbrady        @thecmeguy So how do you weed out the bad info from the good in a social setting? #CMEchat #thebigquestion

timclynch             @theCMEguy T5: My standard point: As long as there is "Print Screen", anything you say/write can be reproduced Open or closed comm. #cmechat

theCMEguy        “@dean_jenkins: Where's @CMEhulk these days. Got a quick job for him. #cmechat” >> Smashing needed?

BrianSMcGowan              Thx for participating in #CMEchat. Discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

BrianSMcGowan              As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

CMEChat             The real impact of the #CMEchat lies in your action - please engage others to participate & take action on things your have learned! G’day!

Sarah_drmatt1  @CMEChat Bye, everyone. See you in 2 weeks (doing some CME next week!!) #CMEchat

theCMEguy        @drerikbrady How do you do it in any other setting? #cmechat

timclynch             @drerikbrady The same way we do IRL, multiple verifiable inputs + brain power to synthesize input. #cmechat

timclynch             @theCMEguy OK, that one you won by seconds. :-) #cmechat

BrianSMcGowan              t5 - one of the outstanding issues w/ healthcare & social media is that as stakes & emotions run high decision-making suffers #CMEchat #hcsm

rmtyner               I have a quick plug-my nephew's bball team won IN state regional tnmt & is playing semi-state this weekend! t.co/vUQlIC3k #CMEchat

theCMEguy        “@timclynch: @theCMEguy OK, that one you won by seconds. :-) #cmechat” >> I'm gonna start charging u a licensing fee :-)

BrianSMcGowan              Thanks to all for jumping into an issue that may be slightly outside our comfort zone...as learning evolves, so must we. #CMEchat

rmtyner               @drerikbrady I think they are more critical of what they read online #urbanlegends #CMEchat

BrianSMcGowan              @drerikbrady - i argue that many of the basic elements of credibility do not translate to online convos esp. for new engagements  #CMEchat

We have talked about assessment a few times over the past 10 months; today we focus in on post-test/summative assessment #CMEchat

T1 – Describe your post-test planning process. At what point are ??’s drafted? How are they refined and/or validated?  #CMEchat

T2 – What methods do you use to analyze post-test performance? Do you attempt to meet statistical rigor? If so, how? #CMEchat

T3 – Are there unique post-test questions that you have asked? If so, what are they and what were you trying to learn? #CMEchat

T4 – Feedback is a vital piece of assessment. With LIVE programs how do you provide feedback on post-test performance? #CMEchat

T5 – Feedback is a vital piece of assessment. With ASYNCHRONOUS programs how do you provide feedback on post-test performance? #CMEchat

From User           Tweet

BrianSMcGowan              The new golden rule for educators: measure twice. teach once. #CMEchat #lrnchat

BrianSMcGowan              2 hours until #CMEchat - discussing specific & practical tips for managing post-tests & summative assessment. What do you ask? W11AM EST

spelletier             Don't miss #CMEchat at 11 ET: specific & practical tips for managing post-tests & summative assessment.  #cmechat

BrianSMcGowan              settling in for a rapid fire #CMEchat...starting in 10 minutes!

theCMEguy        “@BrianSMcGowan: settling in for a rapid fire #CMEchat...starting in 10 minutes!”>> & of course I have a last sec conf call. Double duty!

CMEChat             Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

CMEChat             Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat             Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat             Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat             Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat             Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat             Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat             Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat             As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat             As with each #CMEchat the archive will be archived on t.co/4muKUnRH

BrianSMcGowan              good Wednesday morning to all in the #CMEchat...and for all of those lurking...lots to learn today!

BrianSMcGowan              i am honored (in a sick way) by the recent #CMEchat spam...

dean_jenkins    #cmechat hello. Dean Jenkins UK.

rmtyner               Michelle from Indiana - lurking today  #CMEchat

BrianSMcGowan              beautiful day shaping up in the US NE...even if my washer and dryer never did appear this AM at my doorstep #CMEchat

Sarah_drmatt1  Hi everyone. Happy to be joining you all for #CMEchat from here in the UK again. Who else is with us today?

theCMEguy        Derek in Chestnut Hill. Pulling double duty today #cmechat

kenny_cox          #cmechat Kenny Cox from Missouri but in New Jersey today

drerikbrady        Erik, here, but packing, leaving on a jet plane this afternoon #CMEchat

MedPedsDoctor               Alex Djuricich, Assoc Dean of CME from Indiana Univ SOM.  Just down the road from @rmtyner  #CMEchat

BrianSMcGowan              hopefully @dpguinee was able to avoid jury duty this AM and will be joining #CMEchat —> whouldn't want him deciding my fate!

dpguinee             Daniel Guinee, Freehold, NJ, USA...I've filled my civic obligation and have been released from jury duty! #cmechat

theCMEguy        “@drerikbrady: Erik, here, but packing, leaving on a jet plane this afternoon #CMEchat” >> Dont know where you're gonna go? #JohnDenver

BrianSMcGowan              and hopefully @improvecme will make an appearance...but glad that @drerikbrady is in the house (at least for now)...#CMEchat

CMEChat             We have talked about assessment a few times over the past 10 months; today we focus in on post-test/summative assessment #CMEchat

laurenero            Lauren here from Maryland.  Happy Wednesday! #CMEchat

rmtyner               @MedPedsDoctor still reeling from the breaking news about #18  #CMEchat

drerikbrady        @theCMEguy Palm Springs, talking about question item writing with my good friends at Annenberg #CMEchat

BrianSMcGowan              post-test AKA immediate assessment has gotten a bad rap over the years...but it is a vital component of what we do. #CMEchat

BrianSMcGowan              and condolences to our Indianapolis friends  our #CMEchat  flag is at half mast today

CMEChat             T1 – Describe your post-test planning process. At what point are ??’s drafted? How are they refined and/or validated?  #CMEchat

drerikbrady        @BrianSMcGowan Agree, that's exactly the right time to measure intent to change #CMEchat

MedPedsDoctor               @BrianSMcGowan ... But a flag in another city will move to double mast.  Phoenix, Miami, Jet-country??? #CMEchat

theCMEguy        T1: Are we being honest or saying what we're supposed to say? #cmechat

BrianSMcGowan              t1 - seems that as needs and objectives are rounding into form the basic goal of the post-test should be coming clear...#CMEchat

drerikbrady        T1 - i'm a BIG believer in drafting outcomes ?s alongside the LOs, it's dead useful for keeping content development on track #CMEchat

BrianSMcGowan              t1 - to be intentionally trite, 'it is never too early to begin to craft your assessment plan...' #CMEchat

MedPedsDoctor               Ideally, ??s are drafted ahead of time, but should probably be modified depending on actual learning session itself #CMEchat

rmtyner               a little of both?? RT @theCMEguy: T1: Are we being honest or saying what were supposed to say? #CMEchat

BrianSMcGowan              this is not a presidential debate...RT @theCMEguy: T1: Are we being honest or saying what we're supposed to say? #cmechat

theCMEguy        @BrianSMcGowan Agree, sadly most of the time I believe posttest ?'s are one of the last pieces developed #cmechat

reginamotarjeme            Regina in Denver, yesterday in shorts, today in the snow #cmechat

drerikbrady        T1 - we insist that the faculty set out with the end in mind, got a few ?s that work well to help them think about that #CMEchat

BrianSMcGowan              t1 - lets try more details...please #CMEchat

MedPedsDoctor               To me, $1million is how to implement getting post-test questions asked, with appropriate follow up if not completed #CMEchat

BrianSMcGowan              RT @Sarah_drmatt1: Learning & assessment have common areas & may overlap but not 1:1. Sometimes lrning areas difficult to measure. #CMEchat

drerikbrady        @thecmeguy It's one of the great crimes in CPD.  Whenever I hear that ?s are an afterthought, I want to take a shower #CMEchat #yucky

BrianSMcGowan              t1 - any advice on refining and 'validating' ?'s #CMEchat

Sarah_drmatt1  @BrianSMcGowan Have some experience teaching ethics/ values and it is a particular issue here. #CMEchat.

kenny_cox          Definitely drafting questions at the same time as LOs - we use a grid that brings gaps/needs/LOs/outcomes together.  #cmechat

theCMEguy        @drerikbrady So u develop ?'s before content, then confirm ?'s once content developed? #CMEchat

CMEChat             T2 – What methods do you use to analyze post-test performance? Do you attempt to meet statistical rigor? If so, how? #CMEchat

drerikbrady        T1 - We ask "what do we want to see the learners doing differently after participation?" - that informs the item writing #CMEchat

MedPedsDoctor               T1 I think the take home is that, plain and simple, writing questions is hard.  Not an easy task.  #samewithboardexams #CMEchat

BrianSMcGowan              sounds right! RT @theCMEguy: @drerikbrady So u develop ?'s before content, then confirm ?'s once content developed? #CMEchat

Sarah_drmatt1  @kenny_cox Have tried using a grid in the past when teaching undergraduate medics, but can become a bit formulaic, possibly. #CMEchat.

brenstrong         #CMEchat T1 - plan assessment before you develop content, by defining objectives and identifying how they are tested

BrianSMcGowan              #TOTD RT @brenstrong: #CMEchat T1 - plan assessment before you develop content, by defining objectives and identifying how they are tested

drerikbrady        @thecmeguy That's always the plan. I review all outcomes questions, and i am reviewing them well before the content is finalized #CMEchat

dpguinee             We connect pre and post directly to lrng objctvs, which typically are addressed via case examples in the activity  #CMEchat

MedPedsDoctor               My educational mentor kept it very simple: "the objectives describe the test". #CMEchat

theCMEguy        T2: As much as possible, I try to have a pre to compare my post to. Does post alone really show anything? #cmechat

brenstrong         @BrianSMcGowan @theCMEguy @drerikbrady #cmechat - that's what I'd do!

dpguinee             Major teaching challenge...getting faculty to buy in to the value, and once done, getting participants to value the pre-post. #cmechat

drerikbrady        @medpedsdoctor I've found the real issue to be a lack of competence in our space on good item writing design #CMEchat

BrianSMcGowan              @dpguinee - so there may not be a need for a post test if you structure interactivity properly? #CMEchat

kenny_cox          Can be formulaic, but makes you think when you write a LO and have to write the outcomes ?? to show you achieved it #cmechat

theCMEguy        @BrianSMcGowan Think I agree. Also maybe depends on amount of responses? Can you achieve stat sig with 10 responses? #cmechat

improvecme      T2 I encourage pre/post/follow-up question development in parallel with content development, closely linked to LOs and needs #CMEChat

BrianSMcGowan              T2 - does advocating for research quality assessment support faculty engagement vs 'throwaway' questions #CMEchat

BrianSMcGowan              #TOTD RT @drerikbrady: @medpedsdoctor I've found the real issue to be a lack of competence in our space on good item writing design #CMEchat

MedPedsDoctor               Erik is right on: "real issue: lack of competence on good item writing design".  Maybe a CME session on "how to write good ?s"? #CMEchat

dpguinee             Theoretically RT @briansmcgowan: @dpguinee - so there may not be a need for a post test if you structure interactivity properly? #CMEchat

BrianSMcGowan              @theCMEguy IF 10 = N; if 10 = n...perhaps not #cmechat

BrianSMcGowan              @MedPedsDoctor ..Alex please meet @improvecme - u2 shld submit an abstact for #acehp13 #CMEchat

drerikbrady        T2 - we do stats (p values) for items and signif (effect size) for overall activity effect, we don't generally have probs with n's #CMEchat

drerikbrady        @MedPedsDoctor I did an intensive on this 2 years ago and have an "abstract" in development for ACEPH13 #CMEchat

Sarah_drmatt1  @MedPedsDoctor Possibly a key issue is that people think 'knowing the subject' is the same as 'writing good questions' on it. #CMEchat

BrianSMcGowan              RT @improvecme: T2 ....well-organized measurement w/early faculty buy-in can get good faculty support. #CMEchat

MedPedsDoctor               How many CME units have a psychometrician on board? #betnotthatmany #CMEchat

BrianSMcGowan              @Sarah_drmatt1 - and they think content expertise =  teaching expertise this is why i belive people are stoopid! #CMEchat

improvecme      T2 #CMEChat There are recent Almanac articles on how to get faculty on board with pre/post questions and their value to adult learning.

CMEChat             T3 – Are there unique post-test questions that you have asked? If so, what are they and what were you trying to learn? #CMEchat

MedPedsDoctor               The medical community has been arguing about whether "the boards" is a valid test.  Amt of time spent on good ?s: enormous! #CMEchat

2healthguru       @BrianSMcGowan if i may, once upon a time CME's roots were medical quality audited, & needs directed v. marketing affair. #TOTD #CMEchat

BrianSMcGowan              t1/2/3 - i love when the #CMEchat drafted questions seem to match the conversation like a hand in glove

drerikbrady        @MedPedsDoctor Agree few, but it's not necessary, a well constructed excel will take care of the heavy lifting #CMEchat

theCMEguy        @MedPedsDoctor About the same amount as there are NFL teams releasing HOF QB's... #cmechat

BrianSMcGowan              @2healthguru - you may....and in may hallways of medicine they have moved back from marketing taint, but forgot needs part... #TOTD #CMEchat

improvecme      T3 #CMEchat Current & planned frequency of use of evidence-based clinical practice strategies recommended in content & found deficient in NA

MedPedsDoctor               @theCMEguy ... it's all about the money ... #CMEchat

drerikbrady        T3 - umm, all of our outcomes questions are unique... #CMEchat #notfollowingyou

BrianSMcGowan              @2healthguru - it is a work in progress...to be sure...but not b/c of marketing as much as lack of sophistication and skill.. #TOTD #CMEchat

MedPedsDoctor               Remember that sometimes the "learning" can come in other ways which can't be measured: #hallwayconvos #CMEchat

improvecme      T3 #CMEChat Current & Planned frequency of use 1=Never to 5=Always. Measures competence change/commitment to change.

BrianSMcGowan              t3 - has any1 used the "how many patients of this type do you see a week?" to get at potential clinical impact/relevance #CMEchat

brenstrong         RT @@drerikbrady T3 - umm, all of our outcomes questions are unique... #CMEchat #notfollowingyou <+1

dpguinee             Not to go far afield, but we are finding the social learning elements to be of far more value than that which we can "post test" #cmechat

BrianSMcGowan              t3 - truly not all forms of learning can be measured, but we need to measure what can be measured, lest we be measured harshly #CMEchat

rmtyner               @BrianSMcGowan we asked that question in all of our activities #CMEchat

dpguinee             Routinely, in surveys and post.  Thx @improvecme RT @briansmcgowan: t3 - the "how many patients of this type do you see a week?"  #CMEchat

drerikbrady        @BrianSMcGowan T3 - we use it as a demographics question at baseline, we ask as few questions as necessary at post #CMEchat

BrianSMcGowan              @dpguinee - hey black swan...please focus ;-) #cmechat

MedPedsDoctor               Right on, Brian.  Just like "improvement science": can't improve if we don't measure #CMEchat

kenny_cox          @BrianSMcGowan We use that on every evaluation #cmechat patients per week with this issue

drerikbrady        @improvecme I prefer the 7 point semantic diff scale, but i like these freq of use questions too #CMEchat

2healthguru       @BrianSMcGowan yup, tone has changed since I surveyed programs for California Medical Association. Time to reclaim! #TOTD #CMEchat

BrianSMcGowan              #brilliant RT @drerikbrady: T3 - we use it as a demographics question at baseline, we ask as few questions as necessary at post #CMEchat

improvecme      T3 #CMEchat # of patients w/condit seen/wk used everytime then crosstab w/those who increase their freq of use 2 get potential + pt impact

reginamotarjeme            RT @drerikbrady: @BrianSMcGowan T3 - we use it as a demographics question at baseline, we ask as few questions as necessary at post #CMEchat

CMEChat             T4 – Feedback is a vital piece of assessment. With LIVE programs how do you provide feedback on post-test performance? #CMEchat

drerikbrady        VERY smart. T3 #CMEchat # of patients w/condit seen/wk used everytime then crosstab w/those who inc. their freq of use 2 get pot + pt impact

MedPedsDoctor               To clarify: when you say "post-test ?s", do you mean immediate (i.e., at end of session), or some time later (e.g., 3 months)? #CMEchat

CMEChat             t3 - so how can we aggregate all of the 'pts like this seen per week data into one research finding..." #CMEchat @improvecme @drerikbrady

BrianSMcGowan              @MedPedsDoctor - immediate #CMEchat

drerikbrady        @CMEChat Eval has a question about whether we can follow up and spot for an email, but we have room for growth here #CMEchat

BrianSMcGowan              T4 - dare i say the use of a jeopardy-like game to close a symposium wld serve as post-test AND feedback mechanism #CMEchat #TOTD ;-)

MedPedsDoctor               I think that there are now tools for immediate post-test assessment that make it easier for teacher: audience response systems #CMEchat

drerikbrady        @CMEChat @improvecme I can't define the solution here yet. #bigchallenge #CMEchat

improvecme      T3 #CMEchat "pts seen per week into one research finding" — been advocating for this for some time. Issues w/sharing results, but hopeful.

BrianSMcGowan              t4 - admittedly tough to drive meaningful feedback from post-test, if you collect them as they leave the room. must tie-in better. #CMEchat

2healthguru       @BrianSMcGowan CME 'cruises a BIG business...' The AMA/PRA intent has been completely corrupted. Some exceptions yes. #TOTD #CMEchat

drerikbrady        @BrianSMcGowan T4 - technology needs to support assigning the respondents though, ARS falls a little short, but texting... #CMEchat

BrianSMcGowan              @2healthguru - i think you will find that this community moved beyond CME at Sea 5-7 yrs ago, now just a few grps & Hopkins ;-) #CMEchat

drerikbrady        @improvecme True, Derek has been advocating for this for a while. I'm slow to this bandwagon. #CMEchat

MedPedsDoctor               @drerikbrady Really?  If one sets up demographic ?s in ARS, it does the cross match for you.  Works like a charm. #CMEchat

BrianSMcGowan              T4 - ars + finger prints? as a form of assigning/confirming identity - too minority report/GATTICA/repo man? #CMEchat

dpguinee             What if attendees were told their resps wld b part of rsrch project?? RT @briansmcgowan: t4 - meaningful feedback from post-test. #CMEchat

drerikbrady        @BrianSMcGowan @2healthguru Oh snap. Slamming Hopkins. #CMEchat

CMEChat             T5 – Feedback is a vital piece of assessment. With ASYNCHRONOUS programs how do you provide feedback on post-test performance? #CMEchat

drerikbrady        @MedPedsDoctor Ahh, pooling of data. I'm not a big supporter of that. I will always argue for matched data sets #CMEchat #datageek

BrianSMcGowan              T5 - here we are much more evolved - adaptive branching assessments can even drive learning through testing (like GREs/SATs) #CMEchat

dpguinee             Instead of "meaningless use" for post tests, show attendees that there will be something to come of it #cmechat t4

Sarah_drmatt1  Signing out for today. Need to get the girlie from choir. #CMEchat

MedPedsDoctor               @drerikbrady I'm not talking about pooling.  I'm talking about matched data.  TurningPoint does it beautifully. #CMEchat

dpguinee             T5 - Feedback to participants, yes?  Vis-a-vis outcomes reports to grant supporters...#cmechat

BrianSMcGowan              Singing out then? RT @Sarah_drmatt1: Signing out for today. Need to get the girlie from choir. #CMEchat

brenstrong         T5 #CMEchat We use staggered feedback process, providing more detailed feedback on specific q's, more general on sections (containing q's)

BrianSMcGowan              T5 - remember the challange is arbitrarily been limited to post-tests...#CMEchat

brenstrong         T5 #CMEchat We have 3 Levels feedback: Well done (pass), keep reading the literature!; Not great, take sections X  again; Take course again

dpguinee             Angelic RT @briansmcgowan: Singing out then? RT @Sarah_drmatt1: Signing out for today. Need to get the girlie from choir. #CMEchat

BrianSMcGowan              T5- i appreciate that this group would rather reflect on interactivity and formative assessment (even acute) bodes well...#CMEchat

BrianSMcGowan              T5 - is there any way to provide post-test feedback with ole' school print based learning? #CMEchat >> cuz docs still use/like it

CMEChat             Thx for participating in #CMEchat. Discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

improvecme      T5 A not-so-pregnant pause #CMEChat

MedPedsDoctor               Love @brenstrong 's 3 levels: well done, not great (take specific sections), repeat entire course.  #CMEchat

CMEChat             As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

CMEChat             The real impact of the #CMEchat lies in your action - please engage others to participate & take action on things your have learned! G’day!

BrianSMcGowan              t5 - @brenstrong isn't there a model of outcomes: aware, familiar, expert - three levels of learning/assessment #CMEchat

dpguinee             Thx @theCMEguy for today's #cmechat.  Much to assess and think about, reflect on, put into action

MedPedsDoctor               This chat will push me to help teachers understand that post-test assessment is not an after-thought. #CMEchat

theCMEguy        “@dpguinee: Thx @theCMEguy for today's #cmechat." >> er...you're welcome? Thank @BrianSMcGowan...he's the man.

dean_jenkins    RT @BrianSMcGowan: #TOTD RT @brenstrong: #CMEchat T1 - plan assessment before you develop content, by defining objectives and identifying how they are tested

2healthguru       @BrianSMcGowan Good to hear. My experience is tethered to this convo via you and @meducate.  "CME cruises meant generically' btw.  #CMEchat

2healthguru       @drerikbrady Not just @JohnsHopkins... all commercial CME sponsors more concerned about pitching than fixing! Hopkins a model AMC! #CMEchat

lolshannon71     RT @MedPedsDoctor: My educational mentor kept it very simple: "the objectives describe the test". #CMEchat

drerikbrady        @2healthguru @JohnsHopkins for the record, I did not slam Hopkins. #cmechat #notguilty

drerikbrady        @MedPedsDoctor my mistake, meant to say, hard to couple with a post test in order to award credit to a person, matching is no issue #cmechat

From User         Tweet

BrianSMcGowan            Join us for #CMEchat TODAY 11AM ET for a discussion of interprofessional education - how can we drive effective team learning? #meded

BrianSMcGowan            35 minutes! Join us for #CMEchat for a discussion of interprofessional education - how can we drive effective team learning? #meded

drerikbrady       Hooray! #CMEchat just a few moments away!

dean_jenkins     Tuning in to  #cmechat

CMEChat          Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

CMEChat          Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat          Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat          Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat          Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat          Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat          Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

CMEChat          Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat          As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat          As with each #CMEchat the archive will be archived on t.co/4muKUnRH

BrianSMcGowan            brian here in a soggy philadelphia suburb...#CMEchat welcome to all and happy leap day!

bajammal          Tuning in to #cmechat

greyelmy           "Heather Guerrero, Foster City, CA.

 #CMEchat"

jjuch     John J here from NJ #cmechat

PSB_CME        Pam from SCCT here for #CMEchat.  My likey compliance (not that it should shock anyone).

rmtyner Michelle checking in from basketball-crazed Indiana...  #CMEchat

BrianSMcGowan            prize for the furthest distance traveled goes to @bajammal  #CMEchat

BrianSMcGowan            @PSB_CME - SCCT? ;-) #CMEchat

drerikbrady       Happy Leap Day everybody. Erik here, in cloudy Raleigh #CMEchat

bajammal          Sohail Bajammal, Saudi Arabia #cmechat

BrianSMcGowan            we set a high bar last week with our assessment conversation...anyone put anything to action in the past week? #CMEchat

dean_jenkins     Dean Jenkins, UK. #cmechat

BrianSMcGowan            resource: The goal of IPE is to prepare all HCPs for deliberatively working together to improve healthcare t.co/cNSIg3S5 #CMEchat

spelletier           Like the idea! RT @theCMEguy: Thinking about doing a monthly #CMEReg Q&A chat with a guest tweeter. Thoughts? #cmechat #cmereg

CMEChat          T1 – please share your definition of interprofessional, multidisciplinary, and/or team-based education? (are they different?) #CMEchat

bajammal          RT @CMEChat: T1 – share your definition of interprofessional, multidisciplinary, and/or team-based education? (are they different?) #cmechat

BrianSMcGowan            I differentiate interprofessional/team-based from multidisciplinary. former is more focused. latter is more general. #CMEchat

PSB_CME        T1: Interprofessional & team-based: combining clinicians and staff.  Multidisciplinary: combining more than one specialty #CMEchat

BrianSMcGowan            T1: if i am leading team-based education then i expect a real team, from one institution, or one unit. #CMEchat w/ shared challenges

dean_jenkins     T1 multidisciplinary education can have different perspectives - learning from, learning with, or learning about what's between. #cmechat

drerikbrady       T1 - i don't see them as different, it's education that is focused on a group of learners involved in working on a common solution #CMEchat

BrianSMcGowan            @dean_jenkins - so does multidisciplinary have to have members from one institution or just a mix of disciplines? #cmechat

dean_jenkins     T1 team-based learning can focus on what's in the in-between. #cmechat

Sarah_drmatt1   Joining you all from the UK midlands for #CMEchat.

greyelmy           Interprofessional/team based education takes into account all the points of contact the patient will experience (not just MD) #CMEchat

PSB_CME        T1: I like the idea of working other organizations- intersocietal?  Beyond co-sponsorship #CMEchat.

BrianSMcGowan            @drerikbrady - but teams with shared problems...vs professionals from different institutions - seems like very different cases? #CMEchat

dean_jenkins     T1 'transdisciplinary' learning could focus on explaining the role to other disciplines. #cmechat

spelletier           Want to throw transdisciplinary into the mix? #cmechat

drerikbrady       @PSB_CME ahh, good point, okay multi-discipilinary is a little different T1 #CMEchat

dean_jenkins     T1 multi-institutional learning ... phew ... that can be fun. #cmechat

BrianSMcGowan            t1 - i think of one practice w/ nurse/pharm/doc/referral network as TOTALLY different then a room w/ nurses & docs & pharmacists. #CMEchat ?

drerikbrady       @BrianSMcGowan Yes, the group has a shared issue, probably because they work together regularly in the same space T1 #CMEchat

dean_jenkins     @Sarah_drmatt1 go UK! #cmechat

JediPD Focused discussion or multidisciplinary? Still a single idea is shared. No? #CMEChat

dean_jenkins     +1 RT @BrianSMcGowan: t1 - i think of one practice  network as TOTALLY different then a room w/ nurses, docs & pharmacists. #cmechat

JediPD In multidisciplinary environment many thoughts on single idea. #CMEChat

BrianSMcGowan            interprofessional = across professions whereas multidisciplinary = many disciplines...it is the 'across' vs 'many' that is see #CMEchat

PSB_CME        T1: I would love to even bring in front office staff in CME planning- EVERYONE that the patient comes into contact with #CMEchat

dean_jenkins     T1 Think it is hard to classify all the approaches here. Multidisciplinary / interdisciplinary are ambiguous terms. #cmechat

BrianSMcGowan            @dean_jenkins - but are patients and carers "professional" #splittinghairs #cmechat

improvecme      T1  Interprofessional focus/cooperation often needed to bring about persistently improved patient care #CMEChat

dean_jenkins     T1 I certainly see a few professional patients. :-)  #cmechat

PSB_CME        @dean_jenkins To a certain extent, yes.  Sometimes front office staff can be the "voice" for the patient- they hear the complaints #CMEchat

jjuch     "interdiscliplinary means learning with, from and about each other. Multidisciplinary is more with (not so much from and about)

 #cmechat"

bajammal          T1 Interprofessional vs multiprofessional (multi-disciplinary) depends whether they learn FROM each other or ABOUT each other!! #cmechat

CMEChat          For our purposes we will define IPE as education of different professionals w/i one team or practice. everyone ok with this? #local #CMEchat

BrianSMcGowan            #TOTD RT @jjuch: interdiscliplinary= learning w/, from & about each other. Multidisciplinary is more w/ (not so much from & about)  #cmechat

BrianSMcGowan            #TOTD RT @bajammal: T1 Interprofessional vs multiprofessional = depends whether they learn FROM each other or ABOUT each other!! #cmechat

jjuch     @CMEChat definition of IPE: I'd say that's more team based learning which could be interprofessional but doesn't have to be #cmechat

improvecme      T1 The more complicated the system, the more important interprofessional focus/cooperation is needed to improve care. #CMEChat

greyelmy           @PSB_CME They also are a key point to implementing change in an office (def key to getting info about CME programs to the team!) #CMEchat

CMEChat          T2 – When you think of interprofessional education (IPE), what are the strengths and weakness that immediately come to mind?? #CMEchat

drerikbrady       i'm seeing some of the distinction here, but at core, we're educating a group with different skills/focus having a shared issue #CMEchat

BrianSMcGowan            @drerikbrady - difference is more relevant when we move from 'teaching' mentality to 'learning' mentality me thinks #CMEchat

Sarah_drmatt1   T1 one issue is who plans teaching. Much purportedly multidisciplinary is doctor planned and doctor needs focused. #CMEchat

PSB_CME        @CMEChat What about for MSS?  Not necessarily a team or practice, same discipline, different locations.  #CMEchat

jjuch     T2: weakness: need to have buyin from learners. can't learn interprofessionally if don't see what's in it for them #cmechat

JediPD Disambiguation of both multidisciplinary and inter professional discussion would be "a conversation to enhance knowledge?" #CMEChat

dean_jenkins     RT @improvecme T1  Interprofessional focus/cooperation often needed to bring about persistently improved patient care #cmechat

drerikbrady       @BrianSMcGowan Granted. #CMEchat

BrianSMcGowan            @Sarah_drmatt1 - and based on what doctors think other disciplines need to know to help them... #CMEchat

PSB_CME        T2: Weaknesses- when one profession thinks they are more important than another- the "experts" who will not listen to the learners. #CMEchat

Sarah_drmatt1   @improvecme T1 Yes fully agree with that #CMEchat

jjuch     @Sarah_drmatt1 "Much multidisciplinary is doctor planned/needs focused" why a truly representative planning committee so import  #cmechat

drerikbrady       T2 - Weakness: often a lack of respect for the skill sets that other team members bring to the table #CMEchat

PSB_CME        T2: Or the MDs who think that their education does not apply to allied health professionals #CMEchat

dean_jenkins     T2 Interprofessional Education can lead to barriers such as "not learning with them" and "they don't understand"  #cmechat

BrianSMcGowan            T2: ACGME data: IPE was related to greater resident satisfaction w/ learning & overall training experiences t.co/cNSIg3S5 #CMEchat

bajammal          T2 Pros: realistic, makes sense, enrich the learning experience #cmechat

greyelmy           T2 strengths = wholistic review of a problem - often able to address practical barriers - can build trust across professions #CMEchat

BrianSMcGowan            T2: "It's no longer enough for HCPs to be professional...health workers also nd 2 b interprofessional.” t.co/cNSIg3S5 #CMEchat

improvecme      T2 One of the challenges of IPE is that while these people work in teams, they may mostly be used to separate CME/CE. #CMEChat

BrianSMcGowan            especially this: T2: "Mutual respect and trust are foundational to IPE & collaborative care" t.co/cNSIg3S5 #CMEchat

jjuch     @drerikbrady T2 "often a lack of respect for other team members" so you need to edu planning committee as much as learners #cmechat

dean_jenkins     T2 Have been trying to get Interprofessional Learning going in various countries between docs and nurses ... but much resistance. #cmechat

drerikbrady       T2 - Strength: Lots of accountability, a team-developed solution requires buy-in from the entire team #CMEchat

PSB_CME        T2: Strength: one hand knows what the other hand is doing #CMEchat

BrianSMcGowan            @improvecme - and weakness is that faculty lectures are largely incongruent w/ IPE ..so planning is a challenge. #CMEChat

dean_jenkins     T2 Interprofessional Education has the advantage of being closer to the workplace and more relevant to the real issues. #cmechat

bajammal          T2 Weaknesses: "Who are you to teach me?" "Listen to me I am a doctor" responses which are detrimental in the learning environment #cmechat

jjuch     @improvecme T2 "they may mostly be used to separate CE" even if not the case, they still tend to sit in room by profession #cmechat

BrianSMcGowan            but the hand has five fingers...RT @PSB_CME: T2: Strength: one hand knows what the other hand is doing #CMEchat

improvecme      T2 IPE strength: when effective, it illuminates different perspectives of team members to each other. Fosters understanding. #CMEChat

bajammal          RT @PSB_CME: T2: Strength: one hand knows what the other hand is doing #cmechat

jjuch     T2: strength: shows how roles/functions complement each other #cmechat

BrianSMcGowan            T2: weakness is that planning IPE is MUCH more challenging than planning a pedagological program. IPE much more facilitation. #CMEchat rite?

drerikbrady       @improvecme Totally agree. I think this requires a strong, perhaps neutral, facilitator though. #CMEchat T2

CMEChat          T3 – much of learning is based on past experience, how might we ensure that IPE learners have common starting ground? #CMEchat

dean_jenkins     T2 in the NHS at the moment there is fear that one hand gives and the other takes away. #cmechat

jjuch     T2: weakness: requires buy-in of planning committee as well as learners to work #cmechat

BrianSMcGowan            4 IPE General Competencies: values/ethics, roles/responsibilites, interprofessional communication, & teamwork t.co/cNSIg3S5 #CMEchat

bajammal          RT @dean_jenkins: T2 in the NHS at the moment there is fear that one hand gives and the other takes away. #cmechat

greyelmy           In hospitals, HCP teams already do this in a lot of arenas (meet to learn and improve PT across professions)  #CMEchat

bajammal          RT @BrianSMcGowan: 4 IPE General Competencies: values/ethics, roles/responsibilites, communication, & teamwork t.co/EZEGiN0y #cmechat

BrianSMcGowan            T3: participants must have trust and perspective to be open to IPE. w/o this all effort is wasted. educator becomes psychologist #CMEchat

jjuch     T3: one suggestion I heard is to have representative learners detail roles/beliefs/expectations to make what's unspoken spoken #cmechat

PSB_CME        T2: IPE strength- can highlight gaps in care- what is missing when the patient transitions through the care process #CMEchat

claireOT            @BrianSMcGowan @dean_jenkins not  professionals...experts! #CMEChat

greyelmy           @greyelmy oops - meet to improve patient care across professions (many models already exist) #CMEchat

drerikbrady       T3 - i would argue that data is starting pt, set the table with hard data on the issue at hand = the team can move on a solution #CMEchat

jjuch     @BrianSMcGowan "participants must have trust and perspective to be open to IPE" need to tell/show them what's in it for them #cmechat

BrianSMcGowan            t3: problem-based learning seems to be even more important for IPE...as is formative assessment via engagement (to course correct) #CMEchat

improvecme      T3 Start w/data on team performance/pt outcomes to identify issues that need to be addressed. Solving problem can be common ground #CMEChat

bajammal          RT @jjuch: T3: one suggestion is to have representative learners detail roles/beliefs/expectations to make whats unspoken spoken #cmechat

BrianSMcGowan            @drerikbrady - this may be 1 time that data has to take a back seat to perception...have to be sure everyone sees data the same way #CMEchat

Sarah_drmatt1   T3 Use IPE early in training when students may come from a similar baseline. #CMEchat

jjuch     "T3: need to have planners and learners re-assess what they ""know"" about scope of practice of other specialties/professions

 #cmechat"

dean_jenkins     Good question RT @CMEChat: T3 – much of learning is based on past experience, how might we ensure [a] common starting ground? #cmechat

BrianSMcGowan            T3: nursing training and physician training are very different - this is a huge barrier to IPE - different cultures. #CMEchat

dean_jenkins     T3 A needs assessment is essential (as always) and the activities must be relevant to the clinical work.  #cmechat

BrianSMcGowan            @dean_jenkins - flattery will get you everywhere... #cmechat

rmtyner T3 hidden curriculum for physicians could be a huge barrier to IPE #CMEchat

PSB_CME        T3: Pre-evaluation, pre-tests, pre-focus groups- get to the root of their needs, not just presuming. #CMEchat

InstituteCME     T3: Hi all!  Assessment of the individual learners & customized educational learning objectives  confirmed by the target learners. #cmechat

bajammal          RT @BrianSMcGowan: nursing training and physician training are very different - this is a huge barrier to IPE - different cultures. #cmechat

BrianSMcGowan            t3: @PSB_CME - seems like more work...is it worth it to many? #CMEchat

improvecme      T3: Nursing training fosters a culture of continuous performance review and improvement — very refreshing to work with them. #CMEChat

greyelmy           @BrianSMcGowan That is very true, but they also work side by side and have a lot of shared experience to draw upon for education #CMEchat

drerikbrady       @BrianSMcGowan argument is data interpretation may be issue? fair point, although w/o data, a lot of "feelings" get thrown out #CMEchat

dean_jenkins     T3 Starting point is the patient - we use case problems a lot and it helps highlight the common issues. However, knowledge varies. #cmechat

CMEChat          similar Q: T4 – when planning IPE, how does the educational planning process need to change? Does it? #CMEchat

bajammal          @improvecme One of my best learning experiences was attending a nursing research workshop.  #cmechat

BrianSMcGowan            t3/t4: seems like much of the suggestion focus on more effective educational planning, but are there essential differences? #CMEchat

PSB_CME        @BrianSMcGowan Is it really more work or just planning better education?  A simple online pre-evaluation would focus the content #CMEchat

BrianSMcGowan            RT @bajammal: @improvecme One of my best learning experiences was attending a nursing research workshop.  #cmechat #rnchat ;-)

jjuch     T4: need to rethink how we form planning committee (more representative) and sit at roundtable (not rectangle table w doc at head) #cmechat

bajammal          T4 IPE planning needs to be interprofessional  #cmechat

rmtyner I have a question: do you think that each discipline should have separate learning objectives? #CMEchat

BrianSMcGowan            depends on goal? RT @rmtyner: I have a question: do you think that each discipline should have separate learning objectives? #CMEchat

BrianSMcGowan            a great comment! RT @CME_COACH: T4 – research of systems design within possible IPE environments as part of the gap analysis. #CMEchat

PSB_CME        T4: Bring more/different planners to the table- away from "expert opinion" of 1 or 2 docs.  #CMEchat

improvecme      T4: While knowledge/competence still important components of the IPE, process review in system becomes key to making improvements. #CMEChat

dean_jenkins     @meducate sorry we've finished. Nothing to see here. :-) #cmechat

bajammal          @rmtyner If each discipline has their own learning objectives, it is not (INTER) anymore #cmechat

BrianSMcGowan            T4: we may find that IPE targets different petals of Bloom's flower #CMEchat

meducate          #cmechat @rmtyner objectives need to fit needs, so it will vary based on the activity.  Sometimes yes, sometimes no

jjuch     @rmtyner "each discipline...separate LOs" tough one cause while roles are diff, don't want to reinforce silos that already exist #cmechat

dean_jenkins     @rmtyner each learner should have their own personal learning objectives. #cmechat

BrianSMcGowan            @bajammal - unless those objectives support the effort that each discipline needs in order to be more interprofessional?  #cmechat

meducate          In addition to activity objectives...RT @dean_jenkins: @rmtyner each learner should have their own personal learning objectives. #cmechat

drerikbrady       @rmtyner Yes. #CMEchat

BrianSMcGowan            t4: but the needs assessment and planning MUST focus on the intersection of professions...why is IPE the needed solution. #CMEchat

blinemedical      RT @CMEChat: similar Q: T4 – when planning IPE, how does the educational planning process need to change? Does it? #CMEchat

BrianSMcGowan            T4: seems like focus groups might have special value when planning IPE...get private feedback, but also get public feedback #CMEchat

bajammal          @BrianSMcGowan Then they become "common" objectives to reach the "interprofessional" status #cmechat

drerikbrady       @bajammal @rmtyner Not sure I agree here, each discipline may have their own objectives as long as the goal is common #CMEchat

meducate          #cmechat T4 Plan together to education together should be the approach...define objectives this way as well \

BrianSMcGowan            @bajammal - may be nuance...nurses may specifially need to learn to put up w/ docs BS, whereas docs need to provide less BS ;-) #cmechat

InstituteCME     @BrianSMcGowan before - in planning and after- for outcome study! #cmechat

meducate          @drerikbrady #cmechat I have to agree with @bajammal and @rmtyner there are times that collaborative objectives can work

CMEChat          T5 – when assessing IPE, how does the assessment process take in the various segments of the audience? #CMEchat cc: @CME_COACH

jjuch     @BrianSMcGowan might also want to do individual interviews since non-MDs often get quiet on planning calls w docs #cmechat

bajammal          @BrianSMcGowan That's a tough goal to reach :) #cmechat

meducate          #cmechat T5 assessment is related directly related to objectives, so evaluate based on what you are tying to accomplish

BrianSMcGowan            t5: the challenge is that we have few if any well defined measures of team work...#CMEchat

dean_jenkins     Good point RT @bajammal @rmtyner If each discipline has their own learning objectives, it is not (INTER) anymore #cmechat

meducate          #cmechat T5 @BrianSMcGowan good point - but we have to set those standards

drerikbrady       @meducate @bajammal @rmtyner danger is broad objs may result, i prefer very narrow, actionable objs, i'll never say never though #CMEchat

bajammal          T5 We have to agree first. If each one has different objectives, then each one will have different assessment #cmechat

dean_jenkins     T4 individuals will have their own objectives but they need to include the interdisciplinary issues. #cmechat

BrianSMcGowan            t5: could force ourselves to accept subjective measures...#CMEchat Assessment of IPE depends on the goals certainly

improvecme      T5: More subjective measures might look at positive team interaction. More objective might look at process outcomes. #CMEChat

meducate          @drerikbrady #cmechat Understood but in the area of IPE, we need to set these objectives with the idea of evaluation in mind

bajammal          T5 If each one has different objectives & assessment, that is more of MULTIPROFESSIONAL education (not INTER) #cmechat

drerikbrady       @meducate Couldn't have said it any better. #CMEchat T5

meducate          @improvecme #cmechat good point, Derek

BrianSMcGowan            #totd RT @improvecme: T5: subjective measures might look at +ive team interaction. More objective might look at process outcomes. #CMEChat

bajammal          RT @dean_jenkins: T4 individuals will have their own objectives but they need to include the interdisciplinary issues. #cmechat

CMEChat          Thx for participating in #CMEchat. Discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

CMEChat          As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

CMEChat          The real impact of the #CMEchat lies in your action - please engage others to participate & take action on things your have learned! G’day!

drerikbrady       @dean_jenkins @meducate This is the point i've been trying to make T4 #CMEchat

CMEChat          Question for the group: would you appreciate if one #CMEchat per month was run as a journal club? more homework, but unique learning opp...

improvecme      #CMEchat great today — learned from all your insights!

PSB_CME        T5: Ask IPE questions, get IPE answers (hopefully).  #CMEchat

bajammal          RT @CMEChat: would you appreciate if one #CMEchat per month was run as a journal club? more homework, but unique learning opp... #cmechat

BrianSMcGowan            another great #CMEchat today. thanks again for sharing and thanks for @bajammal for 'traveling' so far to join us!

BrianSMcGowan            @drerikbrady - this was (and still is) on the table...but thought is to simplify for now since 'membership' is still smallish...#CMEchat

greyelmy           @CMEChat yes! #CMEchat

bajammal          @BrianSMcGowan Forgot to ask you: What is the prize for the furthest distance travelled?? :) #cmechat

BrianSMcGowan            if interested in #CMEchat journal club: please share articles that you would like to cover and let us know if you want to host!

drerikbrady       @bajammal @BrianSMcGowan Please accept this award for Outstanding Achievement in the Field of Excellence #CMEchat

meducate          @drerikbrady @BrianSMcGowan @bajammal Actually, Sohail, the prize is free lifetime membership in #cmechat

Sarah_drmatt1   Happy to join a journal club type #CMEchat if I am free. See you all next week.

meducate          @bajammal @drerikbrady @BrianSMcGowan I use TweetDeck with a column dedicated to #cmechat

theCMEguy       Sorry to miss #CMEchat. Forced (yes, forced!) to make an IKEA run w/ the wife. She makes me carry the heavy stuff #mytruetalent

BrianSMcGowan            same here. RT @meducate: @bajammal @drerikbrady @BrianSMcGowan I use TweetDeck with a column dedicated to #cmechat

BrianSMcGowan            @Sarah_drmatt1 - let me know what kinds of topics you are interested in...always looking for new suggestions! #CMEchat

drerikbrady       @meducate @bajammal I use hootsuite, with a column dedicated to #CMEchat

greyelmy           T5 have to also evaluate the questions you are asking - are you getting the data you need moving into the next program #CMEchat

BrianSMcGowan            @MedPedsDoctor - b/c w/o the context of the 'essence' the quotes themselves appear arbitrary...it is the missing context that hurts #CMEchat

theCMEguy       @BrianSMcGowan Oh, no one does that. Er...ahem. #cmechat

JediPD On the fly: T: After the lecture ask what audience liked best and least (5 minutes) Limit to One sentence answers (verbal) #CMEchat

MedPedsDoctor            What a fun chat this was.  It is gr8 to see so many really thinking about how docs learn!  Next challenge: integration of CME & GME #CMEchat

BrianSMcGowan            @MedPedsDoctor - i thought @theCMEguy was solving that problem on his pinterest account? #CMEchat

BrianSMcGowan            Thanks to all that joined...great chat...perhaps one of our best! (summative feedback) #CMEchat

theCMEguy       “@BrianSMcGowan: Thanks to all that joined...great chat...perhaps one of our best! (summative feedback) #CMEchat” >> Agreed!

MedPedsDoctor            Voltaire: "I disagree wholeheartedly what you say but defend to the death your right to say it" Love these respectful chats! #CMEchat

improvecme      T3 afterthought: Ask faculty "What do you want participants to do differently in their patient care after completing the CME?" #CMEChat

drerikbrady       Enjoyed it everyone.  Have a great week!  #CMEchat

drerikbrady       @improvecme I've personally asked that very question countless times.  It's a winner #CMEchat #winning

improvecme      Learned a lot from #CMEChat today. Recommended TOTD by Erik Brady: T1 - a needs assessment that ignores prior outcomes is missing the boat.

PSB_CME        Great #CMEchat today.  Demonstrated that education should be ongoing- I could have continued for another few hours!

improvecme      T3: Also ask faculty "Why aren't clinicians already doing the specific things you want them to do in the care of these patients?" #CMEChat

From User           Tweet

meducate           Don't forget #cmechat today at 11am Eastern. We'll be talking mentoring, coaching and teaching teachers in CME

PSB_CME            I'm excited for #CMEchat today...now that I have actual time to do it.

meducate           Who gonna be #CMEChat ting today?

meducate           Three minutes to #cmechat —- get ready, folks...the pace is going to make your heads spin

meducate           Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

meducate           Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

meducate           Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

meducate           Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

meducate           Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

meducate           Rule5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

meducate           Rule6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

meducate           Rule7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

ChargeAheadMktg          @meducate Glenn, marketing pro, Milford, CT. Buzzing on outskirts of #cmechat today while multitasking on conf call.

meducate           As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

meducate           As with each #CMEchat the archive will be available at t.co/UR6mRups and archived as a pdf on t.co/hai5Qm4o

rmtyner               Michelle checking in from chilly Indiana -  #CMEchat

drerikbrady        Erik, Director or Marketing at CCO, Raleigh, NC, happy to be back after a week away #CMEchat

meducate           Welcome, @rmtyner #cmechat

meducate           Hi Erik @drerikbrady #cmechat

MedPedsDoctor               Alex Djuricich, from the great SuperBowl city of Indianapolis, bummed to miss yesterday's reg chat, but excited to chat today #CMEchat

greyelmy             Heather Guerrero, Foster City, CA #cmechat

spelletier             Sue here in Mass., still missing sailing in the Grenadines. But this is almost as good ;-) #cmechat

dean_jenkins    Hi. Dean Jenkins here, UK, joining in to  #cmechat

meducate           On #cmechat we are going to focus on personal development, mentoring and coaching...welcome @dean_jenkins and others

marketingveep #CMEchat newbie, Kelli Schmith from Indy. customer marketer, sales enablement. recovered VP, now advisor to business owners.

meducate           Y'all ready for #cmechat T1?

meducate           Welcome! @marketingveep #cmechat is a warm and happy place...sort of

rmtyner               #bringiton RT @meducate: Yall ready for #cmechat T1? #CMEchat

dean_jenkins    w00t! Being mentored by @meducate on  #cmechat

MedPedsDoctor               For the record, it is clear to me that the city of Indianapolis wins for having 3 people on this current chat.  #indyrocks #CMEchat

meducate           @MedPedsDoctor Or you are just bored with the super bowl crowds gone! #cmechat

meducate           #CMEChat T1 How have you used mentoring to grow personally and professionally in your CME career?

PSB_CME            Well hello, #CMEchat.  Pam here from SCCT (in new role).

dean_jenkins    @PSB_CME ooh new role?  #cmechat

meducate           Oh, pre-question 1 #cmechat - where in the world am I today?

dean_jenkins    @MedPedsDoctor Super what? #cmechat

meducate           For T1 #cmechat I am interested in your experiences mentoring and being mentored

MedPedsDoctor               Just did an informal mentoring session 3 minutes ago with a faculty member on using QI in the ambulatory setting #CMEchat

PSB_CME            T1: I was very lucky to have Dr. Havens as my mentor...It inspired passion for Med Ed.  Plus, @meducate has given me pointers! #CMEchat

marketingveep @meducate thanks for the welcome to #CMEchat and the mini-disclaimer

meducate           #cmechat T1 @MedPedsDoctor - #ambulatorymentoring

dean_jenkins    T1. I had a great mentor early in my medical education career. Senior colleague at Cardiff University. Fantastic experience.  #cmechat

rmtyner               T1 have been fortunate enough to have great mentors and leaders who lead by example as i have grown in CME  #CMEchat

ChargeAheadMktg          T1: i've had the good fortune of being mentored by people in CME & have "paid it back" by passing along wht i know to younger folks #cmechat

rmtyner               Where in the world is @meducate.... i guess California??  #CMEchat

marketingveep @MedPedsDoctor #indy SO rocks! Glad to represent on #CMEchat today

meducate           @rmtyner Ahem, #foursquare wasn't any help there was it? #cmechat

meducate           #cmechat T1 Have any of you used what mentors have taught you when mentoring others?

drerikbrady        t1: Mentoring has been critical, especially in a field that everyone stumbles into, i try to pass on as much as i can #CMEchat

MedPedsDoctor               Informal mentoring is my favorite.  Equivalent to the learning from "hallway convos" at national meetings.   #CMEchat

meducate           @MedPedsDoctor Agree re informal mentoring - I have had fortunate opportunities to serendipitously mentor #cmechat

dean_jenkins    T1 I think mentoring is undervalued generally. Mixed up with 'assessment' too often. #cmechat

PSB_CME            T1: What I've learned- sit back, deep breath, Rome wasn't built in a day.  What I mentor: it can be done but takes time. #cmechat

drerikbrady        @meducate absolutely, the talks that i give on question item writing and outcomes are always evolving based on chats with peers T1 #CMEchat

meducate           Moving into T2 for #cmechat —- there is a logical flow....hold that thought @dean_jenkins

dean_jenkins    RT @rmtyner: T1 have been fortunate enough to have great mentors and leaders who lead by example as i have grown in CME  #cmechat

marketingveep @meducate fortunate to b Mentored in 1st job, a relationship that lasted 10+ yrs. today, #mentoring is my MO. #CMEchat

meducate           #CMEChat T2 Where do you see opportunities for mentoring to improve the current state of the profession of CME?

meducate           @marketingveep You can tweet #mentoring tips with that hashtag - I do all the time #cmechat

marketingveep @meducate Lunching 2day w/ a fellow I've mentored at 3 dif companies in fact. #CMEchat

MedPedsDoctor               T2. Let's mentor docs to really understand ramifications of Sunshine Act.  Have 24 hrs to respond. #BHAG #CMEchat

dean_jenkins    Join #CMEchat for some great #mentoring in continuing education in the health professions.  #cmechat

meducate           @MedPedsDoctor #cmechat You can't mentor anyone to understand, just when and how they should try to understand

meducate           T2 folks, come on! #CMEChat T2 Where do you see opportunities for mentoring to improve the current state of the profession of CME?

PSB_CME            T2: Work with other mentors- we each have our strengths.  Some know compliance(!), some are better with adult learning.  #CMEchat

meducate           Well if no one else will, here goes: T2 #cmechat - Each of us should find 1-2 people to mentor in CME to help make it better

PSB_CME            T2: Be willing to admit "I don't know that, why don't you ask ______________" #CMEchat

meducate           Important and we shold all do this! RT @PSB_CME: T2: Be willing to admit "I don't know that, why don't you ask ______________" #CMEchat

PSB_CME            T2: Mentoring should be collaborative- also understand the gaps of your mentee...don't assume what they know/don't know. #CMEchat

meducate           Lots of alleged #cmechat participants, but where are the tweets?  Tick, tock, tick, tock...no T3 until you all answer T2 :)

dean_jenkins    T2 see mentoring as an important aspect of your own career and how you can change the CME profession.  #cmechat

drerikbrady        T2 - I check in with people that i have mentored to see how they have evolved and to see if i have other things to offer #CMEchat

meducate           @drerikbrady #cmechat Have many of your mentees gone on to mentor others?  Many of mine have and I find it very rewarding

rmtyner               T2 the only way to move CME forward is to get the newest professionals involved... not always done #CMEchat

meducate           How do you do this? RT @rmtyner: T2 the only way to move CME forward is to get the newest professionals involved... not always done #CMEchat

dean_jenkins    @MedPedsDoctor T2 - how would you pick mentors and mentees at national meetings? #cmechat

drerikbrady        T2 - sadly, i usually only check in with mentees at ACEHP meetings #CMEchat

meducate           Formalize the process like #acehpRT @dean_jenkins: @MedPedsDoctor T2 - how would you pick mentors and mentees at national meetings? #cmechat

greyelmy             T2 I am mentoring a few people but dont have a mentor other than #CMEchat! #cmechat

meducate           I mentor those and others beyond the meeting...RT @drerikbrady: T2 - sadly, i usually only check in with mentees at ACEHP meetings #CMEchat

MedPedsDoctor               I like the concept of reverse mentoring: that way, everyone learns:  t.co/KIY9l4yP  #CMEchat

rmtyner               i am speaking from when i was new... it wasn't until i was in the industry 5 years that someone offered to be my mentor #CMEchat

meducate           Should always be the case RT @MedPedsDoctor: I like the concept of reverse mentoring: s:  t.co/2ou9yRtI  #CMEchat

drerikbrady        @meducate as i understand it, many have shared what i have, and a number wind up pointing others back to me = more #mentoring #CMEchat

MedPedsDoctor               @dean_jenkins SGIM has done this for many years.  Ask newbies 3 "areas of interest": match with mentors.  Set up B4 mtg to meet #CMEchat

meducate           #CMEChat T3 There seem to be a lot of professional coaches on Twitter. Is there a place for coaching in CME?

PSB_CME            T2: Mentees should not be scared to reach out to their mentors or others...like I do with @drerikbrady @meducate etc. #CMEchat

ChargeAheadMktg          T2: need way to aggregate those w/ experience who are willing to mentor, so u can find/meet people outside of ur local universe or #cmechat.

dean_jenkins    @greyelmy mentors need mentoring too (until they become 'too' important) #cmechat

meducate           When does this happen? RT @dean_jenkins: @greyelmy mentors need mentoring too (until they become 'too' important) #cmechat

dean_jenkins    @MedPedsDoctor sounds a good way to do it. Mentee-led choice. #cmechat

PSB_CME            Maybe we as a community should make a master list of strengths to share with those new to CME?  #CMEchat

MedPedsDoctor               @drerikbrady Opportunity to make this your personal commitment to change.  "I will contact mentee at least 3X in next year" #CMEchat

PSB_CME            T3: Professional coaching for $$$$ or pro bono?  #CMEchat

meducate           Psst....#CMEChat T3 There seem to be a lot of professional coaches on Twitter. Is there a place for coaching in CME?

meducate           Ah, the root of the issue...glad it came up so quickly! RT @PSB_CME: T3: Professional coaching for $$$$ or pro bono?  #CMEchat

greyelmy             @dean_jenkins Absolutely agreed. #cmechat

dean_jenkins    When they join policy committees. :-) RT @meducate when? RT @dean_jenkins until they become 'too' important #cmechat

drerikbrady        T2 - powerful thing about a good mentor/mentee combo is that the passage of time doesn't matter, easy 2 pick up where U left off #CMEchat

MedPedsDoctor               T3. Gr8 article on coaching/mentoring from colleagues at Duke: t.co/XP97mjl1  #CMEchat

meducate           RT @MedPedsDoctor: T3. Gr8 article on coaching/#mentoring from t Duke: t.co/pj8dHs4g  #CMEchat

ChargeAheadMktg          T3: yes, always room for coaching on CME-related issues (compliance) or prof development issues that impact your role in CME #cmechat

dean_jenkins    T3 Sounds like a business plan. #CMEchat professional coaches will see you now [for mentoring].  #cmechat

meducate           #cmechat so you see the difference between a coach and a mentor is fee vs free T#?

drerikbrady        T3-currently? I'm not aware of any. But i point people in directions that make sense when i'm not the best resource #CMEchat

PSB_CME            T3: I am not a fan of some (not all) CME consultants who make money on being CME experts instead of teaching CME independence #CMEchat

meducate           T3 #cmechat Whenever I see someone call themselves a "coach" I always wonder what their qualifications really are

PSB_CME            T3: If coaching is for $$, and mentoring is for free, mentoring teaches sustainability while coaching leads to dependence #CMEchat

dean_jenkins    T3 Coaching has different connotations too - perhaps more proscriptive.  #cmechat

PSB_CME            @meducate Well....we do have our own @CME_COACH, but she's a wonderful resource!  #CMEchat

meducate           That's different...it's only a name! RT @PSB_CME: @meducate Well....we do have our own @CME_COACH, but she's a wonderful resource!  #CMEchat

drerikbrady        @PSB_CME those folks need to put food on the table too, their market isn't so much "us" T3 #CMEchat

meducate           Regardless of definition of coaching and mentoring, T4 in #cmechat is coming up

meducate           #CMEChat T4 Do mentoring and coaching have a role in the professional development of educators - in teaching teachers to teach?

rmtyner               T3 i think of a "coach" as more intensive... i have nightmares of basketball drills... mentor is such a better connotation to me :) #CMEchat

dean_jenkins    Great pace-setting coach! RT @meducate: Regardless of definition of coaching and mentoring, T4 is coming up #cmechat

meducate           @dean_jenkins #cmechat Thanks, but I'm a mentor :)

meducate           Soo....#CMEChat T4 Do mentoring and coaching have a role in the professional development of educators - in teaching teachers to teach?

drerikbrady        T3 - no diff between coach and mentor, the learner/mentee is what makes the diff, either you want 2 be self-sufficient, or you dont #CMEchat

MedPedsDoctor               T4. Teaching teachers to teach: I've been fortunate that our institution has supports Stanford Fac Devel Model for many yrs #CMEchat

meducate           @drerikbrady  T3 #cmechat So mentoring is self-directed and pace is set by the mentee?

rmtyner               T4 Yes - we have to enable experts to better teachers! #CMEchat

meducate           I think that they are often mutually exclusive groups RT @rmtyner: T4 Yes - we have to enable experts to better teachers! #CMEchat

dean_jenkins    T4 yes mentoring of educationalists is very important.  #cmechat

drerikbrady        T4 - the minute i think that i'm unable to be mentored or coached, i have outlived my usefulness in this field #CMEchat

MedPedsDoctor               T4. Stanford Fac Dev Prog for Medical Teachers: t.co/4wV8iyZb  #CMEchat

meducate           +1 RT @drerikbrady: T4 - the minute i think that i'm unable to be mentored or coached, i have outlived my usefulness in this field #CMEchat

drerikbrady        @meducate Yes, i believe the mentee is in the driver seat when it comes to learning, the mentor can provide some structure #CMEchat T3

dean_jenkins    T4 Mentors could help prevent re-inventing the wheel with each 'emerging' technology.  #cmechat

meducate           @drerikbrady T3 #cmechat I am of the believe that it is more like drivers ed, with dual controls.  Both mentor and mentee can drive!

rmtyner               agree!RT @meducate: T4 I think that many CME faculty and providers in the US have no basic educational training & this is a problem #CMEchat

dean_jenkins    +1 RT @drerikbrady: @meducate I believe the mentee is in the driver seat when it comes to learning T3  #cmechat

drerikbrady        Extending my previous thought, yes, we should absolutely continue to mentor each other on becoming better at what we do #CMEchat T4

PSB_CME            T4: Absolutely.  I wish I had been able to complete my poster for #acehp12 on "Educating the Educators" #CMEchat

greyelmy             T4 yes! Just because they are an expert in their field does not mean they are great educators. Always room for growth. #cmechat

MedPedsDoctor               T4. Sometimes the mentors aren't up to snuff with emerging technologies.  #stillscoffedforusingTwitter They can learn too! #CMEchat

meducate           @drerikbrady T4 #cmechat I agree - sort of like mentors mentor other mentors as well as mentees.  Then mentees become mentors

drerikbrady        @meducate That's a big +1, we have a lot of t crossers and i dotters.  T4 #CMEchat

meducate           @dean_jenkins But very true #cmechat

meducate           #cmechat Formative assessment moment - is the pace ok for youse guyz?

dean_jenkins    Who's the uber-mentor? RT @meducate: @drerikbrady T4 #cmechat I agree - sort of like mentors mentor other mentors ... #cmechat

meducate           @dean_jenkins That'll be question 5, DJ...#cmechat

MedPedsDoctor               @meducate Your model is akin to the Star Wars trilogy (x 2).  Anakin/Obi Wan —> Luke Skywalker mentor"ship" #CMEchat

bajammal            RT @meducate: #cmechat T4 I think that many CME faculty and providers in the US have no basic educational training and ... #Cmechat

meducate           @bajammal Welcome to #cmechat, my friend!  All, welcome Sohail from #saudimeded

dean_jenkins    Perhaps @CMEhulk is the uber-mentor?  #cmechat

UFUKAPAYDIN  RT @meducate: Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

UFUKAPAYDIN  RT @meducate: Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

UFUKAPAYDIN  RT @meducate: Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

UFUKAPAYDIN  RT @meducate: Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

dean_jenkins    @MedPedsDoctor coaching leads to dependency, dependency leads to hate, hate leads to the dark side?  #cmechat

UFUKAPAYDIN  RT @meducate: Rule5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

meducate           @dean_jenkins T3 #cmechat Nah, @CMEHulk is still a little green!

UFUKAPAYDIN  RT @meducate: Rule6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning

UFUKAPAYDIN  RT @meducate: Rule7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

bajammal            @meducate Sorry for the late joining & thanks for the intro #Cmechat

meducate           Folks...T5 is coming up in #cmechat

drerikbrady        i've had success working with faculty on question writing, they know that they don't have expertise there, we have to sell that #CMEchat T4

UFUKAPAYDIN  RT @meducate: As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

MedPedsDoctor               @dean_jenkins If my coaches led to hate, I'd get a new coach. #CMEchat

dean_jenkins    We have a troll!  #cmechat

UFUKAPAYDIN  RT @meducate: As with each #CMEchat the archive will be available at t.co/UR6mRups and archived as a pdf on t.co/hai5Qm4o

meducate           Sounds like college football in the US! RT @MedPedsDoctor: @dean_jenkins If my coaches led to hate, I'd get a new coach. #CMEchat

PSB_CME            T4: With educators, "content experts" doesn't always mean good education...there's a link between knowledge and delivery. #CMEchat

meducate           Here come's T5 #cmechat

PSB_CME            RT @meducate: @dean_jenkins T3 #cmechat Nah, @CMEHulk is still a little green!

meducate           #CMEChat T5 If you could pick your own CME mentor or coach, who would it be and why?

dean_jenkins    @meducate is football with the round ball or the oval ball in the US? :-)  #cmechat

drerikbrady        @dean_jenkins @meducate I'm not sure there is an uber-mentor, we all have our strengths #CMEchat T4

meducate           Ovoid, with stitching RT @dean_jenkins: @meducate is football with the round ball or the oval ball in the US? :-)  #cmechat

PSB_CME            T5: Oh dear!  Way to put us on the spot... #CMEchat

meducate           @PSB_CME T5 Not at all #cmechat

bajammal            RT @meducate: #CMEChat T5 If you could pick your own CME mentor or coach, who would it be and why? #Cmechat

PSB_CME            T5: For my needs, right now, I'd pick @drerikbrady since I'm going to have to work with faculty on test-item writing. #CMEchat.

PSB_CME            T5: And he's a swell guy.  #CMEchat.

drerikbrady        T5 - honest truth is that there is no single person, i pull on someone's expertise when i need it, for a variety of reasons #CMEchat #copout

bajammal            @meducate T5: #goodmentor :) #Cmechat

dean_jenkins    T5 I think it would be a theorist and possibly different ones for different types of projects. #cmechat

drerikbrady        @PSB_CME Happy to have your back. #CMEchat T5

meducate           T5 #cmechat That isn't a #copout @drerikbrady that's called honesty!

PSB_CME            T5: For better overall teaching my physicians how to be better educators, I'd use @meducate.  #CMEchat

meducate           #cmechat thanks! RT @UFUKAPAYDIN: @meducate hi Lawrence, we are following from Istanbul too. ;) ready to hear and learn, thank you.

rmtyner               T5 in addition to my current mentor - i would add @meducate and @drerikbrady  #CMEchat

PSB_CME            T5: *taps fingers, desperately waits for someone who needs compliance mentoring* #CMEchat

meducate           Happy to see global participation from @UFUKAPAYDIN in Turkey, @dean_jenkins in the UK and @bajammal in Saudi Arabia this week #cmechat

meducate           T5 #cmechat @PSB_CME Those that need compliance mentoring often don't know it and are certainly not here!

MedPedsDoctor               T5. I've got ideas for mentors.  My new commitment today: "I will ask a potential mentor to be my mentor". #CMEchat

drerikbrady        @PSB_CME I point people your direction, if it makes you feel any better.  I'm NOT the compliance guy...  #CMEchat T5

dean_jenkins    w00t! RT @meducate: global participation from @UFUKAPAYDIN in Turkey, @dean_jenkins UK and @bajammal in Saudi Arabia this week #cmechat

drerikbrady        RT @meducate: T5 #cmechat @PSB_CME Those that need compliance mentoring often don't know it and are certainly not here!

bajammal            @drerikbrady T5: Agree with you. It depends on the project. #Cmechat

meducate           Time to wind down #cmechat...

PSB_CME            @CME_COACH Excellent!  Identifying PPG of mentees!  #CMEchat

JediPD  "@meducate T5 Response on the fly:

You with your sense of humor! #CMEChat"

meducate           Thank you for participating in #CMEchat. All tweets herein are assumed to be personal opinion & not that of you current or past employers.

meducate           As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

drerikbrady        @rmtyner @meducate Happy to help however I can, Michelle. #CMEchat

rmtyner               #TOTD RT @meducate: T5 @PSB_CME Those that need compliance mentoring often dont know it and are certainly not here! #CMEchat

meducate           The real impact of the #CMEchat lies in your action - please engage others to participate & please take action on things your have learned

meducate           "#totd #shameless RT @JediPD: @meducate T5 Response on the fly:

You with your sense of humor! #CMEChat"

dean_jenkins    Thanks @meducate for today's  #cmechat

meducate           @MertAtmaca_  Hope that this helped!  Use #cmechat to engage the group!

MedPedsDoctor               Thanks for chat.  Off to journal club.  More learning.  Awesome! #CMEchat

meducate           @MedPedsDoctor #cmechat Be well, Alex.  Regards to the family!

dean_jenkins    @drerikbrady sorry I was only joking. It would be a dictatorial world if we had an uber-mentor.  #cmechat

PSB_CME            @dean_jenkins :) You kids across the pond won't listen to me anyway. #CMEchat

rmtyner               I miss journal clubs... RT @MedPedsDoctor: Thanks for chat.  Off to journal club.  More learning.  Awesome! #CMEchat

bajammal            RT @meducate: The real impact of the #CMEchat lies in your action - please engage others to participate & please take action... #Cmechat

dean_jenkins    Try #twitjc on Sundays. RT @rmtyner: I miss journal clubs... RT @MedPedsDoctor: Thanks for chat.  Off to journal club. #cmechat

bajammal            RT @dean_jenkins: T4 Mentors could help prevent re-inventing the wheel with each 'emerging' technology.  #cmechat

dean_jenkins    @PSB_CME I'm sure compliance is coming our way ...  #cmechat

drerikbrady        @dean_jenkins Actually, to @PSB_CME earlier point, we have some that sell themselves as uber mentors, that may be a bad thing #CMEchat

drerikbrady        good discussion today, have a great week everyone #CMEchat

dean_jenkins    If we had a 'Sunshine Act' in the UK would it be more like an 'unsettled weather probably rainy but lets talk about it Act'? #cmechat

dean_jenkins    @drerikbrady @PSB_CME agree #cmechat

PSB_CME            Thanks to rock star @meducate for this week's #CMEchat

dean_jenkins    @bajammal thanks for the RT. Will be in Saudi in April. Where are you based?  #cmechat

rmtyner               #TOTD MT @dean_jenkins: If we had a Sunshine Act in UK... more like an unsettled weather probably rainy but lets talk about it Act #CMEchat

CME_Jake           @meducate TS #CMEchat - Mentoring appears to be largely informal now, and not just within the MedEd community. Cognitive dissonance matters

CME_Jake           @meducate #CMEchat T3 - Certainly there is room for coaching

CME_Jake           @meducate #CMEchat T5 - Most people who i see as mentors do not realize the impact that they make, and don't believe me when I tell them.

meducate           @CME_Jake Sorry that you missed the #cmechat earlier...I'll hope that the chatters will send some good responses!