CME Advocate by @briansmcgowan                                    
CME Advocate

#CMEChat 78: Focus on post-test/summative assessment

A small but open crowd joined us this week to discuss the following topics:

  • We have talked about assessment a few times over the past 2 years; 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

The archive can be reviewed below, or downloaded Here:

User                                      Tweet

BrianSMcGowan              Join us in 3 hours for #CMEchat 78 as we share best practices in post-test/summative assessment! #meded

BrianSMcGowan              Leading from the middle: Constrained realities of clinical leadership in healthcare orgs http://t.co/iC2OMXItD7 #meded #CMEchat #mdchat

BrianSMcGowan              Social Constructivist Teaching Strategies in the Small Group Classroom http://t.co/PO6rPtCYSY #meded #CMEchat #socialQI

BrianSMcGowan              Join us in 2 hours for #CMEchat 78 as we share best practices in post-test/summative assessment! #meded

BrianSMcGowan              Join us in 60 Minutes for #CMEchat 78 as we share best practices in post-test/summative assessment! #meded

theCMEguy        RT @BrianSMcGowan: Join us in 60 Minutes for #CMEchat 78 as we share best practices in post-test/summative assessment! #meded

theCMEguy        Liking the searchable hashtags in Facebook. Sadly, a search for #CMEchat only shows one guy making updates about it... #thisguy

brandeeplott     Questionable content of an industry-supported medical school lecture series: a case study. http://t.co/cauDPmGQp7 #meded #CMEchat

BrianSMcGowan              Join us in 15 Minutes for #CMEchat 78 as we share best practices in post-test/summative assessment! #meded

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

CMEChat             As we get started, please introduce yourself: Location? Focus? Favorite topics? What brings you here today? #CMEchat

CMEChat             A new question will be asked every 8-10 min or so. If you can, please include “T#...” in related responses. #CMEchat

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

CMEChat             Topics will guide the discussion, but real learning & teaching lies in your tweets - please engage. #CMEchat

CMEChat             The complete tweetstream from #CMEchat will be archived at http://t.co/iQhIRipKmr shortly after the session has ended.

BrianSMcGowan              hope all is well today in #CMEchat world! Beautiful weekend here in SE Pennsylvania...ready to learn!

theCMEguy        Derek in Chestnut Hill. Coming live from the porch #CMEchat

mbaffuto             Mike in NJ here for #cmechat Finally a sunny Monday!

triciawil Tricia in Cville...live from the desk....#cmechat

CMEChat             Should have a great theme for today... #CMEChat

elearningCME    Scott in Chicago. #cmechat

theCMEguy        At least you have a desk... RT @triciawil: Tricia in Cville...live from the desk....#cmechat

beth333SP          Beth Brillinger, Dir of Accreditation at CME Outfitters here in Blue Bell, PA. Hello! #CMEChat

dpguinee             Daniel from central NJ #cmechat

CMEChat             We have talked about assessment a few times over the past 2 years; today we focus in on post-test/summative assessment #CMEchat

triciawil @beth333SP Well hello! #cmechat

theCMEguy        My #cmechat buddy... http://t.co/t8X6DnrKnY

triciawil @dpguinee Fancy meeting you here! #cmechat

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

beth333SP          Ola! T @triciawil: @beth333SP Well hello! #cmechat

drerikbrady        Erik, from Raleigh, #CMEchat, multi-tasking today

dpguinee             Will the #cmecat be joining as well? RT @thecmeguy: My #cmechat buddy... http://t.co/WYizWuztij

BrianSMcGowan              T1: i wont be the first person to suggest that post-test/assessment planning is the FIRST thing we begin with. #Whatshouldbe #CMEChat

drerikbrady        T1: have been arguing that LOs and ?s should be developed at the outset. Doing so helps keep content dev on track #CMEchat

beth333SP          #CMEchat today I am having trouble switching from the Mac to the PC - delete and backspace keys are messing me up!

BrianSMcGowan              T1: When working early on w/ faculty the draft learning objectives are shared and the drat outcomes plan too! #CMEchat #linkedplanning

BrianSMcGowan              @theCMEguy - types of questions...styles...nuance. That is what I try to archive...poorly it seems. #CMEchat

HaleyMarie3      Hello! Haley here a little late...looks like TweetChat has a new layout! #cmechat

theCMEguy        #CMEcat is sleeping #lazy #fat RT @dpguinee: Will the #cmecat be joining as well? RT @thecmeguy: My #cmechat buddy... http://t.co/t8X6DnrKnY

dpguinee             Much agreed. Is our MO. RT @drerikbrady: T1: have been arguing that LOs and ?s should be developed at the outset. #CMEchat

theCMEguy        Does it work OK? RT @HaleyMarie3: Hello! Haley here a little late...looks like TweetChat has a new layout! #cmechat

BrianSMcGowan              T1: validation is important...really depends on the sophistication of the assessment plans and (of course) resources. #CMEchat #efficiencies

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

theCMEguy        @BrianSMcGowan I see. That makes sense. Should archive on your blog. Then we could all help you find them... #CMEchat

HaleyMarie3      @theCMEguy seems to be a few glitches - took forever to load tweets #cmechat

dpguinee             T1 One (good) challenge is making sure case-based questions align w in-content cases #cmechat.

BrianSMcGowan              @theCMEguy - doing that on the Co. blog now...along with dozens of needs assessment resources!!! #CMEchat

beth333SP          T2 we summ and report test (pre+post) results as a part of outcomes reporting. If there are interesting diff, we analyze (why, etc) #CMEchat

patrickdherron  Patrick from the #Bronx at #AlbertEinsteinCollegeofMedicine I wear many hats :) Multitasking while grading papers #CMEchat @CMEChat

MedPedsDoctor               #cmechat sorry I am late to the chat. Alex Djuricich, from Indianapolis. Ready to learn.

BrianSMcGowan              @MedPedsDoctor - congrats to you on the AMA grant!!! #meded #CMEchat

beth333SP          I am so bad at doing this on twitter - I feel like I have a muzzle on @BrianSMcGowan - can you explain more about what you mean... #CMEchat

beth333SP          We look to tell a story and yes your examples are a good start. @BrianSMcGowan: are there hypotheses in play, or gut feelings? #CMEchat

patrickdherron  T2B: MCQs limiting in some ways; Prefer focus on skills checklist demonstrating via OSCE or Recorded Sim - feels more authentic #CMEchat

MedPedsDoctor               @BrianSMcGowan I take no credit for this. Our Assoc. Dean for RIME and Exec Assoc Dean 4 Educ. were the main drivers. #CMEchat

dpguinee             like getting a doc to make his point in <20 mins?? RT @beth333sp: I am so bad at doing this - I feel like I have a muzzle on #CMEchat

theCMEguy        @BrianSMcGowan @beth333SP I look for both of those #cmechat

CMEChat             t3: did everyone see the cost/value study that used modeling to determine impact of an educational program. #CMEchat #interestingmodel

patrickdherron  @BrianSMcGowan Do you mean asking post-activity what new or additional content learners would like to be offered going forward? #CMEchat

BrianSMcGowan              @patrickdherron - not exactly...like using various approaches to understand what/why something was learned (or a skill changed). #CMEchat

CMEChat             t3: sounds like @beth333SP and @cmeoutfitters is doing some interesting behavioral stuff, is it scaling well? #CMEchat

BrianSMcGowan              T3: i am a big fan of adding layers into assessment models to separate self-report from reality and base knowledge from analysis. #CMEchat

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

theCMEguy        T4: Have done post-test via ARS, show results at end. #CMEchat

BrianSMcGowan              t1-3: I propose that we could build a layered & mixed methods model where 2 or 3 techniques are (logically) leveraged en masse #CMEchat

CMEChat             t1-3: lets see if we can summarize some of the best suggestions so far...#CMEchat

mbaffuto             @BrianSMcGowan burning question on summative assessment is how do you arrive at standard/benchmark? #cmechat

CMEChat             T1/2: @beth333SP suggested that we have a baseline outcomes plan, but be aware of interesting data points and start digging! #CMEchat

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

mbaffuto             @BrianSMcGowan what is good? any improvement is +, but expected in immed educ setting. what determines succes? translates to prac? #cmechat

BrianSMcGowan              t5: There is a lot of creative ways that we can support learners with feedback, even when they are being self-directed (1/2) #CMEchat

BrianSMcGowan              t5: ...but almost everyone that immediately comes to mind involved technology (AI) or social learning models (crowdsourcing) #CMEchat

CMEChat             Shameless Request: If you have topics that you want to have covered during #CMEchat, please let me know.

CMEChat             Thanks for participating in #CMEchat. Discussions are assumed to be personal opinion & not that of employers

CMEChat             The real impact of the #CMEchat lies in your action. Please reflect & take action on things you’ve learned!

CMEChat             The complete tweetstream from #CMEchat will be archived shortly at http://t.co/iQhIRipKmr

#CMEchat 77: Supporting learners and learning over time

The best CMEchat sessions continue to be the ones that offer participants practical advice
 - this is what we do. this is what we could do. this is why. And this week was no different. Thanks to all those who participated!

Our topics for today were as follow:

Learning is not an immediate or one-off phenomenon; it takes time & reflection. Today we talk about supporting learners over time. #CMEchat

T1 What models have you used to help learners remember what they have heard, read, or practiced over time? Pros/Cons? #CMEchat

T2 Describe your perfect support system for knowledge retention and translation over time? (over weeks/months) #CMEchat

T3 On a budget, what inexpensive support systems can we employ to support learning over time? #CMEchat

T4 What triggers do you rely on to support your learning/action over time? ‘To do’ lists? Visual Cues (post-its)? Note-taking apps? #CMEchat


The complete archive can be reviewed below or downloaded HERE:

From User           Tweet

BrianSMcGowan              Join us in 3 hours for #CMEchat 77 as we discuss supporting learners and learning over time! 11AM ET

theCMEguy        RT @BrianSMcGowan: Join us in 3 hours for #CMEchat 77 as we discuss supporting learners and learning over time! 11AM ET

BrianSMcGowan              Join us in 2 hours for #CMEchat 77 as we discuss supporting learners and learning over time! 11AM ET

myCME                Continuing Medical Education: Study Shows Accredited CME Reduces #Healthcare Costs t.co/rsVG4mKI2p #meded #CMEchat

BrianSMcGowan              Join us in 60 minutes for #CMEchat 77 as we discuss supporting learners and learning over time! 11AM ET

aCMEstory          RT @BrianSMcGowan: Join us in 60 minutes for #CMEchat 77 as we discuss supporting learners and learning over time! 11AM ET

BrianSMcGowan              Join us in 15 minutes for #CMEchat 77 as we discuss supporting learners and learning over time! 11AM ET

CMEChat             Welcome to #CMEchat. Discussions are assumed to be personal opinion &amp; not that of current, past, or future employers.

CMEChat             As we get started, please introduce yourself: Location? Focus? Favorite topics? What brings you here today? #CMEchat

CMEChat             A new question will be asked every 8-10 min or so. If you can, please include “T#...” in related responses. #CMEchat

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

CMEChat             Topics will guide the discussion, but real learning &amp; teaching lies in your tweets - please engage. #CMEchat

CMEChat             The complete tweetstream from #CMEchat will be archived at t.co/iQhIRipKmr shortly after the session has ended.

BrianSMcGowan              Good morning! We have another great theme for today...and should have some great practical advice w/i the hour! #CMEchat

BrianSMcGowan              Looking forward to see who will join us...#CMEchat

CMEChat             Learning is not an immediate or one-off phenomenon; it takes time &amp; reflection. Today we talk about supporting learners over time. #CMEchat

aCMEstory          Greselda here in the DC Metro area. Pleased to be able to participate in #CMEchat this week.

triciawil Tricia in Charlottesville!  #cmechat

BrianSMcGowan              @aCMEstory nice to have you join us! #CMEchat &gt;&gt; and thanks for all the great resources you have been sharing lately!

BrianSMcGowan              @triciawil - g'morning! #CMEchat

mbaffuto             Mike here in rain-soaked NJ. High topic interest but loonng to do list. Hoping to be able to keep one eye on #cmechat

triciawil @BrianSMcGowan Good morning to you! #CMEchat

CMEChat             let take another few moments to allow our colleagues and peers to join us! #CMEchat

triciawil @CMEChat Did I miss a holiday today?  #CMEchat

CMEChat             Good to take the time to think through how we have been supporting 'retention' and 'reflection' in learners over time! #CMEchat

BrianSMcGowan              Good to take the time to think through how we have been supporting 'retention' and 'reflection' in learners over time! #CMEchat

CMEChat             T1 What models have you used to help learners remember what they have heard, read, or practiced over time? Pros/Cons? #CMEchat

BrianSMcGowan              @triciawil - nope...but seems to be a smaller crowd this week! #CMEchat

BrianSMcGowan              T1: the classic retention/reflection models I have seen include: Recap emails. Commitment to change models. #predominate #CMEchat

triciawil T1:  Commitment to change models.  I think that involving learners in case discussions during education helps too.  #CMEchat

aCMEstory          T1 Created opportunities for extended engagement through learner-driven content, appropriate use of #edtech. #CMEchat

BrianSMcGowan              T1: also the way content is created...enumerated...visuals. may be designed to help w/ retention, but rarely do.... #CMEchat

CMEChat             T1 Think about supporting the learner 5 minutes, 5 days, or 5 weeks after the learning activity? What have you done? #CMEChat

mbaffuto             T1: recaps email reminders most common method for me. Con is that &gt;90% go unopened. Feels like "checking a box" #cmechat

BrianSMcGowan              T1: we have talked about spaced learning - and the 'question of the day' models. Lots of evidence, but rarely ever used. #odd #CMEchat

aCMEstory          T1 Encouraged application of knowledge to practice—to take action what was learned and seek feedback. #CMEchat #LearningisnotDoing

triciawil T1 Email reminders (not effective);  also informal poll of learners leaving education.  #CMEchat

CMEChat             T1: there r so many creative ideas...but so few implemented or evidence based ones. Why is the recap email our 'standard practice'? #CMEchat

mbaffuto             T1: have provided handouts in education setting for reference later (pain scales, etc.) always get great learner feedback on those #cmechat

aCMEstory          @briansmcgowan Agreed. So much I can file under things I wish I had done. I guess that's part of my own #lifelonglearning #CMEchat

BrianSMcGowan              t1: some might suggest that their outcomes programs at 30d and 90d would provide support of reflection too... #CMEchat

drerikbrady        Late to the #CMEchat party.  Erik here, from Raleigh

triciawil @CMEChat Because it's easiest to implement? #cmechat

BrianSMcGowan              T1: Seems that the more engaged at the start, the more likely you can engage in the months that follow. #truth #CMEchat

aCMEstory          T1 Email and text reminders and reinforcement can help with retention, but not everyone is open to #edtech. #CMEchat #resistance

BrianSMcGowan              @triciawil -so true.. but if a 1000 emails are sent into the ether never to be opened...what have we really done? #CMEchat #Checklist

aCMEstory          T1 Hard to find opportunities to incorporate good learning/retention habits skill-building into #MedEd interventions. #CMEchat #notintuitive

triciawil @BrianSMcGowan Agreed.  But then the question becomes:  is something better than nothing?  #cmechat

CMEChat             T1: is there a way to 'condition' learners to cues or triggers that naturally occur? #psychology #hyponoticlearning #CMEchat

drerikbrady        T1: Send follow up emails reminding learners of searches and other activities of similar focus, falls short of true reinforcement #CMEchat

BrianSMcGowan              @triciawil - great point about efficiency. easy to send 1000 emails...so why not do it. no argument here. #CMEchat

aCMEstory          @briansmcgowan Maybe. Maybe not. How often do u start off gung-ho abt something only to lose momentum? It happens w/ learners too. #CMEchat

BrianSMcGowan              "@drerikbrady - should the goal be to reinforce learning or reinforce thinking/reflection?

 #YouLearnedX vs #whatdidULearn #CMEchat"

mbaffuto             T1: learner needs to be invested, too. don't know what they don't know, don't care about my follow-up #helpushelpyou #cmechat

BrianSMcGowan              @aCMEstory - fair. but how often do you begin apathetically, only to become passionate later? #EvenLessLikely #CMEchat

CMEChat             T2 Describe your perfect support system for knowledge retention and translation over time? (over weeks/months) #CMEchat

drerikbrady        @BrianSMcGowan That's the difference between knowledge and competence, me: big proponent of pushing to the next step #whatdidulearn #CMEchat

aCMEstory          TOTD: MT @mbaffuto: T1: learner needs 2 be invested, too. dnt know what they dnt know, dnt care abt my follow-up #helpushelpyou #cmechat

BrianSMcGowan              best hashtag evah: #helpushelpyou —&gt; #CMEchat

drerikbrady        T2: is it hokey to say "ask for a commitment to change statement"? #CMEchat #CallMeOldSchool

BrianSMcGowan              t2: I joke about the perfect reflection and feedback system including shock collars...but  the stimuli could be positive too! #CMEchat

BrianSMcGowan              @drerikbrady - that only begins the process right? what is the perfect C2C follow-up system in your eyes? #CMEChat

drerikbrady        T2: once you have a commitment, follow up to ask if they have made the change permanent and/or how to support #CMEchat #helpushelpyou

aCMEstory          T2: A system that "learns" me and my learning style/preferences over time. Knows when to prompt, send cues, engage. #learningutopia #CMEchat

BrianSMcGowan              T2: HCP learners give themselves an "F" when asked to describe their existing reflection systems. #WeMustHelpThem #CMEchat

BrianSMcGowan              @drerikbrady - how often? through what channels? #pushy #CMEchat

triciawil T2:  Learner interviews as follow up.  We're doing some of this in upcoming projects; I'm interested in the outcome.  #cmechat

BrianSMcGowan              Just about the only data I have seen in this regard was an abstract by Magazine et al 5+ years ago. by 8 wks all is lost. #CMEchat

BrianSMcGowan              @triciawil T2: opens the window to mentoring and coaching as a retention/reflection model. LOVE iT. #CMEchat #GoldStandard?

drerikbrady        @BrianSMcGowan Yes, it starts the process.  The best follow up would have to be personalized, and that's where it gets hairy fast #CMEchat

mbaffuto             t2: ideal system for me is a community of lrnrs to provide reinforcement to each other as a team. very tough from mecc setting #cmechat

aCMEstory          T2 Learners must regularly clear their mental and physical cache. Assess info sources &amp; data to determine utility, practicability. #CMEchat

drerikbrady        @BrianSMcGowan I think weekly initially, but would have to be become less frequent over time #avoidannoyance #CMEchat

BrianSMcGowan              @drerikbrady - it may get hairy...but this is the essential missing piece in EVERY existing model. Too Pedagological IMO. #CMEchat

triciawil We shall see!MT @BrianSMcGowan: T2: opens window to mentoring and coaching as a retention/reflection model. LOVE iT. #CMEchat #GoldStandard?

CMEChat             t2: To summarize: we need personalized, weekly?, engaging renewed awareness of what was taught and how it's being applied, right? #CMEchat

CMEChat             T3 On a budget, what inexpensive support systems can we employ to better support learning/reflection over time? #CMEchat

drerikbrady        @BrianSMcGowan Completely agree, reinforcement is a huge missing piece in our space #CMEchat

triciawil With all or just those who are motivated?MT t2: need personalized, weekly?, engaging renewed awareness of ed &amp; application, right? #CMEchat

drerikbrady        @CMEChat Yahtzee!  #CMEchat

BrianSMcGowan              @drerikbrady - this is why I am amazed that SpacedEd couldn't make its mark. simple, inexpensive, even fun! #CMEchat

drerikbrady        T3: Email is the easy answer, but the need for personalization requires some technology solutions to manage it #CMEchat #helpushelpyou

BrianSMcGowan              t3: ...think through what already exists/free: emails? note cards? Availability heuristics? Conditioning? Comm of Practice? SoMe? #CMEchat

drerikbrady        T3: what i'm thinking might be highly effective is to create groups of learners with shared goals for change #CMEchat #allinthistogether

mbaffuto             T3: a guerilla approach to SOME, email, and texts too much? many formats, many options. free? yes. annoying? prob. effective?? #cmechat

BrianSMcGowan              T3: what is learners could have some control over the reminders you send. when. what. why. You cld do this with paper and pen. #CMEchat

drerikbrady        @BrianSMcGowan T3: love the community of practice thought, especially if the community is a small group focused on a common change #CMEchat

BrianSMcGowan              @drerikbrady - have you been reading my book? ;-) #sharedpraxis #collectiveintent #safeandcredible —&gt; great lessons for #CMEchat

BrianSMcGowan              T3: We have an abstract into #acehp14 that focuses on 'buddyCME' when learners bring an existing network to learn/reflect together #CMEchat

drerikbrady        @BrianSMcGowan Not yet, I'm too busy reading Nate Silver's book #CMEchat #datageek

triciawil T3 What about vines/short video clips sent via twitter/email with a follow up q to learners?  Could easily be captured during ed #cmechat

drerikbrady        @BrianSMcGowan T3: Built on a SoMe backbone?  Or in a closed system? #CMEchat

BrianSMcGowan              T3: if you bring/leverage existing professional networks than this may offer an inexpensive personalized channel for reminders... #CMEchat

aCMEstory          T3: You can always ask learners to opt-in for preferred methods of contact/reminders. Companies do ti all the time. #CMEchat

BrianSMcGowan              @drerikbrady - we've built a closed system. but I am consulting 3 or 4 groups who are trying it w/ non-ed tech vehicles #fb #tw #CMEchat

BrianSMcGowan              @aCMEstory - anything you are thinking beyond email/SoMe/SMS? Are there other channels? #snailmail #mentoring // #CMEchat

mbaffuto             Expirementing with this now in inst. setting RT @BrianSMcGowan T3: if you bring/leverage existing professional networks... #CMEchat

CMEChat             T4 What triggers do YOU rely on to support your learning/action over time? ‘To do’ lists? Visual Cues (post-its)? Note-taking apps? #CMEchat

aCMEstory          @briansmcgowan I like this idea because there's the social element and networks are trusted, so there may be less resistance. #CMEchat

triciawil T4:  To do lists, calendar holds #cmechat

BrianSMcGowan              @aCMEstory you can lead a horse to water...and if her three friends are already there, you can bet that she will drink! #CMEChat #TOTD

BrianSMcGowan              T4: post-its post-its post-its post-its post-its post-it post-its post-its post-its post-its post-its post-its &amp; calendar reminders #CMEchat

aCMEstory          T4 I keep both a "to do" list and a "to learn" list w/ specific time set aside to focus on the problem, question or idea. #CMEchat #works4me

drerikbrady        T4: I set calendar appts for myself to keep me honest, I'm a lousy note-taker personally and need to explore apps for that purpose #CMEchat

mbaffuto             T4: electronic sticky notes on my desktop. #cmechat

drerikbrady        #TOTD @aCMEstory you can lead a horse to water...and if her three friends are already there, you can bet that she will drink! #CMEChat

BrianSMcGowan              #toty RT @aCMEstory: T4 I keep both a "to do" list and a "to learn" list w/ specific time set aside to focus ...... #CMEchat

CMEChat             Thanks for participating in #CMEchat. Discussions are assumed to be personal opinion &amp; not that of employers

CMEChat             As we wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat – RT your favorite comment!

CMEChat             The real impact of the #CMEchat lies in your action. Please reflect &amp; take action on things you’ve learned!

CMEChat             The complete tweetstream from #CMEchat will be archived shortly at t.co/iQhIRipKmr

triciawil I'm a great note-taker but rarely refer back to them. App suggestions, anyone? MT @drerikbrady: T4I'm a lousy note-taker personally #CMEchat

BrianSMcGowan              @aCMEstory ...you are the sherpa! #alwaystheSherpanevertheHorse #CMEchat

BrianSMcGowan              @triciawil @drerikbrady - in 200+ interviews w/ adult learners: ave note-taking self grade = C-, ave reflection self-grade = F #CMEchat

drerikbrady        Insight - MT - in 200+ interviews w/ adult learners: ave note-taking self grade = C-, ave reflection self-grade = F #CMEchat @BrianSMcGowan

#CMEchat 76: Managing learner expectations

Another fast paced tweetchat and another great set of practical takeaways - seems each week we are getting increasingly better at pulling out 'things that work' and that makes us each better!

The topics for this week were as follows:
  • Today we explore how to best manage learner expectation to ensure educational plans have they expected effect. #CMEchat
  • Example: Medical School Mission Statements as Reflections of Identity & Purpose: A Network Text Analysis t.co/O3Q08h9wKx #meded #CMEchat
  1. T1: Preparation – what are your best practices to ensure learners are prepared to dive deeply into your educational content? #CMEchat
  2. T2: Interactivity – what are your best practices to ensure learners ‘expect’ to fully engage in your educational formats (PBL/Grps?) #CMEchat
  3. T3: Adaptive cases – what are ur best practices to ensure learners are committed to leverage cases and practice-based content? #CMEchat
  4. T4: Assessment models (ie ‘Outcomes Fatigue’) what are ur best practices to ensure learners participate fully in assessment plans? #CMEchat
The complete transcript can be reviewed below, or downloaded :

From User           Tweet

BrianSMcGowan              Join us in 3 hours for #CMEchat 76 as we discuss "Managing learner expectations to enhance educational impact"

RC_SimSummit RT @BrianSMcGowan: Feedback for #simulation-based procedural skills training: a meta-analysis  t.co/U042x4LmVs #meded #CMEChat

BrianSMcGowan              Join us in 2 hours for #CMEchat 76 as we discuss "Managing learner expectations to enhance educational impact"

theCMEguy        RT @BrianSMcGowan: Join us in 2 hours for #CMEchat 76 as we discuss "Managing learner expectations to enhance educational impact"

BrianSMcGowan              Join us in 60 minutes for #CMEchat 76 as we discuss "Managing learner expectations to enhance educational impact"

spelletier             Just 15 minutes until today's #CMEchat on managing learner expectations to enhance educational impact...hope you can make it! #cmechat

BrianSMcGowan              Join us in 15 minutes for #CMEchat 76 as we discuss "Managing learner expectations to enhance educational impact"

CMEChat             Welcome to #CMEchat. Discussions are assumed to be personal opinion &amp; not that of current, past, or future employers.

CMEChat             As we get started, please introduce yourself: Location? Focus? Favorite topics? What brings you here today? #CMEchat

CMEChat             A new question will be asked every 8-10 min or so. If you can, please include “T#...” in related responses. #CMEchat

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

CMEChat             Topics will guide the discussion, but real learning &amp; teaching lies in your tweets - please engage. #CMEchat

CMEChat             The complete tweetstream from #CMEchat will be archived at t.co/iQhIRipKmr shortly after the session has ended.

PSB_CME            Pam from ACCP.  I think I live in Chicago now.  Hard to tell.  #CMEchat

BrianSMcGowan              Hope all is well for our #CMEChat-ters...especially those traveling through Chicago!

theCMEguy        Derek in Chestnut Hill. It's not the heat it's the humidity. #CMEchat

CMEChat             We have an interesting topic today...ties into the past few weeks...interesting to hear from the others about best practices... #CMEchat

brandeeplott     Brandee in Vail here! #cmechat

CMEChat             Today we explore how to best manage learner expectation to ensure educational plans have they expected effect. #CMEchat

CMEChat             For example: Mission Statements as Reflections of Identity &amp; Purpose: A Network Text Analysis t.co/ogE2MTOk0T #meded #CMEchat

CMEChat             Before we jump too far into the rabbit hole, lets let a few other folks join us this...#CMEchat

BrianSMcGowan              Anyone else getting dizzy watching the #asco13 tweetstream flutter by - amazing TPM. #CMEchat

BrianSMcGowan              hi Derek, Hey Brandee, helloooo Pam. #CMEchat

brandeeplott     @thecmeguy Read your article in Medical Marketing. Congrats! #cmechat

BrianSMcGowan              @brandeeplott @thecmeguy Medical marketing? ooh share #CMEchat

SaveonMedical @spelletier Looking forward to this! #CMEchat

SaveonMedical RT @CMEChat: Topics will guide the discussion, but real learning &amp; teaching lies in your tweets - please engage. #CMEchat

CMEChat             T1: Preparation – what are your best practices to ensure learners are prepared to dive deeply into your educational content? #CMEchat

theCMEguy        Medical Meetings, but close enough! RT @BrianSMcGowan: @brandeeplott @thecmeguy Medical marketing? ooh share #CMEchat

HaleyMarie3      Haley here from Ohio - good morning! #cmechat

BrianSMcGowan              I am not sure there is a more important and less optimized element in #meded than 'preparing' learners... #CMEchat

PSB_CME            T1: We have started implementing a pre-test for all courses (live and otherwise), but questions could be better .... #CMEchat

SaveonMedical @CMEChat Make sure that learners have a hand in selecting the topics for content. Always remember what is valuable for them to hear #cmechat

brandeeplott     @cmechat We have them take survey and then share results of survey compared to peers. #CMEchat

BrianSMcGowan              T1: seems that our ability to touch learners is so slim and (at times) skewed, that we rarely engage B4 the activity...#CMEchat

brandeeplott     @thecmeguy Sorry brain not quite working yet. Early here in vail. #CMEchat

CMEChat             OK - pretest seem like a reasonable start...do we think learners are able to make the connection from 'survey' to 'learning'? #CMEchat

drerikbrady        #CMEchat slow to join this morning, Erik from Raleigh

theCMEguy        This is my experience too MT @PSB_CME: T1: We have started implementing a pre-test for all courses .... #CMEchat

HaleyMarie3      T1: Make course guide available to learners to review pre-activity launch  #cmechat

brandeeplott     @briansmcgowan Doesn't this go along w/ flipped classroom model? #cmechat

PSB_CME            T1: I think creativity is lacking in preparation- it's hard to steer the faculty Titanic to engagement and learner prep #CMEchat

CMEChat             @SaveonMedical - thanks for joining, can you share your name for the sake of the others in the chat? ;-) #CMEChat

theCMEguy        I assume you're a little tired... RT @drerikbrady: #CMEchat slow to join this morning, Erik from Raleigh

brandeeplott     We have asked learners to submit tough cases to discuss in education too. #CMEchat

ECMedicine        @CMEChat We have pretests before each activity, however optional #CMEchat

SaveonMedical "@CMEChat Certainly! Sara here in Tampa, Florida. Good to be here!

#CMEChat"

BrianSMcGowan              "@brandeeplott sure...but then the question becomes preparing them for the flipped part...just moves the need backward a bit ;-)

#CMEchat"

ECMedicine        Cassie representing @ECMedicine - hello #CMEchat #alsolate

CMEChat             @SaveonMedical Thanks Sara! Welcome!  #CMEchat

HaleyMarie3      Ditto RT @brandeeplott: We have asked learners to submit tough cases to discuss in education too #cmechat

BrianSMcGowan              Can anyone imagine a scalable model where prework is 'required' - no effort, no credit....tie them together? #CMEchat

theCMEguy        T1: How much onus on educators vs learners to "prepare" to learn? #CMEchat

PSB_CME            @BrianSMcGowan I would love that model, but we get enough kickback on "requirements"...there needs to be a paradigm shift.  #CMEchat

SaveonMedical RT @HaleyMarie3: Ditto RT @brandeeplott: We have asked learners to submit tough cases to discuss in education too #cmechat

drerikbrady        T1: Honestly, we do several types of form ass'mnt, but we are often limited in how deeply we can engage learners B4 participation #CMEchat

PSB_CME            T1: What about the flipped classroom model for "preparation"? #CMEchat

theCMEguy        @BrianSMcGowan How are you going to "require" it? #CMEchat

ECMedicine        @BrianSMcGowan Can anyone imagine a scalable model where prework is 'required' #CMEchat Not without an incentive of some sort

BrianSMcGowan              .@PSB_CME - this is a major challenge...and a huge down side to one-offs = there is no cultural expectation for learners. #CMEchat

drerikbrady        @BrianSMcGowan I think it depends on your setting, if I'm in hospital or center-based education, I can see that working T1 #CMEchat

BrianSMcGowan              @drerikbrady - gd point...closed-loop CME vs open-loop CME likley have different set of best practices, but same 'need' to engage #CMEchat

chantalb79          Finally working on our first conference that will include online post-activity evaluations. #CMEchat #progress #babysteps

CMEChat             @chantalb79 - keep on fighting the good fight! #CMEchat

theCMEguy        T1: My experience: the more work/requirements you have pre, the fewer participants you'll have. Need to decide if worth smaller n #cmechat

brandeeplott     @thecmeguy If they got credit for pre-work, they'd be more likely to do it, #CMEchat

CMEChat             T2: Interactivity – what are ur best practices to ensure learners ‘expect’ to fully engage in your educational formats (PBL/Grps?) #CMEchat

drerikbrady        @BrianSMcGowan Agree, we all need this, but it's probably easier for some types of providers T1 #CMEchat

brandeeplott     @thecmeguy True. #CMEchat

PSB_CME            .@BrianSMcGowan There is no consistency amongst providers.  "But so-and-so doesn't make me do it to get my certificate" #CMEchat

drerikbrady        @theCMEguy Fewer, but more dedicated to learning the material at hand??  #CMEchat #mightbeagoodthing

BrianSMcGowan              T1: do we really think our learners will be prepared for real learning based on a mailed brochure or email? #SettingtheStage #CMEchat

theCMEguy        @brandeeplott Probably, tho credit is less an incentive than it used to be #CMEchat

PSB_CME            T2: We have a certificate program- learners must go through online learning, then Simulation, then PIP, then a test.  #CMEchat

brandeeplott     I think pre-work is easier for on-line vs. live mtgs. Just my opinion. #CMEchat

SaveonMedical @PSB_CME How would this work? Interesting concept. #CMEchat T1

BrianSMcGowan              T2: Who hasn't walked into a leanring session only to find that we will be expected to "do" something? #notPassive #scary #CMEchat

theCMEguy        @drerikbrady Agreed. I guess that's the decision you have to make - which is more important? #cmechat

brandeeplott     Tying it back to THEIR practice...making it relevant is important. #CMEchat

RHuwWilliams   @BrianSMcGowan #CMEchat My experience: incentivising by turning pre-learning analytics into 'your opportunity to craft your learning' works!

BrianSMcGowan              @theCMEguy @drerikbrady -there is flipped classroom evidence and there is '# of exposures' evidence so I think we could... (1/2) #CMEChat

drerikbrady        @theCMEguy I think we all want engaged learners, but the n is an inevitably pressure point. #CMEchat

brandeeplott     Like everything else, it all comes down to relevancy. #CMEchat

chantalb79          “@CMEChat: @chantalb79 - keep on fighting the good fight! #CMEchat” the resistance to "change" in this industry is amazing...

BrianSMcGowan              @theCMEguy @drerikbrady -...make some assumptions that pre-work may lead to 15-20% increase in short-term learning/confidence (2/2) #CMEChat

PSB_CME            T2: They are healthcare professionals. I would certainly expect them to be able to "do" something it's patient care.#CMEchat @BrianSMcGowan

improvecme      T2: Faculty in online activity explain benefits of interaction &amp; answering questions/reviewing colleagues answers important.#CMEChat

brandeeplott     Let them decide what they want to get out of the education based on the LOs, etc. #CMEchat

theCMEguy        #elephantintheroom RT @drerikbrady: @theCMEguy I think we all want engaged learners, but the n is an inevitably pressure point. #CMEchat

BrianSMcGowan              T1/2: so I get a sense that there needs to be some 'expectation' setting before learners would accept pre-work for CME courses? #CMEchat

ECMedicine        @CMEChat T2: design the program with expected levels of interactivity  #CMEchat for example, next button is 'clickable' after engaged

PSB_CME            Less medical recall, more PBL.  Would like to see MOC push the shift to less passive learning.  #CMEchat

drerikbrady        @BrianSMcGowan @theCMEguy I totally agree. I get so much more out of anything that I put in advanced work for. #CMEchat

brandeeplott     Taking breaks during presentation and leaving time for interaction important. #CMEchat

BrianSMcGowan              T1/2 do we really believe the 'description' and 'learning objectives' is the right summary? Is the brochure enough? #CMEChat

ECMedicine        @drerikbrady @theCMEguy and you need that certain n to even perform outcomes! #viscouscycle #CMEchat

PSB_CME            @SaveonMedical Talking heads in online module. Actual problem solving/working through scenarios/being active while in the activity. #CMEchat

BrianSMcGowan              before we put our eggs into the PBL and Case-based Learning buckets....don't we have a critical 'expectation' challenge there too? #CMEchat

PSB_CME            T 1/2: No.  Particularly when learning objectives map out what happens during the activity, not what the learner does after. #CMEchat

CMEChat             T3: Adaptive cases – what are ur best practices to ensure learners are committed to leverage cases and practice-based content? #CMEchat

improvecme      T2 How do we motivate participants to be more involved in their learning? What would convince them that pre-work is good for them? #CMEChat

BrianSMcGowan              #TOTD RT @PSB_CME: No.  Particularly when LO's map out what happens during the activity, not what the learner does after. #CMEchat

brandeeplott     Important to start not with the what and how but with the why. #CMEchat

PSB_CME            .@BrianSMcGowan if we get into case-based learning under the assumption that there is no right answer, but ask what would YOU do? #CMEchat

drerikbrady        @ECMedicine @theCMEguy I don't agree.  Outcomes describe your set of learners.  No min n there.  Statistics, on the other hand... #CMEchat

brandeeplott     Important to make sure the cases come from clinicians and are realistic. Problem is cases are often written by medical writers. #CMEchat

theCMEguy        @brandeeplott I don't think that's always a problem. Know some medical writers better at developing case than some physicians #cmechat

BrianSMcGowan              T1/2/3: I lOVE the suggestion to focus more on the 'Why' - what will engagement/interactivity do for your practice! #CMEchat #ButHow?

drerikbrady        @brandeeplott Writing good cases is a shared responsibility between a meded professional and content expert #CMEchat

HaleyMarie3      RT @brandeeplott: Important to make sure the cases come from clinicians. Problem is cases are often written by medical writers. #cmechat

PSB_CME            T3: Competition helps.  Or make it an ongoing process of achievement #CMEchat

improvecme      T3 #CMEchat Ask them to make a commitment to change.

drerikbrady        @PSB_CME @BrianSMcGowan Wherever did you hear that??  #CMEchat

brandeeplott     @thecmeguy Not always but sometimes. #CMEchat

CMEChat             So far we've explored learner expectations for 1) preparation 2) Interactivity 3) PBL/Cases...what's left ;-) #CMEchat #Outcomes

mbaffuto             conf call has me jumping in late. catching up on tweetstream in NJ. #cmechat

brandeeplott     Using video cases can increase engagement if done well. #CMEchat

BrianSMcGowan              Remember the questions - how to manage expectations! We want to grease the gears of learning before we begin! #CMEchat

drerikbrady        @PSB_CME That's a crime, right there.  L.O.'s need to focus on the change that the learner should make after they've participated #CMEchat

SaveonMedical @CMEChat T3: What about having a patient involved, discussing how these things help drive patients to value the practice's quality? #CMEchat

PSB_CME            .@BrianSMcGowan I think largely the expectation is to "get credit" #CMEchat

CMEChat             T4: Assessment (ie ‘Outcomes Fatigue’) what are ur best practices to ensure learners "EXPECT" to engage in assessment our plans? #CMEchat

PSB_CME            @drerikbrady Don't even get me started.  I'm the bad guy when I try to get people to make those changes. It's not about compliance  #CMEchat

brandeeplott     Instead of sharing LOs. why not sharing intended #outcomes which can be different? #CMEchat

BrianSMcGowan              @drerikbrady @PSB_CME - perhaps...but &gt; 98% of LO's dont have any actionable component and focus solely on learning and cognition. #CMEchat

PSB_CME            T4: Instead of asking the "nice to know questions," get the "need to know" questions.  #CMEchat

improvecme      T4 #CMEChat Tell them about the purpose of the assessment, and how it helps learners, faculty.

brandeeplott     Opting in to assessments the easiest way. #CMEchat

BrianSMcGowan              @PSB_CME  - there may not be a more damning reality in all of Medical Education that that right there. #CMEChat #CreditvsLearning

HaleyMarie3      RT @improvecme: T4 Tell them about the purpose of the assessment, and how it helps learners, faculty. #cmechat

brandeeplott     Offering to share results of assessment if they participate helps. #CMEchat

CMEChat             When do you do this? RT @improvecme: T4 #CMEChat Tell them about the purpose of the assessment, and how it helps learners, faculty.

drerikbrady        @BrianSMcGowan @PSB_CME I could totally have a soapbox moment here, but it would be a more appropriate blog post T4 #CMEchat

PSB_CME            @BrianSMcGowan It's a have to do as opposed to want to do.  I think patients would be pissed if they knew the perception #CMEchat

spelletier             Argh, missed it again! Looking forward to transcript... #cmechat

BrianSMcGowan              @drerikbrady tough to soapbox in 140 characters! #CMEchat

improvecme      T4: #CMEChat So far, at beginning of live events, but can be included in invite and in video at beginning/interspersed in enduring online.

PSB_CME            @drerikbrady @BrianSMcGowan I sense a MM article.  Paging @spelletier  #CMEchat

drerikbrady        @brandeeplott A good outcomes question is designed to assess the LO, the ? should be aligned, so not terribly different #CMEchat #IMHO

drerikbrady        RT @brandeeplott: Offering to share results of assessment if they participate helps. #CMEchat

BrianSMcGowan              T1-4: The problem with expectation setting is that we often have too little data to make a definitive statement of "WHY" #CMEchat #Rigor...

brandeeplott     @drerikbrady Yes, aligned but often LOs are not written in context of changing competence, performance, and PO. #CMEchat

drerikbrady        @brandeeplott #TOTD, I believe in this, it's the right way to let learners understand that this is a process #CMEchat T4

BrianSMcGowan              T1-4: it would be a very different world if we chad the types of data taht allow us to say "look at what you could do after X..." #CMEchat

CMEChat             Thanks for participating in #CMEchat. Discussions are assumed to be personal opinion &amp; not that of employers

CMEChat             As we wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat – RT your favorite comment!

brandeeplott     @briansmcgowan Then perhaps it's the medical educators that need the paradigm (sp?) shift. #CMEchat

CMEChat             The real impact of the #CMEchat lies in your action. Please reflect &amp; take action on things you’ve learned!

CMEChat             The complete tweetstream from #CMEchat will be archived shortly at t.co/iQhIRipKmr

drerikbrady        @brandeeplott And, frankly, that's our fault. #badLO #CMEchat #gazeintothemirror

brandeeplott     @drerikbrady Yep. #CMEchatHERE

#ACCMEchat - ACCME Simplification and Evolution Webinar

Your can review the tweetstream archive below or download it HERE:

From User           Tweet

theCMEguy        Anyone up for #ACCMEchat during the webinar this afternoon? 

brandeeplott     @thecmeguy Maybe me. I'll be listening. #ACCMEchat #CMEchat

theCMEguy        I'm planning to tweet today's ACCME webinar using the #ACCMEchat hashtag t.co/vh5gC0oAYL Hope other #CMEchat -ers join in!

theCMEguy        Unless of course, the ACCME or anyone else has a better hashtag to use #CMEchat #ACCMEchat

vivacityconsult  @theCMEguy #ACCMEchat I'm up for it. Tminus 9 minutes. Better re-read the proposed changes!

theCMEguy        I can't seem to get on it...RT @vivacityconsult: @theCMEguy #ACCMEchat I'm up for it. Tminus 9 minutes. Better re-read the proposed changes!

theCMEguy        Well, I have audio, but no video. I'll give it a shot #accmechat

vivacityconsult  Murray Kopelow says trying to increase alignment with all elements of physicians' regulatory requirements #accmechat

vivacityconsult  Important - nothing is changing today in ACCME requirements #accmechat

theCMEguy        Kopelow: Communication channels are open. No changes will happen today. Discussion first, changes later #accmechat

brandeeplott     Anyone else a surveyor? #accmechat

elearningCME    Kopelow: Nothing is changing...today #accmechat

vivacityconsult  ACCME was told by over 1000 cme stakeholders that they did not clearly communicate their expectations  #accmechat

theCMEguy        Kopelow: feedback is that the requirements are not clear. Want changes, but not lowering the bar of standards #accmechat

theCMEguy        Kopelow: Feedback showed providers want to maintain the 3-step process for reaccreditation #accmechat

elearningCME    Kopelow: Retaining 3-part process (self study, doc review, and Interview) #accmechat

brandeeplott     Wonder what the timeline for all this is. #accmechat

theCMEguy        #ACCMEchat Kopelow: How do we know providers are doing what we ask? Through verification of documentation

elearningCME    Kopelow: Feedback was to retain verification by documentation but that the requirements were onerous. #accmechat

theCMEguy        #ACCMEchat Kopelow: Providers want a criterion based process for AwithC, not a return to "system of old days"

brandeeplott     Menu of items for commendation #accmechat

vivacityconsult  ACCME providers wanted a clear understanding of commendation but many thought there might be options/menu #accmechat

elearningCME    Kopelow: Evolving commendation so that a menu of options will be considered supporting verification. #accmechat

theCMEguy        #ACCMEchat Kopelow: Providers like templates and rely on the ACCME for them

brandeeplott     Credit system should be aligned #accmechat

vivacityconsult  ACCME was asked to address regulatory alignment (this is a big one for me!) looking forward to hearing more on this soon #accmechat

brandeeplott     If leadership engaged, full value of CME realized. #accmechat

theCMEguy        #ACCMEchat Kopelow: removing requirement of some elements from mission statement since no longer relevant due to changes in def of Comm Int

theCMEguy        #ACCMEchat Kopelow: EM's, web activity, journals: propose dropping some of front matter info that is less valuable. Me: Yay!

brandeeplott     Logos no longer to be used in educational materials. #accmechat

elearningCME    No more corporate logos. #accmechat

MAGCME            Like what I hear from Dr. Kopelow so far. #ACCMEchat

meducate           #accmechat So goes the logos. Recommend not using logos on educational materials

brandeeplott     Corporate logos for commercial supporters, that is. #accmechat

theCMEguy        #ACCMEchat Kopelow: SCS change: no use of CI logo in educational material, disclosures, acknowledgment of commercial support

SeanTSaunders Dbl yay! RT @theCMEguy: #ACCMEchat EM's, web activity, journals: propose dropping some of front matter info that is less valuable. Me: Yay!

elearningCME    Adios Criteria #4 - redundant with #2 #accmechat

MAGCME            About time that it was proposed to drop C4. #ACCMEchat

brandeeplott     As a surveyor, AMEN to that. #accmechat

meducate           #accmechat Recommend removing C4 because it overlaps with C2 - need to insure that the combined criterion is inclusive

improvecme      #Accmechat What effect will these changes have on the fees charged by the accme?

theCMEguy        From Redundancy Department of Redundancy RT @elearningCME: Adios Criteria #4 - redundant with #2 #accmechat

vivacityconsult  ACCME proposing to drop first 4 parts of the Mission Statement #accmechat

MAGCME            Mission statement changes - just focus on expected results. That is what the accred system cares about. #ACCMEchat

meducate           #accmechat Expected results is what we care about - modify C1 accordingly

elearningCME    Adios C14 and C15...also C12/13 to be combined. #accmechat

brandeeplott     Interestingly, many providers still do not understand the difference between competence, performance, and PO. #accmechat

elearningCME    C1 to focus on expected results #accmechat

meducate           I like this one a lot RT @elearningCME: Adios C14 and C15...also C12/13 to be combined. #accmechat

brandeeplott     @improvecme They said their goal is to make it less expensive. How? No clue. #accmechat

vivacityconsult  ACCME proposing to dropping the last 3 criteria - Kopelow says the Circle Planning would be "merging this into a single unit" #accmechat

MAGCME            C14 and C15 would be eliminated. C12/13 to be combined. I like this. #ACCMEchat

brandeeplott     Target is 100% providers w/ commendation. #accmechat

vivacityconsult  RT @brandeeplott: Interestingly, many providers still do not understand the difference between competence, performance, and PO. #accmechat

theCMEguy        #ACCMEchat Kopelow: Goal is to 100% of providers with Accreditation with Commendation. Currently at 30%.

meducate           #accmechat ACCME wants 100% of providers achieving accreditation with commendation

vivacityconsult  @brandeeplott It's as I thought at first glance - these changes may be simplified but they are not SIMPLE. #accmechat

meducate           35% RT @theCMEguy: #ACCMEchat Kopelow: Goal is to 100% of providers with Accreditation with Commendation. Currently at 30%.

elearningCME    C16, C18, and C22 not contributing to identification of commendable orgs...so...adios. #accmechat

theCMEguy        #ACCMEchat Me: Does A with C lose it's oomph if 100% of providers have it?

brandeeplott     But if any provider can get commendation, how will best providers be set apart? #accmechat

meducate           It becomes baseline and have to set bar higher RT @theCMEguy: #ACCMEchat Me: Does A with C lose it's oomph if 100% of providers have it?

brandeeplott     @thecmeguy Had same thought! #accmechat

vivacityconsult  @brandeeplott @improvecme I thought they meant staff time &amp; effort when they said they want to reduce "cost" - not lowering fees #accmechat

SeanTSaunders I asked myself that same question RT @theCMEguy: #ACCMEchat Me: Does A with C lose it's oomph if 100% of providers have it?

elearningCME    Menu for commendation may include: Integrating HIT, Individualized Learning, Interprof. Practice...plus others to be defined #accmechat

theCMEguy        @meducate Accreditation with Super Duper Commendation? :-) #ACCMEchat

brandeeplott     @vivacityconsult Probably right.#accmechat

BrianSMcGowan              Just tuning into the #ACCMEchat - webinar from the #ACCME...sorry to miss the first 25 mins.

elearningCME    Proposed structured abstract form replaces performance-in-practice labels #accmechat

StMarysCME      Goodbye labels! #accmechat

vivacityconsult  ACCME possibly providing a template for the activity files? Not sure I like this #accmechat

BrianSMcGowan              impressed. RT @thecmeguy: Kopelow: Communication channels are open. No changes will happen today. Discussion first, changes later #accmechat

theCMEguy        #ACCMEchat Kopelow: changes to PinP files. More descriptive and attachments. Less labeling. Me like.

meducate           A with Distinction RT @theCMEguy: @meducate Accreditation with Super Duper Commendation? :-) #ACCMEchat

brandeeplott     This will be so helpful to surveyors. #accmechat

BrianSMcGowan              have they made any suggestions about this? RT @brandeeplott: Wonder what the timeline for all this is. #accmechat

BrianSMcGowan              New dawn for the ACCME? #fingerscrossed RT @magcme: Like what I hear from Dr. Kopelow so far. #ACCMEchat

theCMEguy        #ACCMEchat Kopelow: leaves us with a "simpler set" that does not lower the bar or standards

brandeeplott     @briansmcgowan Not yet #accmechat.

elearningCME    Kopelow: Not lowering the bar, but supporting development of a "simpler set" of documentation #accmechat

MAGCME            I like the proposed changes to performance in practice files. Abstract form is good. #ACCMEchat

theCMEguy        #ACCMEchat I am enjoying this focus by the ACCME on simplification. Very much needed.

BrianSMcGowan              Does #CCMEP lose value if....#OhNevermind RT @thecmeguy: #ACCMEchat Me: Does A with C lose it's oomph if 100% of providers have it?

improvecme      #accmechat If there is less time involved for accme to administer reviews, shouldn't the fee be reduced?

brandeeplott     Like the part about integrating #healthIT #accmechat

meducate           #accmechat I like the idea of a menu of options for accreditation with commendation

vivacityconsult  @elearningCME If so, that seems to be ok. But if it means filling out more forms or creating new documentation, then blech. #accmechat

theCMEguy        Agreed. Allows for some individuality RT @meducate: #accmechat I like the idea of a menu of options for accreditation with commendation

elearningCME    C1, C2, C3, C5, C6, C7-10, C11, C12/13, C17, C19, C20, C21...my quick count of what remains #accmechat

BrianSMcGowan              .@improvecme - has fee for review always been based on cost of review, or some market-sensitive dues-like model? #ACCMEchat

brandeeplott     No labels great. Providers don't label things correctly anyway. #accmechat

meducate           Me too.  Might be difficult for some provider types RT @brandeeplott: Like the part about integrating #healthIT #accmechat

theCMEguy        #ACCMEchat Kopelow: ACCME BOD very interested in hearing provider feedback

vivacityconsult  @theCMEguy @meducate Absolutely agree. Med ed company can do great things, as can small hospital. But not the same great things. #accmechat

elearningCME    @meducate Yes - and would like to see a system where innovation can be rewarded by proposal and recog. of new menu items #accmechat

StMarysCME      Encouraging.  RT @elearningcme: Kopelow: Not lowering the bar, but supporting development of a "simpler set" of documentation #accmechat

improvecme      #accmechat New approach to AC a very welcome change. Recognizes diversity of providers. Nice flexibility.

brandeeplott     I hope every surveyor comments. #accmechat

meducate           As long as we can find the info! RT @brandeeplott: No labels great. Providers don't label things correctly anyway. #accmechat

MAGCME            RT @elearningCME: C1, C2, C3, C5, C6, C7-10, C11, C12/13, C17, C19, C20, C21...my quick count of what remains #accmechat

elearningCME    Next step: informal feedback, ACCME BOD review, then formal call for comment, then BOD decides...so nothing for 8 years or so #accmechat

theCMEguy        #ACCMEchat Kopelow: There will be a formal Call-for-comment before any final decisions are made

vivacityconsult  ACCME timeline 4 implementation - July 2nd feedback requested via online survey,Then another series of steps. Nothing changes now #accmechat

SeanTSaunders I especially like that myself RT @meducate: #accmechat I like the idea of a menu of options for accreditation with commendation

StMarysCME      What is the timeline on development of changes like this? #ACCMEchat

theCMEguy        #ACCMEchat RT @BrianSMcGowan: ACCME survey on the "Simplification and Evolution" proposal is live - t.co/zyE5Q5evmG #CMEchat

vivacityconsult  Provide your feedback here: t.co/vCzHMhSnh6 #accmechat

BrianSMcGowan              ACCME survey on the "Simplification and Evolution" proposal is live - #ACCMEchat - t.co/I2HsC9GrDw #CMEchat

elearningCME    Did I say 8 years? I meant 12 #accmechat #sarcasm So no real timeline at the present

brandeeplott     @seantsaunders @meducate maybe even a subcategorize (sp?) commedation? #accmechat

theCMEguy        #ACCMEchat Q: has ACCME sought input from any other accrediting partners (ACPE, ANCC). A: Yes, to partners; No, to Alliance, Sacme, etc

brandeeplott     Wonder why they didn't add anything pertaining to interdisciplinary. #accmechat

BrianSMcGowan              Not sure there is a good way to answer the question - feedback from individuals is easier than feedback from organizations. #ACCMEchat

theCMEguy        @brandeeplott There is in the new A with C, I think... #ACCMEchat

ArdgillanGroup Nice clear presentation on proposed changes to accreditation #ACCMEchat some encouraging changes proposed

theCMEguy        #ACCMEchat Kopelow: Comment from audience, "This might save the world of CME..." Wow. #notsureaboutthat

BrianSMcGowan              "This might save the world of CME for a lot of people...thanks for trying to hear us..." - not a question, but nice! #ACCMEchat

vivacityconsult  ACCME webinar: Not sure post-webinar questions are useful until Diane Durham asked about timeline. #accmechat

brandeeplott     Apr 2014? Really? #accmechat

theCMEguy        #ACCMEchat Kopelow: Timeline: Initial comments: due July 2. BOD meets July 11. End of official call for comment in April 2014...

elearningCME    Kopelow: BOD meeting in July, then again in the fall. Call for comment would be April 2014 at soonest #accmechat

vivacityconsult  @brandeeplott I think they did in the new Commendation criteria options ... ??  #readitquickly #accmechat

theCMEguy        #ACCMEchat ...dual systems of implementation for a time when it does actually happen. No easy answer.

StMarysCME      Timeline- July 2 Feedback due, Board meets Fall '13, Plan developed/approved.  Apr. '14, Call for Comment, If accepted. . .#accmechat

brandeeplott     Wonder how many providers that dropped their accreditation wouldn't have if they'd known. #accmechat

ArdgillanGroup April 2014 to end of call for comments seems unnecessarily  extended?#ACCMEchat.

BrianSMcGowan              My hand is down - #preemptive #ACCMEchat

theCMEguy        #ACCMEchat Lots of questions on Twitter... #hinthint

BrianSMcGowan              Great question! RT @brandeeplott: Wonder how many providers that dropped their accreditation wouldn't have if they'd known. #accmechat

elearningCME    Q&amp;A session now going off the tracks #greenarrows #redarrows #accmechat

meducate           Good man RT @BrianSMcGowan: My hand is down - #preemptive #ACCMEchat

theCMEguy        I blame Obama RT @elearningCME: Q&amp;A session now going off the tracks #greenarrows #redarrows #accmechat

beth333SP          I hope that AwC can be achieved thru meaningful partnerships between provider types. Example: MEC provider and HealthIT, please? #ACCMEchat

meducate           Raise your hand...RT @theCMEguy: #ACCMEchat Lots of questions on Twitter... #hinthint

YogAlicia3            RT @theCMEguy: #ACCMEchat Kopelow: Timeline: Initial comments: due July 2. BOD meets July 11. End of official call for comment in April 2014...

BrianSMcGowan              First time caller, long time listener. #ACCMEchat

theCMEguy        RT @meducate: Raise your hand...RT @theCMEguy: #ACCMEchat Lots of questions on Twitter... #hinthint t.co/QYo9ieZuIg

ArdgillanGroup @beth333SP looks like a possibility to me - IF changes come through and new menu is implemented #ACCMEchat a good move

meducate           #accmechat Anybody know that old Club Med song "Hands Up?"

SeanTSaunders Yes, pls! RT @beth333SP: hope AwC can be achieved thru meaningful partnerships btwn provider types. Ex: MEC &amp; HealthIT, please? #ACCMEchat

beth333SP          @BrianSMcGowan @theCMEGuy @meducate @ArdgillanGroup How about a cocktail party in Blue Bell to discuss these changes? #ACCMEchat

elearningCME    BTW - the GTM green/red/up/down hand UI is horrible. It's non-intuitive and confusing. #sidecomment #accmechat #usabilitylesson

vivacityconsult  FYI, IMQ in CA will be polling their providers to submit one large blanket reply on changes. #accmechat

ArdgillanGroup Quite the virtual group hug ! #ACCMEchat

theCMEguy        Wow, an ACCME lovefest has broken out #ACCMEchat

BrianSMcGowan              "You have restored my faith...thank you..." - It should be known that ACCME is NOT screening the calls. #WithoutANet #ACCMEchat

elearningCME    Love fest for proposed changes continues "Thanks for listening to us!" Any good org is always inclusive, collab., and listening #accmechat

spelletier             Never thought I'd hear those words! RT @theCMEguy: Wow, an ACCME lovefest has broken out #ACCMEchat

vivacityconsult  @vivacityconsult @MAGCME MAG, will you be doing the same? #accmechat

theCMEguy        Nice RT @vivacityconsult: FYI, IMQ in CA will be polling their providers to submit one large blanket reply on changes. #accmechat

BrianSMcGowan              Have to ask, what is changed in the past year to lead to these changes? Community wanted this 5+ years ago, no? #ACCMEchat #longtimecoming

meducate           Or print! RT @spelletier: Never thought I'd hear those words! RT @theCMEguy: Wow, an ACCME lovefest has broken out #ACCMEchat

theCMEguy        Took that long to process RT @BrianSMcGowan: Community wanted this 5+ years ago, no? #ACCMEchat #longtimecoming

brandeeplott     Kopelow: 1 PPG can cover a whole meeting. #accmechat

elearningCME    Better question: why did they think going to the current rules and criteria was a good idea? @theCMEguy @BrianSMcGowan #accmechat

BrianSMcGowan              Was the bar set so low by the ACCME - listening, servant leadership - that these changes are being received so well? #ACCMEchat #Nonetheless

vivacityconsult  Kopelow: continuous accreditation has been discussed but never looked at a 10 year accreditation period. #accmechat

theCMEguy        #ACCMEchat Q: Possibility of longer time of accreditation?. A: Have only looked at "continuous" accreditation.

SeanTSaunders Glad the ? was asked RT @theCMEguy: #ACCMEchat Q: Possibility of longer time of accred? A: Have only looked at "continuous" accreditation.

theCMEguy        uh oh...can someone pick-up my kids at school? #ACCMEchat

BrianSMcGowan              ...and Dr. K is willing to stick around for extra time to answer more questions? #ACCMEchat #Whatishappeninghere #OMG

brandeeplott     @briansmcgowan It's because the feedback is good. #accmechat

vivacityconsult  #accmechat @theCMEguy Derek, thank you for initiating this tweet-fest. Go get those kids!

brandeeplott     @vivacityconsult @theCMEguy Yep, aswesome Derek. #accmechat

theCMEguy        @vivacityconsult meh, they can wait. It's not raining. DR KOPELOW HAS ME RIVETED! #ACCMEchat

BrianSMcGowan              Kopelow: "we r already interacting w/other Orgs w/i medicine to utilize CME as an essential element in HC improvement" #ACCMEchat #socialQI?

beth333SP          Applause for @theCMEguy (with your green or red hands) for initiating this tweet chat #ACCMEchat

BrianSMcGowan              "ACCME cld make a rule that CEO needs to be a member of your local CME committee..." #ACCMEchat &gt;&gt; not in the plans, but option for AwC...

vivacityconsult  ACCME webinar: getting commendation for being committed to CPD? Does #accmechat count?

spelletier             Is anyone archiving this? Be good to have #ACCMEchat

BrianSMcGowan              "Leadership is critical and an important element in connecting CME to the greater healthcare improvement" #ACCMEchat #socialQI

beth333SP          I nominate @theCMEguy... @spelletier: Is anyone archiving this? Be good to have #ACCMEchat

vivacityconsult  ACCME webinar: not sure I agree that organizations do better with physician leadership but DO need physician CME champions! #accmechat

spelletier             @beth333SP I second! @theCMEguy, you in? #ACCMEchat

BrianSMcGowan              Take away: if ACCME would've applied efforts &amp; focus in the right place for the past decade, we'd be in a much better place! #ACCMEchat 1/2

vivacityconsult  Kopelow: these proposals remove some items but they LEAVE the most important parts. #accmechat

beth333SP          Aug Bridge to Accred workshop in Chicago still valuable, don't put it off if you plan to attend (and I'll see you there) #ACCMEchat

BrianSMcGowan              Take away: that being said...we must hold them accountable to serve &amp; support the community w/ this level of openness! #ACCMEchat 2/2

#CMEchat 75: How might social learning transform medical education?

Another great CMEchat - this week proving that the number of attendees is not nearly as important as the engagement and participation of the community - thanks to those who joined, who shared, and hopefully, who learned!

The topics for this week were as follows:

There’s lots of buzz around ‘collective’ or ‘social’ learning, especially w/ new tech, but the idea is not all that new in #meded. #CMEchat

Today we explore ways to connect learners and infuse elements of social learning into our initiatives w/ or w/o technology #CMEChat

T1: To level set, what does social learning mean to you in #meded? What are the strengths and weaknesses of the various models #CMEchat

T2: What are the best practices and/or barriers to bringing social learning opportunities into small-group LIVE learning (< 50) #CMEchat

T3: What are the best practices and/or barriers to bringing social learning opportunities into large-group LIVE learning (> 50) #CMEchat

T4: What are the best practices and/or barriers to bringing social learning opportunities into traditionally isolated online leaning #CMEchat

You can review the archive of #CMEchat 75 below or download it HERE:

From User Tweet

BrianSMcGowan Join us in 3 HOURS for #CMEchat 75 - This week's theme: "How might social learning transform medical education" #meded

BrianSMcGowan Join us in 60 MINUTES for #CMEchat 75 - This week's theme: "How might social learning transform medical education" #meded

BrianSMcGowan Join us in 2 HOURS for #CMEchat 75 - This week's theme: "How might social learning transform medical education" #meded

MGHAcademy RT @briansmcgowan: Patient-centered care requires a patient-oriented workflow model t.co/4lh8pj3e0c #S4PM #meded #CMEchat #PCMH

rajdevmd RT @BrianSMcGowan: Physical activity counselling in sports medicine: a call to action. t.co/BVdJvFjYZd #meded #CMEChat &gt;&gt; Great call for #socialQI

elearningCME RT @JaneBozarth: Objections to social media: Here we go again. AKA: Bell invents the telephone. #CMEChat #ASTD2013 t.co/FKofEZJkUj

class="MsoNormal" style="margin-top: 12pt;">theCMEguy RT @elearningCME: RT @JaneBozarth: Objections to social media: Here we go again. AKA: Bell invents the telephone. #CMEChat #ASTD2013 t.co/FKofEZJkUj

class="MsoNormal" style="margin-top: 12pt;">BrianSMcGowan Join us in 15 MINUTES for #CMEchat 75 - This week's theme: "How might social learning transform medical education" #meded

BrianSMcGowan Simulation 2.0: A Test Lab for Health Care Transformation t.co/ZVFyGblX2U #meded #CMEchat

CMEChat Welcome to #CMEchat. Discussions are assumed to be personal opinion &amp; not that of current, past, or future employers.

CMEChat As we get started, please introduce yourself: Location? Focus? Favorite topics? What brings you here today? #CMEchat

CMEChat A new question will be asked every 8-10 min or so. If you can, please include “T#...” in related responses. #CMEchat

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

CMEChat Topics will guide the discussion, but real learning &amp; teaching lies in your tweets - please engage. #CMEchat

CMEChat The complete tweetstream from #CMEchat will be archived at t.co/iQhIRipKmr shortly after the session has ended.

BrianSMcGowan Good morning #CMEchat-ters...hope everyone had a great weekend! Brian here moderating this week's discussion!

BrianSMcGowan lets give folks a few extra minutes to gather....#CMEchat

theCMEguy Derek in warm and humid Chestnut Hill #CMEchat

BrianSMcGowan @theCMEguy hey D. Hope all is well....#CMEChat

beth333SP Beth Brillinger, Accred Dir from CME Outfitters, checking in from Blue Bell, PA. Ready to learn. #CMEChat

elearningCME Scott in Chicago #cmechat

BrianSMcGowan @beth333SP - and hi to you too! #CMEchat

aCMEstory Good morning. Greselda here from DC metro region/technology corridor. Ready to learn and #CMEchat.

CMEChat There’s lots of buzz around ‘collective’ or ‘social’ learning, especially w/ new tech, but the idea is not all that new in #meded. #CMEchat

theCMEguy Yo. 11 AM and all is well. RT @BrianSMcGowan: @theCMEguy hey D. Hope all is well....#CMEChat

beth333SP Hello my friend! @BrianSMcGowan: @beth333SP - and hi to you too! #CMEchat

CMEChat Today we explore ways to connect learners and infuse elements of social learning into our initiatives w/ or w/o technology #CMEChat

BrianSMcGowan G'morning to @elearningCME and @aCMEstory story! #CMEchat

CMEChat T1: To level set, what does social learning mean to you in #meded? What are the strengths and weaknesses of the various models #CMEchat

aCMEstory Wiki definition of social learning includes the intended product of the learning actions. t.co/KB72r1Yhab #SocialQI #CMEchat

BrianSMcGowan t1: To me, social learning is the direct or indirect use of others to shape my learning. Others referring to learners vs 'faculty' #CMEChat

BrianSMcGowan t1: sometime soclai learning means explicitly interacting...others times it is about comfort and security in 'not knowing together' #CMEchat

beth333SP T1 SoLe to me means incorporating as many new ways to bring in others to the learning process through new fangled shiny things. #CMEChat

theCMEguy #CMEchat #meow RT @theCMEguy: T1: Learning with others. Weakness: You're only as smart as those around you. #CMEcat

aCMEstory T1: For me, it's taking an isolated or individualized learning experience and filtering it through a broader network. #CMEchat

elearningCME T1: Learning from everyone, focus away from traditional experts, and more on peers around us #cmechat

BrianSMcGowan T1: sometimes SoLe is planned and intentional (ask a Q), other times it is covert and serendipitous (looking around the room) #CMEchat

beth333SP T1 weakness - getting others to get involved and play along #CMEChat

theCMEguy @beth333SP #CMEcat likes bright shiny things... #CMEchat

BrianSMcGowan T1: weakness: filter bubbles often give false sense of broad perspective...#CMEchat

aCMEstory T1: Pros-Broadeer perspective, deeper understanding through connection | Cons-Hard to determine quality of crowdsourced information #CMEchat

theCMEguy @elearningCME You can still have social learning w/ a facilitator/faculty though, no? #CMEchat

BrianSMcGowan T1: Weakness: SoLe may mislead you if others are pretending to be expert/ know more. Or have poorly self-assessed! #CMEchat

theCMEguy +1 MT @BrianSMcGowan: T1: Weakness: SoLe may mislead if others pretending to be expert/ know more. Or have poorly self-assessed! #CMEchat

beth333SP There ia a #CMEcat? meow @theCMEguy: @beth333SP #CMEcat likes bright shiny things... #CMEchat

BrianSMcGowan T1: there is also the 'derivative' benefit - you may get a sense of what is important by watching others engagement. #CMEchat #misleading?

aCMEstory T1: Individual leaner still must extract value and relevance of info and that requires a new skill set. #CMEchat

elearningCME @theCMEguy Sure thing - SoLe is inclusive, not exclusive to "the only person I can learn from or can lead my learning is..." #cmechat

theCMEguy T1: Weakness: Depending on the setting, #SoLe can be dominated by extroverts in the group... #CMEchat

BrianSMcGowan t1: social learning may very well be critical in moving from knowledge to actions...few practice changes are isolated events! #CMEchat

theCMEguy Like MT @elearningCME: SoLe is inclusive, not exclusive to "the only person I can learn from or can lead my learning is..." #cmechat

BrianSMcGowan Lots of great suggestions for T1 - so we should have a good sense of what SoLe means to those participating....ready for T2? #CMEchat

theCMEguy @beth333SP There is when I forget to type the "h" in #CMEchat

aCMEstory MT @thecmeguy: T1: Weakness: Depending on the setting, #SoLe can be dominated by extroverts in the group... #CMEchat &lt;Like all of us!&gt;

beth333SP T1 I feel that SoMe and SoLe communications are a piece of the puzzle. I have a need to seek info elsewhere and confirm for myself. #CMEchat

BrianSMcGowan "here is #CMEdog #CMEchat

 http://t.co/PS2AG925rv"

elearningCME T1: SoLe can also be more work: as a learner you need to evaluate the ideas around you and value judge their efficacy and relevance #cmechat

CMEChat T2: What are the best practices and/or barriers to bringing social learning opportunities into small-group LIVE learning (&lt; 50) #CMEchat

beth333SP "He looks like he could take #CMEcat @BrianSMcGowan: here is #CMEdog #CMEchat  http://t.co/aPe98tLWTN"

CMEChat T2: I acknoledge there is alot of SoLe already baked into live mtgs of any size, but how can we make it "just a little bit better" #CMEchat

theCMEguy T2: Live tweeting a meeting/conference with designated hashtag #CMEchat

BrianSMcGowan T2: room setting could be used to 'force' learners to engage...to watch...to connect...to share. (or it could prevent this!) #CMEchat

elearningCME T2: Encourage blogging from participants, and help gather a place where those blogs (and other SoMe re: tweets) can be shared #cmechat

BrianSMcGowan @theCMEguy - true, but for me, the smaller the live meeting...the more engaging the room, the less critical I find SoMe #CMEchat #engaged

BrianSMcGowan t2: with &lt; 50 there should be an opportunity to make meaningful connections - learners can find like-minded #LearnersLikeMe #CMEchat

theCMEguy @BrianSMcGowan I guess depends on meeting and role of faculty. If poor facilitator, SoMe becomes more valuable to SoLe experience #CMEchat

aCMEstory T2: There may be limited experience, perspectives in small group. Engage/prep in advance to optimize #SoLe experience. #CMEchat

beth333SP T2 hashtag yes, but sometimes as the education provider tweeting the live meeting hashtag, feels a bit like, "Beuller,...Bueller.." #CMEchat

elearningCME @BrianSMcGowan @theCMEguy but it can help you bring in perspectives and ideas from outside the room #cmechat #tweeting

BrianSMcGowan @elearningCME @theCMEguy - no doubt about that...#CMEchat

theCMEguy "RT @beth333SP: He looks like he could take #CMEcat @BrianSMcGowan: here is #CMEdog #CMEchat

 http://t.co/gUx4JBgoJ4

t.co/gdKyqmouj5"

class="MsoNormal" style="margin-top: 12pt;">BrianSMcGowan T2:  the key to me is that learners get to know one another. #CMEchat #NotAlwaysPossible

aCMEstory T2: Make sure learners understand purpose, relevance of #SoLe to learning experience and use #SoMe post-activity to reinforce. #CMEchat

theCMEguy @beth333SP Yes, that would be one of the weaknesses. Have had both positive and...less positive experiences with it #CMEchat

BrianSMcGowan T2: critical differentiation b/w in house meeting and general access #meded. #Everybodyknowsyourname #CMEchat

CMEChat T3: What are the best practices and/or barriers to bringing social learning opportunities into large-group LIVE learning (&gt; 50) #CMEchat

beth333SP +1 @aCMEstory: T2: Make sure learners und purpose, relev of #SoLe to learning experience and use #SoMe post-activity to reinforce. #CMEchat

elearningCME T2: Barrier to me is that as an educator, the learning becomes more out of your control...more variability, harder to predict #cmechat

BrianSMcGowan T3: Have titles and institutions available to all attendees  even if blinded for security - so learners know who is in the room #CMEchat

theCMEguy @elearningCME Have you done this? Did you actually get participants to blog? That's fantastic! #CMEchat

BrianSMcGowan T3: the barrier in large live meetings is the "noise" of SoLe both figurative and literal - need control of room, if not content. #CMEchat

theCMEguy T3: Build in coffee breaks so learners have a chance to meet/engage with those around them. #CMEchat

BrianSMcGowan T3: ...but structure the coffee breaks so learners have something to do...not everyone wants 30 minutes to 'network'' #CMEchat #options

aCMEstory T3: Facilitate pre-learning self-assessment of current practice and readiness for change and share data with group in live setting. #CMEchat

elearningCME @BrianSMcGowan T3 - YES - as a planner and educator it is all about creating opportunities for the SoLe to happen...#dontforce it #cmechat

BrianSMcGowan t3: historically we've heard how important the hallways conversations are, but no one has EVER studied why #SoLe #CMEchat #networking?

BrianSMcGowan @elearningCME #AllowIt #CMEchat...maybe even #nudgeIt...

theCMEguy #guilty Right. Should have emphasized SHORT breaks RT @BrianSMcGowan: T3...not everyone wants 30 minutes to 'network'' #CMEchat

BrianSMcGowan @aCMEstory - I love the idea that participants should come to the meeting with 3-5 questions they want answered. #PrimethePump #CMEchat

CMEChat T4: What r the best practices and/or barriers to bringing social learning opportunities into traditionally isolated ONLINE learning #CMEchat

elearningCME T3-Flipped conference - 30 minute sessions...60-90 minute "coffee breaks" and networking...#wonderwhatwouldhappen #cmechat

BrianSMcGowan @elearningCME - IMO, the room would empty and people (the unmotivated) would go back to checking email or worse. #needsturcture #CMEchat

BrianSMcGowan T4: what about 'social reading' where you can see the crowdsourced notes or highlights of those who came before you? #CMEchat #kindle #nook

theCMEguy T4: Moderated comments section #CMEchat

BrianSMcGowan T4: another way to infuse SoLe into online learning is to show collective results for poll or survey questions. #notperfect #CMEchat

aCMEstory @briansmcgowan Love the idea of a "curated" reading list from my peers. #CMEchat

elearningCME Or IF effective MT @BrianSMcGowan: t3: we've heard how important the hallways conversations are, but no one has ever studied WHY #cmechat

beth333SP T4 Share the #primethepump pre questions, "this is what you told us you wanted" "Do you agree? Want more? Different?" #CMEChat

BrianSMcGowan @aCMEstory... Here is my shared reading list! #cmechat t.co/iFoupFKuJK

class="MsoNormal" style="margin-top: 12pt;">BrianSMcGowan T4: who much do you need to know about other learners b4 you'd trust their experiences/reactions? #CMEchat

elearningCME Great question RT @BrianSMcGowan: T4: who much do you need to know about other learners b4 you'd trust their experiences/reactions? #CMEchat

BrianSMcGowan #TOTD RT @beth333SP: T4 Share the #primethepump pre Q's, "this is what u told us you wanted" "Do you agree? Want more? Different?" #CMEChat

beth333SP I just don't @BrianSMcGowan: T4: who much do you need to know about other learners b4 you'd trust their experiences/reactions? #CMEchat

theCMEguy @BrianSMcGowan Agreed. Also not a bad idea to plant a few responses to show what is expected and move things along #CMEchat

aCMEstory T4: Data from your own peer networks can motivate change and facilitate offline discussion. #CMEchat #worksinreverse

BrianSMcGowan @beth333SP - very interesting...do tell more! #CMEchat

elearningCME For MDs: important @BrianSMcGowan: T4: who much do you need to know about other learners b4 you'd trust their experiences/reaction? #CMEchat

CMEChat Just a reminder...no #CMEchat next week as we should all be celebrating the Holiday w/ friends &amp; loved one. #hotdogs #coleslaw

beth333SP Not that int, I just need to seek my own backup info. Respect opinions but create my own @BrianSMcGowan very interesting tell more! #CMEchat

CMEChat Thanks for participating in #CMEchat. Discussions are assumed to be personal opinion &amp; not that of employers

aCMEstory @briansmcgowan It's like anything else. You need to get your data from a variety of sources and filter, filter, filter.... #CMEchat

CMEChat As we wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat – RT your favorite comment!

CMEChat The real impact of the #CMEchat lies in your action, Please reflect &amp; take action on things you’ve learned!

CMEChat The complete tweetstream from #CMEchat will be archived shortly at t.co/iQhIRipKmr

class="MsoNormal" style="margin-top: 12pt;">elearningCME #TOTD RT @aCMEstory: @briansmcgowan It's like anything else. You need to get your data from a variety of sources and filter, filter #CMEchat

aCMEstory @thecmeguy Looks like #CMEchat finally got our mascot.



#CMEchat 74: Models for more “self-directed” learning

Another wonderful example of crowdsourcing practical advice and experience within medical education. This week we took a deep dive into "self-directed" learning and how we, as a community of educators, can continually strive to make all of our educational programs just a little bit more efficient by supporting the personal journeys and practical relevance for our learners.

Our topics for this week were as follows:

  • “Self-direction’ is broadly considered a fundamental adult learning principle, today we will explore models for “self-directed” learning. #CMEchat
  • In each case study we are looking for suggestions that allow learners to more actively guide their learning within some defined format #CMEchat
  • T1: To ensure that we are clear: What does self-directed learning mean to you? What does it look like? #CMEchat
  • T2: What are your best practices in supporting ‘self-directed learning’ w/i live, SMALL group learning (<50) #CMEchat
  • T3: What are your best practices in supporting ‘self-directed learning’ w/i live, LARGE group learning (>50) #CMEchat
  • T4: What r your best practices in supporting ‘self-directed learning’ w/i traditional ENDURING online education (webcast/slidecast) #CMEchat

The complete archive can be reviewed below or downloaded HERE:

From User           Tweet

BrianSMcGowan              Join us in 3 HOURS for #CMEchat 74 - This week we will explore models for “Self-direction” learning in #meded

BrianSMcGowan              Join us in 2 HOURS for #CMEchat 74 - This week we will explore models for “Self-direction” learning in #meded

BrianSMcGowan              Join us in 60 minutes for #CMEchat 74 - This week we will explore models for “Self-direction” learning in #meded

philtalamo           RT @BrianSMcGowan: Join us in 60 minutes for #CMEchat 74 - This week we will explore models for “Self-direction” learning in #meded

CMEChat             Join us in 15 minutes for #CMEchat 74 - This week we will explore models for “Self-direction”  learning in #meded

HaleyMarie3      RT @CMEChat: Join us in 15 minutes for #CMEchat 74 - This week we will explore models for “Self-direction” learning in #meded #cmechat

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

CMEChat             As we get started, please introduce yourself: Location? Focus? Favorite topics? What brings you here today? #CMEchat

CMEChat             A new question will be asked every 8-10 min or so. If you can, please include “T#” in related responses. #CMEchat

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

CMEChat             Topics will guide the discussion, but real learning &amp; teaching lies in your tweets - please engage. #CMEchat

CMEChat             The complete tweetstream from #CMEchat will be archived at t.co/EylNu0ipQF shortly after the session has ended.

BrianSMcGowan              Good Monday to the #CMEchat-ters everywhere! Hope all is well.  Brian here moderating this week...should be a great theme!

BrianSMcGowan              We will give some time for folks to arrive...in the meantime, I hope everyone had a wonderful Mother's Day with their loved ones. #CMEchat

mathena123       Afternoon #cmechat from London

BrianSMcGowan              @mathena123 ...and Good afternoon to you too.  late arriving crowd in general this week...let see who else is joining us. #CMEchat

drerikbrady        Erik here, from Raleigh, beautiful day outside, looking forward to the topic  #CMEchat #letsdothisyall

BrianSMcGowan              @drerikbrady - Morning Eric! #cmeCHAT

drerikbrady        @BrianSMcGowan Good morning to you, Bryan #spellingerrors #CMEchat

CMEChat             Small group today...lets see how it goes and who joins us over time! #CMEchat

CMEChat             “Self-direction” is considered a fundamental adult learning principle, today we will explore models for “Self-direction” learning. #CMEchat

mbaffuto             Mike B in NJ. Office phones are down, perfect time for #CMEchat.

dpguinee             Daniel from central NJ here #cmechat

rmtyner               michelle from Indiana - checking in late #cmechat

CMEChat             In each case study we're looking for suggestions allowing learners to more actively guide their learning w/i some defined format #CMEchat

brandeeplott     Brandee Plott here from Vail. #cmechat

BrianSMcGowan              Howdy to Daniel, Michelle, Brandee and Mike #CMEchat

BrianSMcGowan              T1: To ensure that we are clear: What does self-directed learning mean to you? In general, what does it look like? #CMEchat

CMEChat             T1: To ensure that we are clear: What does self-directed learning mean to you? In general, what does it look like? #CMEchat

HaleyMarie3      Good morning! Haley here from Ohio  #cmechat

BrianSMcGowan              T1: I think that 'self-directed' learning is largely an internal process - connecting new lessons to existing questions/experiences #CMEchat

brandeeplott     To me it is motivated by the learner because of a problem in practice. May not be formal learning. #cmechat

BrianSMcGowan              t1: ... it is the ability to make connections to past experiences...sometimes it is easy, sometime learners need help. #CMEchat

drerikbrady        T1: Self-directed learning: learners realizes that they need info to allow them to perform, goes seeking info, finds it, performs #CMEchat

dpguinee             S/D learning means I select the content and guide the pace at which I participate #cmechat

mathena123       Self directed learning involves self identification of needs and location of education to for fill those needs. #cmechat

CMEChat             @brandeeplott - fair point, but for the exercise today we will try to make formal learning a better 'self-directed' experience, ok? #CMEchat

brandeeplott     I consider self-directed learning the most personalized approach to learning. #cmechat

HaleyMarie3      Self-directed learning: research, note-taking, applying new information to work/practice  #cmechat

brandeeplott     @cmechat Got it. #cmechat

giasison                RT @BrianSMcGowan: Good Monday to the #CMEchat-ters everywhere! Hope all is well.  Brian here moderating this week...should be a great theme!

BrianSMcGowan              @dpguinee - but you speak about content as if it is one thing...aren't their many ideas in a given program? #CMEchat

brandeeplott     Also following up after a formal learning experience. #cmechat

RonanTKavanagh             @BrianSMcGowan The filling of some pot holes in my knowledge base (and everyone has DIFFERENT potholes) #CMEchat

BrianSMcGowan              RT @brandeeplott: I consider self-directed learning the most personalized approach to learning. #cmechat // agreed. #intrinsicmotivation

mbaffuto             T1: @drerikbrady took my answer :)  SD is often a subconscious process. #CMEchat.

giasison                Hi all first time to join loving the topic of self learning. Gia here physician/breast CA patient frm Manila signing in! #CMEchat

BrianSMcGowan              t1: seems that the challeng we have in CME is that we tend to 'broadcast' content to large groups...impossible to be too specific #CMEchat

brandeeplott     Important to achieve balance between the learning you want to do and need to do. #cmechat

giasison                T1 Self learning requires determination as driver and passion as its fuel. Agree that internal motivation is a factor. #CMEchat

CMEChat             T2: What are your best practices in supporting ‘self-directed learning’ w/i live, SMALL group learning (&lt;50) #CMEchat

BrianSMcGowan              #TOTD RT @brandeeplott: Important to achieve balance between the learning you want to do and need to do. #cmechat

giasison                Love this! RT @HaleyMarie3: Self-directed learning: research, note-taking, applying new information to work/practice  #cmechat

mathena123       @BrianSMcGowan large groups can still for fill self directed education if it for fills the self directed need. #cmechat

giasison                RT @CMEChat: T2: What are your best practices in supporting ‘self-directed learning’ w/i live, SMALL group learning (&lt;50) #CMEchat

brandeeplott     @briansmcgowan Are learning tracks a partial solution to this? #cmechat

BrianSMcGowan              I think Brandee nailed the challenge...self-direction doesn't mean 'right direction' as educators we need to shape the experiences. #CMEchat

BrianSMcGowan              RT @brandeeplott: @briansmcgowan Are learning tracks a partial solution to this? #cmechat // I think so...we will focus on large grps nxt!

giasison                T2 Social media big help from my end of the globe-tweet chats (global forums) &amp; links shared big help in self learning #CMEchat

BrianSMcGowan              @mathena123 - i agree...Question is how to best design education for the group, that still allows for S/D? #CMEchat

bethnearymd    #cmechat Hi. I am a pediatrician, teaching med students. I also teach undergrads in public health class. Madison, WI

brandeeplott     Maybe doing a little pre-work for a small group setting sets them up beforehand and leanring can be tailored based on that? #cmechat

BrianSMcGowan              t2: seems the challenge is easiest to solve in small groups...either through individual engagement...and feedback. #CMEchat

giasison                @bethnearymd Waving hi Beth! #cmechat

HaleyMarie3      T2: Allowing learners to come up with their own questions and get answers from the faculty/experts #cmechat

BrianSMcGowan              t2 @brandeeplott - I was thinking the same thing...whether it is pre-work, flipped classroom, or feedback loops. #cmeCHAT

brandeeplott     @giasison Also tweet chats very cost effective! #cmechat

HaleyMarie3      T2: Pre-surveying learners and using results to design edu that best fits their needs  #cmechat

giasison                @brandeeplott Agree Brandee #cmechat

BrianSMcGowan              RT @giasison: @bethnearymd Waving hi Beth! #cmechat //THANKS to you both for joiing us!

CMEChat             RT @giasison: @bethnearymd Waving hi Beth! #cmechat //THANKS to you both for joiing us!

drerikbrady        T2: in some sessions, we offer an iPad for use to allow learners to look up a quick ?, but there are challenges #CMEchat #checkinggmail

CMEChat             T3: What are your best practices in supporting ‘self-directed learning’ w/i live, LARGE group learning (&gt;50) #CMEchat

giasison                @BrianSMcGowan @brandeeplott Feedback loops very good model for best practice Brian #cmechat

brandeeplott     @briansmcgowan Real challenge is getting them to do work beforehand but maybe if credit is offered... #cmechat

BrianSMcGowan              @HaleyMarie3 - you've hit on another critical take away. We need to gather more data on learners 'in the room' vs general needs! #CMEchat

mathena123       When I reflect on my needs I tend to focus on smaller grp teaching and large grp didactic to help focus my needs #CMEchat

giasison                @brandeeplott Got it right specially nowadays #cmechat

mbaffuto             t2: @BrianSMcGowan @brandeeplott but is 'assigned' pre-work self directed? #cmechat

BrianSMcGowan              @brandeeplott - you see what you did there? you raised a 'motivation' question...difference b/w theory and practice! #CMEchat

giasison                @BrianSMcGowan @bethnearymd Honored to join Brian thanks for the warm welcome :-) #cmechat

bethnearymd    T2 #cmechat having students view videos/on line articles before class makes the small group discussions richer

brandeeplott     Maybe having them take pre-course survey to determine which track. LMS's could help with this even for live education. #cmechat

BrianSMcGowan              @mbaffuto- surely it can be...structure is every bit as critical with 'self-directed' learning as not. #unknownunknowns #CMEchat

brandeeplott     @mbaffuto Maybe let them choose between options for pre-work? #cmechat #slightlySD

BrianSMcGowan              t3: in larger groups...even in lectures....we must find ways to nudge learners to find their own relavance. Telling stories helps! #CMEchat

dpguinee             We have registrants select sample cases that appeal most...then in the live event, majority of pre-reg voters direct the content...#cmechat

mathena123       @BrianSMcGowan @mbaffuto almost more important to have structure #cmechat

BrianSMcGowan              T2: ok - yet another theme has arisen —&gt; 'Options' &lt;— several have suggested that providing options leverages Self-direction. #CMEchat

brandeeplott     @briansmcgowan Having them bring their own caseto discuss  helps. Large group can be broken into smaller groups. #cmechat

dpguinee             But couldn't one argue that by attending the lecture, the learner is self-directing? #cmechat

brandeeplott     @mathena123 Key is to make it not feel structured. #cmechat

BrianSMcGowan              @dpguinee so a crowd sourcing model? let's see = 1) more data on learners 2) relevance 3) pre-work 4) options. win-win-win-win #CMEchat

brandeeplott     @dpguinee Good point! Hi Daniel! #cmechat

BrianSMcGowan              RT @dpguinee: But couldn't one argue that by attending the lecture, the learner is self-directing? #cmechat #coy

dpguinee             As @theCMEguy pointed out last week, sometimes I want to learn by listening #cmechat

drerikbrady        T3: We need "choose your own adventure" CME. #CMEchat

CMEChat             Now the cases may get a bit more challenging...are we ready? #CMEchat

dpguinee             RT @briansmcgowan: That's the idea! @dpguinee so a crowd sourcing model? win-win-win-win #CMEchat

BrianSMcGowan              RT @drerikbrady: T3: We need "choose your own adventure" CME. #CMEchat ?? have you been peaking at my notes?

giasison                @BrianSMcGowan @dpguinee Nice summary of points relevant to best practices #cmechat

brandeeplott     RT @dpguinee: As @theCMEguy pointed out last week, sometimes I want to learn by listening #cmechat

bethnearymd    #cmechat Personally, I have come to hate the large lecture hall—would prefer to watch lectures on line-then I can speed up the pace.

giasison                RT @dpguinee: As @theCMEguy pointed out last week, sometimes I want to learn by listening #cmechat

CMEChat             T4: What r your best practices in supporting ‘self-directed learning’ w/i traditional ENDURING online education (webcast/slidecast) #CMEchat

brandeeplott     We have to remember that different people respond to different types of stimulation, auditory, visual, etc, #cmechat

BrianSMcGowan              .@bethnearymd - so self-paced learning is clearly a valuable form of self-direction, but where do you go w/ new questions? #CMEchat

drerikbrady        T4: Qualifying ?: Does PoC CME count as traditional? #CMEchat

brandeeplott     T4: Embed questions throughout and have next bit correspond to their answers? #cmechat

CMEChat             Good question, but lets say no. RT @drerikbrady: T4: Qualifying ?: Does PoC CME count as traditional? #CMEchat

giasison                @CMEChat T4 Slideshare, shared transcript of chats very effective from my end as best practice #cmechat

brandeeplott     @drerikbrady Isn't POC the ultimate self-directed learning but is still structured? #cmechat

BrianSMcGowan              @brandeeplott - the idea of adaptive learning is aligned with EriK's CYOA suggestion....what are the practical challenges? #CMEchat

giasison                RT @brandeeplott: We have to remember that different people respond to different types of stimulation, auditory, visual, etc, #cmechat

BrianSMcGowan              RT @brandeeplott: @drerikbrady Isn't POC the ultimate self-directed learning but is still structured? #cmechat ? #SheIsHotToday! #Fire

drerikbrady        @brandeeplott Yes, in my mind, it is #CMEchat T4

giasison                @brandeeplott Great point Brandee! Modalities of learning is an impt factor to take into consideration #cmechat

cmaer   Experiencing the broad spectrum of #ottawa life that represented by the riders on the number 12 bus into Vanier (while lurking on #cmechat)

BrianSMcGowan              T4: IMO, We MUST make the choice to reach out to learners...break the 4th wall...force them to play the protagonist. #CMEchat

brandeeplott     @briansmcgowan Not really hard of you get a few test participants involved in the development phase. #cmechat #costprohibitive?

giasison                @cmaer Hello Pat!!! #cmechat

BrianSMcGowan              @cmaer - glad to be the diversion...if you were driving the Bus than that would be truly self-directed! #CMEchat #Ba-da-dum

drerikbrady        T4: Link to other content within an activity to allow learners to jump to other places for clarification, that works #CMEchat

mathena123       Got to say that I love videos for endoscopy difficult to have a dynamic skill taught without visual and POC teaching #CMEchat

brandeeplott     @drerikbrady Like it! #cmechat

BrianSMcGowan              @brandeeplott - in theory you would be creating 50-75% redundant or parallel content...#cost #Time...any alternatves? #CMEchat

bethnearymd    @BrianSMcGowan do you mean clinical cases that I am perplexed about? I have used a physician only website to get input #cmechat

aCMEstory          Sorry to miss most, if not all of today's #CMEchat. :-(

BrianSMcGowan              @drerikbrady - you're echoing everything I have been working on for the past few years...check out the @Archemedx resource center! #CMEchat

brandeeplott     Have to go. Thanks for good learning! #cmechat

BrianSMcGowan              @bethnearymd - not just cases...but as we learn we often hear things that help us shape new questions about content relavance? #CMEchat

cmaer   @BrianSMcGowan Mobile learning #cmechat

drerikbrady        @briansmcgowan Then we're aligned, because this is exactly what we're doing within activities T4 #CMEchat

BrianSMcGowan              @mathena123 - some great research on 'flipping' endoscopy lessons using series of short videos that learners can self-pace. #CMEchat

BrianSMcGowan              RT @cmaer: @BrianSMcGowan Mobile learning #cmechat // for the Bus-y learner!

aCMEstory          T1-4: Consider incorporating elements of the Self Directed Learning Readiness Scale into educational design. #CMEchat t.co/EEuCuc7MfD

BrianSMcGowan              #TOTD MT @aCMEstory: T1-4: Consider the Self Directed Learning Readiness Scale in ed design. #CMEchat t.co/1oacPHQEKq

CMEChat             Thanks for participating in #CMEchat. Discussions are assumed to be personal opinion &amp; not that of employers

CMEChat             As we wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat – RT your favorite comment!

CMEChat             The real impact of the #CMEchat lies in your action, Please reflect &amp; take action on things you’ve learned!

CMEChat             The complete tweetstream from #CMEchat will be archived shortly at t.co/EylNu0ipQF

cmaer   RT @CMEChat: The real impact of the #CMEchat lies in your action, Please reflect &amp; take action on things you’ve learned!

giasison                @bethnearymd Hi Beth! Nice to see you at #cmechat :-)

giasison                RT @cmaer: RT @CMEChat: The real impact of the #CMEchat lies in your action, Please reflect &amp; take action on things you’ve learned!

mathena123       Great to chat today. Helped me with reflecting on what I'm going to do at the next Conf I attend!  #CMEchat

giasison                @cmaer @CMEChat Well said Pat! Great chat on #cmechat tonight New learnings indeed! Great job Brian! @BrianSMcGowan

#CMEchat 73: Overcoming challenges with lecture: Ways to Make it Better!

One of my favorite CME chats in months...great crowd gathered to shre best practices and experiences in how to take a lecture format and make it better...lots of themes emerged, see if you can spot your favorites!

Here are topics for this week:

There has been much debate about whether lecture works, w/o taking a definitive position, today we will look to ‘make it better’ #CMEchat

We can broadly define lecture as a largely unidirectional presentation of information, with limited interaction

T1: What are your best examples of improving the “lecture” experiences for Live, small group learning (<50) #CMEchat

T2: What are your best examples of improving the “lecture” experiences for Live, large group learning (>50) #CMEchat

T3: What are your best examples of improving the “lecture” experiences for traditional ONLINE LIVE education (webinar) #CMEchat

You can review the archived tweetstream below or download it HERE:



From User           Tweet

BrianSMcGowan              Join us in 3 hours for #CMEchat 73 as we discuss "Overcoming challenges with lecture: Ways to Make it Better!"

BrianSMcGowan              Join us in 2 hours for #CMEchat 73 as we discuss "Overcoming challenges with lecture: Ways to Make it Better!"

BrianSMcGowan              Join us in 60 minutes for #CMEchat 73 as we discuss "Overcoming challenges with lecture: Ways to Make it Better!"

BrianSMcGowan              Join us in 5 MINUTES for #CMEchat 73 as we discuss "Overcoming challenges with lecture: Ways to Make it Better!"

CMEChat             Welcome to #CMEchat. Discussions are assumed to be personal opinion &amp; not that of current, past, or future employers.

CMEChat             As we get started, please introduce yourself: Location? Focus? Favorite topics? What brings you here today? #CMEchat

CMEChat             A new question will be asked every 8-10 min or so. If you can, please include “T#...” in related responses. #CMEchat

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

CMEChat             Topics will guide the discussion, but real learning &amp; teaching lies in your tweets - please engage. #CMEchat

CMEChat             The complete tweetstream from #CMEchat will be archived at t.co/EylNu0ipQF shortly after the session has ended.

rmtyner               Michelle from Indiana - lurking today - started my new job and am on conference calls but have definite opinions about todays topic #CMEchat

BrianSMcGowan              Welcome to the 73 edition of #CMEchat...a weekly opportunity to share, to learn, and to grow as CME professionals

dpguinee             Daniel here, central NJ, med ed company; excited to be on time for #CMEchat this week.

BrianSMcGowan              @dpguinee - glad to have you join! excited to hear what you have to add today! #CMEchat

aCMEstory          Good morning and happy Monday. Ready to #CMEchat

triciawil Tricia in rainy Cville joining in for #CMEchat

beth333SP          Beth Brillinger, Dir of Accred from CME Outfitters, good morning! #CMEchat

drerikbrady        Erik from Raleigh, finally able to join again, welcoming @rmtyner to CCO! #CMEchat

CMEChat             Many folks still debate whether lecture works, w/o taking a definitive position, today we will look to ‘make it better’... #CMEchat (1/2)

mbaffuto             Mike signing on from NJ. Nice topic! Working at a MEC = a lot of lectures. #understatement #CMEchat

HaleyMarie3      Haley here from Ohio. Hello! #cmechat

CMEChat             For today, we can broadly define 'lecture' as a largely unidirectional presentation of information, w/ limited interaction. agreed? #CMEchat

theCMEguy        Derek in Philly. Here until the wife calls me away to move heavy objects #CMEchat

dpguinee             #CMEChat Sounds fair enough

BrianSMcGowan              great crowd on the chat! glad to see so many familiar faces! #CMEchat

aCMEstory          A comparison of tele-education versus conventional lectures in wound care knowledge and skill acquisition. t.co/7mFnt3xffX #cmechat

CMEChat             as with last week, we will explore 4 case studies w/ hopes of providing some very practical ways to make 'lecture' better! #CMEchat

drerikbrady        Definition accepted: unidirectional presentation of information w/ limited interaction #CMEchat #T1 #wheresthequestion

rmtyner               @aCMEstory I think that I would like to know whos test scores were higher... i think learners may rate live better the distance #CMEchat

CMEChat             In each case study please focus on the ALL CAPS words as they intentionally narrow the conversation! #CMEchat

aCMEstory          RT @drerikbrady: Definition accepted: unidirectional presentation of information w/ limited interaction #CMEchat #T1 #wheresthequestion

CMEChat             T1: What are your best examples of improving the “lecture” experiences for live, SMALL GROUP learning (&lt;50) #CMEchat

patrickdherron  Patrick - Albert Einstein College of Medicine in Bronx, NY - great topic choice for today! #CMEchat

BrianSMcGowan              ...we may come up with a laundry list of suggestions to get better with lecture! #CMEchat

dpguinee             Small group - under 25? 50?  #CMEChat

rmtyner               T1 one of the best &lt;50 sessions I have done included hands on joint examination where faculty were there to guide the exam #CMEchat

BrianSMcGowan              @rmtyner does this fit into a 'lecture' model? #CMEchat...

rmtyner               @BrianSMcGowan it was a part of the lecture session - #CMEchat

BrianSMcGowan              "t1: there will be themes that evolve in this conversation, surely emotion is one. No? Can the lecturer engage emotionally?

#CMEChat"

drerikbrady        #T1 we have a #gaming model, divide up into small groups, assign groups to faculty, gets competitive, keeps learners engaged #CMEchat

aCMEstory          T1: In small group live lectures it has been helpful to query expectations of group at start to "customize" content focus. #CMEchat

BrianSMcGowan              @rmtyner fair enough...but I am trying to imagine the faculty bolted behind the podium. #CMEchat

dpguinee             T1 - group of 40, start w 2 15-min presentations (w/Q&amp;A), 5 min break, then hands-on sim training. Worked better than proposed!  #CMEChat

patrickdherron  T1: Being a skilled facilitator (adaptive; improvisational) more important than being content expert w/ SMALL GROUP learning (&lt;50) #CMEchat

theCMEguy        T1: Faculty member w/ lapel mic, walking among participants, having face-to-face interaction during Q&amp;A #CMEChat

drerikbrady        @briansmcgowan #T1, in the #gaming sessions, faculty definitely get emotionally involved, they want their team to WIN!! #CMEchat

BrianSMcGowan              @patrickdherron - this is so true...small groups provide such a great oppotunity to shepard learners...facilitate...engage. #CMEchat #skillz

mbaffuto             T1 - incorporate multimedia into the 'unidirectional' experience - variety in engagement: audio, video, pictures, charts #CMEchat

BrianSMcGowan              t1: two words: #STORY #TELLING //#CMEchat

drerikbrady        #T1, we also do a master class model, faculty at each table in rounds for indepth discussion #CMEchat #bewareherdingcats

aCMEstory          T1: In small groups it is important that the faculty represents the audience in terms of specialty/discipline. #CMEchat

theCMEguy        T1: Huge amount depends on presenter. Skilled,engaging speaker = better learning experience. #CMEChat

BrianSMcGowan              T1: another theme that might well carry over into every scenario is breaking content into smaller digestible chunks. #CMEchat

dpguinee             Also, the best story(teller) wins RT @briansmcgowan: t1: two words: #STORY #TELLING //#CMEchat

aCMEstory          T1: Set expectations for faculty, learners for the appropriate level of interaction, engagement based on subject matter. #cmechat

drerikbrady        MT @acmestory: T1: In small groups, important that faculty represent the audience in terms of specialty/discipline. #CMEchat totally agree

dpguinee             T1 - sample 'cases' at time of invite; ask for 'top choice'; 3 most-voted choices become the cases of focus at the live lecture #CMEChat

BrianSMcGowan              T1: I suggest to faculty that they never go more than 5-10 minutes w/o 'reaching out' to the learners &amp; 'breaking the 4th wall' #CMEchat

Bonnycastle       Deirdre in Saskatchewan Canada #CMEchat

theCMEguy        @BrianSMcGowan This only works if the faculty know how to do it. Some not good at "reaching out" and engaging. #CMEChat

aCMEstory          @briansmcgowan Absolutely. Otherwise weighty subject matter, lots of data can equal learner fatigue and disconnect. #CMEchat

amcunningham It's a Bank Holiday so I could join in with #cmechat for once:)

BrianSMcGowan              @theCMEguy - is it fair to say that if faculty 'aren't good at reaching out' then they shouldn't be on the faculty? #CMEchat

theCMEguy        T1: Some of the onus is on provider to pick the right faculty. #CMEChat

dpguinee             TOTD  RT @patrickdherron: Being a skilled facilitator (adaptive; improvisational) more important than being content expert w/ SMALL #cmechat

HaleyMarie3      RT @mbaffuto: T1 incorporate multimedia into the unidirectional experience - variety in engagement: audio, video, pictures, charts #cmechat

BrianSMcGowan              @amcunningham - glad to have you join! #CMEchat

theCMEguy        @BrianSMcGowan Depends on goal of your activity, but...yes. #CMEChat

patrickdherron  T1: Being observed and getting feedback on your teaching skills by well respected colleagues known for SMALL GROUP learning (&lt;50) #CMEchat

dpguinee             Amen, brother! MT @briansmcgowan: @theCMEguy - if faculty 'aren't good at reaching out' then they shouldn't be on the faculty? #CMEchat

Bonnycastle       I saw a great case that unfolded as people asked the right questions. Ask the right question and more information was revealed. #CMEchat

BrianSMcGowan              T1: what if we built our agendas in 5-10 minutes story arcs...giving faculty the support they need to 'get better' at lecture. #CMEchat

triciawil T1 Panel of speakers with cases at tables.  Speakers circulated. Learners then "presented" back the group &amp; panel responded. #cmechat

dpguinee             Live?  Or online?  RT @bonnycastle: I saw a great case that unfolded as people asked the right questions. #CMEchat

drerikbrady        @briansmcgowan I'd say yes. A subject matter expert and a skilled facilitator/educator are often not tied up in a single person #CMEchat

dpguinee             Reducing "lecture" time is key.  RT @briansmcgowan: T1: what if we built our agendas in 5-10 minutes story arcs... #CMEchat

BrianSMcGowan              T1: @Bonnycastle - this cements the idea about great faculty being 1 part expert: 2 parts facilitator #CMEchat

aCMEstory          @briansmcgowan @theCMEguy Create opportunities to incl presentation skill building, audience engagement as part of faculty prep. #CMEchat

spelletier             No idea what the topic is, but great convo to drop in on! #cmechat

theCMEguy        +1 RT @dpguinee: Reducing "lecture" time is key.  RT @briansmcgowan: T1: what if we built our agendas in 5-10 minutes story arcs... #CMEchat

BrianSMcGowan              T1: I love that one suggest for making lecture better is to 'reduce lecture time' #CMEchat surely it can be better w/o less of it, no?

HaleyMarie3      T1: For a successful lecture, I think a good presenter and well articulated slides/presentation go hand in hand #cmechat

CMEChat             @spelletier - much debate about whether lecture works, w/o taking a definitive position, today we will look to ‘make it better’ #CMEchat

BrianSMcGowan              @theCMEguy @dpguinee - shouldn't that be -1? #CMEchat

theCMEguy        T1: Very rarely have I been at a lecture and left thinking, "Boy, I wish they had had more time to lecture..." #CMEChat

CMEChat             T2: What are your best examples of improving the “lecture” experiences for Live, LARGE GROUP learning (&gt;50) #CMEchat

mbaffuto             T1: we build "discussion slides" with open ended ?s at end of each section for the less interactive faculty  #cmechat

spelletier             t2 multimedia really helps! And an engaging presenter who seems to care deeply about the topic #cmechat

CMEChat             Surely many of the ideas b/w T1 and T2 overlap...but try to focus on suggestions for large groups in particular! #CMEchat

aCMEstory          3-year Study of Lecture Multimedia Use in Med Curriculum: Associations w/ Performances in Basic Sciences t.co/eo5ZF36fs4 #CMEchat

triciawil T2: Refer to themes at ACEHP - include the human element &amp; remind learners why they do what they do.  Video clips, stories, etc. #cmechat

drerikbrady        #TOTD @thecmeguy: T1: Very rarely have I been at a lecture and left thinking, "Boy, I wish they had had more time to lecture..." #CMEChat

BrianSMcGowan              .@mbaffuto - I think this is a great support tool...even if faculty can't think of ways to engage, surely they can read a slide! #CMEchat

spelletier             t2 when presenters "chunk" the info into 5-10 minute bits and use breaks between for interaction #cmechat

aCMEstory          T2: Know (and learn) your audience! Adapt lecture accordingly based on level of engagement, questions, demographics. #CMEchat #themoreuknow

drerikbrady        T2 - Honestly, i think the best strategy with larger groups is to break them up into small groups #CMEchat

spelletier             t2 engaging emotions—heart not just head (again, multimedia helps) #cmechat

Bonnycastle       I teach faculty to organize lectures in 10-15 minute chunks around 1 topic then engagement activity. Works Well! #CMEchat

dpguinee             Aha moment!  RT @drerikbrady: T2 - Honestly, i think the best strategy with larger groups is to break them up into small groups #CMEchat

BrianSMcGowan              @spelletier - great minds think alike! #CMEchat (and are easily distracted by monotonous droning on and on and on. #CMEchat

CMEChat             @drerikbrady - please draw inside the lines #CMEchat ;-)

HaleyMarie3      RT @drerikbrady: T2 - Honestly, i think the best strategy with larger groups is to break them up into small groups #cmechat

Bonnycastle       My list of engagement activities in medical ed t.co/7M51vxKG8n #CMEchat #meded

spelletier             #TOTD RT @drerikbrady: T2 - Honestly, i think the best strategy with larger groups is to break them up into small groups #cmechat

BrianSMcGowan              And I love that one suggestion for improving large groups sessions is to make them small group sessions. #CMEchat #rebels

theCMEguy        @triciawil Nice! #CMEChat

aCMEstory          T2: After every topic/theme summarize key takeaway points &amp; reinforce utility in clinical practice with a reference to support it. #CMEchat

theCMEguy        Cheater RT @drerikbrady: T2 - Honestly, i think the best strategy with larger groups is to break them up into small groups #CMEchat

mbaffuto             T2: for larger groups, multiple lecturers to give audience a few different perspectives. #CMEchat

spelletier             @BrianSMcGowan t2 only problem is you can't always break them into small groups #cmechat

dpguinee             We keep lecture time to 20 mins - if you can't say it in 20 mins, it needs to be broken apart.  #CMEChat

patrickdherron  T2: Audience Response systems can be a great asset, but use sparingly (time  &lt;10min) and know the tech well before trying it out.   #CMEchat

dpguinee             TED is my role model!  #CMEChat

drerikbrady        @thecmeguy @briansmcgowan Am I taking craZy pills? #CMErebels #CMEchat #ialwayscoloredoutsidethelines

theCMEguy        But I have 149 slides!!! RT @dpguinee: We keep lecture time to 20 mins - if you can't say it in 20 mins, it needs to be broken apar #CMEChat

BrianSMcGowan              T2: faculty must lay out a 'treaure map experience' for learners...critical to frame a problem and work towards the solution #CMEchat

AUS_Admissions              RT @briansmcgowan: Wanted: role models—medical students' perceptions of professionalism. t.co/wHUT56ptSw #meded #CMEchat...

drerikbrady        @thecmeguy Ugh... then you're not focused on A learning objective... #CMEchat

mbaffuto             if only every faculty could TED! RT @dpguinee TED is my role model!  #CMEChat

aCMEstory          T2: Get from behind the podium and don't lecture to slides—just use to reinforce key points! #CMEchat

spelletier             @BrianSMcGowan t2 I have never experienced that treasure map idea. Sounds very cool #cmechat

Bonnycastle       @patrickdherron We have had great results with audience response systems done well they can actively involve med students/ faculty #CMEchat

theCMEguy        @aCMEstory How about slides with no bullet points? #CMEChat

theCMEguy        Nope. I have 4 objectives for my talk #sarcasm RT @drerikbrady: @thecmeguy Ugh... then you're not focused on A learning objective.. #CMEchat

BrianSMcGowan              I wouldn't invest too much the TED model - emotions are great, but facts are critical. Little substance in over-produced talks! #CMEchat

Bonnycastle       PS the engagement techniques at t.co/7M51vxKG8n are primarily for large classrooms #CMEchat

HaleyMarie3      RT @BrianSMcGowan: T2: faculty must lay out a treasure map experience for learners...frame a problem and work towards the solution #cmechat

aCMEstory          @thecmeguy Could work. Also, a blank or black slide to draw folks attn from screen back to faculty can periodically re-engage. #CMEchat

spelletier             t2 can we pare it down so each lecture just has one main learning objective? Always try to cover too much too quickly—exhausting! #cmechat

BrianSMcGowan              Great conversation so far...awesome job! Let's try to keep it going while we move on to case #3! #CMEchat

CMEChat             T3: What are your best examples of improving the “lecture” experiences for traditional ONLINE LIVE education (webinar) #CMEchat

dpguinee             T2 - of course, our attendees are a factor, too - some just want to sit idly at a lecture.  #cmechat

ElinSilveous        #CMEChat folks might also be interested in the #PCORI board webcast going on today. Details at t.co/lsxvLqq68z #CER #Outcomes

Bonnycastle       T3 Have participants use a whiteboard to answer questions #CMEchat

spelletier             t3 webinar presenter used chat, twitter to converse, answer questions in real time. It was awesome. Not many can juggle tho #cmechat

BrianSMcGowan              t3: so much goes into success w/ online lectures: production is key (is distance learner an afterthought)? #CMEchat

drerikbrady        @spelletier This has always been my goal, 1 talk=20 mins=1 objective(=1 outcomes question) #CMEchat #justaruleofthumb

HaleyMarie3      T3: Integrating audio/video with slides in webinar format...also have Q&amp;A widget and #SoMe widget for interaction  #cmechat

theCMEguy        THIS is a good point. RT @dpguinee: T2 - of course, our attendees are a factor, too - some just want to sit idly at a lecture.  #cmechat

spelletier             But they don't want to b bored either RT @dpguinee: T2 ...some just want to sit idly at a lecture.  #cmechat

triciawil T3:  Pre-webinar survey of attendees to better tailor the lecture. #cmechat

drerikbrady        @dpguinee i'll challenge that.  i don't think that person is really invested in learning #CMEchat

Bonnycastle       T3 Encourage participants to use chat functions to answer questions during online lecture #CMEchat

triciawil T3:  Also, pure "ask the experts" format on a specific topic. #cmechat

theCMEguy        Disagree 100% RT @drerikbrady: @dpguinee i'll challenge that.  i don't think that person is really invested in learning #CMEchat

mbaffuto             T3: ask pointed question about user practice. even if they can't respond, make them reflect on what they currently do #CMEchat

Bonnycastle       Use a wiki in asynchronous online classes to get students to share resources, ideas #CMEchat

BrianSMcGowan              T3:Just like the room/setting are key elements in live mtgs [tho no one discussed it ;-) ], the environment is key online! #CMEchat

spelletier             Synchronous Twitter chat/chat function for live online makes it much more engaging #cmechat

drerikbrady        @thecmeguy I'd like to understand your POV better, i think the learner must have an active role in the process #CMEchat

BrianSMcGowan              when someone disagrees 100%....then we seem to have struck a nerve.  @theCMEguy can we assume you are making an introvert comment? #CMEchat

aCMEstory          T3: Online attn spans even shorter. Keep lecture time to data points, incorp questions, reinforce points w/ text, vid, animations. #CMEchat

dpguinee             Room temp?  Disappointing meal? MT @briansmcgowan: T3: the environment is key online! #CMEchat

drerikbrady        T3 - mostly listening, we don't do very many webinars #CMEchat

spelletier             Think about what makes #CMEchat so engaging—do more of that! #cmechat

BrianSMcGowan              T3: CME professionals too rarely step back to consider all the 'environmental' elements that may attract or distract ONLINE. #CMEchat

aCMEstory          T3: Post-learning,  follow up with summary of online engagement, test responses and recommendations for add'l #meded. #CMEchat

drerikbrady        @briansmcgowan @thecmeguy I think I'm about to become fodder for a blog post #CMEchat

triciawil T3;  We did 2-3 webinars/month for 3 1/2 years. Most well attended w engaged learners were q &amp; a formats.  #cmechat

dpguinee             T3 We use a 'classroom' model effectively for pharmacists — option to 'raise hand', get called on, etc.  #cmechat

theCMEguy        @drerikbrady I think someone can learn by sitting back and listening. I do it all the time. #CMEChat

drerikbrady        @briansmcgowan It's actually the environmental elements that have us trending away from offering webinars #CMEchat T3

BrianSMcGowan              t3: the physicality of the faculty member is also vital, are they awkward on camera...does there voice 'work' online? #CMEchat #meded #truth

theCMEguy        That definitely plays a part in it, sure. MT @BrianSMcGowan: can we assume you are making an introvert comment? #CMEchat

Bonnycastle       I attend many 500 person webinars where I just listen. If well presented with stories and images, they keep attention. #CMEchat

BrianSMcGowan              @drerikbrady but online education is the fastest growing (real) segment of the CME delivery model...HCPs demanding more. #CMEchat

spelletier             Format we use most 4 webinars is 3 15-minute segments with Q&amp;A either between or at end—seems to work OK #cmechat

drerikbrady        @thecmeguy In what settings?  Large groups? Online? Or 1-on-1?  #CMEchat

spelletier             Voice tone and theatricality are even more important online, IMHO. Droners bad IRL, even worse online #cmechat

aCMEstory          @briansmcgowan Excellent point. Subject Matter Expert does not necessarily equal effective educator. #CMEchat

BrianSMcGowan              #TOTD T1-3: can we agree that any lecture that for which there was no 'dress rehearsal' is at best a crap shoot? #practice #CMEchat #meded

theCMEguy        All (well, not 1-on-1. That's just awkward...) RT @drerikbrady: @thecmeguy In what settings?  Large groups? Online? Or 1-on-1?  #CMEchat

patrickdherron  RT @aCMEstory: @briansmcgowan Excellent point. Subject Matter Expert does not necessarily equal effective educator. #CMEchat

BrianSMcGowan              @drerikbrady - there are too few of the latter in CME to make a comment. so on-demand for sure (for now). #CMEchat

Bonnycastle       RT @aCMEstory: @briansmcgowan Excellent point. Subject Matter Expert does not necessarily equal effective educator. #CMEchat

BrianSMcGowan              @patrickdherron - you see what your tweet looks like in the tweetstream...very offensive ;-) #CMEchat

CMEChat             Thanks for participating in #CMEchat. Discussions are assumed to be personal opinion &amp; not that of employers

drerikbrady        @briansmcgowan Ah, well strike my earlier comment about us not doing many of these, i made an incorrect assumption #CMEchat

CMEChat             As we wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat – RT your favorite comment!

CMEChat             The real impact of the #CMEchat lies in your action, Please reflect &amp; take action on things you’ve learned!

aCMEstory          T3: Critical to recognize and adapt for different levels of learner "investment" when developing #elearning. #CMEchat

CMEChat             The complete tweetstream from #CMEchat will be archived shortly at t.co/EylNu0ipQF

spelletier             sort of OT: Can you train an SME to be an educator? Not sure everyone has it in them #cmechat

BrianSMcGowan              We can help them improve...RT @spelletier: sort of OT: Can you train an SME to be an educator? Not sure everyone has it in them #cmechat

drerikbrady        @spelletier I go back and forth on this.  I'm a strong "maybe."  #CMEchat

spelletier             Glad I could stop by, even if just for part of it today. Great discussion! #cmechat

RandleLondon   RT @spelletier: Voice tone and theatricality are even more important online, IMHO. Droners bad IRL, even worse online #cmechat

mbaffuto             #TOTD RT @BrianSMcGowan T1: I suggest to faculty that they never go more than 5-10 minutes w/o 'reaching out' &amp; 'breaking 4th wall' #CMEchat

spelletier             #TOTD RT @BrianSMcGowan: t1: two words: #STORY #TELLING //#CMEchat #cmechat

aCMEstory          TOTD @patrickdherron T2: Audience Response can be a great asset, but use sparingly (&lt;10min) &amp; know tech well before trying it out. #CMEchat

#CMEchat 72: Adding elements of realism to case studies & simulations

So many practical tips beings shared today that @brandeeplott tweeted, "Too many good tweets today to pick TOTD #cmechat #indecisive!" And that about sums it up for me...

Our topic today built on the conversations of the last few weeks and we shared practical advice and experiences of how to make case studies and simulations even more realistic

The topics (cases) for today were as follows:

Picking up on the theme from #71, today we look at adding elements of realism to case studies and simulations #CMEchat

In each shared scenario, we are looking to optimize realism & learning by engaging the senses (sight, sound…) #CMEchat

The scenarios are intentionally challenging, but realistic for much of how CME is delivered… #CMEchat

T1 Case Scenario 1: Live ‘lecture’ in a small group mtg (n<50). How can we add realism & engage the senses? #CMEchat

T2 Scenario 2: Live ‘lecture’ in a large group mtg (n<200). How can we add realism & engage the senses? #CMEchat

T3 Scenario 3: Online learning module (non-live) w/ or w/o simulated patient video. How can we add realism & engage the senses #CMEchat

T4: Did you pick up any useful tips or ideas today? If so, what changes are you prepared to make? #CMEchat #meded


You can review the archive of the chat below, or download it HERE:

From User           Tweet

BrianSMcGowan              Join us in 3 hours for #CMEchat 72 as we discuss 'Adding elements of realism to case studies & simulations' #meded

BrianSMcGowan              Join us in 2 hours for #CMEchat 72 as we discuss 'Adding elements of realism to case studies & simulations' #meded

CMEChat             Join us in 60 mins for #CMEchat 72 as we discuss 'Adding elements of realism to case studies & simulations' #meded

aCMEstory          RT @CMEChat: Join us in 60 mins for #CMEchat 72 as we discuss 'Adding elements of realism to case studies & simulations' #meded

CMEChat             "If you're learning something, involve as many senses as possible to help retain the experience." - great lesson for today's #CMEchat

CMEChat             Welcome to #CMEchat. Discussions are assumed to be personal opinion &amp; not that of current, past, or future employers.

CMEChat             As we get started, please introduce yourself: Location? Focus? Favorite topics? What brings you here today? #CMEchat

CMEChat             A new question will be asked every 8-10 min or so. If you can, please include “T#...” in related responses. #CMEchat

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

jecme   Please input into our quick survey on pros and cons of styles of accreditation at t.co/BckAae19U6 #6ECF #cmechat #meded

BrianSMcGowan              Topics will guide the discussion, but real learning &amp; teaching lies in your tweets - please engage. #CMEchat

CMEChat             The complete tweetstream from #CMEchat will be archived at t.co/EylNu0ipQF shortly after the session has ended.

BrianSMcGowan              Good morning #CMEchat-ters...great topic this week...looking forward to your engagement to overcome the dreary rain of Philly!

EuropeanCME   RT @jecme: Please input into our quick survey on pros and cons of styles of accreditation at t.co/ij3F3hQlW5 #6ECF #cmechat #meded

brandeeplott     Brandee Plott here on this gorgeous spring day in Vail. :) #cmechat

CMEChat             Picking up on the theme from #71, today we look at adding elements of realism to case studies and simulations #CMEchat

rmtyner               Michelle from Indiana - looking forward to the #MonthofMay in Indianapolis!! #cmechat

MedPedsDoctor               Alex Djuricich, from Indy, in and out today for the chat.  I am interested in using technology to guide (not replace) education #cmechat

CMEChat             In each shared scenario, we are looking to optimize realism &amp; learning by engaging the senses (sight, sound…taste?) #CMEchat

BrianSMcGowan              The scenarios are intentionally challenging, but realistic for much of how #meded and CME is delivered… #CMEchat

theCMEguy        Derek here in Chestnut Hill. Experiencing withdrawal from the gorgeous weekend. #cmechat

aCMEstory          Good morning. Greselda checking in from equally dreary DC metro area. Ready to learn and #CMEchat!

BrianSMcGowan              Irish Proverb: May the rain always arrive on Monday! (made it up) #CMEchat

BrianSMcGowan              Hello to Michelle, Derek, Brandee, Greselda...and all of those lurking in the ether! #CMEchat

MedPedsDoctor               I am also following some fascinating tweets from the #APDIM13 meeting in Orlando.  gr8 tweeting going on there! #cmechat

BrianSMcGowan              @MedPedsDoctor - that is the res prgm directors mtg, yes? #CMEchat

beth333SP          Beth Brillinger checking in and ready to learn. #CMEchat

mbaffuto             Mike in rainy NJ checking in. #cmechat

YogAlicia3            Hello, #cmechat - lurking from EWR between flights.

CMEChat             T1 Case Scenario 1: Live ‘lecture’ in a small group mtg (n&lt;50). How can we add realism &amp; engage the senses? #CMEchat

MedPedsDoctor               correct.  #APDIM13 is the internal medicine residency program director meeting.  Pediatrics one was #APPD2013 (already done). #cmechat

BrianSMcGowan              T1: I personally like the simplicity of thinking about the senses...forces educators to narrow in on an overlooked element #CMEChat

theCMEguy        Nothing makes #CMEchat more dreary than when it's raining on the east coast. Need more west coasters!

MedPedsDoctor               T1. Food never hurts to engage the senses from cranial nerve 1. #cmechat

brandeeplott     Using video with real patients really seems to hit home with participants. #cmechat

rmtyner               T1 Video and audio can help to engage the patients #cmechat

brandeeplott     Sense of smell is intricately tied w/ memory. If only a way to incorporate that! #cmechat

BrianSMcGowan              t1: perhaps the easiest approach is to role play. the adage, "stand if you'll be standing, sit if you'll be sitting" #CMEChat #smallgroups

MedPedsDoctor               I think video works well, but some get "tuned out" when video takes a while to load/is blocked/computer-goes-haywire/no-wireless #cmechat

BrianSMcGowan              @brandeeplott - oh there are many ways to engage the sense of smell...but can you do it while the room is full of plated dinners? #CMEchat

theCMEguy        T1: I always like when something can be passed around for those in the group to look at, feel, touch, try, etc #CMEchat

aCMEstory          T1: Remove the "staging" and have the faculty roam the room, interacting with table groups and individuals. #CMEchat

brandeeplott     @thecmeguy We could have an in-person #CMEchat on Vail. 60 &amp; sunny today. #CACME here in July.

YogAlicia3            @theCMEguy Eastern time zone isn't all bad. #CMEchat t.co/BAZ4ED83LI

BrianSMcGowan              T1: instead of setting the room to feel like an awards ceremony, design it to feel more like a [fill in the blank] #CMEchat

MedPedsDoctor               handout? MT @theCMEguy: T1: I always like when something can be passed around for those in the group to look at, feel, touch, try. #cmechat

mbaffuto             T1: any visual that includes patient helps in PBL. Seeing 6 yo discuss his asthma more powerful than fac discuss 6 y/o with ashtma #cmechat

theCMEguy        @MedPedsDoctor Good point. Time delays are killers. #CMEchat

brandeeplott     Having real patient tell their story very compelling. #cmechat

MedPedsDoctor               cocktail party MT @BrianSMcGowan: T1: instead of setting room 2 feel like an awards ceremony, design it to feel more like a [blank] #cmechat

BrianSMcGowan              t1: but also think how senses could be a distraction to learning! windows to a pool? not good for 'simulation' #CMEchat

brandeeplott     Also, anything that impacts emotions tied to memory. Lots of data on this. #cmechat

theCMEguy        @MedPedsDoctor Sure, but I was thinking even more. Some sort of tool, e.g. special gloves that sim MS, RA, etc #CMEchat

BrianSMcGowan              @MedPedsDoctor - sadly that is the standard faire at most CME meetings...and the expectation of most learners...#CMEchat

CMEChat             Remember that we are considering  'engagement' in small settings (&lt;50 learners) #CMEChat

MedPedsDoctor               As a practicing doc, I really love hearing patient stories. I have found many physicians turned off by this method. Don't know why. #cmechat

aCMEstory          Space ship @briansmcgowan: instead of setting the room to feel like an awards ceremony, design it to feel more like a  #CMEchat :-)

YogAlicia3            @theCMEguy #cmechat Devices that simulate patient challenges for healthy learners - gloves, glasses, etc.

BrianSMcGowan              @aCMEstory - is that the next version of CruiseCME? #SpaceXCME #CMEchat

MedPedsDoctor               .@aCMEstory At the learning center in Boston across the street from harvard med school, the top floor looks like a spaceship! #cmechat

beth333SP          Like the ACEHP pres u were involved in 2 yrs ago @theCMEguy @MedPedsDoctor Some sort of tool, e.g. special gloves sim MS, RA, etc #CMEchat

BrianSMcGowan              @MedPedsDoctor - bringing patients into #meded is getting ALOT of chatter, but seems little practical discussion of how best. #CMEchat

MedPedsDoctor               Build little nooks and crannies for "hallway conversation" at education centers.  Lots of learning going on in those nooks! #cmechat

CMEChat             T1: no suggestions yet around taste or (surprisingly) hearing? #CMEChat

mbaffuto             in small setting, it is critical that faculty have skills to engage. lecture to 15 won't create change, regardless of material #cmechat

brandeeplott     @briansmcgowan We have tried live video feed w/ patient. Successful. #cmechat

theCMEguy        @beth333SP Exactly! Recently used those same tools in a grand rounds setting. Worked well and was nice way for attendees to engage #CMEchat

BrianSMcGowan              T1: @MedPedsDoctor - engaging in small breakout groups (w/ technology) around a series of cases. #goldstandard? #CMEchat

brandeeplott     @mbaffuto I think we need speaker training for CME #cmechat

BrianSMcGowan              @brandeeplott - do share? what went into the 'coaching' the patient? is your experience portable? What were your challenges? #CMEchat

YogAlicia3            "@CMEChat #cmechat Yes - there are tools to simulate hearing loss, for example.

I think more common in UG clinical ed."

MedPedsDoctor               how about QR codes that provide answers to a scavenger hunt to find the room itself? #cmechat

brandeeplott     Important for practicing clinicians in that specialty. to develop cases. #relevancy #cmechat

CMEChat             preparing for the 2nd topic...bit of an extension to the first! #CMEChat

MedPedsDoctor               and "how to use AV equipment"-training ... RT @brandeeplott: @mbaffuto I think we need speaker training for CME #cmechat

BrianSMcGowan              @MedPedsDoctor - is that technology guiding learning or replacing evidence-based approaches? #smallgroups #CMEchat

aCMEstory          T1: For auditory response, use sounds familiar to discipline of learners, ie, sirens (ED), crying babies (maternity), etc. #cmechat

jjuch      "Hi everyone. Just got on. Sorry I'm late.

 #cmechat"

CMEChat             T2 Case Scenario 2: Live ‘lecture’ in a LARGE group setting (n&lt;200). How can we add realism &amp; engage the senses? #CMEchat

BrianSMcGowan              #TOTD RT @aCMEstory: T1: For auditory, use sounds familiar to learners, ie, sirens (ED), crying babies (maternity), etc. #cmechat

aCMEstory          T2: Predispose and engage learners w/ appropriate #SoMe &amp; #edtech w/ tips and tools to prepare them for learning experience. #CMEchat

YogAlicia3            #cmechat Using taste can also be - try to eat a meal w xyz device that challenges your ADLs.

brandeeplott     @briansmcgowan Gout patient participated in planning calls and slide review for 10 dinner meetings along with faculty. Used WebEx #cmechat

aCMEstory          T2: Use actors to represent healthcare stakeholders and create a narrative from the patient's perspective. t.co/USKu7e5ZpT  #CMEchat

BrianSMcGowan              T2: w/ the 2nd topic we must consider costs, logistics of moving people, room control...and lack of intimacy? #CMEchat

MedPedsDoctor               T2.  confident speaker who knows material makes a world of difference.  Also, participants who WANT to be there, not "just because" #cmechat

brandeeplott     For nursing CE mtg, we actually put nurses in place of MS pt. Made them feel how MD pt felt. #cmechat

mbaffuto             T2: tech makes sense here. ipad on each table, internet tie in, etc. gets very expensive. #barrier #cmechat

mathena123       #CMEchat hey from London. I guess that you need to decide what you want to achieve. The tools can become gimmicky if not used with a purpose

BrianSMcGowan              T2: perhaps less opportunity to stand, sit, pass around, share, discuss in large settings...technology may be even more critical #CMEchat

MedPedsDoctor               This —&gt; MT @aCMEstory: Predispose &amp; engage learners w/ approp #SoMe &amp; #edtech w/ tips &amp; tools 2 prepare them for lrng experience #cmechat

brandeeplott     Cost is why web conferencing works well in live mtg setting. #cmechat

mbaffuto             Oh yeah. Innovate for the sake of innovation. @methena123 The tools can become gimmicky if not used with a purpose #cmechat

BrianSMcGowan              t2: but room sounds, sight lines, smells are (obviously) scalable...may be more critical for larger group settings? #CMEChat #meded #lrnchat

theCMEguy        T2: Tie in food served at meal with learning point of presentation. #CMEchat

jjuch      great suggestions but think key is knowing learner expectations for setting Lots of docs come to live CE and DON'T want engagement #cmechat

YogAlicia3            @mathena123 Agree. Prob part of why they're better in smaller groups. More control of experience. #cmechat

brandeeplott     I've been wanting to try incoporating Google Hangouts in live mtgs. #cmechat

MedPedsDoctor               One issue w web conferencing is that the learner can always "opt out" by checking email, doing other things while "learning". #cmechat

jjuch      "Was talking to state assoc chapter recently who said when she tried to make sessions interactive was told ""go back to old way""

 #cmechat"

BrianSMcGowan              Ever watch surgeons cut their grilled chicken? RT @theCMEguy: T2: Tie in food served at meal with learning point of presentation. #CMEchat

MedPedsDoctor               "Eat healthy" (wow, check out this cheesecake!) RT @theCMEguy: T2: Tie in food served at meal with learning point of presentation. #cmechat

BrianSMcGowan              .@brandeeplott - raises the question as to whether virtual speakers can help or hurt when it comes to engaging senses/emotions? #CMEchat

brandeeplott     Participants often have bad attitude about engaging. We have to rewire their thinking on this. #cmechat

mathena123       @MedPedsDoctor is that a problem if they are not being engaged? #cmechat

theCMEguy        @BrianSMcGowan No. Frankly, I've had some difficulty with eating chicken ever since my gross anatomy lab... #CMEchat

CMEChat             T2: any concerns about sensory distractions at live meetings? What can't we control? #CMEchat

MedPedsDoctor               all the more reason to optimize other methods RT @mathena123: @MedPedsDoctor is that a problem if they are not being engaged? #cmechat

brandeeplott     @mathena123 Great point! #cmechat

mbaffuto             need to set expectations for interactive session in large group (ie, symposium) with marketing materials #cmechat

jjuch      Agree How validate learner is there once signed on @MedPedsDoctor "issue w web conferencing is the learner can always "opt out"  #cmechat

theCMEguy        @brandeeplott Be careful with talk of "rewiring". Don't "force" participants to learn in ways they don't want. You'll only lose 'em #CMEchat

jjuch      Good pt RT @mbaffuto: need to set expectations for interactive session in large group (ie, symposium) with marketing materials #cmechat

CMEChat             ...seems to be a perfect segue shaping up here as we prepare for the 3rd topic #CMEchat

brandeeplott     @thecmeguy Yes, ate cat in Vietnam and could only think of college lab! #cmechat

mbaffuto             have had success with U shape seating for those who want to engage and classroom seating behind for those who want to observe #cmechat

MedPedsDoctor               T2. Can't control wireless not working (note to ACEHP and hotel for next years presis on SoMe: make sure wireless works/backup) #cmechat

BrianSMcGowan              #TMI #yuck RT @brandeeplott: @thecmeguy Yes, ate cat in Vietnam and could only think of college lab! #cmechat

MedPedsDoctor               .@mbaffuto fascinating.  Has anyone ever written/published on U-shaped seating? #cmechat

BrianSMcGowan              @mbaffuto ...but in rooms with 200+? #CMEchat

theCMEguy        @mbaffuto But how big of a group can you realistically do that with? #CMEchat

CMEChat             T3 Scenario 3: Online learning module (non-live) w/ or w/o simulated patient video. How can we add realism &amp; engage the senses #CMEchat

brandeeplott     @thecmeguy Hmmm, good point. #cmechat

mathena123       #CMEchat a good speaker speaks to the audience and what they need the extras should only be there if they augment the experience.

BrianSMcGowan              T3: if we accept that educators have much less control, then online learning is more about creating sensory 'opportunities'...#CMEChat

aCMEstory          T2: In a group of 200+ break the group down by demographics and create competition. Right away it sets the tone... #CMEchat

brandeeplott     I read recently that painting a picture and telling a story to start off really stimulates senses. #SteveJobs #cmechat

mbaffuto             @thecmeguy gets difficult &gt;100. (&gt;50 in U). requires skilled facilitator and a lot of planning. #cmechat

BrianSMcGowan              @mathena123 - watched.too many speakers &amp; CME folks giggle their way through gimmicks that do no more than distract learning. #CMEchat

aCMEstory          T3: Use a "call for cases" format to create learner-derived content that is highly relevant and semi-personalized. #CMEchat

MedPedsDoctor               Competition works well for personality types who "like" competition.  For those who don't, automatic turn-off/disengagement ensues #cmechat

mbaffuto             @acmestory +1. Competitiveness is the 9th sense.  #cmechat

mathena123       #CMEchat I have been to some great events where keypads have been used for great needs assessments in the room

BrianSMcGowan              @aCMEstory - about expectation management...agree that this wld help, but how many learners would feel forced? #CMEchat #passiveplease?

brandeeplott     Always wanted to play around with having participants view slightly varied content based on pre-activity questions. #Relevancy #cmechat

aCMEstory          T3: Use audiovisual cues in #elearning so that learners know when topics, content is changing and remain engaged. #CMEchat

BrianSMcGowan              t3: one way that has been tried, but have yet to see much data is on 2nd life-ish virtual learning. #CMEChat

theCMEguy        T3: Need to provide a way for participant to engage, feel involved, ask questions. Opportunity for comments, #SoMe interaction, etc #cmechat

BrianSMcGowan              T3...sounds can be tough online, but you could allow learners to 'activate' a 'soundtrack' to support learning! #CMEchat

MedPedsDoctor               As an early adopter of audience response systems (ARS), I learned the hard way that writing good ARS ?s is definitely a skill #cmechat

YogAlicia3            @MedPedsDoctor #cmechat Gamification doesn't hafta be competitive. Maybe choose alternative game designs.

BrianSMcGowan              @MedPedsDoctor - and weaving ARS into a presentation is a skill too...too many fail to help learners reflect #CMEchat

MedPedsDoctor               agree! RT @YogAlicia3: @MedPedsDoctor #cmechat Gamification doesnt hafta be competitive. Maybe choose alternative game designs. #cmechat

brandeeplott     @medpedsdoctor I think having too many ARS questions actually puts them to sleep. #cmechat

beth333SP          I 1st used one at sm hosp in 1998, had a white paper for fac on how to... @MedPedsDoctor writing good ARS ?s is definitely a skill #cmechat

aCMEstory          @briansmcgowan  There will always be some passive participants who learn from observing, listening—engage at own comfort level #CMEchat

CMEChat             as we wrap up...there have been many great practical ideas shared...which brings us to topic 4 #CMEchat

MedPedsDoctor               To F/U on previous competitiveness comment: a good number of physicians are, nevertheless, highly competitive. #cmechat

CMEChat             T4: Did you pick up any useful tips or ideas today? If so, what changes are you prepared to make? #CMEchat #meded

JediPD  Anecdotes for Bookends filled with Substance in a Simple pragmatic manner works the best! #CMEChat (Interesting chat!)

aCMEstory          T3: Create faculty-led team-based "eCase challenges" and track both patient and team progress online. #CMEchat #motivatEd

brandeeplott     @medpedsdoctor Would be interesting to quadrant them out to see personality types. #cmechat

BrianSMcGowan              t4: i will think alot about the sensory distractions...things w/i our control that distract learners! #CMEchat #overlooked

theCMEguy        T4: I will give more thought to room set-up and how it can be altered to improve participant experience #CMEchat

mbaffuto             T4: @brandeeplott have real patient interacting with faculty and provider in activity development. great suggestion. #cmechat

MedPedsDoctor               T4. 1. read lit on gamification. 2. consider senses besides eyes in learning. 3. understand &amp; accept "can't please everyone" #cmechat

aCMEstory          T3: Have participants explain rationale for clin decisions in open text format, not just multiple choice questions and cases. #CMEchat

MedPedsDoctor               Now I see what @BrianSMcGowan is doing.  I just tweeted my commitment to change as part of this chat! #cmechat

beth333SP          Sugg topic (or series of topics) 4 next week #CMEchat, Sunshine act and how providers are meeting req’s. Aug 1 will B here B4 we know it!

brandeeplott     @medpedsdoctor BTW - love your great tweets from various conferences recently. #cmechat

JediPD  T4: Storylines associated with data persist longer within the "knowledge pyramid" of the audience #CMEChat

MedPedsDoctor               I will reference this tweet —&gt; RT @brandeeplott: @medpedsdoctor BTW - love your great tweets from various conferences recently. #cmechat

aCMEstory          RT @beth333SP: Sugg topic (or series of topics) 4 next week #CMEchat, Sunshine act and how providers are meeting req’s. Aug 1 will B here B4 we know it!

BrianSMcGowan              @MedPedsDoctor - may be our new topic 4 or 5 every week...but this week was heavy on the new ideas! #CMEchat

brandeeplott     @jedipd Agreed. I will try this. #cmechat

CMEChat             Thanks for participating in #CMEchat. Discussions are assumed to be personal opinion &amp; not that of employers

CMEChat             As we wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat – RT your favorite comment!

CMEChat             The real impact of the #CMEchat lies in your action, Please reflect &amp; take action on things you’ve learned!

CMEChat             The complete tweetstream from #CMEchat will be archived shortly at t.co/EylNu0ipQF

aCMEstory          TOTD: MT @MedPedsDoctor: Now I see what @BrianSMcGowan is doing. I just tweeted my commitment to change as part of this chat! #cmechat

brandeeplott     Too many good tweets today to pick TOTD #cmechat #indecisive

JediPD  TOTD @MedPedsDoctor:1.read gamification. 2.consider senses besides eyes in learning. 3.understand &amp; accept "can't please everyone" #cmechat

MedPedsDoctor               #TOTD RT @brandeeplott: Too many good tweets today to pick TOTD #cmechat #indecisive #cmechat

MedPedsDoctor               Thanks for a wonderful chat topic today, and a lively discussion.  Great points for future learning. #cmechat

A look back at CMEchat in 2013 - Wordle Style

I thought it might help to revisit the first 14 CMEchats of 2013 and visualize the conversation using the freely available Wordle platform. 

Without giving away each topic, see what you can learn from the visualized conversation...


And here are the original wordles if you are interested in accessing them directly!

Wordle: CMEchat 010713 Wordle: CMEchat 011413 Wordle: CMEchat 012113 Wordle: CMEchat 012813 Wordle: CMEchat 020413 Wordle: CMEchat 021113 Wordle: CMEchat 022513 Wordle: CMEchat 030413 Wordle: CMEchat 031113 Wordle: CMEchat 031813 Wordle: CMEchat 032513 Wordle: CMEchat 040113 Wordle: CMEchat 040813 Wordle: CMEchat 041513

#CMEchat 71: The role of case studies and simulations in medical education

Another solid learning interaction from the #CMEchat-ters including a number of very practical suggestions on case studies vs role-playing vs simulations as a means of supporting medical education.

The topics for this week were as follows:

T1: What are the benefits of using case studies or simulations in medical education activities? Any downsides? #CMEchat

T2: There is a huge range b/w how some define as ‘case studies’ & ‘simulations’, how do you define each? Examples?  #CMEchat

T3: How important is feedback for learners ‘practicing’ w/case studies/simulation? Give some examples of feedback... #CMEchat

T4: With so many different models available, how do you decide what form of case study or simulation to employ? #CMEchat 

You can review the archive below, or download it HERE:

From User           Tweet

BrianSMcGowan              Please join #CMEchat 71 in 2 hours as we discuss the role of case studies and simulations in medical education #meded #edtech

BrianSMcGowan              Please join #CMEchat 71 in 60 minutes as we discuss the role of case studies and simulations in medical education #meded #edtech

BrianSMcGowan              Please join #CMEchat 71 in 25 minutes as we discuss the role of case studies and simulations in medical education #meded #edtech

Bonnycastle       RT @BrianSMcGowan: Please join #CMEchat 71 in 9 minutes as we discuss the role of case studies and simulations in medical education

aCMEstory          Likely to miss most of #CMEchat today. Look forward to the transcript. #meded

aCMEstory          "Medical simulation-based education improves medicos' clinical skills. t.co/M0oauEIQKW #CMEchat"

CMEChat             Welcome to #CMEchat. Discussions are assumed to be personal opinion &amp; not that of current, past, or future employers.

CMEChat             As we get started, please introduce yourself: Location? Focus? Favorite topics? What brings you here today? #CMEchat

CMEChat             A new question will be asked every 8-10 min or so. If you can, please include “T#” in related responses. #CMEchat

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

CMEChat             Topics will guide the discussion, but real learning &amp; teaching lies in your tweets - please engage. #CMEchat

CMEChat             The complete tweetstream from #CMEchat will be archived at t.co/EylNu0ipQF shortly after the session has ended.

BrianSMcGowan              Goooooooood Morning #CMEchat-ter. Brian here from the nearly spring-like Philadelphia region...looking forward to a great conversation!

triciawil Tricia here from rainy Cville.  Happy Monday! #cmechat

BrianSMcGowan              Just a reminder that today is the deadline for the #acehp14 call for abstracts: t.co/zi9I6dKnk7 #CMEchat

rmtyner               Michelle from indiana - looking forward to getting back to my routines after spring break in NYC #cmechat

BrianSMcGowan              Hello to @rmtyner and @triciawil #CMEchat

beth333SP          #CMEchat Beth Brillinger, Director of Accreditation from CME Outfitters joining in. Ready to learn.

BrianSMcGowan              Lets give the late arrivers time to settle in...great theme today...and lots of good data to draw upon! Simulations &amp; Case Studies! #CMEchat

HaleyMarie3      Haley here from Ohio. Good morning!  #cmechat

Bonnycastle       Deirdre Bonnycastle Medical Faculty Developer Saskatchewan, Canada #CMEchat

aCMEstory          Teaching med students a clin approach to altered mental status:simulation enhances curriculum. t.co/Z0B6WSRtsb #CMEchat

BrianSMcGowan              Good morning to @Bonnycastle @HaleyMarie3 and @beth333SP #CMEchat

CMEChat             As normal we will begin with a general topic...to get our juices flowing! #CMEchat

CMEChat             T1: What are the benefits of using case studies or simulations in #meded activities? Any downsides? #CMEchat

BrianSMcGowan              T1: i like to think of simulation and cases as stories...they allow the learners to play the role of protagonist #CMEchat

rmtyner               T1 I think that case studies and simulations can improve knowledge translation into practice-if learners can relate to the patient #cmechat

Bonnycastle       #CMEchat Cases bring relevance to basic sciences and ideally teach higher order thinking

HaleyMarie3      T1: Bring the education to life, make it more relatable to real life #meded #cmechat

BrianSMcGowan              T1: both simulations and case studies force the planners to think through the scenarios...must offer authenticity! #CMEchat

Bonnycastle       #CMEchat Downside- Good cases and simulations take time and knowledge to develop

BrianSMcGowan              Latter point is critical! RT @Bonnycastle: #CMEchat Cases bring relevance to basic sciences and ideally teach higher order thinking

triciawil T1 Case studies give a different context to learning; retention may be higher due to relatability #cmechat

BrianSMcGowan              T1: the authenticity of case or simulation may not always be portable...may require very local knowledge in some cases. #CMEchat

rmtyner               T1 downside: if the case is too general then the learners may not engage #cmechat

Bonnycastle       #CMEchat In our new curriculum we are developing 50 Integrated cases to try and help students develop pattern understanding &amp; making

BrianSMcGowan              T1: the learner engagement that is required may turn off some learners who expect passive education...sadly. #CMEchat

SteveFmke         @BrianSMcGowan How are you differentiating case studies from simulations? #CMEchat

awinkler58          Red it! RT @BrianSMcGowan: "Effective Use of Educational Technology in Medical Education"  t.co/LDGn38lqwn #meded #CMEchat

CMEChat             @SteveFmke ;-) next topic...#CMEchat

triciawil T1 We have a great cath conference we do that is solely case studies.  Many are unique scenarios and make for great discussion. #cmechat

rmtyner               @BrianSMcGowan we need to do a better job of transitioning from passive education to active education #cmechat

BrianSMcGowan              T1: on the other hand the interactivity of case studies allows for very unique data to be gathered...formatively. #CMEchat

SteveFmke         @CMEChat T2: Defining case studies vs. simulations. For cognitive specialties they can often be the same thing. #CMEchat

BrianSMcGowan              @rmtyner -...and we MUST manage the expectation of learners before the sessions begins. Unfair otherwise. #security #CMEchat

CMEChat             T2: There is a huge range b/w how some define as ‘case studies’ &amp; ‘simulations’, how do you define each? Examples?  #CMEchat

Bonnycastle       Case studies more paper/webbased Simulation more role playing #CMEchat

rmtyner               @BrianSMcGowan totally agree - there can't be a #baitandswitch  #cmechat

BrianSMcGowan              T2: I would love to find some concensus on describing a threshold...if they are really a continuum? #CMEchat

triciawil T2 I define simulations as "live" action as opposed to archived (most cases).  #cmechat

rmtyner               T2 my definition is that many case studies are amalgam of multiple scenarios; simulation walks the learner through a single patient #cmechat

BrianSMcGowan              t2: in my experience educators seem to describe case studies as an entrypoint to simulation...but not always #CMEchat

beth333SP          T2 Case studies = watch a scene unfold. Simulation = be a part of the scene (which may include own heart rate increasing, sweat)  #CMEchat

BrianSMcGowan              @triciawil - do you mean 'live' as in 'synchronous' or as in 'in person'? #CMEchat

SteveFmke         #CMEchat A well-written online case study that requires active decision making can become a simulation. Both should allow for some role play

BrianSMcGowan              @beth333SP - i like this answer as much as any other I have heard...#CMEchat

triciawil @BrianSMcGowan Synchronous #cmechat

beth333SP          Thanks! @BrianSMcGowan: @beth333SP - i like this answer as much as any other I have heard...#CMEchat

BrianSMcGowan              T2: the neurophysiology of storytelling allows the learner (reader) to react much the same way as the protagonist. #endorphins #CMEchat

BrianSMcGowan              t2: so in theory we could measure how authentic a case study or simulation is by measuring hormone levels. #level8 #CMEchat

SteveFmke         @beth333SP Sims are great for crisis role playing but are needed for routine patient care practice too. Simple is good! #CMEchat

BrianSMcGowan              t2: i have seen many case studies that are more emotionally engaging than other simulations...tis why definitions are hard. #CMEchat

BrianSMcGowan              t2: several folks have mentioned 'role-playing' ...so perhaps all three terms are interoperable for some? #CMEchat

triciawil @BrianSMcGowan Difference is involvement (hands on vs observing) of learner in the sim?  #cmechat

Bonnycastle       Not a lot of hormones in stitching a piece of plastic yet that is an important simulation #CMEchat

beth333SP          Or HR, Resp, BP, biofeedback. Instead of lie detector, build a learn detector. @BrianSMcGowan: t2 ...by measuring hormone levels #CMEchat

SteveFmke         #CMEchat How about: a case study is rehearsal of a single care issue. A simulation is rehearsal of a full patient encounter.

BrianSMcGowan              RT @RonanTKavanagh: @shimmerresearch has used biosensors to assess people physiological response to diff film endings in movies.. #CMEchat

BrianSMcGowan              @Bonnycastle ...but if you could pipe in crying baby sounds and have the simulator start squirting blood unexpectedly...#CMEchat

SteveFmke         @Bonnycastle Good point - sims can be used as skill development. Skills can mean patient communication, right? #CMEchat

BrianSMcGowan              #TOTY RT @beth333SP: Or HR, Resp, BP, biofeedback. Instead of lie detector, build a learn detector. #CMEchat

Bonnycastle       @BrianSMcGowan #CMEchat but that would be unfair to a beginner who needs to practice the mundane

SteveFmke         @SteveFmke Both are acting exercises. One is one beat, one if the whole scene. #CMEchat

CMEChat             T3: How important is feedback for learners ‘practicing’ w/case studies/simulation? Give some examples of feedback.... #CMEchat

BrianSMcGowan              @Bonnycastle - fair enough...true. #CMEchat

BrianSMcGowan              on Role-playing: RT @SteveFmke: Both are acting exercises. One is one beat, one if the whole scene. #CMEchat

Bonnycastle       @SteveFmke Exactly my point there is a continuum from simple to complex in both cases and simulations #CMEchat

triciawil T3 Very.  Especially during.  For example, stopping periodically during a case to ask WWYD.  #cmechat

BrianSMcGowan              t3: feedback may actually be a great way to differentiate b/w cases and simulation...does feedback come from w/i the scene? #CMEchat

Bonnycastle       T3 #CMEchat debriefing is essential in both, good feedback makes the experience

HaleyMarie3      T3: polling during the activity to get feedback from learners  #cmechat

BrianSMcGowan              t3: for example...feedback may be delivered in tactile ways: Haptic technology: t.co/TnXYRYKfLP #simulations #CMEchat

Bonnycastle       @HaleyMarie3 good point encourage polling in cases especially #CMEchat

rmtyner               T3 feedback is critical maybe that could be the differentiation between case study and simulation #CMEchat

BrianSMcGowan              you went to other way...but critical too! #learners RT @HaleyMarie3: T3: polling during the activity to get feedback from learners  #cmechat

beth333SP          T3 Example: Patient actors teaching clinicians how to communicate a terminal dx. No one can know how to do this w/out practice. #CMEchat

BrianSMcGowan              T3: in role-playing the feedback should, as much as possible, come from w/i the scenario...colleagues, patients vs instructors. #CMEchat

Bonnycastle       @BrianSMcGowan #CMEchat peer feedback is also an ungoing reality of group cases

BrianSMcGowan              T3: in case studies feedback can be linear (independent) or adaptive (dependent) - both are good, won is better ;-) #CMEchat

BrianSMcGowan              Great conversation...high TPM...keep it up as I begin to introduce our fourth topic! #CMEchat

Bonnycastle       The #1 topic physicians want help with is giving feedback well #CMEchat -learned skill

BrianSMcGowan              t3: i love this theme in general b/c, perhaps more than any other educational model, the educator MUST plan rigorously. #CMEchat

CMEChat             T4: With so many different models available, how do you decide what form of case study or simulation to employ? #CMEchat

BrianSMcGowan              @Bonnycastle as far as becoming a teacher, or delivering care? or both? #CMEchat

Bonnycastle       #CMEchat LOL being an educator I always go back to objectives what is it you want the participant to learn and what is the best tool. T4

BrianSMcGowan              t4: one of the simple answers to how to decide is undoubtedly going to be cost...&amp; timing...but surely there are other reasons too #CMEchat

Bonnycastle       @BrianSMcGowan Sorry I work with them in their role of teacher #CMEchat

beth333SP          T4 Recipes vary, consider topic, aud, gaps, LO's, what can be changed? (make 1change?) measured? reinforced? short term? Long term? #CMEchat

BrianSMcGowan              t4: is it fair to say that case studies emphasize decision making skills, simulations emphasize psychomotor skills #CMEchat

BrianSMcGowan              @Bonnycastle - i thought as much...critical point! Thanks. #CMEchat

Bonnycastle       @BrianSMcGowan simulations also improve communication #CMEchat

BrianSMcGowan              @beth333SP - does that mean that there is definitive comparative data to support each of those decision points? #CMEchat

MedPedsDoctor               Jumping in late.  T4. Most simulations also include decision making while incorporating psychomotor skills #cmechat

CMEChat             Next week, would we be interested in a fun topic about engaging our learners through engaging their senses in unexpected ways? #CMEchat

BrianSMcGowan              @MedPedsDoctor - thanks for joining...can you draw for yourself a clear line b/w case studies and simulations? #CMEchat

beth333SP          That is the goal @BrianSMcGowan: does that mean that there is definitive comparative data to support each of those decision points? #CMEchat

BrianSMcGowan              and scents..and creative tension! RT @Bonnycastle: @CMEChat Great idea! Thinking a lot about music and art in meded #CMEchat

MedPedsDoctor               Nope.  Simulations are "case studies": case of a pt w X, for which we are studying how you interact w Y (machine or persons). #cmechat

BrianSMcGowan              T2/4 it is interesting that the Peabody data around case vignettes (mini cases) - shows such strong correlation to practice. #CMEchat

Bonnycastle       @BrianSMcGowan Another difference between cases and simulation - Can do cases fairly easily with large classes tougher with sim #CMEchat

BrianSMcGowan              @MedPedsDoctor - so it is the interactivity with external agents that makes a simulation a simulation? #worksforme #CMEchat

SteveFmke         @MedPedsDoctor So are PBL activities case studies or simulations? Not all pt encounters require alot of motor skills. #CMEchat

BrianSMcGowan              @Bonnycastle - thought about that too...but i could have 500 folks break into a roleplaying exercise, no? #AbAbAbAb #CMEchat ;-)

CMEChat             Thanks for participating in #CMEchat. Discussions are assumed to be personal opinion &amp; not that of employers

CMEChat             As we wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat – RT your favorite comment!

CMEChat             The real impact of the #CMEchat lies in your action, Please reflect &amp; take action on things you’ve learned!

alliance4cehp     RT @BrianSMcGowan: Just a reminder that today is the deadline for the #acehp14 call for abstracts: t.co/zi9I6dKnk7 #CMEchat

CMEChat             The complete tweetstream from #CMEchat will be archived shortly at t.co/EylNu0ipQF

MedPedsDoctor               Our sim center includes a part w "external agents" (mannequins, ventilators), &amp; a part w rooms for interaction betw people #cmechat

Bonnycastle       @BrianSMcGowan Lol I've seen that tried very noisy and convoluted - Second Life #CMEchat

SteveFmke         @BrianSMcGowan Agents external to whom? Patient? Provider? #CMEchat

BrianSMcGowan              @SteveFmke ...i would think external to the learner...once you add an interaction w/ an external agent you are 'simulating'... #CMEchat

MedPedsDoctor               My point is that case studies is the larger circle, of which simulation falls w/in it.  All sim are cases, but not all cases R sim #cmechat

SteveFmke         @BrianSMcGowan Then provider interacting with imagined pt is an external factor. That's common to cases and simulations. #CMEchat

Bonnycastle       @SteveFmke Our PBL are case studies but I could see how they might be done as sims if we were working with smaller numbers #CMEchat

SteveFmke         @MedPedsDoctor Doesn't it depend on what you're trying to simulate? #CMEchat

MedPedsDoctor               @SteveFmke correct.  #cmechat

Subscribe


Calendar

April 2014
SuMoTuWeThFrSa
12345
6789101112
13141516171819
20212223242526
27282930

Tag Cloud