#CMEchat 27 - How do we encourage practice and feedback loops in CME?
One of our most productive and enjoyable comversations to date...thanks to everyone you 'contributed'.
Check out the first question (prior to topic 1) and the responses...pretty telling about why practice and feedback loops are so important moving forward...
The topics for this week are immediately below:
Check out the first question (prior to topic 1) and the responses...pretty telling about why practice and feedback loops are so important moving forward...
The topics for this week are immediately below:
T1: What are your best strategies for supporting/facilitating “practice” (cognitive or behavioral) following didactic education? #CMEchat
T2: What are your best strategies for providing/supporting rapid feedback following didactic education? #CMEchat
T3: Little disagreement that one-off education is ineffective, what are effective strategies for sequential educational programs? #CMEchat
T4: @SpacedEd (and others) have built products to leverage the spacing effect…how else might the spacing effect be leveraged? #CMEchat
T5: Many groups have begun implementing social technologies to ‘continue the conversation’, what are the simplest social models we can pilot in CME? #CMEchat
- spelletier @licensednurse @cmeadvocate posts the transcripts at t.co/QScxb0Ix #cmechat
- licensednurse Will there be a transcript for those of us who missed #CMEchat today?
- JediPD It is, when you miss learning! RT @meducate: Sounds painful RT @JediPD: Sorry, time interdicted my motivation today. #cmechat
- cmeadvocate Thanks to all for participating AND contributing to #CMEchat 27...time to leave the splendid offices of @meducate and head home! #gophillies
- mathena123 #CMEchat great chat today. Always learn alot from you guys! Off to research meeting. TY @cmeadvocate
- meducate Sounds painful RT @JediPD: Sorry, time interdicted my motivation today. #cmechat
- JediPD Sorry, time interdicted my motivation today. #cmechat
- mathena123 @cmeadvocate @amergastroassn very interested to hear their ideas. #CMEchat
- iPodiatrist Much appreciated ..Nice GRoup ! RT @cmeadvocate welcome to @ipodiatrist thanks for joining and putting our best foot forward! #CMEchat
- mathena123 @iPodiatrist it is a life long commitment but we have to teach the skills to ensure that #CMEchat
- cmeadvocate Future topic: How do we promote educational leadership w/i medicine? @AmerGastroAssn seems to have an idea, they might share...#CMEchat
- mathena123 @cmeadvocate educational leaders from both undergrad and post grad. vital in the new age of medicine #CMEchat
- cmeadvocate and welcome to @ipodiatrist thanks for joining and putting our best foot forward! #CMEchat
- iPodiatrist Medicine is life long commitment 2 CE some do not appreciate that @mathena123 #CMEchat teach in med school about life long learning.
- meducate Hmm, voting for yourself? Interesting...RT @cmeadvocate: @mathena123 - but who would teach it? #TOTD #CMEchat
- meducate Hulk will get you...RT @theCMEguy: Shoot, completely missed #CMEchat. In my defense, was in a meeting to revise/improve our outcomes plan...
- cmeadvocate @mathena123 - but who would teach it? #TOTD #CMEchat
- theCMEguy Shoot, completely missed #CMEchat. In my defense, was in a meeting to revise/improve our outcomes plan...
- CMEChat The real impact of the #CMEchat lies in your action - engage others to participate & please take action on things your have learned! G’day!
- DownstateCME Agree, it should start there! RT @mathena123: #CMEchat teach in med school #cmechat
- CMEChat As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat
- CMEChat Thx for participating in #CMEchat. All discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers
- meducate YES! Need continuum of physician education, not silosRT @mathena123: #CMEchat teach in med school about life long learning. Get them early!
- sd90mac6000 @cmeadvocate It's a soft skill that doesn't appear as an acute need, like the "latest update in X". #cmechat
- cmeadvocate #TOTD - in 2 weeks! RT @spelletier: we need a whole chat just on learner motivation-it's the foundation of so many other challenges #cmechat
- mathena123 #CMEchat teach in med school about life long learning. Get them early!
- cmeadvocate cognitive dissonance... RT @rmtyner: T4 motivation is the Holy Grail - how do teach the learners who don't know they need to learn? #CMEchat
- spelletier I think we need a whole chat just on learner motivation-it's the foundation of so many other challenges #cmechat
- DownstateCME t5- on demand learning, iphone 4S—just tlk to it; #cmechat
- kenny_cox Exactly - @rmtyner: T4 learner motivation is the Holy Grail - how do teach the learners who don't know they need to learn?? #CMEchat
- spelletier MT @cmeadvocate: T4 the idea that learners have 2b motivated to learn is WHY current level of grantsmanship AND planning is failed. #cmechat
- cmeadvocate @sd90mac6000 - why...the processes and the technologies are much less expensive than many others...and impact much greater... #CMEchat
- rmtyner T4 learner motivation is the Holy Grail - how do teach the learners who don't know they need to learn?? #CMEchat
- spelletier @CMEChat t5 Google, Yahoo, LinkedIn groups are possibles #cmechat
- cmeadvocate T4 - the idea that learners have 2b motivated to learn is exactly WHY the current level of grantsmanship AND planning is failed. #CMEchat
- kenny_cox T5: emails that provide notifications of updates/questions/etc. similar to Facebook et al work very well #cmechat
- meducate #CMEChat T5 And what about the not-so-new technologies. It's about any communication, not just the next best thing.
- sd90mac6000 A tough sell! MT @cmeadvocate: t4 - teaching learners how to learn & set up system that support retention & practice is a huge void #CMEchat
- CMEChat T5: what about new technologies to ‘continue the conversation’, what are the simplest models we can PILOT in CME? #CMEchat
- meducate #CMEChat So we have to educate the learners about why, how, where, when etc?
- kenny_cox T4 - is it all about the incentive to the learner? What is the benefit - (not talking financial) - how does it help them? #cmechat
- spelletier sad but true RT @CECSarahG: If they are determined NOT to learn, theres not much we can really do about it. @meducate #cmechat
- mathena123 #cmechat problem of previous learning being exam orientated and the lifelong learning techniques needed.
- cmeadvocate #TOTD RT @CECSarahG: If they are determined NOT to learn, there's not much we can really do about it. @meducate #CMEchat
- spelletier @cmeadvocate that systems piece is so key—need to build system to support/reward improvement, not status quo #cmechat
- cmeadvocate @DownstateCME - i've heard that too. but lack of time is not a barrier, it simply means an activity was not important enough, rite? #cmechat
- CECSarahG If they are determined NOT to learn, there's not much we can really do about it. @meducate #CMEchat
- iPodiatrist T4 #CMEChat Mobile Gaming platform , would allow participants time flexibility along with highly engaging activity And Yes...FUN
- cmeadvocate t4 - teaching learners how to learn, how to set up a system that support retention and practice is a huge void in the field, no? #CMEchat
- meducate #cmechat T4 It works nicely with case-based education. Space questions out at the same intervals that patients would be seen
- spelletier @cmeadvocate oh good, so you've solved it then? Awesome. #cmechat
- DownstateCME both; lack of time is a barrier most cited RT @cmeadvocate: T3: participation in a CME event/series is a behavior #cmechat
- cmeadvocate @spelletier - when you think of it this way, doesn't it seem so much simpler to solve, dissect? #cmechat
- spelletier T3 Thinking about motivating factors: competition (w/ self and peers), curiousity (what comes next?), others? #cmechat
- cmeadvocate #TOTD RT @spelletier: ...can we use gaming concepts to make participation in sequential activities more attractive (dare I say fun) #cmechat
- meducate @cmeadvocate T3 #CMEChat - Self-directed participation. An adult behavior. We have control over trying to motivate to participate...
- CMEChat T4: @SpacedEd (and others) have built products to leverage the spacing effect…how else might the spacing effect be leveraged? #CMEchat
- cmeadvocate T3: participation in a CME event or series is a behavior - so lack of participation means learners lack motivation or lack ability #CMEchat
- meducate @cmeadvocate #cmechat Yup, hopefully
- spelletier I'm wondering if we can use some gaming concepts to make participation in sequential activities more attractive (dare I say fun?) #cmechat
- cmeadvocate @meducate - for some population perhaps...but then your needs assessment would have identified this segment of learners, no? #CMEChat
- meducate Welcome - you are in the land of my birth! RT @DownstateCME: Edeline fm Bklyn here, late arrival #cmechat
- DownstateCME Edeline fm Bklyn here, late arrival #cmechat
- meducate @cmeadvocate #CMEChat t3 - or their needs were met?
- cmeadvocate t3 - IMO, the value of participation has to be real - if learners are not coming back then the prgm must be lacking something. #CMEchat
- meducate @CECSarahG #cmechat But then learners participate but may not actually learn during prequel. Any maybe not during sequel either...
- cmeadvocate T3 - this is a huge concern in open-loop and closed-loop educational models...w/o a defined cohort/members sequential is tough...#CMEchat
- meducate T3 #CMEChat Integrated, curricular, multi-platform education that involves formative and summative evaluation.
- spelletier @cmeadvocate wish we could give points for learning/doing instead of participating/contributing...oh wait, we can #cmechat
- CECSarahG t3. Make sequel infinitely sexier that course 1, make course 1 prereq for sequel. #CMEchat
- meducate MT @mathena123: #cmechat T1/2 we learn in diff ways and reflect in different ways. Allow audience different platforms to increase engagement
- CECSarahG t3. Offer discount on sequential if they did first session. #CMEchat
- mathena123 #cmechat T1/2 we learning in different ways and we reflect in different ways. Allow the audience different platforms to increase engagement
- iPodiatrist I would agree in certain instances..have to know your audience @cmeadvocate theory suggests that it often alienates learners... #cmechat
- cmeadvocate T1/T2 - I used to give points for those who participated and points for those who contributed - very different behaviors, no #CMEchat
- meducate @iPodiatrist #cmechat I don't believe in calling people out - it has negative effects on them and the rest of the learners
- CECSarahG t1/t2 Ditto problem getting them to use the listservs @spelletier @cmeadvocate #CMEchat
- sd90mac6000 TAmen! RT @meducate: @cmeadvocate #cmechat you have to believe in the wisdom of crowds...the non-vocal folks will still be reflecting
- spelletier @CECSarahG good question! Reflect doesn't mean talk/post/tweet, it means think about #cmechat
- meducate #cmechat sitting across the table from @cmeadvocate while we are both posting is kinda like #duelingpianos
- cmeadvocate @iPodiatrist - umm...in some cases yes (often my approach) but teaching theory suggests that it often alienates learners... #cmechat
- kenny_cox Doing that right now myself #cmechat @sd90mac6000: just because I'm silent, doesn't mean I'm not reflecting and engaged!
- meducate @spelletier YES! And it invloves participants outside the room as well #cmechat
- CECSarahG I form plenty of opinions listening to the bigmouths. Must we require that all post? @cmeadvocate @meducate #CMEchat
- sd90mac6000 just because I'm silent, doesn't mean I'm not reflecting and engaged! MT @cmeadvocate: - but then vocal few dominate discussion..#cmechat
- spelletier @cmeadvocate @meducate re vocal few dominating...that's where the e-stuff can come in, let them respond via text or twitter or... #cmechat
- iPodiatrist Be in their face call on them@meducate - but then the vocal few dominate the discussion...how do you engage the 75% in the middle? #cmechat
- CMEChat T3: Little disagreement that one-off education is ineffective, what are effective strategies for sequential educational programs? #CMEchat
- mathena123 RT @meducate: @cmeadvocate #cmechat you have to believe in the wisdom of crowds...the non-vocal folks will still be reflecting
- cmeadvocate @spelletier - obvious answer is shock collars....but you might try gamification? or community blding techniques... #cmechat
- sd90mac6000 RT @meducate: @spelletier #cmechat Start by asking the crowd what their key takeaways were. Someone will always volunteer to go first. ..
- meducate @cmeadvocate #cmechat you have to believe in the wisdom of crowds...the non-vocal folks will still be reflecting
- cmeadvocate @meducate - but then the vocal few dominate the discussion...how do you engage the 75% in the middle? #cmechat
- cmeadvocate @bjfogg would teach us that we CANNOT help learners simplify a reflection process enough...to take action it must be simple...#CMEchat
- meducate @spelletier #cmechat Start by asking the crowd what their key takeaways were. Someone will always volunteer to go first. ..
- spelletier t1/t2 @cmeadvocate but how do you get them to use the listservs, etc.? My exp is that ppl say they will, but don't #cmechat
- iPodiatrist #CMEChat Tweeting from Bklyn NYC T2 When I lecture to my residents, I like to call on them for answers or Ques. Keeps them on there "Toes"
- spelletier @meducate tips on how to facilitate reflection discussion? Often so awkward, no one wants to do it #cmechat
- cmeadvocate t1/T2 - what about something as simple as list-servs...teaching learners how to build tools to simplify reflection...better notes? #CMEchat
- meducate @zumba4laffs #CMEChat - Welcome, my friend!
- cmeadvocate T1/t2 - We know Q&A is vital...but then it is always designed to go last (time permitting) - need better models, right? #CMEchat
- zumba4laffs #CMEChat Sheilah Laffan, from sunny McMaster University in Hamilton ON Canada. Hola to all!
- meducate @cmeadvocate #CMEChat - yes, there is an art to facilitating that reflection discussion - I have done it after I have lectured.
- cmeadvocate So important....but how do you encourage it? RT @mathena123: #CMEchat does post exercise reflection help with reviewing and reinforcing?
- audrie95 Audrie in Orangeburg...T2: Q&A time where leaners can pick the brains of the faculty. Learners crave individualized feedback. #CMEChat
- cmeadvocate Anyone have a experiences driving conversation (even if awkward) and reflection when there are 50 or more folks in a room...#CMEchat
- meducate @mathena123 #CMEChat Structure reflection can be very beneficial; use SoMe for discussion post-reflection could be the next step
- meducate It does after I exercise...RT @mathena123: #CMEchat does post exercise reflection help with reviewing and reinforcing?
- meducate #CMEChat T2 Providing follow-up education that is described during the live session on site is one effective method
- mathena123 #CMEchat does post exercise reflection help with reviewing and reinforcing?
- rmtyner T2 - text messaging could be a good reinforcement #CMEchat - there is a service for everything else
- CECSarahG t1: If they are techno-savvy enough to do chat rooms, that would be a little less awkward. #CMEchat
- CMEChat (similarly) T2: What are your best strategies for providing/supporting rapid feedback following didactic education? #CMEchat
- sd90mac6000 Department of Redundancy Department. RT @mathena123: #CMEchat someone once said to me education is repetition education is repetition
- CECSarahG t1: We have a survey we send out at specified times after participants take a course. #CMEchat @cmeadvocate
- betsymeded T1: Posters and tools at the POC may also be effective. #CMEChat
- meducate @cmeadvocate T1 It's the #spaceded concept really...mini-cycles help. Longer term contact is valuable as well. #cmechat
- cmeadvocate t1: do you think of mini-cycles for practice/feedback (after/during each lecture) vs longer-term cycles (days and wks that follow)? #CMEchat
- meducate You can say that again RT @mathena123: #CMEchat someone once said to me education is repetition education is repetition
- meducate @cmeadvocate wearing shades in the shadow of #CMEchat t.co/vaT2Nyun
- mathena123 #CMEchat someone once said to me education is repetition education is repetition
- cmeadvocate RT @betsymeded: T1: ... fan of chart reminders, electronic or old school paper. Barriers to this may be time to institute. #CMEChat
- kenny_cox Simple things like reinforcing emails or texts are effective #cmechat
- sd90mac6000 T1: Practice enabling toolkits, pocket cards. Commitment to change "contracts". #CMEChat
- cmeadvocate t1: 'practice' seems to be fundamental in almost every theory of learning, but is rarely done in practice. y the disconnect? #CMEchat
- betsymeded T1: I tend to be a fan of chart reminders, electronic or old school paper. Barriers to this may be time to institute. #CMEChat
- meducate T1 #CMEChat Post didactic retention strategies are key, as is formative assessment over time...
- sd90mac6000 RT @CMEChat: T1: What are your best strategies for supporting/facilitating “practice” (cognitive or behavioral) following didactic education? #CMEchat
- rmtyner T1 - I am a big fan of reinforcing through various forms of enduring activities - like the idea of repetition #CMEchat
- cmeadvocate so far answers include: 50-100%, 75%, 'maybe more', 80% of CME is purely didactic? #CMEChat
- meducate #CMEChat T1 That is assuming that any of us do didactic education :\
- mathena123 #CMEChat 80% didactic?
- CMEChat T1: What are your best strategies for supporting/facilitating “practice” (cognitive or behavioral) following didactic education? #CMEchat
- CommPharm If not higher - RT @rmtyner: 75%? what % of CME is provided as ‘didactic’ either as lecture, monograph, or multimedia? #CMEchat
- cmeadvocate just keep in mind that that our topics today are focused on what happens AFTER the data dump...how do we extend/endure learning...#CMEchat
- meducate Oh, forgot to introduce myself - Lawrence here, tweeting from Fort Washington, PA where I am in the same room at @cmeadvocate #cmechat
- rmtyner 75%? RT @CMEChat: b4 we get started: what % of CME is provided as purely ‘didactic’ either as lecture, monograph, or multimedia? #CMEchat
- CMEChat b4 we get started: what % of CME is provided as purely ‘didactic’ either as lecture, monograph, or multimedia? #CMEchat
- CommPharm Hey everyone Mike here from Barrie, Ontario. Multitasking today like usual #cmechat
- cmeadvocate we have, what i think are a cool assortment of topics today...hope you agree! #cmechat
- rmtyner Michelle in Indiana - excited for today's #CMEchat
- meducate @cmeadvocate do YOU know where I am tweeting from today? #CMECHat
- meducate @sd90mac6000 #CMEchat - happy to have dragged you...let's see if anyone else from north of the border participates after my talk...
- rmtyner NYC? RT @cmeadvocate: anyone know where @meducate is tweeting from today? #CMEchat
- cmeadvocate brian here moderating and trying to participate in the conversation at the same time...#CMEchat...i spent 30mins stretching!
- sd90mac6000 #CMEChat Christian Base, Toronto ON Canada. CPD in Quality & Patient Safety. @Meducate dragged me back!
- kenny_cox Kenny here chatting from beautiful Springfield MO #cmechat
- cmeadvocate anyone know where @meducate is tweeting from today? #CMEchat
- CMEChat As with each #CMEchat the archive will be available at t.co/nOLVEvIB and archived as a pdf on www.CMEadvocate.com
- CMEChat As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.
- CMEChat Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends
- CMEChat Rule 6. On #CMEchat we aim to play nice. Sarcasm & irony welcome though. Really. Seriously. #laughingislearning
- CMEChat Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too
- CMEChat Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!
- CMEChat Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat
- CMEChat Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.
- CMEChat Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?
- CMEChat Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.
- spelletier @cmeadvocate says today's chat is about learner feedback, engagement, spacing, & enduring learning after the knowledge dump 11 ET. #cmechat
- meducate About 20 minutes until #cmechat this morning...and I am not alone....
- cmeadvocate 50 minutes until #CMEchat sharing best practices for learner feedback, engagement, spacing, & enduring learning - how do we ensure learning.
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