#CMEchat 59: How does 'motivation' affect our educational planning?
(1 of 2) We talk about behavior change a lot w/i CME, but w/o motivation there can be no behavior change... #CMEchat
(2 of 2) …today we’ll explore how motivation affects behavior change “behind the scenes” – looking at motivation w/i our planning #CMEchat
T1 In general, what do you feel fuels motivation? And, how comfortable are you with the idea of “affecting” one’s motivations? #CMEchat
T2 In general, how does ‘motivation’ impact your CME planning efforts? Think: about staff, faculty, or learner motivation? #CMEchat
T3 How might you motivate FACULTY to become better facilitators? How do you deal with unmotivated faculty? #cmechat
T4 How might you motivate LEARNERS to become more engaged learners? How do you deal with unmotivated learners? #cmechat
From User Tweet
BrianSMcGowan How do we leverage behavior change w/i CME planning, how can we motivate faculty & learners to "engage"? Join #CMEchat in 3 hours!
BrianSMcGowan How do we leverage behavior change w/i CME planning, how can we motivate faculty & learners to "engage"? Join #CMEchat in 2 hours!
nlafferty Interested in #meded #ukmeded then you might also be interested in #cmechat begins at 11Eastern/1600 UK time - join in!
BrianSMcGowan How do we leverage behavior change w/i CME planning, how can we motivate faculty & learners to "engage"? Join #CMEchat in 60 minutes!
AMEE_Online RT @nlafferty: Interested in #meded #ukmeded then you might also be interested in #cmechat begins at 11Eastern/1600 UK time - join in!
BrianSMcGowan How do we leverage behavior change w/i CME planning, how can we motivate faculty & learners to "engage"? Join #CMEchat in 25 minutes!
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BrianSMcGowan Good morning to the #CMEchat-ters. Very motivated to have this conversation this morning. How about you?
theCMEguy @BrianSMcGowan I see what you dd there. #cmechat
BrianSMcGowan Brian here in foggy but mild southeastern pennsylvania. #CMEchat.
BrianSMcGowan @theCMEguy ;-) #cmechat
Savvy_CME Pam from oddly warm DC metro area, focused on compliance and accreditation but interested in behavior change (not just my own) #CMEchat
theCMEguy Derek in dreary Chestnut Hill. At least it's not freezing. #CMEchat
meducate #cmechat Lawrence here in increasingly sunny Long Island before I drive to foggy Pennsylvania
BrianSMcGowan @Savvy_CME - long time, no see. Welcome #CMEchat
rmtyner Michelle from frigid Indiana... #cmechat
theCMEguy @meducate Hey, don't blame us #CMEchat
triciawil @BrianSMcGowan Good morning! Tricia here, in rainy Charlottesville... #cmechat
improvecme #cmechat Derek in freezing Arizona
BrianSMcGowan Looks like everyone is gathering nicely...welcome to Derek and lawrence and tricia, Michells, Derek (2), and Haley! #CMEchat
CMEChat (1 of 2) We talk about behavior change a lot w/i CME, but w/o motivation there can be no behavior change... #CMEchat
CMEChat (2 of 2) â€¦today weâ€™ll explore how motivation affects behavior change â€œbehind the scenesâ€ â€“ looking at motivation w/i our planning #CMEchat
theCMEguy Really? What 's freezing in AZ? 60? :-) RT @improvecme: #cmechat Derek in freezing Arizona
BrianSMcGowan AZ if? RT @theCMEguy: Really? What 's freezing in AZ? 60? :-) RT @improvecme: #cmechat Derek in freezing Arizona
meducate @theCMEguy @improvecme #cmechat Yes, but it is a DRY cool
CMEChat T1 In general, what do you feel fuels motivation? And, how comfortable are you with the idea of â€œaffectingâ€ oneâ€™s motivations? #CMEchat
improvecme #cmechat In AZ in the 20s past 3 nights. Loosing our citrus.
ArdgillanGroup Mornin' all, Karen here from foggy Philly! #CMEchat
theCMEguy Wow! Really? Yikes... RT @improvecme: #cmechat In AZ in the 20s past 3 nights. Loosing our citrus.
BrianSMcGowan t1 - I am a student of @bjfogg and @DanielPink - and I like to think about how motivation impacts learning...#CMEchat
meducate RT @meducate: T1 Motivation comes from comfort "I agree with that" or discomfort/cognitive dissonance "That's not me" #cmechat
rmtyner T1 considering motivation of target audience is critical when developing a needs assessment #cmechat
improvecme T1 Motivation to learn fueled by many different things, but desired to solve a problem/challenge an important one. #cmechat
theCMEguy T1: Seems hard to generalize motivation. Aren't we all motivated by different things? #CMEchat
Savvy_CME T1: I think nowadays, what fuels motivation is the lack of time barrier- efficiency is ruling. #CMEchat
meducate T1 #cmechat You also have to know your audience...we fail at this in CME in many cases
BrianSMcGowan t1: Motivation comes in many flavors...but it seems most critical to this discussion is 'intrinsic' vs 'extrinsic' forms #CMEchat
improvecme T Perhaps we can affect motivations by teaching learners to think about how their motivations affect their learning & performance. #cmechat
triciawil @theCMEguy It depends on what the goal is... #cmechat
nlafferty Hello #cmechat from Dundee, Scotland, I suspect I will be mostly lurking on this week's chat
CMEChat .@theCMEguy - sure, but like what? let the ideas flow! #CMEchat
Savvy_CME T1: If it improves patient care (and not just the bottom line) I don't see a problem with affecting motivation, creating incentives #CMEchat
theCMEguy T1: In CME, many motivated by: "I have a problem, how can I solve it?" #cmechat
meducate @nlafferty Glad that you made it to #cmechat, Natalie! Dundee is the location of some good #meded
BrianSMcGowan #inception RT @improvecme: T Perhaps we can affect motivations by teaching learners to think about how their motivations... #cmechat
nlafferty " @meducate: @nlafferty Glad that you made it to #cmechat, Natalie! Dundee is the location of some good #meded" Indeed :)
Savvy_CME T1: Perhaps motivation should be the first question in a pre-test, before "do you know where a spleen is?" and other softballs #CMEchat
meducate T1 #cmechat Learners need a reason to be motivated
BrianSMcGowan t1: when I origincally wrote this topic, i thought of using the word 'manipulating' one's motivation...is that fair? #CMEchat
theCMEguy T1: and some are motivated by factors such as "uh oh...I need to get 5 more credits to meet requirements..." #cmechat #honesty
BrianSMcGowan huh? RT @meducate: T1 #cmechat Learners need a reason to be motivated
Savvy_CME @BrianSMcGowan Leading a horse to water, not making them drink... #CMEchat
meducate T1 #cmechat Manipulation connotates something bad (or chiropractic). It isn't manipulation that we are doing, it's encouraging
theCMEguy @BrianSMcGowan Sure. This is why we offer incentives for surveys, etc... #cmechat
BrianSMcGowan T1: fear is a great motivator, no? seems that there is a slippery slope b/w causing cognitive dissonance and fear... #CMEchat
Savvy_CME @theCMEguy And some are motivated by factors of "I'm losing money, I want to learn how to make more" #CMEChat #overlyhonestCME
triciawil T1 #cmechat I'd like to think the motivation is self-improvement...
rmtyner T1 too much fear could result in no action at all #cmechat
improvecme T1 Some other motivations: I need credit, I have competition/want 2 b better than them, I want 2 provide better care for X patients #cmechat
meducate @BrianSMcGowan T1 #cmechat I mentioned that earlier - either comfort or discomfort can motivate
BrianSMcGowan Mastery is a great fuel for motivation. agreed! RT @triciawil: T1 #cmechat I'd like to think the motivation is self-improvement...
BrianSMcGowan same w/ too much dissonance, no? RT @rmtyner: T1 too much fear could result in no action at all #cmechat
Savvy_CME .@BrianSMcGowan What are they afraid of? Getting sued? #CMEchat
BrianSMcGowan i see that is a pretty big stick, but wld you ever use it? RT @Savvy_CME: .@BrianSMcGowan What are they afraid of? Getting sued? #CMEchat
theCMEguy Ideally it is. Not always the case, tho RT @triciawil: T1 #cmechat I'd like to think the motivation is self-improvement...
meducate Well, you have exposed yourself! Welcome! RT @carvicab: Lurking #CMEchat
BrianSMcGowan T1: @DanielPink talks about intrinsic motivations being MUCH more important: Autonomy, Mastery, Purpose - key in medicine. #CMEchat
CMEChat T2 In general, how does â€˜motivationâ€™ impact your CME planning efforts? Think: about staff, faculty, or learner motivation? #CMEchat
triciawil Agreed RT @theCMEguy: Ideally it is. Not always the case, tho RT @triciawil: T1 #cmechat
improvecme T1 Another motivation: save money (i.e., reduce malpractice insurance costs) by taking specific CME. #cmechat
nlafferty @carvicab You're not alone! #cmechat
theCMEguy . @Savvy_CME made a good point before: if the bottom line is improved patient care, does the root of motivation matter? #cmechat
CMEChat t1: i wld also think Autonomy, Mastery, Purpose - would be key in learning too! Might I suggest Drive t.co/HLkwfKlE #CMEchat
ArdgillanGroup Fear of litigation - issue on Pain management #REMS #CMEchat Education on screening and documentation can be the carrot.
theCMEguy @HaleyMarie3 Agreed and I have no problem with that being the motivation... #cmechat
BrianSMcGowan @HaleyMarie3 - makes you consider whether altruism is a motivator in medicine...or is it always #WIIFM? #cmechat
Savvy_CME T2: Motivation- better content (not just recycled stuff), engaging faculty, improved formats, interactivity (ARS) = learner :) #CMEchat
theCMEguy @BrianSMcGowan @HaleyMarie3 I would think it's a combo of both for many, no? #cmechat
BrianSMcGowan I think when you are dealing with life or death behaviors (like medicine) the idea of motivation in learning can be very delicate! #CMEchat
ArdgillanGroup Feedback! #WIIFM? #cmechat personalized reports?
rmtyner T2 IMO the time constraints challenge the altruism - even more important to consider motivation #cmechat
triciawil @CMEChat Thanks for the suggestion - will download it! #cmechat
Motivology rt @rmtyner2013T2 IMO the time constraints challenge the altruism - even more important to consider motivation #cmechat #motivology
BrianSMcGowan t2: we 'want' learners to sit in the front of the room...how do we motivate this behavior? #CMEchat #startsimple...
BrianSMcGowan t2: we want learners to engage in small group breakouts and not leave the room, how do we motivate that? @theCMEguy #CMEchat
Savvy_CME .@BrianSMcGowan keep all the plugs and outlets at the front of the room...maybe some comfy chairs. #CMEchat
ArdgillanGroup Ask learners to declare their goals ? #cmechat
rmtyner T2 i think that engaging the learners comes from the content - not the same old presentation - and interactive faculty #cmechat
BrianSMcGowan t2 - @rmtyner shared an old Fox paper that explored perceived vs actual needs fueling motivation. #heartofmotivation #CMEchat
improvecme T2 What's the value in motivating the behavior to sit at front of the room if the CME is not designed to be interactive/engaging? #cmechat
BrianSMcGowan t2 - we have questioned learners self assessment for years, but their flawed assessment is their perception #truth #motivation #CMEchat
BrianSMcGowan @improvecme - touche! #cmechat
rmtyner +1 MT @improvecme: T2 Whats value motivating behavior to sit at front of room if CME is not designed to be interactive/engaging? #cmechat
BrianSMcGowan t2: but we want faculty to engage vs lecture, how do we leverage motivation to drive this behavior? #CMEchat
triciawil T2 #cmechat @BrianSMcGowan @theCMEguy IMO small group breakouts involve a balancing act to engage introverts & extroverts
CMEChat Lets get a bit more specific with T3...#CMEchat
elearningCME t2: I'd rather have audience interact with peers than me depending on size of audience. Front of room overrated. #cmechat
theCMEguy @BrianSMcGowan Explain, encourage, and understand. You can't motivate someone to do someting they really don't like. #cmechat
BrianSMcGowan @elearningCME - i'd rather not interact with you either ;-) #cmechat
rmtyner T2 assessment should be more quantitative - with right & wrong answers - if i only got 3 out of 10 right maybe something is wrong?? #cmechat
elearningCME Touche! RT @BrianSMcGowan: @elearningCME - i'd rather not interact with you either ;-) #cmechat
BrianSMcGowan @theCMEguy - but isn't that the heart of the question. are you sure you can't? I think you can, but should you and when? #cmechat
CMEChat T3 How might you motivate FACULTY to become better facilitators? How do you deal with unmotivated faculty? #cmechat
theCMEguy Yes RT @elearningCME: t2: I'd rather have audience interact w/ peers than me depending on size of audience. Front of room overrated #cmechat
improvecme T2 Take the opportunity to tell learners about adult learning and how to optimize it. What evidence shows aids their learning. #cmechat
BrianSMcGowan @improvecme - think there is something to the adage of showing them vs telling them, no? #cmechat
BrianSMcGowan t3: what motivates faculty to accept speaking engagements in the first place? Critical first piece of the puzzle, no? #CMEchat
elearningCME T3: Unmotivated faculty...take them out back and.... #cmechat
rmtyner T3 creating a faculty that is interested in teaching is the first step in motivating the learner #cmechat
meducate Go Brooklyn on them! RT @elearningCME: T3: Unmotivated faculty...take them out back and.... #cmechat
BrianSMcGowan t3: If you want to teach, we can help you teach better! If you want the prestige/fame, then ba-bye. #CMEchat
rmtyner RT @elearningCME: T3: Unmotivated faculty...take them out back and.... #cmechat
theCMEguy T3: Have found sharing eval results with faculty can sometimes be a motivator, particularly when comments are harsh... #cmechat
ArdgillanGroup T3 motivate faculty by engaging them every step - planning, thro assessment and report/pub, not "will you give your xx talk" #CMEchat
BrianSMcGowan #TOTD RT @ArdgillanGroup: T3 motivate faculty by engaging them every step...not "will you give your xx talk" #CMEchat
Savvy_CME T3: Motivate faculty with learner feedback, find a physician advocate/leader for unmotivated faculty- often it takes peer-to-peer #CMEchat
meducate T3 #cmechat Faculty need to behave as #goodeducators and be a part of the process
DrPlumEU RT @rmtyner: RT @elearningCME: T3: Unmotivated faculty...take them out back and.... #cmechat
BrianSMcGowan t3: Has anyone ever asked the faculty, what motivates you to travel so much, to 'lecture' so much? Any guesses? #CMEchat
elearningCME T3: Good suggestions but if they don't work? Are you ok with that? If you're not okay, don't use that faculty. #cmechat
Savvy_CME T3: Take the "who cares" info out of evaluation results to send to faculty- beyond just hot/cold room. Tease out what learners want #CMEchat
theCMEguy T3: a strong program director can make a difference with unmotivated faculty. Sometimes they need a peer to give kick in the *ahem* #cmechat
CMEChat T1-T3: (you guys and gals are knocking the cover off the ball!) #CMEchat
improvecme T3 Old method-contract faculty who give canned presentation. New method-engage faculty in uncovering gaps/ask them 2 help fill gaps #cmechat
elearningCME Prestige. Attention. RT @BrianSMcGowan: t3: Has anyone asked the faculty, what motivates you to traveland 'lecture'? Any guesses? #CMEchat
DrPlumEU @meducate #cmechat Am GP in UK who teaches medical students. Overcoming isolation of community teachers is important How to do this well?
ArdgillanGroup @BrianSMcGowan re:travel. Reasons vary from $ to career development to delight in interaction and teaching #CMEchat
theCMEguy @BrianSMcGowan Are we dancing around the $$$ issue? #CMEchat #softshoe
BrianSMcGowan T3: Ask you faculty b4 confirming: Are there good motivations, can you use them? Are there bad motivations, can you replace them? #CMEchat
meducate @DrPlumEU #cmechat There are several strategies for that - collaborative teaching, team up with visiting professors, provide ed tools
elearningCME t3 - My experience is that organizers are afraid to confront the low performers...and that's on us as educators...to try harder. #cmechat
DrPlumEU @ArdgillanGroup @BrianSMcGowan As GP tutor it isn't money/career; it's pleasure of teaching which is different from usual clinic #cmechat
BrianSMcGowan @theCMEguy - I dont think so... i turn down honorarium far more often than I accept it. Money is not worth the hassles. #CMEchat #time
Savvy_CME T3: Need leadership to step in: if a faculty member is dull, someone needs to light a fire. #CMEchat
ArdgillanGroup @theCMEguyNot sure $$ as big as before - losing $$ by leaving practice, honoraria capped, institution rules, transparency #CMEchat
DrPlumEU @meducate #cmechat best motivation for me is end of block assessment meetings with med school faculty/physicians. Am only GP who does this
BrianSMcGowan t3: as we move to #P4p then the money motivators will be derivative at best...salaried is salaried. #CMEchat
meducate @DrPlumEU #cmechat That is good for you but scary that no other GPs do this
theCMEguy @ArdgillanGroup True, and some can't accept $ for speaking or it goes directly to dept. #CMEchat
CMEChat Almost time for the final topic.... #CMEchat
Savvy_CME T3: Content should be reviewed for more than just content, bias, how about redundancy? Ask if they've ever done presentation before #CMEchat
DrPlumEU @theCMEguy @ArdgillanGroup #cmechat Any money earned in my activities (or those of partners here) goes directly into practice income
theCMEguy T3: Hey, maybe some faculty just like to teach others and THAT'S their motivation... #CMEchat
improvecme T3 Some suggested measures of faculty effectiveness: knowledge, competence & performance change in CME part. Feed back 2 faculty. #cmechat
BrianSMcGowan @DrPlumEU - ever think about where that 'pleasure' is rooted? Need more info is this is to be 'scalable'... #cmechat
theCMEguy @DrPlumEU @ArdgillanGroup Yes, this seems to be more and more common #CMEchat
BrianSMcGowan @theCMEguy - IMO, that is not specific enough to 'use' ...need to understand the root of the motivation... #CMEchat
DrPlumEU @Savvy_CME #cmechat In community teaching very hard to be prescriptive - controlling what is seen enormously difficult in general clinic
CMEChat T4 How might you motivate LEARNERS to become more engaged learners? How do you deal with unmotivated learners? #cmechat
BrianSMcGowan T4 - to understand this question you have to accept that 'there is no learning without motivation...' #CMEchat #deathtaxes&motivation
theCMEguy @BrianSMcGowan Disagree. Root of motivation is that they like to help people. That is the motivator for some. #CMEchat
elearningCME T4 - Important to determine why they are unmotivated. Is it not what they expected? Is the learning compulsory? ??'s #cmechat
DrPlumEU @CMEChat #cmechat T4 direct observed skills like examination/hx taking with debrief using Pendleton Rules involving all the students
BrianSMcGowan t4: the general assumption therefore is that the needs assessment process is identifying a shared motivation to learn, no? #CMEchat
Savvy_CME T4: Games sometimes help with interaction- whether through ARS or Jeopardy. #CMEchat
improvecme T4 Can't force them but take some time at beginning of CME 2 explain why/how & what kind of engagement will enhance their learning. #cmechat
BrianSMcGowan @theCMEguy - humbly disagree...the root would then be they feel 'purpose' or they feel 'prestige' #underlyingfeelings #CMEchat
DrPlumEU @BrianSMcGowan #cmechat Student feedback at end of year is motivating. My students look forward to coming to my practice; value what we do
ArdgillanGroup Not done enough! RT @improvecme: take time at beginning of CME 2 explain why/how & what kind of engagement will enhance learning. #cmechat
improvecme T4 Physicians may not think a lot about how they learn/translate it into practice. Good 2 discuss it with them/ask 2 reflect on it #cmechat
BrianSMcGowan t4: At least in the US Docs are supreme test takers...many love being tested vs loving learning, agree? #CMEchat #motivation
theCMEguy T4: Potential to increase engagement by offering multiple avenues of engagement (open mic vs monitored Twitter stream) #cmechat
Savvy_CME T4- I've used "intent to change" worksheets- "what do you hope to change as a result of this activity?"- get them thinking. #CMEchat
BrianSMcGowan @improvecme - could this be done at 'scale'? #cmechat
DrPlumEU @improvecme T4 #cmechat Learning who the student is, where she/he comes from can overcome inertia. Hospital drs often fail to do this
BrianSMcGowan #TOTD RT @Savvy_CME: T4- [ask them] "what do you hope to change as a result of this activity?"- get them thinking. #CMEchat
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DrPlumEU #cmechat T4- I've used "intent to change" worksheets- "what do you hope to change as a result of this activity?"- get them thinking. #TOTD
theCMEguy @BrianSMcGowan humbly disagree w/ your humble disagreement. Possible to "help" someone without underlying motivation IMO #CMEchat
BrianSMcGowan @Savvy_CME - but what if what they want to learn is NOT what I want to teach. They lose, I win. #sadreality #CMEchat
ArdgillanGroup TOTD Yes - get practical!RT @improvecme: T4 Phys may not think about how to translate into practice. Good 2 discuss it or reflect #cmechat
BrianSMcGowan Thanks to all of you for coming out today for #CMEchat. Might be our highest TPM, but clearly one of our best discussion!