(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!

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 t.co/4muGmNIx shortly after the session has ended.

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) …today we’ll explore how motivation affects behavior change “behind the scenes” – 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 “affecting” one’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 ‘motivation’ 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

CMEChat             Thanks for participating in #CMEchat. Discussions are assumed to be personal opinion & 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 & take action on things you’ve learned!

CMEChat             The complete tweetstream from #CMEchat will be archived shortly at t.co/4muGmNIx

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!