#JHMChat Transcript

Healthcare social media transcript of the #JHMChat hashtag.
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J Hospital Medicine @JHospMedicine
Greetings, I'm @WrayCharles your moderator for tonight's #JHMChat. Go ahead and introduce yourself while we wait for others to join
Society of Hospital Medicine @SHMLive
#JHMChat starts NOW! Join the discussion on #meded best practices, then claim #CME: https://t.co/bGGHSZaBrw https://t.co/cOQaAEPsau
J Hospital Medicine @JHospMedicine
Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight - #CME edition!
J Hospital Medicine @JHospMedicine
Don't forget to tag your tweets with #JHMChat! T1 up in a few moments…
J Hospital Medicine @JHospMedicine
RT @JHospMedicine: Special thanks to our partners @SHMLive @CostsofCare @ABIMFoundation 4 bringing you #JHMChat tonight - #CME edition!
Nate Houchens @nate_houchens
Delighted to be discussing #MedEd with friends and colleagues this evening. Thanks @JHospMedicine, @SHMLive, @WrayCharles. #JHMChat
Ryan Gamlin @RyanGamlin
I am (as my handle suggests) Ryan Gamlin, an M4 interested in medical education #JHMChat
Lonika Sood, MD, MHPE @sood_lonika
@JHospMedicine @WrayCharles Hi- Lonika Sood (@sood_lonika) from Green bay WI joining in! #JHMChat
Patient Safety Enhancement Program (UMVA) @PSEPUMVA
RT @SHMLive: #JHMChat starts NOW! Join the discussion on #meded best practices, then claim #CME: https://t.co/bGGHSZaBrw https://t.co/cOQaA…
Michelle Brooks, MD, FACP, FHM @michellebr00ks
Hi everyone...Michelle Brooks from VCU Health in Richmond, Virginia #jhmchat
OHSU IM Residency @OHSUIMRes
Joining #JHMChat from @OHSUSOM @OHSUNews!
Sanjay Saint @sanjaysaint
Glad to be here! https://t.co/1mTwrNj81U
Chris Moriates, MD @ChrisMoriates
@JHospMedicine @WrayCharles Hi @WrayCharles and friends. Joining tonight from #atx. I actually shared this article with our entire hospitalist group this week #JHMChat
J Hospital Medicine @JHospMedicine
Want to welcome @sanjaysaint & @nate_houchens as authors of tonight's article on Exemplary Clinical Teaching #JHMChat
Tony Breu @tony_breu
Tony Breu here from @VABostonHC. Previously (proudly) @bidhospitalists and Northwestern. Great #meded everywhere. #jhmchat
Avital O'Glasser, MD FACP FHM @aoglasser
Also joining from Portland (and @OHSUIMRes) #JHMChat
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: Don't forget to tag your tweets with #JHMChat! T1 up in a few moments…
J Hospital Medicine @JHospMedicine
RT @ChrisMoriates: @JHospMedicine @WrayCharles Hi @WrayCharles and friends. Joining tonight from #atx. I actually shared this article…
Daniel Wolfson @WolfsonD
#JHMChat Glad to be joining the chat - a policy non-physician perspective.@ABIMFoundation #ChoosingWisely
Rebecca Jaffe @RJmdphilly
Rebecca jaffe here. Miraculously after tending to two kids w headlice and hubbie with disk herniation #dedication #whiskey #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@RJmdphilly hardcore! #JHMchat
Tony Breu @tony_breu
@RJmdphilly Whatever it takes! #JHMChat
Chris Moriates, MD @ChrisMoriates
@nate_houchens @JHospMedicine @SHMLive @WrayCharles Great article Nate! Have been sharing widely #JHMChat
J Hospital Medicine @JHospMedicine
Be sure to register for #CME for participation in tonight's #JHMChat - sign up here!--> https://t.co/eF9tllCeAu
Michael Sinha MD, JD, MPH @DrSinhaEsq
RT @SHMLive: #JHMChat starts NOW! Join the discussion on #meded best practices, then claim #CME: https://t.co/bGGHSZaBrw https://t.co/cOQaA…
J Hospital Medicine @JHospMedicine
Be sure to register for #CME for participation in tonight's #JHMChat - sign up here!--> https://t.co/eF9tllCeAu https://t.co/iSTHK396RN
Vinny Arora MD MAPP @FutureDocs
Vineet Arora @JHospMedicine #SoMe editor excited to supporting @WrayCharles tonight as myself :) #JHMChat
Julio David Ortiz @jdortizmd
Howdy everyone! My name is JD and I'm a pediatrics PGY2 here in Austin, excited for the chat #JHMchat
J Hospital Medicine @JHospMedicine
Tonight’s questions will center on 3 major themes: 1) Fostering (+) Relationships 2) Pt-Centered #Meded 3) Collaboration & Coaching #JHMChat https://t.co/aQTeUTvFOb
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: Be sure to register for #CME for participation in tonight's #JHMChat - sign up here!--> https://t.co/eF9tllCeAu
J Hospital Medicine @JHospMedicine
Tonight’s questions will center on 3 major themes: 1) Fostering (+) Relationships 2) Pt-Centered #Meded 3)... https://t.co/rVojzj7Zss
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: Tonight’s questions will center on 3 major themes: 1) Fostering (+) Relationships 2) Pt-Centered #Meded 3) Collabor…
Sanjay Saint @sanjaysaint
@RJmdphilly I am impressed! I better bring my A game...:-) #JHMChat
J Hospital Medicine @JHospMedicine
Glad to have you here, Julio! #JHMChat https://t.co/vZ5n0IMXMF
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: Tonight’s questions will center on 3 major themes: 1) Fostering (+) Relationships 2) Pt-Centered #Meded 3) Collabor…
Vinny Arora MD MAPP @FutureDocs
@RJmdphilly amazing dedication-hang in there #JHMChat
Kelsey Murray @doctorakelso21
Lurking on #JHMChat tonight from Ohio #FMRevolution FM docs do inpatient too - especially in residency. Pgy1 here :)
Chris Moriates, MD @ChrisMoriates
I got back up tonight from #atx @DellMedSchool for #JHMchat! @JDOrtizMD @CarlosM44013395 https://t.co/r1ZzDp4Aem
J Hospital Medicine @JHospMedicine
@sanjaysaint @RJmdphilly We expect nothing less, Sanjay #JHMChat
Rebecca Jaffe @RJmdphilly
RT @JHospMedicine: Tonight’s questions will center on 3 major themes: 1) Fostering (+) Relationships 2) Pt-Centered #Meded 3) Collabor…
Vinny Arora MD MAPP @FutureDocs
RT @sanjaysaint: Hope the great attendings we observed who are also on twitter - @Gurpreet2015 @LarryTierney @jeannemfarnan - join us tonig…
J Hospital Medicine @JHospMedicine
T1: In Fostering a Positive Environment, what techniques have you found to be useful? #JHMChat
Shannon K. Martin @shannonmartinmd
Hi all, Shannon Martin, hospitalist from @UChicago, privileged to be trained by/learn from/work w/ exemplary educators every day ;) #jhmchat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @JHospMedicine: Tonight’s questions will center on 3 major themes: 1) Fostering (+) Relationships 2) Pt-Centered #Meded 3) Collabor…
J Hospital Medicine @JHospMedicine
@doctorakelso21 Glad you could join us, Kelsey! Look forward to hearing your input #JHMchat
J Hospital Medicine @JHospMedicine
RT @JHospMedicine: T1: In Fostering a Positive Environment, what techniques have you found to be useful? #JHMChat
Society of Hospital Medicine @SHMLive
T1 is live! Join in on discussing #meded best practices! #JHMChat https://t.co/wHpyADEklL
Poonam Sharma @PoonamSS
Joining from NC. Looking forward to #jhmchat !
Nate Houchens @nate_houchens
Nate: Former @umichmedicine Chief Medical Resident, #Hospitalist, Associate Chief of Medicine at @VAAnnArbor. Honored to join. #JHMChat
Rebecca Jaffe @RJmdphilly
@gretchendiemer @estewart2099 https://t.co/NulA2LUo59
Ryan Gamlin @RyanGamlin
@JHospMedicine clear expectations, eg: attending talking about intended frequency, location, style of teaching, and soliciting feedback/agreement #JHMChat
Tony Breu @tony_breu
@JHospMedicine T1: Essential to "get to know the team". Though it only takes 10m to ask, time is short and this is often left out on day 1 #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
T1 - Definitely learning a little about my students helps! Seeing them as people w interests outside of medicine is important. #jhmchat
Sanjay Saint @sanjaysaint
@JHospMedicine The attendings we saw really did treat everyone the same; greeted people in the hallways, allowed everyone their turn to speak. #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @SHMLive: T1 is live! Join in on discussing #meded best practices! #JHMChat https://t.co/wHpyADEklL
Vinny Arora MD MAPP @FutureDocs
disclosure: we are also besties w @jeannemfarnan an "exemplary clinical teacher" profiled in @sanjaysaint book #JHMChat https://t.co/qSMkEZyAsr
Lonika Sood, MD, MHPE @sood_lonika
@JHospMedicine T1: culture of mutual respect w/ learner/other hp members;encourage learners to make mistakes,b humble #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
T1 - Providing food...caring for their physical needs. I do a lot of different snacks - salty/sweet/crunchy/chewy #jhmchat
Nate Houchens @nate_houchens
@RyanGamlin @JHospMedicine Absolutely! Attendings provide the signposts. Without clear directions and a destination in mind, learners are without a map. #JHMChat
J Hospital Medicine @JHospMedicine
Do you have any special "break the ice" questions or exercises? #JHMChat https://t.co/OIbSq2SC0J
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @tony_breu: @JHospMedicine T1: Essential to "get to know the team". Though it only takes 10m to ask, time is short and this is…
Rebecca Jaffe @RJmdphilly
RT @SHMLive: T1 is live! Join in on discussing #meded best practices! #JHMChat https://t.co/wHpyADEklL
Tony Breu @tony_breu
@michellebr00ks Yes, snacks. Doesn't need to be five-course meal. #JHMchat
J Hospital Medicine @JHospMedicine
RT @sanjaysaint: @JHospMedicine The attendings we saw really did treat everyone the same; greeted people in the hallways, allowed ev…
Chris Moriates, MD @ChrisMoriates
Yes, NEVER skip brief intro/orientation on day 1 of rotation. Critical to set the tone and learn personal facts about each member #JHMchat https://t.co/vu20zYDHQB
J Hospital Medicine @JHospMedicine
T1a: Would love to hear any learners’ perspectives on what they’ve experienced? #JHMChat
Rebecca Jaffe @RJmdphilly
RT @sood_lonika: @JHospMedicine T1: culture of mutual respect w/ learner/other hp members;encourage learners to make mistakes,b humble #JHM
Michelle Brooks, MD, FACP, FHM @michellebr00ks
T1 - I started as a ward clerk, so I think greeting them when we arrive on the unit is important to fostering positive environment #jhmchat
Vinny Arora MD MAPP @FutureDocs
RT @ChrisMoriates: Yes, NEVER skip brief intro/orientation on day 1 of rotation. Critical to set the tone and learn personal facts abo…
Avital O'Glasser, MD FACP FHM @aoglasser
@sanjaysaint @JHospMedicine #JHMChat I especially liked how the article discussed how that respect extended to treating pts as people, esp with dc planning
Nate Houchens @nate_houchens
@michellebr00ks Maslow's hierarchy should be maintained. Food, shelter, safety first! Couldn't agree more. #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @ChrisMoriates: Yes, NEVER skip brief intro/orientation on day 1 of rotation. Critical to set the tone and learn personal facts abo…
Ryan Gamlin @RyanGamlin
@sood_lonika @JHospMedicine this! many learners are afraid to be wrong because of a culture where it's not rewarded... yet that's where the learning happens! #JHMChat
Grace Farris MD @gracefarris
T1: learning how to pronounce everyone's name Day 1,no excuse for not knowing this, set expectations, minimize complaining #JHMChat
Tony Breu @tony_breu
@JHospMedicine Nothing unusual. "Who are you? Where are you from? Where are you going?" At VA, we have trainees from 3 programs. Lots of strangers #JHMchat
Avital O'Glasser, MD FACP FHM @aoglasser
@RyanGamlin @sood_lonika @JHospMedicine bingo #JHMChat
J Hospital Medicine @JHospMedicine
Love it, Ryan! #JHMChat https://t.co/WP7X7XBSe3
Gretchen Diemer @gretchendiemer
RT @JHospMedicine: To join tonight's #JHMChat at 9PM EST 1. Search "#JHMChat" 2. Click on "Latest" tab on top left 3. Join convo & use…
BUY FOLLO₩ERS :ry @housnernorma
RT @michellebr00ks: T1 - Providing food...caring for their physical needs. I do a lot of different snacks - salty/sweet/crunchy/chewy #jhm
J Hospital Medicine @JHospMedicine
RT @aoglasser: @sanjaysaint @JHospMedicine #JHMChat I especially liked how the article discussed how that respect extended to trea…
J Hospital Medicine @JHospMedicine
RT @nate_houchens: @michellebr00ks Maslow's hierarchy should be maintained. Food, shelter, safety first! Couldn't agree more. #JHMChat
Tony Breu @tony_breu
@gracefarris And asking how they want to be referred in front of patients. I default to "Dr." but want to know their preference. Have to ask. #JHMchat
Julio David Ortiz @jdortizmd
T1a: learned that attending's style follows them, we typically know what we're getting into when rotating onto service! #JHMchat
Nate Houchens @nate_houchens
@JHospMedicine I love to ask learners what their "guilty pleasure song" is. The song they love, but are slightly embarrassed to love. #JHMChat https://t.co/0Pw4m1KuAa
Lonika Sood, MD, MHPE @sood_lonika
@gracefarris T1: where bathrooms are #JHMChat
J Hospital Medicine @JHospMedicine
RT @RyanGamlin: @sood_lonika @JHospMedicine this! many learners are afraid to be wrong because of a culture where it's not rewarded…
Avital O'Glasser, MD FACP FHM @aoglasser
@JHospMedicine #JHMChat @ryangamlin absolutely agree re clear expectations. gotta do own orientation at beginning of stretch together, foundation for time
Kelsey Murray @doctorakelso21
T1 I think also setting the tone about how we talk about patients and issues and other team members. Respect all around. #JHMChat
Chris Worsham, MD @chrisworsham
@JHospMedicine As a resident, hearing early on what the attending expects of me set the whole rotation up for success & improved communication #JHMchat
Vinny Arora MD MAPP @FutureDocs
T1 @jeannemfarnan taught me to ask each learner to write their personal learning goals for rotation. Also ask preferred nickname:) #JHMChat
J Hospital Medicine @JHospMedicine
Takes us to our next subquestion... #JHMChat https://t.co/iAifk0PIGD
Grace Farris MD @gracefarris
@tony_breu I tell them I will only call them Dr #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@tony_breu @gracefarris agree default to Dr. (all the brand new interns introduce selves as First Name esp in July)-I have to show I respect their degree #JHMChat
J Hospital Medicine @JHospMedicine
T1b: @sanjaysaint @nate_houchens did any specific examples really stand out to you in your gathering of data? #JHMChat
Lonika Sood, MD, MHPE @sood_lonika
@tony_breu @gracefarris A student once commented how valuable they felt when I intro them to patient by name #JHMChat
Rebecca Jaffe @RJmdphilly
@tony_breu @gracefarris This is good. I never think about this until the bedside and oftern stumble. #JHMchat
Nate Houchens @nate_houchens
Great responses! My fave is self-deprecating humor. Show learners you’re human and can laugh at yourself. #JHMChat
J Hospital Medicine @JHospMedicine
RT @ChrisWorsham: @JHospMedicine As a resident, hearing early on what the attending expects of me set the whole rotation up for succe…
Avital O'Glasser, MD FACP FHM @aoglasser
@nate_houchens @JHospMedicine #JHMchat can I steal this? I end up learning favorite pandora/music streaming station in the team room :)
Shannon K. Martin @shannonmartinmd
@tony_breu @gracefarris this is such a great idea! I always default to "Dr" too but lots of different preferences in how residents introduce themselves #jhmchat
Gretchen Diemer @gretchendiemer
RT @RyanGamlin: @sood_lonika @JHospMedicine this! many learners are afraid to be wrong because of a culture where it's not rewarded…
Sanjay Saint @sanjaysaint
@JHospMedicine I learned this from @Bob_Wachter when he was my Program Director at @UCSF "What is your favorite all-time movie?" I still use it! #JHMChat
Daniel Wolfson @WolfsonD
#JHMChat When does teacher cross the line from a source of expertise/mastery to a buddy relationship that does not respect expertise?
Rebecca Jaffe @RJmdphilly
@JDOrtizMD And yet we want to know what you know. Vertical feedback is important. #JHMchat
Julio David Ortiz @jdortizmd
@tony_breu @gracefarris This can definitely be awkward when attendings have to look at name tag in patient room, nobody is perfect though! #JHMchat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @FutureDocs: T1 @jeannemfarnan taught me to ask each learner to write their personal learning goals for rotation. Also ask preferred nic…
Tony Breu @tony_breu
@gracefarris I assume you mean in front of patients. Hard to argue with that. I generally adhere to this as well. I've changed over time #JHMchat
Chris Moriates, MD @ChrisMoriates
I ask for personal goals as well and, as attending, I always set one for myself and share it. Ask the team to help me achieve it. #JHMchat https://t.co/CxYYD28igz
Vinny Arora MD MAPP @FutureDocs
RT @ChrisMoriates: I ask for personal goals as well and, as attending, I always set one for myself and share it. Ask the team to help…
Avital O'Glasser, MD FACP FHM @aoglasser
RT @nate_houchens: Great responses! My fave is self-deprecating humor. Show learners you’re human and can laugh at yourself. #JHMChat
Jeanne M. Farnan @jeannemfarnan
@FutureDocs Personal, educational and system goals- and yes, getting to know who the team is is my favorite part! #JHMchat
Nate Houchens @nate_houchens
@JHospMedicine @sanjaysaint Use learners' names, learn about them as people outside of medicine, outside the hospital. Laugh with them, cry with them. #JHMChat
Kelsey Murray @doctorakelso21
@nate_houchens @JHospMedicine This means you need to share yours now! #JHMchat https://t.co/tS09nPteJa
J Hospital Medicine @JHospMedicine
RT @sanjaysaint: @JHospMedicine I learned this from @Bob_Wachter when he was my Program Director at @UCSF "What is your favorite all…
Rebecca Jaffe @RJmdphilly
@aoglasser @JHospMedicine @RyanGamlin Short on service blocks erode this big time. Frankly that's a response to the whole question for T1 too. #JHMChat
Tony Breu @tony_breu
@sanjaysaint @JHospMedicine @Bob_Wachter @UCSF Everyone has a favorite movie! E.T. #JHMchat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @jeannemfarnan: @FutureDocs Personal, educational and system goals- and yes, getting to know who the team is is my favorite part! #JHMch
Jeanne M. Farnan @jeannemfarnan
@ShannonMartinMD @FutureDocs @sanjaysaint You are both cracking me up! Sorry was distracted with new braces and #SharkWeek2017 #JHMChat
Grace Farris MD @gracefarris
@WolfsonD Can't sit next to them writing notes all day- learned this from @bidhospitalists #JHMChat
Vinny Arora MD MAPP @FutureDocs
How I know someone doesn't really know me: they address me as Vineet :) #JHMChat https://t.co/kIsCBZTes7
Julio David Ortiz @jdortizmd
@RJmdphilly We do feedback fridays pretty much every week on Wards (other rotations more difficult), but is great to give and receive feedback #JHMChat
Charlie M. Wray @WrayCharles
My favorite ice-breaker: What was the first CD/Tape you ever purchased? #JHMChat It also tells you what generation you're dealing with :)
J Hospital Medicine @JHospMedicine
RT @jeannemfarnan: @FutureDocs Personal, educational and system goals- and yes, getting to know who the team is is my favorite part! #JHMch
Ryan Gamlin @RyanGamlin
@RJmdphilly @aoglasser @JHospMedicine this was a HUGE issue during some of my M3 cores. If I'm on service with an attending for 1-3 days, it's a run-and-gun dispo show #JHMChat
Vinny Arora MD MAPP @FutureDocs
RT @nate_houchens: @JHospMedicine @sanjaysaint Use learners' names, learn about them as people outside of medicine, outside the hospit…
Michael Sinha MD, JD, MPH @DrSinhaEsq
RT @JHospMedicine: Tonight’s questions will center on 3 major themes: 1) Fostering (+) Relationships 2) Pt-Centered #Meded 3) Collabor…
Sanjay Saint @sanjaysaint
@JHospMedicine @nate_houchens T1b: They did not dismiss #students' opinions in favor of #residents', and really took a #TeamApproach to #PatientCare. #JHMChat
Mary Jo Robinson @mjrobin6714
RT @ChrisMoriates: Yes, NEVER skip brief intro/orientation on day 1 of rotation. Critical to set the tone and learn personal facts abo…
Gretchen Diemer @gretchendiemer
I describe what I'll *try* to do to keep us to a schedule. The pressures to get to conference or get work done are extra stressors #JHMchat https://t.co/sNwypm2aXg
Ryan Gamlin @RyanGamlin
@WrayCharles I hope you're ok getting blank stares from many/most medical students. #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@WrayCharles OMG. Mine was Tiffany, and it was vinyl. #mallrat #ithinkwerealonenow #1980s #JHMChat
Vinny Arora MD MAPP @FutureDocs
@tony_breu @sanjaysaint @JHospMedicine @Bob_Wachter @UCSF #starwars everyone @UCSF already knows this;) #JHMChat
Rebecca Jaffe @RJmdphilly
Yes #JHMchat https://t.co/HqBlfYoO9c
Charlie M. Wray @WrayCharles
@FutureDocs Same: when I hear Charles, I know we don't know each other #JHMChat
Tony Breu @tony_breu
@gracefarris @WolfsonD @bidhospitalists They need space to breathe. #JHMchat
Sanjay Saint @sanjaysaint
@JHospMedicine @nate_houchens T1b: If someone got something wrong, they explained the circumstances when they would be right, but why context was different. #JHMChat
J Hospital Medicine @JHospMedicine
RT @sanjaysaint: @JHospMedicine @nate_houchens T1b: They did not dismiss #students' opinions in favor of #residents', and really too…
Lonika Sood, MD, MHPE @sood_lonika
Goal per day- student introduces themselves to a new member of the team and learns heir role (pt,rn,sw ) #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@FutureDocs #jhmchat Epic intermittently drops my apostrophe. How I know someone doesn't know me--Dr. Glasser (or uses male pronoun...)
Avital O'Glasser, MD FACP FHM @aoglasser
@WrayCharles #jhmchat love this
Nate Houchens @nate_houchens
Our attendings demonstrated humility frequently. They admitted their limitations aloud and turned them into learning opportunities. #JHMChat
Grace Farris MD @gracefarris
@tony_breu I tell them that Dr X is never going to sound right until they start saying it! Does that make me old? #JHMChat #MedEd
Rebecca Jaffe @RJmdphilly
@ChrisMoriates I'm stealing these #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
Respect for their time. There's all these competing interests. I can keep rounds to 2 hours, and still get some good teaching in #jhmchat
Avital O'Glasser, MD FACP FHM @aoglasser
@gretchendiemer yes! #jhmchat
J Hospital Medicine @JHospMedicine
Great discussion so far #JHMChat! T2 up shortly...
J Hospital Medicine @JHospMedicine
RT @sood_lonika: Goal per day- student introduces themselves to a new member of the team and learns heir role (pt,rn,sw ) #JHMChat
Society of Hospital Medicine @SHMLive
Don't forget to claim #CME following tonight's #JHMChat, details here: https://t.co/efPLZ9hdl8
Lonika Sood, MD, MHPE @sood_lonika
@gracefarris @tony_breu Esp important for prof identity formation...#jhmchat
Avital O'Glasser, MD FACP FHM @aoglasser
@gretchendiemer #JHMchat I also say that while I prioritize their learning & being autonomous, I can help with "scut" that gets in way of learning if needed
Julio David Ortiz @jdortizmd
@gretchendiemer It's of immense help! The difference between having your notes done/specialists called before lunch and not cannot be understated #JHMChat
J Hospital Medicine @JHospMedicine
T2: How did you balance Patient-Centered teaching w/duty-hours & time restrictions? #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@RyanGamlin @WrayCharles Ha! #JHMChat
Rebecca Jaffe @RJmdphilly
@nate_houchens @JHospMedicine @sanjaysaint Be available for easy light moments and the heavy hard ones. #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @nate_houchens: Our attendings demonstrated humility frequently. They admitted their limitations aloud and turned them into learning opp…
Vinny Arora MD MAPP @FutureDocs
@WrayCharles -once @jeannemfarnan and I were once introduced as Dr Aroma & Dr Farman - I'm not kidding #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@RyanGamlin @WrayCharles and first CD I bought with my own money was the Jurassic Park Soundtrack #JHMChat
Sanjay Saint @sanjaysaint
@JHospMedicine @nate_houchens T1b: As for interactions with #patients, I think the kneeling at the bedside stands out the most. #JHMChat
Tony Breu @tony_breu
@michellebr00ks Lack of respect for their time is the most common "complaint" I hear from housestaff. #JHMChat
Nate Houchens @nate_houchens
I try to tailor teaching points to learners' self-identified career goals whenever possible. Shows interest in the person. #JHMChat
Elizabeth Gundersen @Top_Gundersen
@JDOrtizMD @RJmdphilly So important to normalize feedback by making it part of the routine as you do! Students always complain that they don't get enough. #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@RJmdphilly @ChrisMoriates ditto #JHMChat
Kelsey Murray @doctorakelso21
RT @JDOrtizMD: @gretchendiemer It's of immense help! The difference between having your notes done/specialists called before lunch…
Rebecca Jaffe @RJmdphilly
@FutureDocs Duly noted #jhmchat
Jeanne M. Farnan @jeannemfarnan
@sanjaysaint @JHospMedicine @nate_houchens Man you really loved the kneeling :) #JHMChat
Julio David Ortiz @jdortizmd
@aoglasser @gretchendiemer When attending do little things like fax something or call a pharmacy it's like THE BEST #JHMChat
Michael Sinha MD, JD, MPH @DrSinhaEsq
@WrayCharles Vinyl: #PurpleRain (both album & movie)! #JHMChat #RIPPrince For younger patients, @netflix recommendations are a good icebreaker as well.
Avital O'Glasser, MD FACP FHM @aoglasser
T2 make the goal to balance explicit, incl at start of rotation orientation #JHMChat
Nate Houchens @nate_houchens
@aoglasser @gretchendiemer Many learners will not have their attendings do this "scut," but the simple act of offering shows that you're willing to pitch in. #JHMChat
Lonika Sood, MD, MHPE @sood_lonika
@JHospMedicine T2:encourage learning to happen when u r not with them..teams should multitask not individuals..have them learn from their patients #jhmchat
Gretchen Diemer @gretchendiemer
@aoglasser #JHMchat "call me for anything, even if you just need an extra set of hands" is my standard instruction. We are a team and I can help!
J Hospital Medicine @JHospMedicine
@sanjaysaint @nate_houchens This is a old Jeff Weise trick... #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
T2 #JHMchat I also model "running the list" as often as possible-what do we have to do, what are top teaching topics, how structure rounds?
Society of Hospital Medicine @SHMLive
RT @JHospMedicine: T2: How did you balance Patient-Centered teaching w/duty-hours & time restrictions? #JHMChat
Vinny Arora MD MAPP @FutureDocs
RT @jeannemfarnan: @sanjaysaint @JHospMedicine @nate_houchens Man you really loved the kneeling :) #JHMChat
Tony Breu @tony_breu
@sanjaysaint @JHospMedicine @nate_houchens Interesting. Kneeling specifically came up over sitting in a chair or at the foot of the bed? #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@sanjaysaint @JHospMedicine @nate_houchens I can't do this, but I do sit a lot or raise the bed to eye level for us as a team. The patients seem to like it. #JHMChat
Rebecca Jaffe @RJmdphilly
Feeling validated #JHMchat https://t.co/hKshv7C654
Michael Sinha MD, JD, MPH @DrSinhaEsq
RT @WrayCharles: My favorite ice-breaker: What was the first CD/Tape you ever purchased? #JHMChat It also tells you what generation you're…
Nate Houchens @nate_houchens
@jeannemfarnan @sanjaysaint @JHospMedicine So much is captured with that simple act. Humility, respect, benevolence. It's a powerful gesture! #JHMChat
Michael Sinha MD, JD, MPH @DrSinhaEsq
RT @sanjaysaint: @JHospMedicine I learned this from @Bob_Wachter when he was my Program Director at @UCSF "What is your favorite all…
Avital O'Glasser, MD FACP FHM @aoglasser
T2 #JHMChat I tell my learnings that outlining rounds (pt care/teaching) also teaches them the art of triage, even as applied to pts
Jeanne M. Farnan @jeannemfarnan
@JHospMedicine @sanjaysaint @Bob_Wachter @UCSF Oh trust me when someone has the whole Paris Hilton album, that speaks volumes 😐#JHMChat
Lonika Sood, MD, MHPE @sood_lonika
@JHospMedicine @sanjaysaint @nate_houchens I prefer the sitting facing the patient ANd student.. they r a team #JHMChat
Sanjay Saint @sanjaysaint
@JHospMedicine @nate_houchens @jeannemfarnan #JHMChat #MedEd @UChiPritzker https://t.co/HMBuIILIIg
J Hospital Medicine @JHospMedicine
T2a: Were there any specific techniques you saw in your study, @sanjaysaint @nate_houchens? #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@RyanGamlin do you know what Jurassic Park line I quote ALL. THE. TIME?? #JHMChat
Julio David Ortiz @jdortizmd
@aoglasser "RTL" is a must...especially in the afternoon to catch up on discharges/new admits #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
T2: brief before rounds is important- making sure we all see the patients that need to be seen together. I often see dcs by myself #JHMChat
Ryan Gamlin @RyanGamlin
@michellebr00ks @sanjaysaint @JHospMedicine @nate_houchens you go to House of God "neurosurgery" height?!? Impressive! #JHMChat
Daniel Wolfson @WolfsonD
#JHMChat How does cultural diversity and literary factor into the training? Interesting not mentioned?
Benji Mathews @benjikmathews
So key to normalize feedback! If ever a dx error, advocate for the 2nd victim particularly if trainee. Share own proneness to error.#JHMChat https://t.co/479cEUiXTy
J Hospital Medicine @JHospMedicine
RT @sanjaysaint: @JHospMedicine @nate_houchens @jeannemfarnan #JHMChat #MedEd @UChiPritzker https://t.co/HMBuIILIIg
Vinny Arora MD MAPP @FutureDocs
Does anyone carry a chair like the did in other @JHospMedicine study? #JHMChat always intrigued but hard to implement https://t.co/xvRJe5J1hw
Shannon K. Martin @shannonmartinmd
@gretchendiemer @aoglasser so great to emphasize, not just "call me when bad stuff happens" but "call me when I can help or you need someone in your corner" #jhmchat
Rebecca Jaffe @RJmdphilly
Suspense killing me https://t.co/I1FvOM33zY
Avital O'Glasser, MD FACP FHM @aoglasser
@RyanGamlin @michellebr00ks @sanjaysaint @JHospMedicine @nate_houchens bend down! :-) #JHMChat
Kelsey Murray @doctorakelso21
T2 I also enjoyed bedside rounds watching attending and seniors interactions with patients #JHMchat
Nate Houchens @nate_houchens
Our attendings respected learners’ time by preparing for rounds. Read up on pts and identify where learners might struggle. #JHMChat
Julio David Ortiz @jdortizmd
T2: Personally never had situation or heard where teaching intruded on duty hours, time restriction before new admits is key #JHMchat
Jeanne M. Farnan @jeannemfarnan
@sanjaysaint @JHospMedicine @nate_houchens @UChiPritzker I'm in pretty solid company there :) #JHMChat #originalkneeler
J Hospital Medicine @JHospMedicine
Great way to balance patient care and GME #JHMChat https://t.co/wLUYFL4ef8
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@JDOrtizMD @aoglasser But not running the list repeatedly. I try to set a time to do this so the resident is prepared. #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@gretchendiemer #JHMChat part my orientation is "I'm like a movie producer"-I make sure the bills get paid and everyone gets lunch
Nate Houchens @nate_houchens
@aoglasser @RyanGamlin I'm gonna guess "clever girl." #JHMChat
Tony Breu @tony_breu
@nate_houchens In 2017, this must be the standard-of-teaching. #JHMchat
J Hospital Medicine @JHospMedicine
Attendings must recognize that they are always "on" #JHMChat https://t.co/aJNGhlVKce
Chris Worsham, MD @chrisworsham
@JHospMedicine Respect your residents' time and workflow. 5 minutes of bite-sized, just-in-time teaching on AM often beats a 30 min PM chalk talk #JHMchat
Avital O'Glasser, MD FACP FHM @aoglasser
@michellebr00ks @JDOrtizMD bingo-ie beginning of rounds, end of rounds (if I need to see pt solo), 2-3pm... #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @nate_houchens: Our attendings respected learners’ time by preparing for rounds. Read up on pts and identify where learners might strugg…
Rebecca Jaffe @RJmdphilly
Admittedly find this to be VERY hard. Maybe my lesson is "sometimes you have to slow down and go off schedule" #JHMchat https://t.co/ufLtA6clxj
Sanjay Saint @sanjaysaint
@JHospMedicine @nate_houchens He is the one on the left! #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@nate_houchens @RyanGamlin no, but I love that line, too, and I'll take that as a compliment #JHMChat
Nate Houchens @nate_houchens
@FutureDocs @JHospMedicine We at @VAAnnArbor recently installed chairs on hooks in every patient room to ensure all providers could have eye-to-eyes w/ pts. #JHMChat
Julio David Ortiz @jdortizmd
@JHospMedicine That feeling when your attending has seen your early discharge and does their dictation >>>>> #JHMChat
Chris Moriates, MD @ChrisMoriates
Overlooked pleasure of this paper - trying to guess and figure out who each of the attendings were in Table 1! #JHMchat https://t.co/2M9fmNy0ly
Vinny Arora MD MAPP @FutureDocs
@gretchendiemer @aoglasser call me maybe - here's what we use at gme orientation #JHMChat https://t.co/eZFkaTVLvb
Lonika Sood, MD, MHPE @sood_lonika
@sanjaysaint #JHMChat wondering differences in teaching in community settings..next paper? 😉
Vinny Arora MD MAPP @FutureDocs
RT @nate_houchens: @FutureDocs @JHospMedicine We at @VAAnnArbor recently installed chairs on hooks in every patient room to ensure all…
Grace Farris MD @gracefarris
@tony_breu @nate_houchens Agree w EMRs should be prepared. "I already read the night float note so you don't need to read it to me" #JHMChat
Chris Worsham, MD @chrisworsham
@JHospMedicine Respect your residents' time and workflow. 5min of bite-sized, just-in-time teaching on AM rounds often beats a 30min PM chalk talk #JHMchat
Avital O'Glasser, MD FACP FHM @aoglasser
#JHMChat learning in elevator time! our medicine wards 14th and 5th floor...can't talk HPI in elevator, but can talk PICO question
Kelsey Murray @doctorakelso21
@tony_breu @sanjaysaint @JHospMedicine @nate_houchens I've thought about it! #JHMchat
Sanjay Saint @sanjaysaint
@JHospMedicine T2: The attendings we observed never left rounds, and they did not answer pages. They were fully engaged in teaching. #JHMChat #MedEd
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@RyanGamlin @sanjaysaint @JHospMedicine @nate_houchens Only ortho height...I'm 5'4". :) #JHMChat
Tony Breu @tony_breu
@JHospMedicine T2: This is a huge struggle. I try to remind them (and me) that we can take 15 minutes to learn something together. But: must be 15 #JHMchat
Patient Safety Enhancement Program (UMVA) @PSEPUMVA
RT @sanjaysaint: @JHospMedicine T2: The attendings we observed never left rounds, and they did not answer pages. They were fully eng…
Chris Moriates, MD @ChrisMoriates
RT @nate_houchens: Our attendings respected learners’ time by preparing for rounds. Read up on pts and identify where learners might strugg…
Avital O'Glasser, MD FACP FHM @aoglasser
RT @gracefarris: @tony_breu @nate_houchens Agree w EMRs should be prepared. "I already read the night float note so you don't need to read…
Vinny Arora MD MAPP @FutureDocs
Cc @LaurenDFeld - check this out #JHMChat https://t.co/qpXb53XvUT
Ted Rader @tedrader4md
Ted Rader here. M4 at Toledo trying to learn more about Med Ed. #JHMChat
Kelsey Murray @doctorakelso21
@FutureDocs @JHospMedicine I've thought about it! #jhmchat
Vinny Arora MD MAPP @FutureDocs
@nate_houchens @JHospMedicine @VAAnnArbor would love to see a photo! #JHMChat
Lonika Sood, MD, MHPE @sood_lonika
@aoglasser Or just how r u doing? #JHMChat
Nate Houchens @nate_houchens
@JHospMedicine Learners are observing how attendings interact w/ pts and colleagues. Always demonstrate respect and empathy. Hidden curriculum. #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@gracefarris @tony_breu @nate_houchens I need to do better about setting this as an expectation! I read it, and then they always read it to me in the AM. #JHMChat
Charlie M. Wray @WrayCharles
@ChrisMoriates I kept going through it and hearing @jeannemfarnan voice on some, @Gurpreet2015 on others, and @LarryTierney on a few...#JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@sanjaysaint @JHospMedicine wow. we're on for transfer center q5days while attending. HAVE to answer promptly. can be huge drain on rounds #JHMChat
Lonika Sood, MD, MHPE @sood_lonika
@sanjaysaint @JHospMedicine Hard to do with only students.. when u hold pager #JHMChat
Grace Farris MD @gracefarris
@ChrisMoriates But not many ladies 🤔#JHMChat
J Hospital Medicine @JHospMedicine
RT @FutureDocs: @gretchendiemer @aoglasser call me maybe - here's what we use at gme orientation #JHMChat https://t.co/eZFkaTVLvb
Gretchen Diemer @gretchendiemer
@ChrisWorsham @JHospMedicine #jhmchat Yes, while I COULD talk about DKA all day, sometimes I have to choose which electrolytes to teach in that moment!
Michael Sinha MD, JD, MPH @DrSinhaEsq
@FutureDocs @JHospMedicine Anyone else planning to buy one of these after the chat ends? #JHMChat https://t.co/zR8DkaTlap
Nate Houchens @nate_houchens
@gracefarris @tony_breu Totally! Read about patients so that you’re not spending valuable minutes learning the H&P. #JHMChat
Kelsey Murray @doctorakelso21
RT @nate_houchens: @JHospMedicine Learners are observing how attendings interact w/ pts and colleagues. Always demonstrate respect and…
Tresa Muir McNeal @tresamcnealmd
Joining late...Tresa McNeal from @bswhealth_CTX and @TAMHSC @TAMUmedicine #JHMChat
J Hospital Medicine @JHospMedicine
@TedRader4MD Welcome, Ted. Glad you could join us! #JHMChat
Julio David Ortiz @jdortizmd
@aoglasser @sanjaysaint @JHospMedicine It's very rare for our attendings to get paged, intern is first go for pretty much everything...attending page = no bueno #JHMChat
OHSU IM Residency @OHSUIMRes
#jhmchat a bit late, but love getting asked what we did on days off. Oregon is fun state #worklifebalance
Tony Breu @tony_breu
@nate_houchens @gracefarris Then, be clear about what should be presented at the bedside. For me, it ain't the full H&P. #JHMChat
Sanjay Saint @sanjaysaint
John Wooden: “Being a role model is the most powerful form of educating.” #JHMChat #UCLA #MedEd @SHMLive
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@gracefarris @ChrisMoriates Agreed. I noticed that as well. Maybe next time. #JHMChat
Rebecca Jaffe @RJmdphilly
@ChrisWorsham @JHospMedicine Shameless plug for @greenQoDay #greenQOD here! #JHMChat - flipping clinical teaching using twitter
Patient Safety Enhancement Program (UMVA) @PSEPUMVA
RT @sanjaysaint: John Wooden: “Being a role model is the most powerful form of educating.” #JHMChat #UCLA #MedEd @SHMLive
Jeanne M. Farnan @jeannemfarnan
@WrayCharles @ChrisMoriates @Gurpreet2015 @LarryTierney Aw shucks #JHMchat
Julio David Ortiz @jdortizmd
@nate_houchens @JHospMedicine Definitely! We take all the good habits, avoid doing bad habits. Can be a teacher either way #JHMchat
Grace Farris MD @gracefarris
@TresaMcNealMD @bswhealth_CTX @TAMHSC @TAMUmedicine Lots of Texans on #JHMChat tonight!
J Hospital Medicine @JHospMedicine
@TresaMcNealMD @bswhealth_CTX @TAMHSC @TAMUmedicine Better late than never, Tresa. As a Central Texas native...Howdy! #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
#JHMChat I'll boost @RJmdphilly shameless plug here! https://t.co/WyqDMCZAmk
Rebecca Jaffe @RJmdphilly
My colleague calls this "interstitial time" #JHMchat https://t.co/uB4sKtnyEa
Benji Mathews @benjikmathews
@JHospMedicine See 2/3 "D's" with trainees (Diagnostics, Dying/ill). Discharges/rest on own. Allows respect for time, better flow of rounds here.#JHMChat
Grace Farris MD @gracefarris
@tony_breu @nate_houchens Esp not if they didn't write it! #JHMChat
Elizabeth Gundersen @Top_Gundersen
@DrSinhaEsq @FutureDocs @JHospMedicine Seriously, I've looked into it! Then I started wondering if I had to disinfect it between rooms... #JHMChat
J Hospital Medicine @JHospMedicine
T3 up in a few minutes... #JHMChat
Tony Breu @tony_breu
@gracefarris @nate_houchens When you know the next sentence they're about to read to you before they do, it's a waste of time. #JHMChat
Lakshman Swamy @laxswamy
@JHospMedicine @nate_houchens @WrayCharles Getting in late and lurking from Boston! #jhmchat
J Hospital Medicine @JHospMedicine
RT @benjikmathews: @JHospMedicine See 2/3 "D's" with trainees (Diagnostics, Dying/ill). Discharges/rest on own. Allows respect for tim…
Nate Houchens @nate_houchens
@VAAnnArbor inpatient ward chairs on hooks to improve the #patientexperience. #JHMChat https://t.co/VZK3kmhtQe
Tony Breu @tony_breu
@laxswamy @JHospMedicine @nate_houchens @WrayCharles You can do more than lurk, Dr. Swamy. #JHMChat
Gretchen Diemer @gretchendiemer
RT @benjikmathews: @JHospMedicine See 2/3 "D's" with trainees (Diagnostics, Dying/ill). Discharges/rest on own. Allows respect for tim…
Patient Safety Enhancement Program (UMVA) @PSEPUMVA
RT @nate_houchens: @VAAnnArbor inpatient ward chairs on hooks to improve the #patientexperience. #JHMChat https://t.co/VZK3kmhtQe
Grace Farris MD @gracefarris
@benjikmathews @JHospMedicine I like the Ds too, but not seeing discharges together makes me nervous abt plan #caretransitions #JHMChat
Tony Breu @tony_breu
@nate_houchens @VAAnnArbor So simple. So great. #JHMchat
Kelsey Murray @doctorakelso21
RT @nate_houchens: @VAAnnArbor inpatient ward chairs on hooks to improve the #patientexperience. #JHMChat https://t.co/VZK3kmhtQe
Sanjay Saint @sanjaysaint
@JHospMedicine @nate_houchens T2a: Some would not hesitate to take on a bit of the patient load themselves by ordering tests and going back to see the patient. #JHMChat
Vinny Arora MD MAPP @FutureDocs
Secondary study - culture of chairs ? #JHMChat https://t.co/koknpwmuKn
Nate Houchens @nate_houchens
@RJmdphilly Absolutely! A few of our attendings would teach in the stairwell between patient rooms. #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@nate_houchens @RyanGamlin #JHMchat you're scientists were so busy trying to figure out if they could, they didn't stop to think it they should
Shannon K. Martin @shannonmartinmd
Yes! If you can do pre-work for your own patient care process, opens up time for discussion, teaching, listening/observing learners #jhmchat https://t.co/YA180OjvHI
Rebecca Jaffe @RJmdphilly
RT @aoglasser: #JHMChat I'll boost @RJmdphilly shameless plug here! https://t.co/WyqDMCZAmk
J Hospital Medicine @JHospMedicine
T3: What do you do to encourage team Collaboration? How do you Coach across varied level of learners? #JHMChat #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@FutureDocs chairs v sitting on bed? so many pts with bed alarms...gotta be careful where you sit! #JHMChat
Vinny Arora MD MAPP @FutureDocs
RT @nate_houchens: @VAAnnArbor inpatient ward chairs on hooks to improve the #patientexperience. #JHMChat https://t.co/VZK3kmhtQe
Chris Moriates, MD @ChrisMoriates
@tony_breu @nate_houchens @VAAnnArbor Simple, yet I am imagining the amount of VA paperwork and approvals that probably went into getting it done! 😉#JHMchat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
I do let the M3s present full H&Ps, since no one ever listens to them. I do it outside of rounds (7am). Gives them prep time too #jhmchat
Tiffany | 티파니 마리 @tiffanyandlupus
RT @nate_houchens: @VAAnnArbor inpatient ward chairs on hooks to improve the #patientexperience. #JHMChat https://t.co/VZK3kmhtQe
OHSU IM Residency @OHSUIMRes
T3 #JHMChat clear communication about goals/roles for day for specific pts, i.e. who calls PCP, who calls consult, who calls family w update
Grace Farris MD @gracefarris
@JHospMedicine Waiting all night for this #JHMChat https://t.co/evBc0jfoSD
Vinny Arora MD MAPP @FutureDocs
Yes do tell! #JHMChat inquiring minds want to know #ptexp https://t.co/7Hauqqce6U
Michelle Brooks, MD, FACP, FHM @michellebr00ks
We do bedside rounding with the patient and the nurse. SW and RNCC join on pts with complex dc needs. #jhmchat
Tony Breu @tony_breu
@michellebr00ks Exactly. Give the students time outside of rounds to present fully. For me, rounds are not the time for this. Unfortunate, but true #JHMchat
J Hospital Medicine @JHospMedicine
Great example of sectioning off your time and focussing on different learners #JHMChat https://t.co/URRtRF82Gm
Rebecca Jaffe @RJmdphilly
RT @JHospMedicine: T3: What do you do to encourage team Collaboration? How do you Coach across varied level of learners? #JHMChat #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@aoglasser @FutureDocs Agreed! I set them off all the time! #JHMChat
Tony Breu @tony_breu
@gracefarris @JHospMedicine All night? Probably all year. #JHMchat
Lonika Sood, MD, MHPE @sood_lonika
@aoglasser @FutureDocs Makes for a fun conversation when that happens.. learners and patients chuckle together #JHMChat
Vinny Arora MD MAPP @FutureDocs
@nate_houchens @VAAnnArbor also curious how it's mounted? #JHMChat
Patient Safety Enhancement Program (UMVA) @PSEPUMVA
RT @JHospMedicine: Great example of sectioning off your time and focussing on different learners #JHMChat https://t.co/URRtRF82Gm
Sanjay Saint @sanjaysaint
@ShannonMartinMD T2a: Most of our attendings cleared their schedules while on wards, so it was the only thing they were focused on. #JHMChat
Nate Houchens @nate_houchens
T3: How to ask questions is vitally important. Use the Socratic method and "leave a trail of breadcrumbs" w/ questions. #JHMChat
J Hospital Medicine @JHospMedicine
A reoccurring theme tonight across all domains: clear communication with your team is so very important! #JHMChat https://t.co/nW98UAF4sL
Avital O'Glasser, MD FACP FHM @aoglasser
T3 #JHMchat tailor Socratic questions to learner level. Don't ask MS3 the same question as R3, but include other learners in the followup
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@tony_breu Also - how will they learn what is "pertinent"? We go through it so they understand! #JHMChat
Kristina Dzara, PhD, MMSc @kristinadzara
RT @JHospMedicine: Tonight’s questions will center on 3 major themes: 1) Fostering (+) Relationships 2) Pt-Centered #Meded 3) Collabor…
Nate Houchens @nate_houchens
@gracefarris @JHospMedicine Texas forever. #JHMChat https://t.co/xIrJZa7HU1
Avital O'Glasser, MD FACP FHM @aoglasser
@nate_houchens T3 #JHMChat @sanjaysaint I loved the trail of breadcrumbs image in the article
Lonika Sood, MD, MHPE @sood_lonika
T3: near peer coaching, setting expectations, multiple 'lines of defense' #JHMChat
Vinny Arora MD MAPP @FutureDocs
RT @nate_houchens: T3: How to ask questions is vitally important. Use the Socratic method and "leave a trail of breadcrumbs" w/ questions.…
Vinny Arora MD MAPP @FutureDocs
RT @sanjaysaint: @ShannonMartinMD T2a: Most of our attendings cleared their schedules while on wards, so it was the only thing they were fo…
Tresa Muir McNeal @tresamcnealmd
Great reminder....being an effective attending isn't rocket science; these tips help to ensure a positive experience for the team. #jhmchat https://t.co/dXMF4doUG2
Rebecca Jaffe @RJmdphilly
So many good ideas, but not gonna lie, to do them all required rounding 3-7 xdaily. How do you all manage but do so efficiently? #JHMChat https://t.co/VbOcpBdyDn
Grace Farris MD @gracefarris
@nate_houchens T3- #JHMChat
Nate Houchens @nate_houchens
@ChrisMoriates @tony_breu @VAAnnArbor @sanjaysaint can give you gory details. #JHMChat
J Hospital Medicine @JHospMedicine
A simple, yet often overlooked aspect of #MedEd. @RyanGamlin what's your experience with this? #JHMChat https://t.co/9CzmxAb6xa
Elizabeth Gundersen @Top_Gundersen
@JHospMedicine T3 I've had students respond well when attgs admit "I could have done that better" and then brainstorm with the team on how. #JHMChat
Tony Breu @tony_breu
@RJmdphilly Frankly, by not having to write daily notes or bill. Virtues of VA. I can concentrate on patient care and teaching. #JHMchat
Benji Mathews @benjikmathews
@JHospMedicine "Layer" teaching. Review basics then explore advanced topics/apps. Never assume implicit knowledge. Make the implicit explicit.#jhmchat
Julio David Ortiz @jdortizmd
@michellebr00ks @tony_breu This also pares down the time on rounds, nothing worse than listening to typically good (but long) presentations from med stud #JHMchat
J Hospital Medicine @JHospMedicine
T3a: For our leaners out there (this obv includes attendings!): any techniques you’ve found useful? #JHMChat
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: T3a: For our leaners out there (this obv includes attendings!): any techniques you’ve found useful? #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@sood_lonika @FutureDocs #JHMChat! BUT-it does teach you to be mindful of the pt room, akin to surveying for foley, telemetry, SCDs...
J Hospital Medicine @JHospMedicine
RT @benjikmathews: @JHospMedicine "Layer" teaching. Review basics then explore advanced topics/apps. Never assume implicit knowledge.…
Karima Khamisa @drkhamisa
RT @JHospMedicine: Tonight’s questions will center on 3 major themes: 1) Fostering (+) Relationships 2) Pt-Centered #Meded 3) Collabor…
Ryan Gamlin @RyanGamlin
@aoglasser had a great experience w/ attending who ran every q up the ladder if M3 correct -> harder q if M3 incorrect -> M4 -> intern -> etc #JHMChat
Nate Houchens @nate_houchens
If there's a ? you want to pose w/ multiple right answers, try a "round robin" going from 1 learner to next. Keeps em engaged. #JHMChat
Lakshman Swamy @laxswamy
@JHospMedicine @RyanGamlin Agree - socratic is by definition not let's see who can show off that they know the trivia. But that's the easiest way to ask ?s #jhmchat
Lonika Sood, MD, MHPE @sood_lonika
@JDOrtizMD @michellebr00ks @tony_breu I ask early students to focus on one problem per day to allow for deep dives #JHMChat
Kelsey Murray @doctorakelso21
@JDOrtizMD @michellebr00ks @tony_breu Same for new interns! But we don't always know what is relevant yet #JHMchat
Gene Hobbs @gene_hobbs
RT @JHospMedicine: A reoccurring theme tonight across all domains: clear communication with your team is so very important! #JHMChat https:…
Sanjay Saint @sanjaysaint
@nate_houchens Learning-Stress Curve. Our attendings optimized learning by applying moderate stress #JHMChat #MedEd https://t.co/zx41rujxBx
Tony Breu @tony_breu
In the room, with sick patients, ask "any else have any ideas?". Specifically ask students, RN, others. #JHMchat https://t.co/okz7r2GGiD
Rebecca Jaffe @RJmdphilly
Have heard this too, & hate 2 be naysayer but I want to know how. Do my best but competing priorities are reality. #JHMchat https://t.co/NbNR1lSNCf
Charlie M. Wray @WrayCharles
@tony_breu @RJmdphilly Likewise. You take away the grind of billing and daily notes and you quickly find you have time, energy & motivation to teach #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@nate_houchens love the round robin or "phone a friend" #JHMchat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@RJmdphilly During ward time - 6am - chart review; 7am - M3 H&Ps; 7:45-8 - team work rounds with R3; 8-8:30 - MR/I see dcs; 8:30-10:30 rounds. #JHMChat
Lonika Sood, MD, MHPE @sood_lonika
@aoglasser @FutureDocs Absolutely.. to see the patient and what we 'do' to them needs to be explicit #jhmchat
Julio David Ortiz @jdortizmd
@RyanGamlin @aoglasser This! Also nice for resident when have smart MS3/4! #JHMchat
Kelsey Murray @doctorakelso21
We do that a lot for differentials and learning points #JHMChat https://t.co/Ln8c9J0Q9X
Avital O'Glasser, MD FACP FHM @aoglasser
@laxswamy @JHospMedicine @RyanGamlin and like article says, emphasize thought process over content knowledge #JHMchat
Rebecca Jaffe @RJmdphilly
@tony_breu Cheater #JHMchat
Justin B. Dimick @jdimick1
RT @sanjaysaint: @nate_houchens Learning-Stress Curve. Our attendings optimized learning by applying moderate stress #JHMChat #MedEd https…
Shannon K. Martin @shannonmartinmd
@aoglasser @sood_lonika @FutureDocs teaching what you see every day, right @jeannemfarnan??? :) #howdowelearntocovet #jhmchat
Avital O'Glasser, MD FACP FHM @aoglasser
@laxswamy @JHospMedicine @RyanGamlin #jhmchat I'd rather do round robin on clinical reasoning than regurgitation from Harrisons...
Tony Breu @tony_breu
@RJmdphilly Agreed. There are some commitments that I must keep (e.g. go to #AMreport). I also want to model the ability to do so. #JHMChat
Gene Hobbs @gene_hobbs
RT @benjikmathews: @JHospMedicine "Layer" teaching. Review basics then explore advanced topics/apps. Never assume implicit knowledge.…
Fiona Pat @cardioneurgeon
RT @nate_houchens: T3: How to ask questions is vitally important. Use the Socratic method and "leave a trail of breadcrumbs" w/ questions.…
Jigar Contractor @jigsymd
I love this chart! https://t.co/WHUtl2TX16
Ryan Gamlin @RyanGamlin
@JDOrtizMD @aoglasser feedback I got after that rotation: "great work, but play dumb on surgery..." #JHMChat
Chris Worsham, MD @chrisworsham
@JHospMedicine "Catch people doing something good" and publicly thank them. Emphasizes that even junior team members do important work for the pt #JHMchat
Nate Houchens @nate_houchens
@sood_lonika @JDOrtizMD @michellebr00ks @tony_breu Awesome! I'd invite you to add to it by having learners compare-and-contrast their pts w/ previous ones to learn illness scripts. #JHMChat
Rebecca Jaffe @RJmdphilly
Process later #JHMChat https://t.co/1Acze54j8v
Julio David Ortiz @jdortizmd
T3a: Definitely important to stratify teaching. Near end of last year Qs geared more toward what would you do as senior res #JHMchat
Elizabeth Gundersen @Top_Gundersen
@tony_breu Love that you're bringing ALL members of the team - and the patient - into the discussion! Great role modeling. #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@RJmdphilly 10:30-10:45 - debrief in team room, see a few more pts independently if needed. 11-2 - notes. 2-4 - teaching/admits. 4pm - RTL #JHMChat
J Hospital Medicine @JHospMedicine
RT @aoglasser: @laxswamy @JHospMedicine @RyanGamlin and like article says, emphasize thought process over content knowledge #JHMchat
Society of Hospital Medicine @SHMLive
Claim #CME immediately following tonight's #JHMChat: https://t.co/efPLZ9hdl8
Vinny Arora MD MAPP @FutureDocs
Gonna throw this out- IMHO Teaching can make rounds too long if census high. I email article summaries night b4 to "flip rounds" #JHMChat
Chris Moriates, MD @ChrisMoriates
Start w a ? thats impossible to get wrong- eg, "Have you ever cared for a patient with [disease] before?" Gets engagement wo stress #JHMchat https://t.co/oy4cQZc0yE
Avital O'Glasser, MD FACP FHM @aoglasser
#JHMchat T3 once got written feedback from learner that I gave pt the "plan of day" punchline too often, that Res/MS wanted more floor time
Grace Farris MD @gracefarris
@doctorakelso21 Do a lot of this w meds- let's all name an antiemetic and it's adverse effects #JHMChat
Vinny Arora MD MAPP @FutureDocs
RT @ShannonMartinMD: @aoglasser @sood_lonika @FutureDocs teaching what you see every day, right @jeannemfarnan??? :) #howdowelearntocovet
Nate Houchens @nate_houchens
@tony_breu Terrific way to show respect for everyone in the room and to ensure collaboration. Love it! #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @FutureDocs: Gonna throw this out- IMHO Teaching can make rounds too long if census high. I email article summaries night b4 to "flip ro…
Lonika Sood, MD, MHPE @sood_lonika
@tony_breu @RJmdphilly T3: give 3 cases of similar problem, varying difficulty to 3 learners and have them discuss their cases with team #jhmchat
Ryan Gamlin @RyanGamlin
@aoglasser @laxswamy @JHospMedicine incredible point, and overlooked. I don't recall ever hearing a teacher ask a learner why they answered as they did when incorrect #JHMChat
Chris Moreland @cjmoreland
Loving the #JHMchat right now on #meded.
Gene Hobbs @gene_hobbs
RT @FutureDocs: Gonna throw this out- IMHO Teaching can make rounds too long if census high. I email article summaries night b4 to "flip ro…
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@FutureDocs I also do this! #vinnyfangirl #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@sanjaysaint @ShannonMartinMD I wish I did that more when I attend on wards! alas so many meetings that can't get scheduled when I'm in clinic get scheduled... #jhmchat
Rebecca Jaffe @RJmdphilly
@michellebr00ks Someday I'll write you my version of this. #JHMChat
Kelsey Murray @doctorakelso21
RT @FutureDocs: Gonna throw this out- IMHO Teaching can make rounds too long if census high. I email article summaries night b4 to "flip ro…
Kristina Dzara, PhD, MMSc @kristinadzara
RT @ChrisWorsham: @JHospMedicine "Catch people doing something good" and publicly thank them. Emphasizes that even junior team member…
Tony Breu @tony_breu
@FutureDocs Gotta pick your battles and frame it: "Let me make a quick, 30 second, teaching point". 30 seconds! #JHMchat
Lakshman Swamy @laxswamy
@JHospMedicine Interesting to see differences in how attendings teach to me as resident vs now fellow. Much less trivia now, all interpretation. #jhmchat
Jigar Contractor @jigsymd
RT @ChrisMoriates: Start w a ? thats impossible to get wrong- eg, "Have you ever cared for a patient with [disease] before?" Gets enga…
Avital O'Glasser, MD FACP FHM @aoglasser
@michellebr00ks @FutureDocs I'm not that organized, but I write list of articles to email after rounds as they come to mind during pt discussions #JHMChat
Nate Houchens @nate_houchens
@ChrisWorsham @JHospMedicine Gratitude helps to create a positive learning environment. Very powerful! #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@tony_breu @FutureDocs elevator rides! #JHMChat
Patient Safety Enhancement Program (UMVA) @PSEPUMVA
RT @nate_houchens: @ChrisWorsham @JHospMedicine Gratitude helps to create a positive learning environment. Very powerful! #JHMChat
J Hospital Medicine @JHospMedicine
RT @laxswamy: @JHospMedicine Interesting to see differences in how attendings teach to me as resident vs now fellow. Much less tr…
Julio David Ortiz @jdortizmd
@ChrisMoriates Have seen this employed a lot (esp. since for many peds is very foreign and scary) and it works beautifully #JHMChat
Nonie S. Arora @nonie_arora
@JHospMedicine One attending took the time to ask nurses/pt how I was doing as M3, provided valuable insight and emphasized importance of team #JHMchat
Nate Houchens @nate_houchens
@FutureDocs Our attendings demonstrated varied rounding strategies. Each can be done effectively if enough prep is put in. #JHMChat
Rebecca Jaffe @RJmdphilly
Yes! https://t.co/Ub9GEQlp9o
Avital O'Glasser, MD FACP FHM @aoglasser
@RJmdphilly @michellebr00ks I have no qualms seeing pts solo point rounds, turns into deprecating humor, "I'm capable of see a pt by myself..." #jhmchat
Sanjay Saint @sanjaysaint
@doctorakelso21 Fun 2 do round robin w all team (incl attending!) for DDX of macrocytosis/PE findings in cirrhosis. Last one standing => fistbump #JHMChat
Lakshman Swamy @laxswamy
@tony_breu @RJmdphilly To be blunt this absolutely a case of service obligations vs #meded. #jhmchat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @ChrisMoriates: Start w a ? thats impossible to get wrong- eg, "Have you ever cared for a patient with [disease] before?" Gets enga…
Vinny Arora MD MAPP @FutureDocs
RT @sanjaysaint: @nate_houchens Learning-Stress Curve. Our attendings optimized learning by applying moderate stress #JHMChat #MedEd https…
Avital O'Glasser, MD FACP FHM @aoglasser
@ChrisMoriates love it #JHMChat
Grace Farris MD @gracefarris
T3: what does a female physician Coach Taylor do and say? That is my ? #JHMChat
Charlie M. Wray @WrayCharles
After every rounds, I go back to my computer and brain-dump facts w/hyperlinks. Try to put 1-2 for each level of learner #JHMChat
Shannon K. Martin @shannonmartinmd
True! Recently had bout of "eponymn oneupsmanship" w/ everyone rapid-firing increasingly odd names, was in fun but kernel of truth #JHMChat https://t.co/rYuRiuTuXk
Patient Safety Enhancement Program (UMVA) @PSEPUMVA
RT @WrayCharles: After every rounds, I go back to my computer and brain-dump facts w/hyperlinks. Try to put 1-2 for each level of learner #…
Lakshman Swamy @laxswamy
@aoglasser @michellebr00ks @FutureDocs I have dot phrases for common teaching points such as why to never use sliding scale insulin monotherapy. Apply to overnight H&Ps. #jhmchat
Julio David Ortiz @jdortizmd
@laxswamy @JHospMedicine Can't agree more! Has been empowering to notice this transition, I think it's a sign of respect that furthers learning #JHMChat
Sanjay Saint @sanjaysaint
@FutureDocs We also saw that! Some attendings would pull articles & summarize briefly but others would send them electronically. #JHMChat #MedEd
Nate Houchens @nate_houchens
Be visual. Our students and residents learn with different strengths, but visual aids help improve recall. Bring it with! #JHMChat https://t.co/TQRNaGqVtL
Benji Mathews @benjikmathews
@sanjaysaint @nate_houchens @UChiPritzker @WrayCharles @vineet_chopra @FutureDocs @Bob_Wachter @HardeepSinghMD @ValerieVaughnMD @PetrilliMD @UCSF @UM_IHPI Agreed though there should be adjustment of optimal levels of stress for different kinds of concepts to be learned. #JHMChat
Charlie M. Wray @WrayCharles
@sanjaysaint @doctorakelso21 I'm using this one next week! Especially the #fistbump #JHMChat
Kelsey Murray @doctorakelso21
@aoglasser @RJmdphilly @michellebr00ks Sometimes I feel this is so inefficient for the patient though-how do you balance? Esp if have to see multiple learners + attending #JHMChat
Lakshman Swamy @laxswamy
@aoglasser @michellebr00ks @FutureDocs I found myself even in 1 yr making many of the same points in EBM. Make it concise and excellent template, share frequently. #jhmchat
Temple Ratcliffe @templeratcliffe
RT @sanjaysaint: @nate_houchens Learning-Stress Curve. Our attendings optimized learning by applying moderate stress #JHMChat #MedEd https…
Lonika Sood, MD, MHPE @sood_lonika
RT @laxswamy: @aoglasser @michellebr00ks @FutureDocs I have dot phrases for common teaching points such as why to never use slidi…
J Hospital Medicine @JHospMedicine
RT @WrayCharles: After every rounds, I go back to my computer and brain-dump facts w/hyperlinks. Try to put 1-2 for each level of learner #…
Rebecca Jaffe @RJmdphilly
Was just going to ask - if communication w team is key, is anyone innovating in modalities? #JHMChat https://t.co/3GHLEMt0xb
Avital O'Glasser, MD FACP FHM @aoglasser
#jhmchat so now I make effort to clearly pivot to senior resident when pt asks-"I'm going to let Dr. X represent the team in sharing plan"
Vinny Arora MD MAPP @FutureDocs
@sanjaysaint I send them w bullets and then ask - "what did you think of email" on rounds to maximize their reflecting. #JHMChat
J Hospital Medicine @JHospMedicine
Almost lost track of time there...#JHMChat
J Hospital Medicine @JHospMedicine
Well, we have about 10 minutes left in our discussion. Any final key points or thoughts @sanjaysaint @nate_houchens? #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@WrayCharles @sanjaysaint @doctorakelso21 spreads fewer germs than handshake... #JHMChat
Lonika Sood, MD, MHPE @sood_lonika
@nate_houchens Agreed.. but have seen students learning better when They teach me with diagrams instead..#JHMChat
Jeanne M. Farnan @jeannemfarnan
@ShannonMartinMD @FutureDocs @aoglasser @sood_lonika Practical content is often orphaned! Be the Hannibal of your team #JHMChat
Kelsey Murray @doctorakelso21
@laxswamy @aoglasser @michellebr00ks @FutureDocs Ooh nice! If you ever want to share ... 😉#JHMchat
Shannon K. Martin @shannonmartinmd
Me too! So hard for #hospitalists where teaching service may be "easier" rotation and meetings get pushed to those blocks #jhmchat https://t.co/8LakVRMnn3
Carlos Oronce @cioronce
@sanjaysaint @nate_houchens @UChiPritzker @WrayCharles @vineet_chopra @FutureDocs @Bob_Wachter @HardeepSinghMD @ValerieVaughnMD @PetrilliMD @UCSF @UM_IHPI Absolutely key. Even when learner is wrong, great teachers backtrack and redirect breadcrumb trail to get learner to the answer. #jhmchat
Vinny Arora MD MAPP @FutureDocs
@sanjaysaint but a bunch of times ppl are off or in clinic so no one misses a teaching opp online #JHMChat
Benji Mathews @benjikmathews
@sanjaysaint @nate_houchens @UChiPritzker @WrayCharles @vineet_chopra @FutureDocs @Bob_Wachter @HardeepSinghMD @ValerieVaughnMD @PetrilliMD @UCSF @UM_IHPI Lower for cognitive heavy topics. Higher for simpler concepts & team based teaching (Lowel level of shared cognitive engagement). #JHMChat
Tony Breu @tony_breu
@FutureDocs @sanjaysaint Do you feel this adds extra pressure to have reviewed it? I send these without expectation/mandate that they review. #JHMchat
Jigar Contractor @jigsymd
The key to successful rounds is planning (and hard work). #JHMchat https://t.co/TvJkNTfZLm
J Hospital Medicine @JHospMedicine
RT @FutureDocs: Gonna throw this out- IMHO Teaching can make rounds too long if census high. I email article summaries night b4 to "flip ro…
Michelle Brooks, MD, FACP, FHM @michellebr00ks
@doctorakelso21 @aoglasser @RJmdphilly It's the norm for us - M3/resident pre-round, then attending rounds with or without team. Anyone have better models? #JHMChat
Una Makris @unamakris
RT @ChrisMoriates: I ask for personal goals as well and, as attending, I always set one for myself and share it. Ask the team to help…
Tony Breu @tony_breu
Key point: best #JHMchat yet! https://t.co/tO33kAW60w
Temple Ratcliffe @templeratcliffe
So important. A positive learning climate does not always mean smooth sailing. Medicine isn't easy. #jhmchat #meded https://t.co/bUCGMgnD8n
Nate Houchens @nate_houchens
@RJmdphilly We found learners appreciated reading attendings' addendums. It was a form of communication that revealed their thought processes. #JHMChat
Lakshman Swamy @laxswamy
@aoglasser Yes, was very hard to stand in the background as attending. But so great to see senior residents really shine. #jhmchat #meded
J Hospital Medicine @JHospMedicine
RT @michellebr00ks: @doctorakelso21 @aoglasser @RJmdphilly It's the norm for us - M3/resident pre-round, then attending rounds with or…
Sanjay Saint @sanjaysaint
@nate_houchens Dan Hunt on the left (was at #MGH and now at #Emory) @Gurpreet2015 (@UCSF) on right. #JHMChat #MedEd @UCSF_VAChiefs
Avital O'Glasser, MD FACP FHM @aoglasser
@doctorakelso21 @RJmdphilly @michellebr00ks @OHSUIMRes or I wait until after conference. if stable enough to be rounded on last, can often wait 60 minutes? #JHMchat
Nate Houchens @nate_houchens
2/3 of characterisitcs of outstanding clinical teachers are “noncognitive” – it’s not how much you know, it’s how you connect. #JHMChat
Vinny Arora MD MAPP @FutureDocs
@tony_breu @sanjaysaint I'd say most of time they have seen my summary /say "thx I look forward to reading" but key is they got #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @RJmdphilly: Was just going to ask - if communication w team is key, is anyone innovating in modalities? #JHMChat https://t.co/3GHLEMt0xb
Tony Breu @tony_breu
@JigsyMD So true. You can't just show up and expect things to go well. Biggest mistake I see in first time attendings (PGY-4 syndrome). #JHMChat
Nate Houchens @nate_houchens
Building relationships, with learners, with patients, and with other healthcare providers is paramount. #JHMChat
J Hospital Medicine @JHospMedicine
RT @sanjaysaint: @nate_houchens Learning-Stress Curve. Our attendings optimized learning by applying moderate stress #JHMChat #MedEd https…
Rebecca Jaffe @RJmdphilly
@michellebr00ks @doctorakelso21 @aoglasser We have discussed many. Not too many tried. IP team prerounds one idea. No prerounds and set team round "appointments" in the am. #JHMchat
Vinny Arora MD MAPP @FutureDocs
@cjmoreland @sanjaysaint nice #JHMChat maybe everyone here just epic stalks and is on their phone anyway :)
Michelle Brooks, MD, FACP, FHM @michellebr00ks
I like doing them! It's a way to synthesize concisely what's going on with the patient. #JHMChat https://t.co/HVXDI0vNGi
Lakshman Swamy @laxswamy
@tony_breu @FutureDocs @sanjaysaint I sent emails w blurbs 2-3x/week, no expectations, got great feedback. Then I saved my work and used as dot phrases repeatedly! #jhmchat
Karthik Ponnappan @kpwanderer
RT @sanjaysaint: John Wooden: “Being a role model is the most powerful form of educating.” #JHMChat #UCLA #MedEd @SHMLive
Lonika Sood, MD, MHPE @sood_lonika
Encourage conversation on teachers in community settings' perspectives too- different challenges than unit settings #JHMChat
Jigar Contractor @jigsymd
@WrayCharles Do this with a google doc shared with the team and everyone can contribute to learning from med stud to attending #JHMchat
Julio David Ortiz @jdortizmd
@laxswamy @aoglasser This is what actually has me excited about being a senior, the autonomy to make decisions but safety net of attending #JHMChat
Vinny Arora MD MAPP @FutureDocs
RT @laxswamy: @aoglasser @michellebr00ks @FutureDocs I have dot phrases for common teaching points such as why to never use slidi…
Charlie M. Wray @WrayCharles
@nate_houchens @RJmdphilly I take special care to make "teaching" remarks in my addendums for this very reason #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
#jhmchat I'm here to work, teach, care for pt, but it can't be all work and no play
Jeanne M. Farnan @jeannemfarnan
@sanjaysaint @JHospMedicine @nate_houchens Absolutely! Call consults, navigate systems issues, heck place difficult IV's, it's a team #JHMChat
Chris Worsham, MD @chrisworsham
RT @nate_houchens: @VAAnnArbor inpatient ward chairs on hooks to improve the #patientexperience. #JHMChat https://t.co/VZK3kmhtQe
Kelsey Murray @doctorakelso21
@RJmdphilly @michellebr00ks @aoglasser It's hard when multiple levels of learners each carrying different number and combo of patients #JHMchat
Avital O'Glasser, MD FACP FHM @aoglasser
#JHMchat personal "tradition"--Starbucks Rounds on last Friday of rotation (yes, have one in the hospital). drinks on me
Vinny Arora MD MAPP @FutureDocs
@laxswamy @aoglasser @michellebr00ks I just made 2 value based smartphrases for medical students #JHMChat #choosingwisely
J Hospital Medicine @JHospMedicine
A fantastic summary of what makes a good inpatient clinician #JHMChat https://t.co/jXouGHThyV
Lakshman Swamy @laxswamy
@JDOrtizMD @aoglasser Attending style lurking! #jhmchat https://t.co/4w9sLV59LU
Jigar Contractor @jigsymd
@WrayCharles At the end of 2 weeks had over 25 pages of easy to read, short learning points! Helps keep pt centered too. #JHMchat
Nate Houchens @nate_houchens
@templeratcliffe I'd encourage a balance of support and encouragement but also setting high expectations. #JHMChat
Patient Safety Enhancement Program (UMVA) @PSEPUMVA
RT @JHospMedicine: A fantastic summary of what makes a good inpatient clinician #JHMChat https://t.co/jXouGHThyV
J Hospital Medicine @JHospMedicine
You can read more about this subject in @sanjaysaint et al recently published “Teaching Inpatient Medicine” https://t.co/Nx3XgRPxQ7 #JHMChat
Rebecca Jaffe @RJmdphilly
RT @JHospMedicine: A fantastic summary of what makes a good inpatient clinician #JHMChat https://t.co/jXouGHThyV
Tony Breu @tony_breu
@nate_houchens @templeratcliffe Setting high expectations! Thank you for mentioning this. #JHMChat
Vinny Arora MD MAPP @FutureDocs
RT @JHospMedicine: A fantastic summary of what makes a good inpatient clinician #JHMChat https://t.co/jXouGHThyV
Michelle Brooks, MD, FACP, FHM @michellebr00ks
T3 - Feedback Fridays...mid- and end-of-rotation. Coffee and snacks are a must. #jhmchat
Avital O'Glasser, MD FACP FHM @aoglasser
@laxswamy @JDOrtizMD #jhmchat it is definitely an art. I refer to as the attending stalk
Rebecca Jaffe @RJmdphilly
@FutureDocs @laxswamy @aoglasser @michellebr00ks New to EPIC and not being too clever yet. Can you share how you use these? In yr notes? Or...? #JHMchat
Vinny Arora MD MAPP @FutureDocs
RT @sanjaysaint: @JHospMedicine @nate_houchens T2a: Some would not hesitate to take on a bit of the patient load themselves by order…
Charlie M. Wray @WrayCharles
@JigsyMD I find these to be nice reviews for myself, as well #JHMChat
Sanjay Saint @sanjaysaint
@JHospMedicine @nate_houchens The last para in our book..."learners have to know that you love being a teacher without declaring it..." #JHMChat #MedEd https://t.co/pO991ixtZp
Jigar Contractor @jigsymd
@tony_breu We need to learn #meded from some great teachers and as PGY4s we would never make that mistake!! #JHMchat
Elizabeth Gundersen @Top_Gundersen
@JHospMedicine @sanjaysaint @nate_houchens Before the hour ends, I'd like to thank everyone for their HOSPITALity - this has been my first #JHMChat!
Lonika Sood, MD, MHPE @sood_lonika
Would add- show joy in medicine.. Hospitalist's are human too #JHMChat
Avital O'Glasser, MD FACP FHM @aoglasser
@laxswamy @JDOrtizMD #jhmchat or I act blissfully ignorant-let an excited MS3 tell me about test results (even though I saw them in my Epic inbasket an hour ago)
Vinny Arora MD MAPP @FutureDocs
RT @nate_houchens: @RJmdphilly We found learners appreciated reading attendings' addendums. It was a form of communication that reveal…
Grace Farris MD @gracefarris
RT @JHospMedicine: A fantastic summary of what makes a good inpatient clinician #JHMChat https://t.co/jXouGHThyV
Chris Moriates, MD @ChrisMoriates
RT @sanjaysaint: @JHospMedicine @nate_houchens The last para in our book..."learners have to know that you love being a teacher with…
Patient Safety Enhancement Program (UMVA) @PSEPUMVA
One of our favorites! https://t.co/qUadYMdPm4 https://t.co/igV7gxdaXF
Lakshman Swamy @laxswamy
@FutureDocs @aoglasser @michellebr00ks Now we just need a place to share these! #jhmchat #heythereJHM
Michelle Brooks, MD, FACP, FHM @michellebr00ks
I wonder if the types of connection will change in light of new e-connections (texting, email, twitter, etc.) #JHMChat https://t.co/YLAFLeWqhh
Vinny Arora MD MAPP @FutureDocs
RT @laxswamy: @FutureDocs @aoglasser @michellebr00ks Now we just need a place to share these! #jhmchat #heythereJHM
Ben Bearnot, MD @stab
RT @JigsyMD: @WrayCharles Do this with a google doc shared with the team and everyone can contribute to learning from med stud to attending…
Avital O'Glasser, MD FACP FHM @aoglasser
@RJmdphilly @FutureDocs @laxswamy @michellebr00ks #jhmchat I've crafted a smartphrase for attending cosigns over years so I can focus on my discussion rather than elements for billing
Michael Sinha MD, JD, MPH @DrSinhaEsq
RT @sanjaysaint: @JHospMedicine @nate_houchens The last para in our book..."learners have to know that you love being a teacher with…
Avital O'Glasser, MD FACP FHM @aoglasser
RT @sanjaysaint: @JHospMedicine @nate_houchens The last para in our book..."learners have to know that you love being a teacher with…
Michelle Brooks, MD, FACP, FHM @michellebr00ks
Joy IN the work is so important. It's not just work-life balance...it's finding that joy in connecting with pts, team members, etc. #JHMChat https://t.co/KMbYs7LuYZ
Jia Luo, MD @jia_luo
RT @sanjaysaint: @JHospMedicine @nate_houchens The last para in our book..."learners have to know that you love being a teacher with…
Dr. Scott Newton @DrScottNewton
#TeamSTEPPS 👍👍 @AHRQNews https://t.co/eSSXgKGWnx
Gene Hobbs @gene_hobbs
RT @sanjaysaint: @JHospMedicine @nate_houchens The last para in our book..."learners have to know that you love being a teacher with…
Lonika Sood, MD, MHPE @sood_lonika
@laxswamy @FutureDocs @aoglasser @michellebr00ks ?google docs #JHMChat
J Hospital Medicine @JHospMedicine
@Top_Gundersen @sanjaysaint @nate_houchens Glad you could join us, Elizabeth! Keep your eye out for our next chat in October #JHMChat
Jigar Contractor @jigsymd
@WrayCharles Yes the best part of teaching is 1) watching someone get something they didn't get before & 2) learning something yourself! #JHMChat
Sanjay Saint @sanjaysaint
@JHospMedicine Being an internal medicine teaching attending is the best job in the world. Who has it better than us? No one. #JHMChat #MedEd
J Hospital Medicine @JHospMedicine
That's a wrap everyone...Enjoyed the lively conversation on tonight's #JHMChat chat! Thanks everyone for participating!
Vinny Arora MD MAPP @FutureDocs
@RJmdphilly @laxswamy @aoglasser @michellebr00ks releasing them to some students to try in their notes- Will let u know if works. #JHMChat
Nate Houchens @nate_houchens
@michellebr00ks Undoubtedly. But what makes hospitalists stand out is their ability to adapt and excel in new situations. #JHMChat
J Hospital Medicine @JHospMedicine
RT @sood_lonika: Would add- show joy in medicine.. Hospitalist's are human too #JHMChat
Tony Breu @tony_breu
Thanks again for another great #JHMchat @WrayCharles @sanjaysaint @nate_houchens @FutureDocs
Grace Farris MD @gracefarris
RT @sanjaysaint: @JHospMedicine Being an internal medicine teaching attending is the best job in the world. Who has it better than…
Poonam Sharma @PoonamSS
RT @sanjaysaint: @JHospMedicine Being an internal medicine teaching attending is the best job in the world. Who has it better than…
Society of Hospital Medicine @SHMLive
#JHMChat #CME evaluation is now open! Claim your credit here: https://t.co/MKeP6IWWn1
Vinny Arora MD MAPP @FutureDocs
RT @sanjaysaint: @JHospMedicine Being an internal medicine teaching attending is the best job in the world. Who has it better than…
Shannon K. Martin @shannonmartinmd
RT @sanjaysaint: @JHospMedicine Being an internal medicine teaching attending is the best job in the world. Who has it better than…
Tony Breu @tony_breu
@sanjaysaint @JHospMedicine Agree 100%. #JHMChat
Michelle Brooks, MD, FACP, FHM @michellebr00ks
RT @sanjaysaint: @JHospMedicine Being an internal medicine teaching attending is the best job in the world. Who has it better than…
Lakshman Swamy @laxswamy
@RJmdphilly @FutureDocs @aoglasser @michellebr00ks can do it in any EMR. w Epic I send inbox msg to overnight h&p author. Can even copy paste from your own doc #jhmchat
Julio David Ortiz @jdortizmd
@michellebr00ks Always love seeing attending play with the babies, rock them to sleep while I talk w family! One of many reasons I love pediatrics #JHMChat
Kelsey Murray @doctorakelso21
Thanks for the discussion, all! Keeps me excited about inpatient rotations and #MedEd #JHMchat
Society of Hospital Medicine @SHMLive
RT @sanjaysaint: John Wooden: “Being a role model is the most powerful form of educating.” #JHMChat #UCLA #MedEd @SHMLive
Vinny Arora MD MAPP @FutureDocs
@RJmdphilly @laxswamy @aoglasser @michellebr00ks let's hope! #JHMChat
Tony Breu @tony_breu
This is what I've tried on my current teaching block. Gotten good feedback. https://t.co/OAxdoHxxGa (don't answer!) https://t.co/5eOyNuipkG
Michelle Brooks, MD, FACP, FHM @michellebr00ks
Thanks everyone! Good chat! #jhmchat
Tresa Muir McNeal @tresamcnealmd
@HeartOTXHeartMD Can we have these @bswhealth_CTX ? https://t.co/KnqbxFdkzv
Nate Houchens @nate_houchens
Thx everyone! Feel free to reach me @nate_houchens or email nathanho@med.umich.edu. I look forward to continuing the conversation! #JHMChat
J Hospital Medicine @JHospMedicine
RT @sanjaysaint: @JHospMedicine @nate_houchens The last para in our book..."learners have to know that you love being a teacher with…
J Hospital Medicine @JHospMedicine
Wise words at the finale of a great #JHMChat Really appreciate you and @nate_houchens joining us tonight https://t.co/YhNlkiqscE
Lakshman Swamy @laxswamy
@RJmdphilly @FutureDocs @aoglasser @michellebr00ks As @tony_breu taught me, make it count twice. Then three times. Then again. And make it better each time. #jhmchat #meded
Syed Shahrul Naz @drshahrul80
RT @DrScottNewton: #TeamSTEPPS 👍👍 @AHRQNews https://t.co/eSSXgKGWnx
Vinny Arora MD MAPP @FutureDocs
RT @laxswamy: @RJmdphilly @FutureDocs @aoglasser @michellebr00ks As @tony_breu taught me, make it count twice. Then three times.…
Vinny Arora MD MAPP @FutureDocs
RT @tony_breu: Thanks again for another great #JHMchat @WrayCharles @sanjaysaint @nate_houchens @FutureDocs
J Hospital Medicine @JHospMedicine
RT @nate_houchens: Thx everyone! Feel free to reach me @nate_houchens or email nathanho@med.umich.edu. I look forward to continuing the con…
Tony Breu @tony_breu
@laxswamy @RJmdphilly @FutureDocs @aoglasser @michellebr00ks And then in the #JHMChat
Syed Shahrul Naz @drshahrul80
RT @JHospMedicine: A reoccurring theme tonight across all domains: clear communication with your team is so very important! #JHMChat https:…
Syed Shahrul Naz @drshahrul80
RT @OHSUIMRes: T3 #JHMChat clear communication about goals/roles for day for specific pts, i.e. who calls PCP, who calls consult, who calls…
Avital O'Glasser, MD FACP FHM @aoglasser
@FutureDocs @RJmdphilly @laxswamy @michellebr00ks got so many smartphrases for my A&P in pre-op clinic, but attending inpt notes focus more on "art" of pt care, so more pt-centered #jhmchat
Julio David Ortiz @jdortizmd
Great discussion! Will need to remember pearls to kill it as a senior on Wards! Thanks everyone #JHMchat
Una Makris @unamakris
RT @sanjaysaint: John Wooden: “Being a role model is the most powerful form of educating.” #JHMChat #UCLA #MedEd @SHMLive
Nate Houchens @nate_houchens
And thanks to @sanjaysaint for the opportunity to join this tremendous project! #JHMChat
Una Makris @unamakris
RT @nate_houchens: @JHospMedicine Learners are observing how attendings interact w/ pts and colleagues. Always demonstrate respect and…
Avital O'Glasser, MD FACP FHM @aoglasser
@laxswamy @JDOrtizMD HECK. YEAH. #jhmchat
Hardeep Singh MD @HardeepSinghMD
@sanjaysaint @nate_houchens @UChiPritzker @WrayCharles @vineet_chopra @FutureDocs @Bob_Wachter @ValerieVaughnMD @PetrilliMD @UCSF @UM_IHPI Stress points for me #MedEd 2017 - emphasizing patient story, managing uncertainty, humility & teaching trainees OK to ask for help #JHMChat
J Hospital Medicine @JHospMedicine
@JDOrtizMD We have a feeling you're going to do fine... #JHMChat Glad you could make it tonight
Vinny Arora MD MAPP @FutureDocs
RT @HardeepSinghMD: @sanjaysaint @nate_houchens @UChiPritzker @WrayCharles @vineet_chopra @FutureDocs @Bob_Wachter @ValerieVaughnMD
Jigar Contractor @jigsymd
@tony_breu @nate_houchens @templeratcliffe A seasoned educator told me to set the bar high and watch your team meet it every time because you'll ensure their success. #JHMchat
BUY FOLLO₩ERS :uj @mcmillengeorgie
RT @sanjaysaint: John Wooden: “Being a role model is the most powerful form of educating.” #JHMChat #UCLA #MedEd @SHMLive
Tony Breu @tony_breu
RT @laxswamy: @RJmdphilly @FutureDocs @aoglasser @michellebr00ks As @tony_breu taught me, make it count twice. Then three times.…
Society of Hospital Medicine @SHMLive
Thanks to our #JHMChat guest experts, @sanjaysaint @nate_houchens and our partners @ABIMFoundation @CostsofCare!
Vinny Arora MD MAPP @FutureDocs
RT @SHMLive: Thanks to our #JHMChat guest experts, @sanjaysaint @nate_houchens and our partners @ABIMFoundation @CostsofCare!
Jigar Contractor @jigsymd
RT @sanjaysaint: @JHospMedicine Being an internal medicine teaching attending is the best job in the world. Who has it better than…
J Hospital Medicine @JHospMedicine
RT @SHMLive: Thanks to our #JHMChat guest experts, @sanjaysaint @nate_houchens and our partners @ABIMFoundation @CostsofCare!
Trek Langenhan @trekbird
RT @nate_houchens: 2/3 of characterisitcs of outstanding clinical teachers are “noncognitive” – it’s not how much you know, it’s how you co…
Vinny Arora MD MAPP @FutureDocs
RT @laxswamy: @aoglasser Yes, was very hard to stand in the background as attending. But so great to see senior residents really shine. #jh
Trek Langenhan @trekbird
RT @JHospMedicine: A fantastic summary of what makes a good inpatient clinician #JHMChat https://t.co/jXouGHThyV
Nate Houchens @nate_houchens
@SHMLive @sanjaysaint @ABIMFoundation @CostsofCare It was an honor and privilege. Thanks for the invitation to join such a fantastic group of like-minded folks! #JHMChat
Tony Breu @tony_breu
#jhmchat https://t.co/E5RyVqdtFw
Lakshman Swamy @laxswamy
@JDOrtizMD @JHospMedicine Yes but... Why wait till you have a fellow? #jhmchat #meded
Andrew Olson, MD @andrewolsonmd
@WrayCharles That deal where you got 12 CDs for 1 cent... #JHMChat
Jigar Contractor @jigsymd
RT @sanjaysaint: @JHospMedicine @nate_houchens The last para in our book..."learners have to know that you love being a teacher with…
Tony Breu @tony_breu
RT @laxswamy: @aoglasser Yes, was very hard to stand in the background as attending. But so great to see senior residents really shine. #jh
Andrew Olson, MD @andrewolsonmd
@sanjaysaint @nate_houchens @UChiPritzker @WrayCharles @vineet_chopra @FutureDocs @Bob_Wachter @HardeepSinghMD @ValerieVaughnMD @PetrilliMD @UCSF @UM_IHPI How to rapidly and efficiently individualize? #jhmchat
Nate Houchens @nate_houchens
@andrewolsonmd @sanjaysaint @UChiPritzker @WrayCharles @vineet_chopra @FutureDocs @Bob_Wachter @HardeepSinghMD @ValerieVaughnMD @PetrilliMD @UCSF @UM_IHPI Not an easy or time-efficient way around this. Need to know about each learner's level thru observation. Then tailor teaching. #JHMChat
#JHMChat content from Twitter.