#JHMChat Transcript
Healthcare social media transcript of the #JHMChat hashtag.
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| Profile | Tweet |
|---|---|
 | 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 @SocietyHospMed #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 @SocietyHospMed 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, MD @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 @SocietyHospMed 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 @SocietyHospMed 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, MD @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 @SocietyHospMed 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, MD @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 |
| 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, MD @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 |
| 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, MD @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, MD @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, MD @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, MD @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, MD @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, MD @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 @SocietyHospMed 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, MD @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, MD @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 @SocietyHospMed 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, MD @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, MD @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, MD @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, MD @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, MD @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, MD @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, MD @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, MD @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, MD @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, MD @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, MD @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 @SocietyHospMed 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, MD @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, MD @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, MD @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, MD @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, MD @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, MD @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 @SocietyHospMed #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 @SocietyHospMed 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 @SocietyHospMed 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 |
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