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Teach for Impact – Fall 2020

The GME Education Team introduces the new “Teach for Impact!” series to share selected teaching methods with our faculty and trainees quarterly. Our Team would like to contribute to our community’s devotion to quality education by sharing novel ideas as well as “oldies but goodies” that will help us expand our teaching repertoire.

HOT OFF THE PRESS

Meaningful feedback going beyond the feedback process

Have you noticed that some trainees become defensive when you point out areas for improvement while giving feedback? Do you want to provide feedback that helps trainees manage the complex, new, and ambiguous professional challenges? Two articles were recently published that encourage educators to rethink feedback as a tool for life-long learning and to engage learners actively in the feedback process.

Feedback should focus on long-term learning toward autonomous practice and both educators and learners should be able to take their feedback conversations into their future work.  This article provides concrete strategies to help trainees develop evaluative judgment and capability to identify and appraise the qualities of good practice.

Feedback should be a relational activity between learners and educators, not an educator “delivering monologue.” “Socially-embedded” nature of sharing feedback needs trust between the two parties to reveal and communicate vulnerability as well as to co-construct knowledge.

Want to observe how other faculty engage learners in feedback? Watch this 8-minute video. You will see examples of bad, better, and excellent feedback that (dis)engage learners.
Food for Thought:  Competency-based GME during and after a pandemic

Canada has launched a nationwide transition to the competency-based time-variable (CB-TV) GME. Even though GME in the US vouches for competency-based GME, it is still tethered to time- and case-volume based training requirements. Goldhamer et al. share suggestions to transition to CB-TV GME as planned curriculum-based training opportunities are lost or reduced due to COVID-19.

OLDIES BUT GOODIES

Scaffolding:

“Scaffolding” is a way to support learners by breaking learning up into chunks and providing a concrete structure for each. Does medical knowledge you want to teach involve understanding of several concepts with progressive difficulty levels? Would (struggling) learners benefit from explicitly guiding from where they are now to the next level by teasing out the task? Here is more information on scaffolding.

The GME Education Team is available for consultations.  Please contact Incho Lee, PhD, Director of Educational Quality Improvement, at ilee@uw.edu.

AY20 Fall Program Director Development Series Resources

Quinn Capers, IV, MD, FACC

The GME Education Team held the first completely remote Program Director Development Series (PDDS) events on September 24th and October 19th of this year.  We welcomed two tremendous speakers to this season’s PDDS, Dr. Quinn Capers from The Ohio State University College of Medicine and Dr. Jessica Bean from Change Spirals Outward, LLC.

Dr. Capers presented on Implicit Bias and Candidate Selection and provided a range of resources to mitigate implicit bias during file review and interviewing for residencies and fellowships.  See the full recording of Dr. Capers’ presentation.

Jessica Bean, ND, MS, CDWF

Dr. Bean covered the rarely discussed topics of Navigating Shame and Vulnerability in Medical Education.  See the full recording of Dr. Bean’s presentation and explore the many resources provided to learn how to support yourself and your residents or fellows through vulnerability, guilt and shame.

We look forward to the Spring PDDS sessions focused on Teaching Clinical Reasoning and a Quality Improvement Bootcamp.  Registration for the 3/30/2021 and 4/26/2021 events will open in December.

GME Updates: Call Rooms, Lactation Rooms and Parental Support

Over the last year the GME Office has made a concerted effort to improve resources for our residents and fellows, in particular call rooms and parenting support.  We know that the intersection between parenthood and training can be a pinch point for many of our residents and fellows and will continue our improvements around this and other issues.

Recent improvements have included:

  • Lactation room at UWMC – Montlake

    General Parenting Resources

    • New Growing Your Family webpage intended to centralize information for residents and fellows regarding parenting, parental leave and crowd-sourced tips.
    • Creation of the Parenthood Peer Mentorship Program (PPMP) to match parent trainees with experienced parent physicians.
    • On October 7th we held the Family Planning & Fertility and Navigating Parental Leave for Resident Physicians event (view recording).  Over 40 residents, fellows and their guests attended this event and heard from subject matter experts on fertility and parental leave, and heard from a panel of their peers.
  • New refrigerator installed by GME at the VA Puget Sound lactation room

    Lactation Rooms

    • Survey of system-wide lactation rooms and addition of this information to the GME website.
    • Creation of an additional lactation room in the UWMC-Montlake Crow’s Nest (Housestaff Lounge).
    • Installation of a refrigerator in the VA Puget Sound lactation room.
    • Imminent installation of refrigerators in 6 Seattle Children’s lactation rooms (pending inspection by Facilities).
    • Hospital-led addition of lactation refrigerators at the Harborview Medical Center lactation rooms.
    • Purchase of lactation coolers available for long-term loaning to support residents and fellows rotating in hospitals without convenient refrigerator access or who prefer a cooler rather than a shared fridge.
  • Workstation in a VA Puget Sound Call Room

    Call Rooms

    • Inventory and assessment of system-wide call rooms.
    • Transition to single-occupancy call rooms to improve safety for residents and fellows during COVID-19.
    • Hospital-led creation of two brand new call rooms at UWMC-Northwest, with three additional rooms in progress.

We want to thank all of our GME staff who have worked on these initiatives especially Natalie Brady, Hadar Duman, Cindy Hamra, Dr. Jennifer Best and Hayley Fisher.  Additionally we sincerely appreciate the hard work of our hospital partners including Dr. Tom Staiger (UWMC-Montlake), Dr. Vivek Jain (VAPS), Seth Hennessey (UWMC-Northwest), Kari Dietrich (SCH), Holly Smith (VAPS), Debbie Colpitts (VAPS), Evelyn Sinsel (HMC), Pam Renna (UWMC-Northwest), Amy Akers (UWMC-Northwest) and Chris Pendergrass (SCH).

The GME Office continues to work on improving support and resources available for all of our residents and fellows. We look forward to continuing to share our work with the community.

Career Resources for Residents & Fellows

Physician Panel

On Saturday September 12th the GME Office hosted our annual Life After Residency & Fellowship Seminar.  This event is focused on equipping residents and fellows with knowledge around determining their career path after graduation.

Speakers interacted with attendees over Zoom and covered the tips for your job search, Negotiation 101 and employment contracts.  A robust panel of physicians in a variety of fields discussed their lessons learned on topics covering everything from negotiating protected time to entering the tech field.

The event recording and many resources are available for review.

Thank you to our presenters and attendees!  Keep an eye out for other upcoming Resident and Fellow focused events.

Register for the Family Planning & Fertility and Navigating Parental Leave for Resident Physicians Event

Registration is now open!

This event is intended to answer questions and educate GME trainees about the various considerations to take into account when planning for your ideal family. Speakers will cover defining your future family goals, how fertility changes with age, options for delaying fertility or addressing infertility and how to navigate parental leave. A panel and breakout rooms by topic will be available to answer audience questions.

Event will be recorded and available to stream after the event.

When:
Wednesday October 7th, 2020
6:00pm – 7:45pm

Where:
Zoom

See event agenda and register today!