• Patrick Lawlor

Day 1 Afternoon Recap

Updated: Mar 24

Drs. Chris Smith (@ccsmith269) and John Mitchell (@johnmitchell051) kicked off our first afternoon with an exciting talk on clinical teaching – at the bedside, in the clinic, in the OR/procedural suite. During their talk they told us that patients, teachers, and learners, like clinical teaching, but there are a lot of barriers and challenges to teaching at the bedside. One of the biggest barriers is TIME! One way to overcome the TIME challenge is to prepare! They talked about the microskills of teaching:


Get a commitment

Probe for supporting evidence

Teach general rules

Reinforce what was right

Correct mistakes


They also talked about narrating what you are doing “thinking aloud” – which is a great way to teach especially in the OR. It’s the “Aunt Minnie” approach per Dr. Mitchell. Dr. Smith also talked to us about SNAPPS – check out the tangible take home video on SNAPPS created by Dr. Dan Ricotta (@DanielRicottaMD)

Dr. Schwartzstein (#hesnotontwitter) taught us about critical thinking and clinical reasoning. In the words of Albert Einstein: “Education is not the learning of facts but the training of the mind to think.” We learned about recognizing cognitive biases and strategies to combat them. We also learned the importance of accepting uncertainty. It is our job to help learners THINK! We need to move away from memorization and focus on thinking skills. We need to push learners up Bloom’s taxonomy (first introduced by Dr. Hayes during her morning talk).


One big take home point is to change “differential diagnoses” to “hypotheses” – what do you think? Will you give it a try?


Dr. Schwartzstein also discussed concept maps (this “concept” will keep coming up as we have two videos on concept mapping for you to watch – one from Dr. Schwartzstein and one from Dr. Richards (@jbricha1).


For links to some papers on critical thinking from Dr. Schwartzstein and Dr. Hayes check out our twitter feed - @BIDMC_Education #HMSMedEd22


Dr. Quinn Capers (@DrQuinnCapers4) from UT Southwestern ended our first day with a powerful talk on Implicit Bias in Medicine and Healthcare. He taught us that we all have implicit biases – it’s how the brain works and these “set the table” for discrimination. Implicit biases CAN BE overridden though. Awareness is the first step! Dr. Capers shared these 4 strategies to reduce/neutralize implicit bias: 1) Common identity formation 2) Perspective taking 3) “Consider the opposite” 4) Counter-stereotypical exemplars. To read more from Dr. Capers check out this from ATS Scholar:

https://www.atsjournals.org/doi/full/10.34197/ats-scholar.2020-0024PS

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