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#meded - Healthcare Twitter Transcript

10/06/2011 11:08

#meded
Healthcare Hashtag Twitter Transcript
From: To: Thu Jun 09 12:50:00 PDT 2011 Thu Jun 09 15:05:00 PDT 2011 Customize transcript dates and layout Learn more about #meded at The Healthcare Hashtag Project

amcunningham

@JosephLightfoot @alexwintermute @KatieHutch91 @studentdocdiary @D_Rodders @FayetheGEP ready for #meded chat in 2 mins?
Thu Jun 9 12:58:43 PDT 2011

amcunningham

@riddmj hope you can join us for the #meded chat starting now?
Thu Jun 9 12:59:19 PDT 2011

nlafferty

Hello and welcome to this week's chat, go ahead and introduce yourself and say where you're from #meded
Thu Jun 9 13:01:22 PDT 2011

amcunningham

@GPforhire @ffolliet @EasternDoc @keirshiels @drpaulmorgan hope you can join #meded chat now - learning from clinical placements
Thu Jun 9 13:01:34 PDT 2011

amcunningham

@D_Rodders it's going to be a discussion about learning from placements :) #meded


Thu Jun 9 13:02:14 PDT 2011

nlafferty

The topic for this week's #meded chat is clinical placements and how we can improve the learning on them
Thu Jun 9 13:02:39 PDT 2011

amcunningham

Hi. I'm Anne Marie- a GP and clinical lecturer in Cardiff Uni #meded
Thu Jun 9 13:02:46 PDT 2011

amcunningham

RT @nlafferty: The topic for this week's #meded chat is clinical placements and how we can improve the learning on them
Thu Jun 9 13:02:58 PDT 2011

mysleepbot

RT @mkmackey: Love it young #entrepreneurs in action Sleep Bot tracking sleep patterns http://bit.ly/jS9SaJ #healthapps #meded
Thu Jun 9 13:03:02 PDT 2011

MhairiHepburn

#meded Evening all! I'm Mhairi, I'm an old age psychiatry registrar and I've been
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#meded - Healthcare Twitter Transcript

10/06/2011 11:08

epbu

(im)patiently waiting for 9pm!


Thu Jun 9 13:03:16 PDT 2011

nlafferty

#meded I'm Natalie - a lecturer in e-learning in Dundee


Thu Jun 9 13:03:23 PDT 2011

nlafferty

@MhairiHepburn Great - looking forward to hearing some of your ideas Mhairi #meded
Thu Jun 9 13:03:52 PDT 2011

amcunningham

@D_Rodders hello Dominic- thanks for joining :) #meded


Thu Jun 9 13:04:36 PDT 2011

studentdocdiary

Hi, I'm Lily, a final year med student #meded


Thu Jun 9 13:04:43 PDT 2011

amcunningham

@studentdocdiary lots of med student expertise here tonight:) #meded


Thu Jun 9 13:05:04 PDT 2011

DrDLittle

#meded I'm David, clinical teaching fellow, soon to be radiology trainee. Might be able to stay for a short while.
Thu Jun 9 13:05:26 PDT 2011

AnnalisaManca

hello, I'm Annalisa, I'm an educational technologist #meded


Thu Jun 9 13:05:31 PDT 2011

GamerOfFreedom

Hi I'm GamerOfFreedom a follower of @D_Rodders #meded


Thu Jun 9 13:05:39 PDT 2011

amcunningham

@DrDLittle @GamerOfFreedom @AnnalisaManca great- welcome:) #meded


Thu Jun 9 13:06:05 PDT 2011

nlafferty

#meded WOuld anyone like to kick things off with a particular question or comment about clinical placements?
Thu Jun 9 13:06:54 PDT 2011

amcunningham

So how can students get the most from learning on clinical placements? Any tips for staff or students? #meded
Thu Jun 9 13:06:59 PDT 2011

amcunningham

@paulderoos are you joining #meded chat tonight? we're talking about learning on clinical placements:)
Thu Jun 9 13:07:52 PDT 2011

MhairiHepburn

#meded we need to get as many clinicians as possible excited about teaching students on the job! enthusiastic teacher=great placement!
Thu Jun 9 13:08:07 PDT 2011

drpaulmorgan

#meded Paul, ICU consultant. Hello.


Thu Jun 9 13:08:09 PDT 2011

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#meded - Healthcare Twitter Transcript

10/06/2011 11:08

amcunningham

@amreeeves how can you learn most from clinical placemenmts? tonight's topic for #meded chat
Thu Jun 9 13:08:18 PDT 2011

studentdocdiary

Students need to be more involved in the team, I often felt left out during placement #meded
Thu Jun 9 13:08:24 PDT 2011

amcunningham

@drpaulmorgan Hello Paul- do you see many students on placements? #meded


Thu Jun 9 13:08:49 PDT 2011

nlafferty

@drpaulmorgan Hi Paul welcome to #meded chat


Thu Jun 9 13:08:49 PDT 2011

amreeeves

#meded ooh, little late, but I'm Andy, 3rd year student at Leicester!
Thu Jun 9 13:09:12 PDT 2011

DrDLittle

#meded placements very dependent on how engaged junior doctors are, consultants less important.
Thu Jun 9 13:09:13 PDT 2011

amcunningham

@studentdocdiary how could you be involved more? especially in earlier years? #meded
Thu Jun 9 13:09:30 PDT 2011

nlafferty

@MhairiHepburn Do you think most of your colleagues are excited about teaching students? How can we make them more excited? #meded
Thu Jun 9 13:09:51 PDT 2011

MhairiHepburn

#meded also 1:1 shadowing of drs to see what they do apart from seeing pts- all the admin and management stuff you dont get at med school!
Thu Jun 9 13:09:53 PDT 2011

amcunningham

@amreeeves great- glad you can make it:) #meded


Thu Jun 9 13:10:00 PDT 2011

studentdocdiary

@amcunningham Being more involved with junior drs, given the chance to clerk pts and present them, asked our ideas on management #meded
Thu Jun 9 13:10:20 PDT 2011

DrDLittle

@studentdocdiary works both ways, students have to engage too. I rarely did as a student #meded
Thu Jun 9 13:10:30 PDT 2011

Bambamaki

hello everyone.I passed my finals a few weeks ago..starting as an fy1 in cardiology in August #meded
Thu Jun 9 13:10:41 PDT 2011

amreeeves

@MhairiHepburn agree completely, nothing makes a worse placement than a rude #meded
Thu Jun 9 13:11:16 PDT 2011

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#meded - Healthcare Twitter Transcript

10/06/2011 11:08

studentdocdiary

@DrDLittle very true. Why didn't you engage as a student? I sometimes hung back because I felt quite intimidated #meded
Thu Jun 9 13:11:39 PDT 2011

MhairiHepburn

@nlafferty #meded some are, some are not! more knowledge about teaching helpsmost drs are not taught how to teach, so are wary of doing it
Thu Jun 9 13:11:45 PDT 2011

amcunningham

@DrDLittle I did portfolio reviews with 1st yrs today -early clinical attachmentsthey're getting the hang of this -ask! ask! ask! #meded
Thu Jun 9 13:12:16 PDT 2011

BeanBlogger

I'm a 1st yr.Best placement was when I got to listen to a heart murmur. It's simple, but the Dr got me involved #meded
Thu Jun 9 13:12:44 PDT 2011

MhairiHepburn

#meded also knowing what the curriculum involves, what the students already know and what we need to teach them!
Thu Jun 9 13:13:19 PDT 2011

nlafferty

@studentdocdiary Do we need to do more to introduce you to the clinical team for each placement , can we do more to help prepare you #meded
Thu Jun 9 13:13:20 PDT 2011

amcunningham

@Bambamaki big congratulations! well done! thanks for joining us:) #meded
Thu Jun 9 13:13:21 PDT 2011

amcunningham

@BeanBlogger that's great:) how would next placement be for you? #meded
Thu Jun 9 13:13:50 PDT 2011

studentdocdiary

@BeanBlogger Agreed, best placements get you involved, worst placements make you sit in the corner in silence just watching #meded
Thu Jun 9 13:13:56 PDT 2011

nlafferty

Good point RT @MhairiHepburn: #meded also knowing what curriculum involves, what the students already know and what we need to teach them!
Thu Jun 9 13:13:59 PDT 2011

BeanBlogger

If you know what the students coming to you have covered let them do it. I can take BP, do resp, GI & cardio exams. #meded
Thu Jun 9 13:14:01 PDT 2011

paulderoos

#meded @amcunningham As junior doctor I focus on what my interns/clerkship students want to learn and offer them practice + feedback
Thu Jun 9 13:14:22 PDT 2011

studentdocdiary

@nlafferty I think it would make things a lot less intimidating if we were properly introduced to the team #meded
Thu Jun 9 13:14:29 PDT 2011

amreeeves

@amcunningham I've found it great to follow a pt as far through their care as possible #meded
Thu Jun 9 13:14:38 PDT 2011

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#meded - Healthcare Twitter Transcript

10/06/2011 11:08

nlafferty

@Bambamaki Hi - congratulations and all the best in your FY1 post #meded
Thu Jun 9 13:14:43 PDT 2011

MhairiHepburn

#meded and in psychiatry, seeing that teaching improves attitudes to mental illness, that's a big motivator
Thu Jun 9 13:14:48 PDT 2011

DrDLittle

#meded ward rounds are particularly bad for learning on placement. Even teaching rounds often unproductive
Thu Jun 9 13:14:56 PDT 2011

paulderoos

#meded @amcunningham especially immediate feedback and supervised practice, is something I wish I had more myself.. so I give it 2 them.
Thu Jun 9 13:15:12 PDT 2011

amcunningham

@studentdocdiary how could the introductions be better? does anyone feel that their uni does this well? #meded
Thu Jun 9 13:15:15 PDT 2011

MhairiHepburn

#meded oi where's everyone else gone? what gives you enthusiasm for teaching med students and how can we pass that enthusiasm to colleagues?
Thu Jun 9 13:15:54 PDT 2011

amcunningham

@ffolliet but there is an awful lot to be learnt from observing clinical work and ask yourself and others questions #meded
Thu Jun 9 13:16:03 PDT 2011

studentdocdiary

@DrDLittle I found ITU ward rounds really useful, the consultant watched me examine EVERY patient and discussed managment plans #meded
Thu Jun 9 13:16:18 PDT 2011

amcunningham

RT @DrDLittle: great, the more they learn that the better. I always encourage them to ask. What is the worst that can happen? #meded
Thu Jun 9 13:16:22 PDT 2011

amreeeves

@amcunningham followed a pt through pre, peri and post knee replacement not long ago, very rewarding to see how the op affected them #meded
Thu Jun 9 13:16:26 PDT 2011

BeanBlogger

I don't feel brave enough or experienced to know what I'm allowed to do or to ask what I can do but I'd love to try anything #meded
Thu Jun 9 13:16:55 PDT 2011

amcunningham

@amreeeves that's brilliant- was that all in hospital or OP as well? #meded


Thu Jun 9 13:16:57 PDT 2011

ZGchat

#meded use of sound business training & coaching principles may well fuel clinical learning w regards to attitudes & generic skills #ZGchat
Thu Jun 9 13:17:16 PDT 2011

studentdocdiary

@amcunningham Would be nice just to be introduced to more than the consultant and told when is the best time to get hold of people #meded
Thu Jun 9 13:17:30 PDT 2011

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#meded - Healthcare Twitter Transcript

10/06/2011 11:08

amcunningham

RT @jemmatuesday: altho difficult I know, students need 2 have a clear idea if wht they wnt 2 get out of the day.So they arnt aimless #meded
Thu Jun 9 13:17:44 PDT 2011

DrDLittle

@amcunningham @studentdocdiary very difficult because of lack of resources and busy juniors #meded
Thu Jun 9 13:17:55 PDT 2011

nlafferty

@studentdocdiary Would it be helpful if there were some into resources that introduced you to the team, maybe a video even? #meded
Thu Jun 9 13:18:12 PDT 2011

LizzyFerret

Better late than never! I'm Elizabeth, Dundee Student. #meded


Thu Jun 9 13:18:24 PDT 2011

amreeeves

@amcunningham only in hospital, didn't have chance to follow them after discharge unfortunately #meded
Thu Jun 9 13:18:34 PDT 2011

drpaulmorgan

@DrDLittle #meded For us, trainee docs less important, consultants more so. If students keen to learn, they will be taught.
Thu Jun 9 13:18:36 PDT 2011

nlafferty

@LizzyFerret Hi Lizzy :) #meded


Thu Jun 9 13:18:40 PDT 2011

amcunningham

RT @EsdeGroot: Tim Dornan + Pim Theunissen at Maastricht Univ have done research . Nice model on learning in clin placements #meded
Thu Jun 9 13:18:51 PDT 2011

jemmatuesday

Students need to look enthusiastic. They need to appear in control of their learning needs a bit more. #meded
Thu Jun 9 13:19:08 PDT 2011

amcunningham

@EsdeGroot great- we want to see if students and staff here say the same things:) #meded
Thu Jun 9 13:19:16 PDT 2011

LizzyFerret

Dundee have ward teaching weekly, sometimes it's great, alot of the time it's not as the Drs hve no clue about current block/curric #meded
Thu Jun 9 13:19:20 PDT 2011

paulderoos

#meded as a junior doc I appreciate if interns hang out with me longer than just a few days.. I then will invest much more time in them
Thu Jun 9 13:19:22 PDT 2011

jemmatuesday

Jemma, CT1 medicine at busy hospital. #meded


Thu Jun 9 13:20:12 PDT 2011

LizzyFerret

RT @studentdocdiary: @amcunningham Would be nice just to be introduced to more than the consultant and told when is the best time to get hold of people #meded
Thu Jun 9 13:20:17 PDT 2011

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#meded - Healthcare Twitter Transcript

10/06/2011 11:08

studentdocdiary

@nlafferty One placement I was on had booklets of names, photos, bleep numbers and photos. They also held a lunch for us all on day 1 #meded
Thu Jun 9 13:20:30 PDT 2011

nlafferty

Are there some specialties that are better than this than others #meded or does it really depend on individual teachers
Thu Jun 9 13:20:36 PDT 2011

nlafferty

RT @studentdocdiary: @nlafferty One placement I was on had booklets of names, photos, bleep numbers and photos. They also held a lunch for us all on day 1 #meded
Thu Jun 9 13:20:47 PDT 2011

paulderoos

@amcunningham, @jemmatuesday: I briefly outline to students where/how they can find learning opportunities, so they have a choice #meded
Thu Jun 9 13:20:49 PDT 2011

amcunningham

@jemmatuesday yes, students sometimes say they were 'lucky' on placement but they tend to make their own luck #meded
Thu Jun 9 13:20:50 PDT 2011

DrDLittle

@nlafferty @studentdocdiary #meded but then team changes every 4 months?


Thu Jun 9 13:21:12 PDT 2011

MhairiHepburn

#meded in psych, longer placements make a difference as the students can see pts getting better- 1 week is not long in our world!
Thu Jun 9 13:21:14 PDT 2011

amcunningham

RT @nlafferty: Are there some specialties that are better than this than others #meded or does it really depend on individual teachers
Thu Jun 9 13:21:14 PDT 2011

paulderoos

RT @ZGchat: #meded use of sound business training & coaching principles may well fuel clinical learning w regards to attitudes & generic ...
Thu Jun 9 13:21:18 PDT 2011

drpaulmorgan

@LizzyFerret #meded Yes, a real problem if current curriculum not known to clinicians. Med. school should invest the time, not simply expect
Thu Jun 9 13:21:30 PDT 2011

Bambamaki

@paulderoos I agree.help the team and they will help you by teaching you smth.But also depends on the team.been on good and bad firms #meded
Thu Jun 9 13:21:35 PDT 2011

paulderoos

#meded @amreeeves oh.. how as a junior doc I'd wish to know what happens to my patients after discharge.. never see them again...unless ill.
Thu Jun 9 13:22:03 PDT 2011

nlafferty

@drpaulmorgan Fair enough to say if students keen they will learn but what if clinicians don't engage with teaching #meded
Thu Jun 9 13:22:04 PDT 2011

amcunningham

@Bambamaki yes, I tell students to ask how they can help... maybe even just offer to make a cup of tea:) #meded
Thu Jun 9 13:22:14 PDT 2011

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10/06/2011 11:08

studentdocdiary

@DrDLittle @nlafferty True, but names, bleeps and photos on a bit of paper is doable. #meded
Thu Jun 9 13:22:29 PDT 2011

amcunningham

RT @ffolliet: #meded look for alternatives. surgeon busy? talk to anaesthetics, go with patients to radiology (cont) http://deck.ly/~KMP4d
Thu Jun 9 13:22:37 PDT 2011

jemmatuesday

@amcunningham yes definitely. If students interested and ask, they will be taught and offered more teaching. #meded
Thu Jun 9 13:22:54 PDT 2011

nlafferty

@DrDLittle True to some degree but how about being introduced to senior nursing staff who are happy to get involved #meded
Thu Jun 9 13:22:54 PDT 2011

amreeeves

@nlafferty I'd sway toward individuals, have had colleagues love rheum placement but our consultant was awful to us so hated it #meded
Thu Jun 9 13:22:54 PDT 2011

katellington

RT @psychcentral: 12 Tips for Surviving and Thriving in Grad School http://bit.ly/koxZWv with @DRCWN offering great advice #meded
Thu Jun 9 13:23:07 PDT 2011

DrDLittle

@studentdocdiary @nlafferty #meded sounds amazing?! If only all placements were like that
Thu Jun 9 13:23:13 PDT 2011

Bambamaki

I believe in giving more 'responsibility' you have to wet the students appetite for learning..allocate a patient to each student #meded
Thu Jun 9 13:23:36 PDT 2011

amcunningham

from a 1st year student:) RT @D_Rodders: Go talk to the doctors and ask if you can shadow them at anytime #meded
Thu Jun 9 13:23:40 PDT 2011

nlafferty

Absolutely do-able RT @studentdocdiary: @DrDLittle @nlafferty True, but names, bleeps and photos on a bit of paper is do-able. #meded
Thu Jun 9 13:23:46 PDT 2011

amreeeves

@amcunningham @bambamaki haha I've found spending the early parts of a placement making tea means anyone'll do anything for you #meded
Thu Jun 9 13:24:07 PDT 2011

alexwintermute

Here's a novel suggestion. How about med students do some HCA shifts. Every one I know that's worked as one said it's invaluable! #meded
Thu Jun 9 13:24:13 PDT 2011

amcunningham

RT @amreeeves: @bambamaki haha I've found spending the early parts of a placement making tea means anyone'll do anything for you #meded
Thu Jun 9 13:24:27 PDT 2011

Bambamaki

ask them to follow through the patient for how many days/weeks..present..take the role of the fy1..it worked for me #meded
Thu Jun 9 13:24:32 PDT 2011

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10/06/2011 11:08

paulderoos

#meded @drpaulmorgan I don't believe it's much often about teaching..it's about creating an environment where one can learn (act of student)
Thu Jun 9 13:24:32 PDT 2011

amcunningham

RT @Bambamaki: ask them to follow through the patient for how many days/weeks..present..take the role of the fy1..it worked for me #meded
Thu Jun 9 13:24:48 PDT 2011

jemmatuesday

It would be helpful if on first day of placement, students introduced themselves (not always done!) &outlined learning needs so... #meded
Thu Jun 9 13:24:55 PDT 2011

nlafferty

Here at Dundee @DundeeJunior has been tweeting learning opportunities to students but very few interested or subscribing #meded
Thu Jun 9 13:24:55 PDT 2011

studentdocdiary

I've heard of placements having compulsory attendance sign ups for each day, is this treating students like babies? #meded
Thu Jun 9 13:24:58 PDT 2011

alexwintermute

An engaging teacher can stir an apathetic student, shame it doesn't work the other way round #meded
Thu Jun 9 13:25:09 PDT 2011

amcunningham

RT @studentdocdiary: I've heard of placements having compulsory attendance sign ups for each day, is this treating students like babies? #meded
Thu Jun 9 13:25:10 PDT 2011

DrDLittle

#meded as a teaching fellow I have time to take students to see patients on their ward and spend time 1-2-1. Clinical staff can't, too busy
Thu Jun 9 13:25:15 PDT 2011

amreeeves

@alexwintermute I'd jump at the opportunity. #meded


Thu Jun 9 13:25:18 PDT 2011

paulderoos

RT @amcunningham: RT @EsdeGroot: Tim Dornan + Pim Theunissen at Maastricht Univ have done research . Nice model on learning in clin placements #meded
Thu Jun 9 13:25:38 PDT 2011

jemmatuesday

..a team plan could be made. Half the time students are not there/clinic/lectures, & we juniors have no clue what they need to do #meded
Thu Jun 9 13:26:15 PDT 2011

drpaulmorgan

@nlafferty #meded True, a big problem. If consultants don't teach students then med. school shouldn't send them, consultant lose hon'ry role
Thu Jun 9 13:26:17 PDT 2011

paulderoos

@amcunningham @esdegroot their work was very nice indeed #meded


Thu Jun 9 13:26:32 PDT 2011

MhairiHepburn

@studentdocdiary #meded I suppose so, but recent attendance at psych placements has been really bad
Thu Jun 9 13:26:37 PDT 2011

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10/06/2011 11:08

LizzyFerret

@nlafferty @studentdocdiary @drdlittle expecting contact then it could open all sorts of channels for #meded
Thu Jun 9 13:26:51 PDT 2011

studentdocdiary

@jemmatuesday Good idea, how can drs be expected to teach unless they know what students need to learn? #meded
Thu Jun 9 13:27:12 PDT 2011

DrDLittle

#meded @drpaulmorgan @lizzyferret a med ed grand round is a great opportunity to update clinicians on local undergrad teaching
Thu Jun 9 13:27:12 PDT 2011

paulderoos

@bambamaki isn't #meded all about quality social interactions... treat students as humans and they are actually very usefull in practice
Thu Jun 9 13:27:56 PDT 2011

studentdocdiary

@MhairiHepburn I've always noticed attendance as a problem at med school, which seems strange as we've all worked hard to get there. #meded
Thu Jun 9 13:27:57 PDT 2011

DrDLittle

@studentdocdiary @nlafferty should be expected of supervising consultant IMO #meded


Thu Jun 9 13:28:14 PDT 2011

LizzyFerret

@alexwintermute but not be enforced to do them. Shouldn't be part of curric to shadow HCAs/RNs/RMs for a shift! #meded
Thu Jun 9 13:28:28 PDT 2011

nlafferty

Is the curriculum accessible to consultants - can we make it more accessible so they are more aware #meded
Thu Jun 9 13:28:29 PDT 2011

drpaulmorgan

@paulderoos Hopefully, we provide such an environment. As we now have F1's important to provide high-quality teaching. #meded
Thu Jun 9 13:28:30 PDT 2011

amcunningham

RT @nlafferty: Is the curriculum accessible to consultants - can we make it more accessible so they are more aware #meded
Thu Jun 9 13:28:53 PDT 2011

LizzyFerret

@amcunningham @amreeeves @bambamaki I've found coffee is the way to most senior's hearts :) #meded
Thu Jun 9 13:28:57 PDT 2011

MhairiHepburn

@DrDLittle #meded grand round sounds good- that's going in the ideas book, sorry I mean Evernote...
Thu Jun 9 13:28:57 PDT 2011

nlafferty

@mmayerp Hi Good to see you again! #meded


Thu Jun 9 13:29:05 PDT 2011

LizzyFerret

RT @alexwintermute: An engaging teacher can stir an apathetic student, shame it doesn't work the other way round #meded
Thu Jun 9 13:29:21 PDT 2011

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#meded - Healthcare Twitter Transcript

10/06/2011 11:08

amcunningham

@LizzyFerret @ffolliet do you have a sense about the students that come to you on placement? where they are at in course? #meded
Thu Jun 9 13:29:34 PDT 2011

MhairiHepburn

@nlafferty #meded at Dundee, not so much. They will need it on paper not online too, some of our lot are scared of the computers!
Thu Jun 9 13:30:00 PDT 2011

paulderoos

#meded @amcunningham @bambamaki cup of coffee/tea, chocolate & cookies. these all work well to create a better learning / work environment..
Thu Jun 9 13:30:06 PDT 2011

jemmatuesday

I think undergrad could try and get us juniors involved bit more formally too, or at least give us a bit of info. #meded
Thu Jun 9 13:30:13 PDT 2011

studentdocdiary

@ffolliet I hope you didn't sign it! #meded


Thu Jun 9 13:30:22 PDT 2011

Bambamaki

@studentdocdiary @MhairiHepburn it's because students are not taken seriously as member of the team in the UK.. #meded
Thu Jun 9 13:30:25 PDT 2011

nlafferty

Re poor attendance - is this an issue of professionalism, do people include attendance in overall block mark? #meded
Thu Jun 9 13:30:31 PDT 2011

Brendano

RT @alexwintermute: An engaging teacher can stir an apathetic student, shame it doesn't work the other way round #meded
Thu Jun 9 13:30:57 PDT 2011

pendy41

@nlafferty @dundeejunior That's interesting I wasn't sure who those tweets were aimed at! probs = not enough students on twitter? #meded
Thu Jun 9 13:31:11 PDT 2011

studentdocdiary

@Bambamaki @MhairiHepburn That is sadly true, I think students should be given more responsibility and tasks #meded
Thu Jun 9 13:31:32 PDT 2011

DrDLittle

@nlafferty we had a great med ed grand round recently to update clinicians on what students need #meded
Thu Jun 9 13:31:36 PDT 2011

shoshanasmith

RT @alexwintermute: Here's a novel suggestion. How about med students do some HCA shifts. Every one I know that's worked as one said it's invaluable! #meded
Thu Jun 9 13:31:56 PDT 2011

nlafferty

@MhairiHepburn Maybe Dundee Psych will improve things - certainly increased GP engagement http://bit.ly/m3OIaI #meded
Thu Jun 9 13:31:58 PDT 2011

amcunningham

@ffolliet no, they're not... but could we find a way to help them engage more in helping students learn if they'd like to? #meded many do
Thu Jun 9 13:32:07 PDT 2011

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#meded - Healthcare Twitter Transcript

10/06/2011 11:08

loriblack

@studentdocdiary @MhairiHepburn attendance can be a problem but often it's fuelled in part by lack of teaching when present #meded
Thu Jun 9 13:32:08 PDT 2011

LizzyFerret

@nlafferty but having constant registers and compulsory attendance can be very babying. It's an adult leaning environment. #meded
Thu Jun 9 13:32:11 PDT 2011

paulderoos

#meded @bambamaki So true! prepare a student to break news w patient and sit in..also very powerfull! Help out w a blink of an eye & support
Thu Jun 9 13:32:21 PDT 2011

nlafferty

@pendy41 Yes was talking with @dundeejunior today and none of current 20 students on child health attachment on twitter #meded
Thu Jun 9 13:32:53 PDT 2011

MhairiHepburn

#meded @nlafferty yes it is a professionalism issue, I tell them they need to show us they are ready to be doctors, first rule is TURN UP!!
Thu Jun 9 13:32:59 PDT 2011

studentdocdiary

@loriblack @MhairiHepburn Agreed, it's hard to get the motivation to turn up when teaching is often cancelled. #meded
Thu Jun 9 13:33:07 PDT 2011

alexwintermute

It seems sometimes that medicine is one of the last bastions of old school paternalistic teaching. #meded
Thu Jun 9 13:33:14 PDT 2011

AnnalisaManca

RT @MhairiHepburn: #meded @nlafferty yes it is a professionalism issue, I tell them they need to show us they are ready to be doctors, f ...
Thu Jun 9 13:33:16 PDT 2011

paulderoos

@bambamaki Aren't internships often way to fragmented for longer follow up than a few days?! #meded
Thu Jun 9 13:33:22 PDT 2011

mmayerp

Ask students, to stimulate them to ask, to participate in clinical sessions, and following patients in Primary Care and hospital #meded
Thu Jun 9 13:33:31 PDT 2011

amcunningham

@paulderoos gosh- student breaking bad news to a patient? usually we have that done by those responsible for care... #meded
Thu Jun 9 13:33:50 PDT 2011

PamNelmesFoH

Really impressed with my medical colleagues using Twitter to strike up engaging debate #meded Tonight's focus is clinical placement #NUR325
Thu Jun 9 13:33:51 PDT 2011

MhairiHepburn

@nlafferty #meded that's the GP blog you've linked to. I've got an account to post on Dundee Psych- prepare for lots of exclamation marks!!!
Thu Jun 9 13:34:10 PDT 2011

LizzyFerret

@amcunningham @ffolliet I've only ever taught students as a nurse :) but from the other way round; no often it's a surprise to all! #meded
Thu Jun 9 13:34:16 PDT 2011

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#meded - Healthcare Twitter Transcript

10/06/2011 11:08

loriblack

#meded having said that, in my experience, if you attend all the time your far more likely to have someone make a big effort to teach you
Thu Jun 9 13:34:17 PDT 2011

MhairiHepburn

#meded Dundee Psych http://medblogs.dundee.ac.uk/dundeepsych/


Thu Jun 9 13:34:38 PDT 2011

DrDLittle

@studentdocdiary @loriblack @mhairihepburn mismatch between students and clinician priorities can be a problem. #meded
Thu Jun 9 13:34:49 PDT 2011

nlafferty

What are the good things about placements - what good practice can we share with those who don't do so well? #meded
Thu Jun 9 13:34:54 PDT 2011

amcunningham

I know tech is not always answer... but I had an idea about how we might try and help students learn on placement http://is.gd/UT7b50 #meded
Thu Jun 9 13:35:21 PDT 2011

Bambamaki

@paulderoos yes..the problem is that no one expects you to do the follow up or present this patient on a WR or discuss his care #meded
Thu Jun 9 13:35:26 PDT 2011

nlafferty

@MhairiHepburn Yep - Dundee Psych still under construction so used GP site as a example #meded
Thu Jun 9 13:35:27 PDT 2011

studentdocdiary

@amcunningham @paulderoos I think students should be allowed to be present when breaking bad news, I was nearly always told to leave #meded
Thu Jun 9 13:35:33 PDT 2011

LizzyFerret

@amcunningham @paulderoos eeek indeed... Not sure I'd be comfortable with that as the student (or the patient for that matter!) #meded
Thu Jun 9 13:35:45 PDT 2011

nlafferty

@paulderoos Yes twitter about conversation but seems a good way to let students know about learning opportunities, better than VLE? #meded
Thu Jun 9 13:36:25 PDT 2011

amcunningham

@studentdocdiary I think they should be present at breaking bad news too- can be very powerful learning #meded
Thu Jun 9 13:36:34 PDT 2011

Bambamaki

@studentdocdiary ditto!I was asked to leave too..then we get BBN senarios for OSCES... #meded
Thu Jun 9 13:36:38 PDT 2011

amcunningham

RT @D_Rodders: @nlafferty actually seeing and talking to patients. cements the conditions in your mind and lets you meet interesting people! #meded
Thu Jun 9 13:36:49 PDT 2011

nlafferty

RT @MhairiHepburn: #meded @nlafferty yes it is a professionalism issue, I tell them they need to show us they are ready to be doctors, f ...
Thu Jun 9 13:36:50 PDT 2011

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10/06/2011 11:08

paulderoos

only UK? RT @bambamaki: @studentdocdiary @MhairiHepburn it's because students are not taken seriously as member of team in the UK.. #meded
Thu Jun 9 13:36:50 PDT 2011

studentdocdiary

@amcunningham I think it's important for us to see it in action as in the future we'll be the ones breaking bad news. #meded
Thu Jun 9 13:37:30 PDT 2011

nlafferty

@D_Rodders Thanks for that, which placements have you had most opportunity to talk to patients? #meded
Thu Jun 9 13:37:51 PDT 2011

LizzyFerret

@nlafferty @paulderoos def better! odd that students (>90% of whom have smartphones) are slow to engage due to "not getting" twitter #meded
Thu Jun 9 13:37:54 PDT 2011

amcunningham

@LizzyFerret maybe we have misunderstood @paulderoos re students breaking bad news #meded
Thu Jun 9 13:37:54 PDT 2011

studentdocdiary

@Bambamaki and although role play is good for BBN, it's no substitute for seeing it in real life #meded
Thu Jun 9 13:38:02 PDT 2011

drpaulmorgan

@loriblack #meded Certainly true in my experience. Be keen, overly so if needed. Make a bit of a nuisance of yourself. Question. Volunteer.
Thu Jun 9 13:38:22 PDT 2011

paulderoos

@studentdocdiary isn't it the controversial thing: acknowledge that students are a valuable to healthcare& valuable in work process?! #Meded
Thu Jun 9 13:38:24 PDT 2011

amcunningham

RT @D_Rodders: Try to encourage students to do what they can, students make Drs aware of what you can do #meded
Thu Jun 9 13:38:27 PDT 2011

nlafferty

@LizzyFerret @paulderoos apparently not many 4th years seem to have smartphones #meded
Thu Jun 9 13:38:45 PDT 2011

amcunningham

RT @drpaulmorgan: @loriblack #meded Certainly true in my experience. Be keen, overly so if needed. Make a bit of a nuisance of yourself. ...
Thu Jun 9 13:39:03 PDT 2011

studentdocdiary

@paulderoos Students are valuable because we're the next generation of doctors. We could be made more use of though. #meded
Thu Jun 9 13:39:24 PDT 2011

MhairiHepburn

#meded re BBN- I often have students sitting in clinic when I tell ppl they have Alzheimers, get pt consent first, its been fine
Thu Jun 9 13:40:11 PDT 2011

nlafferty

@studentdocdiary Good point - I've heard some say that senior students should be seen as members of the healthcare team #meded
Thu Jun 9 13:40:19 PDT 2011

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10/06/2011 11:08

LizzyFerret

On placements/clinical ssc's it's the "make yourself busy" hours after a structured WR or Clinic that are sometimes the dealbreaker...#meded
Thu Jun 9 13:40:24 PDT 2011

paulderoos

@studentdocdiary if students r valuable on work process.why university pays departments for their education? #meded -political no go area ;)
Thu Jun 9 13:40:40 PDT 2011

Rohit_Silhi

@amcunningham #meded Enthusiasm, a smile, and helping the juniors with the menial stuff(collating results, problem lists etc)goes a long way
Thu Jun 9 13:40:42 PDT 2011

shoshanasmith

@alexwintermute And don't forget the unchecked chauvinism. One orthopod's reply to my surgical aspirations was "but you're a woman." #meded
Thu Jun 9 13:40:42 PDT 2011

loriblack

@drpaulmorgan agreed. It pays to be extremely enthusiastic. #meded


Thu Jun 9 13:40:54 PDT 2011

LizzyFerret

...can be gr8 if willing JrDocs happy to let you get stuck in or awful if you ask if you can help at all and get a blank stare #meded
Thu Jun 9 13:41:11 PDT 2011

amcunningham

RT @LizzyFerret: On placements/clinical ssc's it's the "make yourself busy" hours after a structured WR or Clinic that are sometimes the dealbreaker...#meded
Thu Jun 9 13:41:13 PDT 2011

amcunningham

RT @LizzyFerret: ...can be gr8 if willing JrDocs happy to let you get stuck in or awful if you ask if you can help at all and get a blank stare #meded
Thu Jun 9 13:41:22 PDT 2011

studentdocdiary

@nlafferty I like the concept of final year med students taking on some duties of fy1 doctors at some medical schools. #meded
Thu Jun 9 13:41:27 PDT 2011

LizzyFerret

RT @nlafferty: @studentdocdiary Good point - I've heard some say that senior students should be seen as members of the healthcare team #meded
Thu Jun 9 13:41:48 PDT 2011

paulderoos

@amcunningham @lizzyferret #meded.. I was talking about breaking news.. not bad news.. you have to start somewhere, but under supervision!
Thu Jun 9 13:41:56 PDT 2011

MhairiHepburn

#meded i will explain in next few tweets what happens during students' time in my dept- they do one week in old age psych in 4th year- hth
Thu Jun 9 13:42:16 PDT 2011

studentdocdiary

@paulderoos Maybe the uni has to pay the hospital because of all the tea we drink in the drs mess? :-p #meded
Thu Jun 9 13:42:25 PDT 2011

amcunningham

@paulderoos ok- I guess we don't talk about 'breaking news' - you mean giving results etc? that's a really good idea #meded
Thu Jun 9 13:42:39 PDT 2011

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10/06/2011 11:08

nlafferty

@ShoshanaSmith I think that's a typical orthopod response, 1 of my female orthopod colleagues who's a consultant has faced lots of it #meded
Thu Jun 9 13:42:47 PDT 2011

MhairiHepburn

#meded start of placement- i meet up with them on mon morning, tell them about inpatients, meet some inpatients, they then come to wd round
Thu Jun 9 13:43:30 PDT 2011

paulderoos

@amcunningham @LizzyFerret The step from no responsibility to managing a ward is just too big. #meded
Thu Jun 9 13:43:31 PDT 2011

amcunningham

How many people have gotten to give results to a patient on a placement under supervision? #meded - practice at info giving
Thu Jun 9 13:43:33 PDT 2011

amcunningham

RT @paulderoos: @amcunningham @LizzyFerret The step from no responsibility to managing a ward is just too big. #meded
Thu Jun 9 13:43:41 PDT 2011

nlafferty

@amcunningham @paulderoos the university doesn't pay the hospital for teaching the NHS pays for additional costs of teaching #meded
Thu Jun 9 13:44:24 PDT 2011

alexwintermute

Also, whilst standards are maintained by GMC isn't there a difference in educational attitude between schools? New ones are seen #meded
Thu Jun 9 13:44:27 PDT 2011

paulderoos

#meded indeed @amcunningham that's what I mean. test results, treatment plan, lifestyle changes, discuss, negotiate: prepare + w supervision
Thu Jun 9 13:44:48 PDT 2011

nisciocco

@amcunningham no experience on placement but as GPs receptionist over the phone in summer job #meded
Thu Jun 9 13:44:49 PDT 2011

MhairiHepburn

#meded get them to speak to some inpatients, as many as poss, some have never spoken to psych pt before, gets them over the stigma nonsense
Thu Jun 9 13:44:55 PDT 2011

studentdocdiary

@amcunningham I did in final year GP, after 4 weeks I was allowed to give most results unsupervised with the GP popping in at the end #meded
Thu Jun 9 13:44:56 PDT 2011

paulderoos

RT @studentdocdiary: @paulderoos Maybe the uni has to pay the hospital because of all the tea we drink in the drs mess? :-p #meded
Thu Jun 9 13:45:07 PDT 2011

alexwintermute

As "fluffy" and focusing on communication and old ones are seen as "scientific" and paternalistic #meded
Thu Jun 9 13:45:16 PDT 2011

nlafferty

@studentdocdiary Do you do FY1 shadowing at your school? #meded


Thu Jun 9 13:45:50 PDT 2011

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10/06/2011 11:08

paulderoos

RT @studentdocdiary: @paulderoos we r valuable because we're the next generation of doctors. We could be made more use of though. #meded
Thu Jun 9 13:46:06 PDT 2011

MhairiHepburn

#meded then sit in on clinics, they do the cognitive testing if pt happy with this, then discuss each case between pts
Thu Jun 9 13:46:11 PDT 2011

jemmatuesday

I agree senior students (all students?) should be part of the team. Give and take so if they help a bit they also get teaching. #meded
Thu Jun 9 13:46:16 PDT 2011

MhairiHepburn

#meded i encourage them to spend time with nurses, social workers, OTs etc to learn about MDT working- usually do some visits with CPNs
Thu Jun 9 13:47:06 PDT 2011

doseofnuxvomica

@ShoshanaSmith @alexwintermute female surgical consultant laughed & inspected size of my hands when I said I wanted to be a surgeon. #meded
Thu Jun 9 13:47:14 PDT 2011

studentdocdiary

@nlafferty We have placements in final year and it's up to us what we make of them as long as we get sign ups. Many shadow FY1s. #meded
Thu Jun 9 13:47:24 PDT 2011

LizzyFerret

@jemmatuesday yes it's difficult to define which students; if they in a clinical area they should get stuck in (supervised of course) #meded
Thu Jun 9 13:47:38 PDT 2011

alexwintermute

Also: are London med schools asking that they be your 1st UCAS choice before letting you shadow in their hospitals? #meded
Thu Jun 9 13:47:39 PDT 2011

MhairiHepburn

#meded I also make sure i take them on at least one home visit, great learning experience and they learn about etiquette of home visits
Thu Jun 9 13:48:08 PDT 2011

nlafferty

@studentdocdiary Ok we have specific FY1 shadowing block for all students #meded
Thu Jun 9 13:48:12 PDT 2011

paulderoos

#meded @jemmatuesday: I'd say.. if you are part of the team.. you get to learn when you get adequate feedback/supervision on what you do.
Thu Jun 9 13:48:30 PDT 2011

MhairiHepburn

#meded not so many jobs for students to do on psych wards eg taking blood, doing ecg, but if these things need done they get to do it
Thu Jun 9 13:48:49 PDT 2011

amcunningham

@nisciocco did you learn anything from giving these results to patients? #meded
Thu Jun 9 13:48:58 PDT 2011

shoshanasmith

RT @doseofnuxvomica: @ShoshanaSmith @alexwintermute female surgical consultant laughed & inspected size of my hands when I said I wanted to be a surgeon. #meded
Thu Jun 9 13:49:02 PDT 2011

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10/06/2011 11:08

LizzyFerret

@MhairiHepburn coming from both camps I don't know how useful it really is to go shadowing nurses (CPNs perhaps the exception) #meded
Thu Jun 9 13:49:14 PDT 2011

paulderoos

#meded @nlafferty @amcunningham I guess payment is different in every country.. in NL university pays departments for having interns
Thu Jun 9 13:49:35 PDT 2011

alexwintermute

@MhairiHepburn Keele uni got reprimanded by the GMC for sending students on their own to home visits #meded
Thu Jun 9 13:49:37 PDT 2011

studentdocdiary

@nlafferty That sounds useful, although most of us seized the opportunity to shadow in final year some students did bugger all #meded
Thu Jun 9 13:49:39 PDT 2011

nlafferty

Would it be helpful for previous year's students to highlight the best learning opportunities on a placement for current students? #meded
Thu Jun 9 13:49:59 PDT 2011

MhairiHepburn

#meded also some informal tutorials on mental illness, stigma, attitudes and lots of chat about their views, plenty time to ask questions!
Thu Jun 9 13:50:24 PDT 2011

nlafferty

@studentdocdiary Guess that's par for the course! Their loss/ #meded
Thu Jun 9 13:50:35 PDT 2011

LizzyFerret

@studentdocdiary @nlafferty most current and recent 5th years I know have found formal shadowing very useful at Dundee. #meded
Thu Jun 9 13:50:45 PDT 2011

nlafferty

RT @LizzyFerret: @studentdocdiary @nlafferty most current and recent 5th years I know have found formal shadowing very useful at Dundee. #meded
Thu Jun 9 13:51:05 PDT 2011

loriblack

@LizzyFerret @MhairiHepburn we do a week's nursing shadowing placement at Cardiff. Really valuable and enjoyable albeit short. #meded
Thu Jun 9 13:51:10 PDT 2011

paulderoos

@LizzyFerret @amcunningham I never let the student do a conversation on treatment&results alone, never have them long enough to trust #meded
Thu Jun 9 13:51:19 PDT 2011

LizzyFerret

@nlafferty yes; but often "feedback apathy" can cloud the truth! #meded
Thu Jun 9 13:51:25 PDT 2011

nisciocco

@amcunningham sometimes awkward: all clear or doctor wants you to make appt. (pt questions!) also giving out INR+dose = be careful #meded
Thu Jun 9 13:51:41 PDT 2011

LizzyFerret

@loriblack @mhairihepburn A WEEK?! Why?! #meded


Thu Jun 9 13:51:56 PDT 2011

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#meded - Healthcare Twitter Transcript

10/06/2011 11:08

Bambamaki

@nlafferty Depends.Best teaching ever by a fantastic consultant.this experience made me self organise my next module with him again #meded
Thu Jun 9 13:51:57 PDT 2011

paulderoos

@LizzyFerret @amcunningham If you'd practice such conversations more, even "bad news" becomes more comfy #meded
Thu Jun 9 13:52:01 PDT 2011

Bambamaki

Also a firm with fewer students and an FY1 willing to share the job with you #meded
Thu Jun 9 13:52:36 PDT 2011

paulderoos

#meded @amcunningham Who has ever been supervised as junior doc / student to break bad news? or where you on your own w nurse frm beginning?
Thu Jun 9 13:52:50 PDT 2011

nlafferty

@LizzyFerret Pity @AlasdairForrest not on the chat he would tell us #meded


Thu Jun 9 13:53:01 PDT 2011

amcunningham

RT @paulderoos: #meded @amcunningham Who has ever been supervised as junior doc / student to break bad news? or where you on your own w ...
Thu Jun 9 13:53:17 PDT 2011

paulderoos

@bambamaki Thing is about "sharing job" is knowing benefit o sharing workload= creating more learning opportunities for both= win-win #meded
Thu Jun 9 13:54:00 PDT 2011

amcunningham

@LizzyFerret we had a week as HCA in Belfast about 20 years ago too:) #meded #showingmyage
Thu Jun 9 13:54:19 PDT 2011

studentdocdiary

@Bambamaki Agreed! Too many med students on many firms means that you get less of a chance to get involved #meded
Thu Jun 9 13:54:24 PDT 2011

loriblack

@LizzyFerret @mhairihepburn to give us understanding of roles in the mdt. Have also spent time with nurses on gp and med placements #meded
Thu Jun 9 13:54:38 PDT 2011

nlafferty

@Bambamaki Yes that's common, I see that with SSCs & 4th year projects here #meded
Thu Jun 9 13:54:42 PDT 2011

nlafferty

@drpaulmorgan Yes that's very true. #meded


Thu Jun 9 13:55:43 PDT 2011

paulderoos

Educational process is often weak! #meded RT @jemmatuesday: yes exactly. Too often students r only loosely affiliated with a team..
Thu Jun 9 13:55:53 PDT 2011

amcunningham

useful? RT @jemmatuesday: #meded I did a 'work based assessment' on breaking bad news this year does that count? My consultant was watching.
Thu Jun 9 13:56:03 PDT 2011

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10/06/2011 11:08

nlafferty

Do many students get feedback from patients on placements #meded


Thu Jun 9 13:56:40 PDT 2011

amcunningham

@Rohit_Silhi yes, so do our students in Cardiff... but when you first had to do in reallife, were you supervised? #meded
Thu Jun 9 13:56:57 PDT 2011

amcunningham

@LizzyFerret we didn't really shadow... we just had to spend time on the ward helping out.... #meded
Thu Jun 9 13:57:37 PDT 2011

peds_id_doc

@paulderoos @amcunningham I got formal training in breaking bad news with standardized pts #meded
Thu Jun 9 13:58:03 PDT 2011

paulderoos

@studentdocdiary @Bambamaki it's not only numbers. it's about managing learning opportunities. Docs may need training in this #meded #zgchat
Thu Jun 9 13:58:18 PDT 2011

amcunningham

@LizzyFerret I don't think it so much about transferrable roles as understanding how other people spend time and how a ward works #meded
Thu Jun 9 13:58:19 PDT 2011

nisciocco

My nursing placement was good for observing, rubbish for helping out - I wasn't allowed to do anything. #meded
Thu Jun 9 13:58:33 PDT 2011

peds_id_doc

@paulderoos @amcunningham #meded first time had to do it for real - unexpected, 2am on call, by myself...felt ready tho.
Thu Jun 9 13:58:58 PDT 2011

amcunningham

@peds_id_doc yes, and the first time you had to break bad new yourself... were you supervised? I can't remember! #meded
Thu Jun 9 13:59:00 PDT 2011

LizzyFerret

@amcunningham fair enough but a week/fortnight in that role is tooooo much! A shift for each would be sufficient. #meded
Thu Jun 9 13:59:19 PDT 2011

paulderoos

@peds_id_doc @amcunningham I think most of us have that.. but.. on the ward may be different, "standardized" may have limited value #meded
Thu Jun 9 13:59:31 PDT 2011

amcunningham

@nisciocco was the nursing placement different to what you learnt on early clinical attachments? #meded
Thu Jun 9 13:59:41 PDT 2011

peds_id_doc

@paulderoos @amcunningham #meded advantage of SPs is in multiple do-overs, "muscle memory" of how to do it, what to say
Thu Jun 9 14:00:25 PDT 2011

loriblack

@amcunningham @LizzyFerret on nursing placement we just had to help out too. But was enjoyable and felt of use. #meded
Thu Jun 9 14:00:31 PDT 2011

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10/06/2011 11:08

alexwintermute

Re: med students working as HCA's may be a stereotype but in my experience more caring and interacting students have worked as one #meded
Thu Jun 9 14:00:35 PDT 2011

peds_id_doc

@paulderoos @amcunningham #meded also discussion with peers, self-reflection, awareness of pitfalls...all part of the package.
Thu Jun 9 14:00:53 PDT 2011

Random_Ria

Joining late but just want to add that I think all learning on placement is learnt best by following the e.g of a good junior/cons. #meded
Thu Jun 9 14:01:16 PDT 2011

nlafferty

That's the hour up - another interesting hour of #meded chat. Many thanks everyone for taking part, #meded
Thu Jun 9 14:01:24 PDT 2011

drpaulmorgan

@paulderoos @jemmatuesday #meded Teams are much looser than old-fashioned firms. Would better co-ordination work? e.g. upper GI surg. team?
Thu Jun 9 14:01:29 PDT 2011

peds_id_doc

@paulderoos @amcunningham #meded I found SP training of enormous value in real life. I guess it depends on the program...
Thu Jun 9 14:01:30 PDT 2011

nisciocco

@amcunningham yes. Only with nurses/hca - learnt how ward worked. They kept trying to push me onto wards rounds with drs tho #meded
Thu Jun 9 14:01:50 PDT 2011

amcunningham

@peds_id_doc I think the socio-cultural bits arnd communication R probly wht we R not so gd at 'teaching' -for another week:) #meded
Thu Jun 9 14:02:18 PDT 2011

LizzyFerret

@alexwintermute I think working as a phleb is much more useful for a medical student. #meded
Thu Jun 9 14:02:35 PDT 2011

nlafferty

We'll post the transcript up within next day. As conversation still going we'll post the chat upto about 9.30 or till it fizzles out #meded
Thu Jun 9 14:02:48 PDT 2011

amcunningham

@nisciocco yes, I remember that:) and suggesting you go along to theatre etc:) #meded
Thu Jun 9 14:02:51 PDT 2011

paulderoos

#meded @peds_id_doc I felt ready too for breaking the bad news, but.. who says I couldn't have done better.. I ask interns 4 feedback now.
Thu Jun 9 14:03:05 PDT 2011

MhairiHepburn

@LizzyFerret #meded yes, a week. I mean on old age psych placement, not doing nursing stuff.
Thu Jun 9 14:03:23 PDT 2011

nlafferty

Any suggestions for next week's chat please tweet me or @amcunningham or DM us or post suggestions here http://bit.ly/jUlG0v #meded chat
Thu Jun 9 14:03:43 PDT 2011

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10/06/2011 11:08

amreeeves

@Random_Ria FY1 I've been with over the last few days has told me she's teaching me to survive as an FY1, good experience #meded
Thu Jun 9 14:04:14 PDT 2011

amcunningham

RT @drpaulmorgan: @paulderoos @jemmatuesday #meded Teams are much looser than old-fashioned firms. Would better co-ordination work? e.g. ...
Thu Jun 9 14:04:16 PDT 2011

nlafferty

Sounds like a great idea! RT @cringlem: @nlafferty getting previous Yr F doctors to highlight opportunities would also be helpful #meded
Thu Jun 9 14:04:21 PDT 2011

amcunningham

RT @amreeeves: @Random_Ria FY1 I've been with over the last few days has told me she's teaching me to survive as an FY1, good experience #meded
Thu Jun 9 14:04:37 PDT 2011

LizzyFerret

@MhairiHepburn Ahh :) In that case a week ain't long enough! I think @loriblack meant a week of nursing stuff tho. #crossedwires #meded
Thu Jun 9 14:04:46 PDT 2011

Bambamaki

why work as an HCA or phleb?250k of education and is not enough to teach medical students? #meded
Thu Jun 9 14:05:14 PDT 2011

MhairiHepburn

@alexwintermute #meded I don't send them on their own though! They shadow me...
Thu Jun 9 14:05:17 PDT 2011

nlafferty

@LizzyFerret @MhairiHepburn We've started a discussion about this locally and looking forward to doing some new things #meded
Thu Jun 9 14:05:23 PDT 2011

Random_Ria

RT @amreeeves: @Random_Ria FY1 I've been with over the last few days has told me she's teaching me to survive as an FY1, good experience #meded
Thu Jun 9 14:05:44 PDT 2011

paulderoos

@drpaulmorgan @jemmatuesday for me.. next to MD I'm a soft skills trainer.. I use coaching & training techniques on motivation #meded
Thu Jun 9 14:06:07 PDT 2011

MhairiHepburn

@LizzyFerret #meded heh heh #crossedwires indeed! They do a half day with the CPN
Thu Jun 9 14:06:22 PDT 2011

amcunningham

@nlafferty I'm wondering if we should think about comm skills teaching for next week? @peds_id_doc #meded
Thu Jun 9 14:06:30 PDT 2011

doseofnuxvomica

@ShoshanaSmith @lizzyferret well said. its funny so many ppl gap year to do good stuff, yet still don't give a shit about patients. #meded
Thu Jun 9 14:06:59 PDT 2011

paulderoos

@drpaulmorgan @jemmatuesday and engagement, to spark students interest to contribute, then I reward contributions w exciting tasks #meded
Thu Jun 9 14:07:02 PDT 2011

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10/06/2011 11:08

nlafferty

Will be interesting! RT @amcunningham: @nlafferty Wondering if should think about comm skills teaching for next week? @peds_id_doc #meded
Thu Jun 9 14:07:21 PDT 2011

Bambamaki

@amcunningham @nlafferty nooo no more com skills!!i had so much of it at my med school..i think they wanted everyone to become a GP:P #meded
Thu Jun 9 14:07:52 PDT 2011

amcunningham

RT @doseofnuxvomica: @ShoshanaSmith @lizzyferret well said. its funny so many ppl gap year to do good stuff, yet still don't give a shit about patients. #meded
Thu Jun 9 14:07:52 PDT 2011

nlafferty

RT @Bambamaki: @amcunningham @nlafferty nooo no more com skills!!i had so much of it at my med school..i think they wanted everyone to become a GP:P #meded
Thu Jun 9 14:08:11 PDT 2011

Random_Ria

@amreeeves Nice. I've been following a registrar in the AMU who has been brilliant. Nothing better than someone willing to teach! #meded
Thu Jun 9 14:08:13 PDT 2011

cringlem

RT @amcunningham: I know tech is not always answer... but I had an idea about how we might try and help students learn on placement http://is.gd/UT7b50 #meded
Thu Jun 9 14:08:23 PDT 2011

paulderoos

@peds_id_doc @amcunningham for me, I had best communication trainings while managing a team in student keadership roles, did it 4 me #meded
Thu Jun 9 14:08:29 PDT 2011

MhairiHepburn

#meded yeah comm skills teaching!! Any GPs here? Can we have a fight about whether it should be done by GPs or psychs? :)))))
Thu Jun 9 14:08:30 PDT 2011

amcunningham

@Bambamaki thia is what we can talk about... does it work? how to make better? what stops people communicating well? #meded
Thu Jun 9 14:08:33 PDT 2011

alexwintermute

@Bambamaki you can't teach people to care. It's the difference between learning and experience. #meded
Thu Jun 9 14:08:40 PDT 2011

amcunningham

@Bambamaki LOL! well- you suggest another topic- will be very welcome:) #meded
Thu Jun 9 14:09:12 PDT 2011

amcunningham

RT @ffolliet: @nlafferty no problem #meded if anyone wants to join me for an attachment in Paediatric Surgery, get in touch!!
Thu Jun 9 14:09:20 PDT 2011

paulderoos

@drpaulmorgan @jemmatuesday so.. co-ordination is a right word, as I use my skills like a toolbox to get my work co-ordinated :-) #meded
Thu Jun 9 14:09:38 PDT 2011

LizzyFerret

@doseofnuxvomica @alexwintermute that's what I mean; If youre going to work whist a medstudent then Phleb/Ward Clerk far more useful! #meded
Thu Jun 9 14:09:56 PDT 2011

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10/06/2011 11:08

loriblack

@amcunningham @nisciocco mine never suggested I followed doctors. Wanted me to do everything possible-worked me v hard :) #meded
Thu Jun 9 14:10:05 PDT 2011

nlafferty

@ffolliet where are you based? #meded


Thu Jun 9 14:10:10 PDT 2011

amreeeves

@Random_Ria On CCU at the mo - FY1, SHO & SpR are all great, and the other students don't turn up. Have them all to myself. Amazing. #meded
Thu Jun 9 14:10:35 PDT 2011

drpaulmorgan

@paulderoos @jemmatuesday #meded Keen students will reap rewards in so many ways. Those not keen will miss out on so much.
Thu Jun 9 14:10:47 PDT 2011

alexwintermute

@MhairiHepburn yeah I thought you did. But it proves the need for schools to implement policies well #meded
Thu Jun 9 14:10:57 PDT 2011

nlafferty

RT @drpaulmorgan: @paulderoos @jemmatuesday #meded Keen students will reap rewards in so many ways. Those not keen will miss out on so much.
Thu Jun 9 14:11:03 PDT 2011

amcunningham

@nisciocco great- that's another vote for comm skills (iinc deaf awareness) as topic for next week's #meded chat:)
Thu Jun 9 14:11:03 PDT 2011

paulderoos

@mhairihepburn or communication class w business skills trainers? ;-) #meded


Thu Jun 9 14:11:15 PDT 2011

peds_id_doc

@amcunningham @nlafferty #meded one of my passions! Not sure the time would work tho (4pm here...with Thursday clinic usually :-/ )
Thu Jun 9 14:11:50 PDT 2011

nlafferty

Great to see so many students again on the #meded chat this week :) Thanks for all your contributions to the discussion!
Thu Jun 9 14:11:53 PDT 2011

amcunningham

@MhairiHepburn look- LOL- I can see we are going to have great fun on this next week! #commskills #meded :)
Thu Jun 9 14:12:06 PDT 2011

LizzyFerret

@amcunningham @ffolliet @nlafferty the power of twitter eh :) #meded #twitterisamazing


Thu Jun 9 14:12:10 PDT 2011

drpaulmorgan

@amreeeves @Random_Ria #meded That's the reward for being keen. You reap what you sew.
Thu Jun 9 14:12:33 PDT 2011

paulderoos

@drpaulmorgan #meded, we must show them the road though.. some just don't see it and get keen when they see it.. that's our task.
Thu Jun 9 14:12:34 PDT 2011

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10/06/2011 11:08

loriblack

#meded also voting for comm skills teaching.


Thu Jun 9 14:12:46 PDT 2011

Bambamaki

@alexwintermute I think empathy and caring can be taught:) I was asked this at my med school interview..and i argued that you can't #meded
Thu Jun 9 14:12:55 PDT 2011

amcunningham

RT @ffolliet: @LizzyFerret i "met"a med student on twitter last year. he came for student attachment 3 months later #meded #twitterisamazing
Thu Jun 9 14:13:27 PDT 2011

LizzyFerret

@peds_id_doc @amcunningham @nlafferty #commskills is a Dundee speciality; we are programmed to love it by the end :) #meded
Thu Jun 9 14:13:29 PDT 2011

Bambamaki

@alexwintermute 5 years on..I am on the opposite side..you can teach someone to care #meded
Thu Jun 9 14:13:39 PDT 2011

nlafferty

@peds_id_doc Ah ok, didn't realise you are in the US ? (apologies if you're in Canada) #meded
Thu Jun 9 14:13:43 PDT 2011

drpaulmorgan

@paulderoos @jemmatuesday #meded As PRHO I worked for one consultant with fixed jun'r. team. Doesn't happen now, so consultant teams needed.
Thu Jun 9 14:14:22 PDT 2011

amcunningham

@peds_id_doc ohh- that's a pity... but much beyond 9 is too late for us... great that you could join tonight:) #meded
Thu Jun 9 14:14:44 PDT 2011

LizzyFerret

@amcunningham @ffolliet awesome! :D these #meded chats and #twitjc are real proof that #twitterisamazing indeed :)
Thu Jun 9 14:14:54 PDT 2011

paulderoos

@amcunningham @ffolliet @LizzyFerret -- I met a patient on twitter.. she got me my residency interview in Sweden.. got the job! #meded
Thu Jun 9 14:14:59 PDT 2011

amreeeves

@drpaulmorgan @random_ria saw an MI being stented, helped out w echo & saw an adenosine challenge t'day. Couldn't stand missing it #meded
Thu Jun 9 14:15:08 PDT 2011

amcunningham

RT @amreeeves: @Random_Ria On CCU at the mo - FY1, SHO & SpR are all great, and the other students don't turn up. Have them all to myself. Amazing. #meded
Thu Jun 9 14:15:33 PDT 2011

amcunningham

RT @amreeeves: @drpaulmorgan @random_ria saw an MI being stented, helped out w echo & saw an adenosine challenge t'day. Couldn't stand missing it #meded
Thu Jun 9 14:15:37 PDT 2011

LizzyFerret

@paulderoos @amcunningham @ffolliet haha, think meeting patients is a whooole other issue :P #meded
Thu Jun 9 14:15:51 PDT 2011

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10/06/2011 11:08

LizzyFerret

Thanks again to @nlafferty and @amcunningham for hosting tonight's #meded chat. Informative and enjoyable as always :)
Thu Jun 9 14:16:50 PDT 2011

amcunningham

BIg thanks to everyone who joined in with #meded chat this evening- another great discussion- you're brilliant!
Thu Jun 9 14:16:59 PDT 2011

paulderoos

@lizzyferret @amcunningham @ffolliet true.. but also interesting w regards to #meded.. a patient is different than "my patient" #meded
Thu Jun 9 14:17:27 PDT 2011

nlafferty

Absolutely!RT @amcunningham: BIg thanks to everyone who joined in with #meded chat this evening- another great discussion- you're brilliant!
Thu Jun 9 14:17:40 PDT 2011

BeanBlogger

@Bambamaki #meded You see diff things, diff things are expected of you. As a volunteer I was ignored but saw the pts viewpoint much better
Thu Jun 9 14:17:51 PDT 2011

basmahassan

#meded in my hospital we only spend 2 months at a time on each team (other 2 months are on call)- I think bad for students..
Thu Jun 9 14:18:05 PDT 2011

drpaulmorgan

@paulderoos #meded Very true, but it is also up to med school to provide us with the map so that we're current in what we teach.
Thu Jun 9 14:18:13 PDT 2011

doseofnuxvomica

@amcunningham no YOU're brillant! ;) #meded


Thu Jun 9 14:18:48 PDT 2011

basmahassan

#meded by the time we are comfortable in job to have time for students it is time to move on! Ps sorry I'm late just saw discussion- vg!
Thu Jun 9 14:19:40 PDT 2011

amcunningham

@drpaulmorgan well, lets hope that Cardiff can get a lot better and making all of that clearer:) #meded
Thu Jun 9 14:20:03 PDT 2011

LizzyFerret

RT @drpaulmorgan: @paulderoos #meded Very true, but it is also up to med school to provide us with the map so that we're current in what we teach.
Thu Jun 9 14:20:11 PDT 2011

drpaulmorgan

@Bambamaki @alexwintermute #meded Displaying empathy is not the same as really having empathy. Former can be taught, latter is inate.
Thu Jun 9 14:20:21 PDT 2011

LizzyFerret

@doseofnuxvomica: @amcunningham no YOU're brillant! ;) #meded What she said I said :)


Thu Jun 9 14:20:30 PDT 2011

amcunningham

@basmahassan lovely of you to join- we'll archive tweets for a bit more - thanks:) #meded
Thu Jun 9 14:20:37 PDT 2011

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10/06/2011 11:08

drpaulmorgan

@LizzyFerret @peds_id_doc @amcunningham @nlafferty #meded Big Brother is watching you!


Thu Jun 9 14:21:00 PDT 2011

amreeeves

RT @doseofnuxvomica: @amcunningham no YOU're brillant! ;) #meded


Thu Jun 9 14:21:04 PDT 2011

nlafferty

@basmahassan We're just wrapping up but thanks for joining us. We're chatting about #meded again at 9pm next Thursday if you can join us
Thu Jun 9 14:21:10 PDT 2011

amcunningham

RT @basmahassan: #meded in my hospital we only spend 2 months at a time on each team (other 2 months are on call)- I think bad for stude ...
Thu Jun 9 14:21:38 PDT 2011

amcunningham

RT @basmahassan: #meded by the time we are comfortable in job to have time for students it is time to move on! Ps sorry I'm late just saw discussion- vg!
Thu Jun 9 14:21:41 PDT 2011

amcunningham

@basmahassan good points.. it's hard to support others with learning if you feel you are only getting to grips with things yourself #meded
Thu Jun 9 14:22:43 PDT 2011

drpaulmorgan

@amreeeves @random_ria #meded Unbeatable experience.


Thu Jun 9 14:23:41 PDT 2011

ambulancemandan

#meded shame I've just missed this! Have some views on teaching practice and placement from the Paramedic side (if it counts...)
Thu Jun 9 14:23:42 PDT 2011

paulderoos

@drpaulmorgan I talk about educational process.. the procedural support system needs to improve much everywhere in academia #meded
Thu Jun 9 14:24:19 PDT 2011

KatieHutch91

@Bambamaki @alexwintermute Don't know if empathy & caring can be taught but you can teach how to come across to a patient that you do #meded
Thu Jun 9 14:24:24 PDT 2011

amcunningham

@ambulancemandan please share! would be very helpful:) #meded


Thu Jun 9 14:24:27 PDT 2011

alexwintermute

So question for #meded how do we route out sexism in medics and surgeons? Cc: @doseofnuxvomica @ShoshanaSmith @BeccaSarahS
Thu Jun 9 14:24:43 PDT 2011

paulderoos

@drpaulmorgan you should expect this kind of support from med school indeed #meded
Thu Jun 9 14:24:45 PDT 2011

nlafferty

@ambulancemandan That's a pity we'll be posting the transcript and would welcome comments #meded
Thu Jun 9 14:24:50 PDT 2011

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10/06/2011 11:08

drpaulmorgan

@amcunningham #meded You'll have to nag my namesake!!


Thu Jun 9 14:25:07 PDT 2011

amcunningham

@AliHandscomb we have the #meded chat from 9-10 UK time , and then there is a US chat at about 2am our time
Thu Jun 9 14:25:11 PDT 2011

LizzyFerret

@ambulancemandan go for it; it's really interesting the differences in AHP vs Med training, I have lots of pointers from Nursing! #meded
Thu Jun 9 14:25:19 PDT 2011

nlafferty

@ambulancemandan Do you have students spend time with you, we have a new clinical SSC where students join paramedic team #meded
Thu Jun 9 14:25:46 PDT 2011

amcunningham

@neil_howie_uk if you can you should join #meded chat maybe next Thursday at 9pm... forgot to say this week as really busy:(
Thu Jun 9 14:27:02 PDT 2011

ambulancemandan

#meded ps Re breaking bad news. We were not 'taught' this, bar maybe a discussion post training, but still expected to do it? Fair?
Thu Jun 9 14:27:05 PDT 2011

SmilingPamela

#meded hubby has set up a system of teaching in A&E med student assesses pt, presents findings, orders tests, follows pt through the system
Thu Jun 9 14:28:09 PDT 2011

SportsDoc_Chris

@nlafferty Hi Natalie. Just found out about u #meded chat. Hope to join in next wk. I'm doing an MA in Tech & Educ. in Clin. Practice at IoE
Thu Jun 9 14:28:36 PDT 2011

amcunningham

@ambulancemandan no- poor. we're going to talk about comm skills next week.. would be great to get interprofessional insights #meded
Thu Jun 9 14:29:09 PDT 2011

KatieHutch91

I've found there are lots of opportunities to get involved at med school, if you're not keen then you will miss out! #meded
Thu Jun 9 14:29:33 PDT 2011

amcunningham

"A Reflection on the Benefit of Employing Physician Assistants in #NHS Hospitals" http://is.gd/5h3Toa from @neil_howie_uk #meded
Thu Jun 9 14:30:13 PDT 2011

nlafferty

@SportsDoc_Chris Hi Chris - that's great, look forward to seeing you on the #meded chat next week
Thu Jun 9 14:30:26 PDT 2011

amcunningham

RT @KatieHutch91: @Bambamaki @alexwintermute Don't know if empathy & caring can be taught but you can teach how to come across to a patient that you do #meded
Thu Jun 9 14:30:52 PDT 2011

KatieHutch91

Also re breaking bad news, I really think it depends on where you study. At Bham we get taught quite a lot in first year #meded
Thu Jun 9 14:31:31 PDT 2011

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10/06/2011 11:08

neil_howie_uk

@amcunningham That sounds great I will be online for #meded next week. I was out tonight anyway. looking forward to it.
Thu Jun 9 14:32:43 PDT 2011

amcunningham

@KatieHutch91 we're going to talk a lot more about this next week I hope but I think #commskills should be at start of course:) #meded
Thu Jun 9 14:32:47 PDT 2011

drpaulmorgan

@jemmatuesday @paulderoos #meded Ward-based medicine is a shambles. Would rather see, e.g. a hepatology team, vascular surgical team etc.
Thu Jun 9 14:33:23 PDT 2011

nlafferty

@Neil_Mehta No worries - Seems placements/attachments not a common term in the US for clinical blocks/rotations #meded @amcunningham
Thu Jun 9 14:34:01 PDT 2011

Neil_Mehta

@nlafferty @amcunningham how about portfolios in #Meded for next chat?


Thu Jun 9 14:34:35 PDT 2011

drpaulmorgan

#meded Goodnight to those following this hashtag!


Thu Jun 9 14:35:16 PDT 2011

nlafferty

RT @KatieHutch91: I've found there are lots of opportunities to get involved at med school, if you're not keen then you will miss out! #meded
Thu Jun 9 14:35:21 PDT 2011

MhairiHepburn

#meded thanks for another great chat! Time for a cup of tea now...
Thu Jun 9 14:37:07 PDT 2011

alexwintermute

RT @drpaulmorgan: @Bambamaki @alexwintermute #meded Displaying empathy is not the same as really having empathy. Former can be taught, l ...
Thu Jun 9 14:37:42 PDT 2011

ambulancemandan

@amcunningham #meded I shall try to be there, thanks. Nice to discuss these things with others o/s Paramedicine!
Thu Jun 9 14:38:31 PDT 2011

paulderoos

@drpaulmorgan @jemmatuesday in my humble opinion.it's all about how one organises it& what u think people should be able to learn/do #meded
Thu Jun 9 14:39:16 PDT 2011

amcunningham

@Neil_Mehta we were thinking of communication skills but please add to the list:) want to keep up enthusiasm! http://is.gd/xn3EWG #meded
Thu Jun 9 14:39:41 PDT 2011

nlafferty

@Neil_Mehta @amcunninham Think we're going with communication skills for next week 's #meded chat but we should add Portfolios to the list,
Thu Jun 9 14:39:49 PDT 2011

paulderoos

@health_oracle I agree that communication simulations in med school can be very useful Supervised practice on ward is surely as well #meded
Thu Jun 9 14:40:22 PDT 2011

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10/06/2011 11:08

paulderoos

#meded Thank you for tonights' chat and for moderating/reminding @amcunningham!
Thu Jun 9 14:41:06 PDT 2011

KatieHutch91

@amcunningham At Bham we get introduced to quite a lot in Yr 1 but I think role plays rather than lectures would be more useful #meded
Thu Jun 9 14:41:14 PDT 2011

paulderoos

@jemmatuesday @drpaulmorgan -quote: if a car is broke you bring it away to fix it. if ur hospital is broke you work in it. deal w it! #meded
Thu Jun 9 14:45:31 PDT 2011

astupple

A fantastic resource for physical exam (IMHO) from @Neil_Mehta : http://bit.ly/leCeFd [If this was an iPhone app....] #meded
Thu Jun 9 14:47:14 PDT 2011

KentBottles

RT @astupple: A fantastic resource for physical exam (IMHO) from @Neil_Mehta : http://bit.ly/leCeFd [If this was an iPhone app....] #meded
Thu Jun 9 14:47:34 PDT 2011

wessendenwoolly

@amcunningham Hi. I'm Sarah, a GP & clinical lecturer in Leeds #meded


Thu Jun 9 14:48:56 PDT 2011

amcunningham

@wessendenwoolly hello Sarah! yuo're just like me! a wee bit late for #meded chat but we hope we can hhelp you catch up with summary:)
Thu Jun 9 14:50:03 PDT 2011

drpaulmorgan

@paulderoos @jemmatuesday #meded Plenty of people working to fix broken systems. In our ICU, consultants function as team, outside not clear
Thu Jun 9 14:51:15 PDT 2011

EuroDocstar

RT @drpaulmorgan: @jemmatuesday @paulderoos #meded Ward-based medicine is a shambles. Would rather see, e.g. a hepatology team, vascular ...
Thu Jun 9 14:53:32 PDT 2011

EuroDocstar

RT @amreeeves: @Random_Ria On CCU at the mo - FY1, SHO & SpR are all great, and the other students don't turn up. Have them all to myself. Amazing. #meded
Thu Jun 9 14:56:33 PDT 2011

EuroDocstar

RT @amreeeves: @drpaulmorgan @random_ria saw an MI being stented, helped out w echo & saw an adenosine challenge t'day. Couldn't stand missing it #meded
Thu Jun 9 14:56:36 PDT 2011

amcunningham

@LizzyFerret @nlafferty I'm not sure about other side of atlantic but we're developing healthy communities here with #twitjc and #meded
Thu Jun 9 14:57:31 PDT 2011

EuroDocstar

RT @paulderoos: @amcunningham @LizzyFerret The step from no responsibility to managing a ward is just too big. #meded
Thu Jun 9 14:57:59 PDT 2011

nlafferty

@amcunningham @LizzyFerret I agree, good stuff developing here with #twitjc and #meded chat
Thu Jun 9 14:58:35 PDT 2011

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10/06/2011 11:08

EuroDocstar

RT @studentdocdiary: @amcunningham @paulderoos I think students should be allowed to be present when breaking bad news, I was nearly always told to leave #meded
Thu Jun 9 14:59:03 PDT 2011

EuroDocstar

RT @amcunningham: @jemmatuesday yes, students sometimes say they were 'lucky' on placement but they tend to make their own luck #meded
Thu Jun 9 15:01:18 PDT 2011

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