Join us as we sit down in person with Drs. Cahill, Chheda, Montgomery, and Spencer to talk about our favorite parts of Alliance for Academic Internal Medicine AIMW23 in Austin, TX April 2023. We cover the importance of setting boundaries, improving continuity clinic experiences, using radical candor in feedback conversations, and more. Dr. Chheda even brings us to tears with her discussion of using failure and sharing vulnerability to grow and support each other. Get inspired to make the most out of your next conference and build your skills as a medical educator!
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Pearls from Alliance for Academic Internal Medicine #AIMW23 Show Notes
Dr. Cahill highlights some main points from the Wellness Precourse. We are all leaders if we impact other people. It is important to set boundaries for ourselves, and as leaders, we should be helping others set boundaries. Dr. Cahill’s take home is to help her team set boundaries; specifically she recommends establishing expectations for when responses are needed and giving people the space not to reply on nights and weekends.
Dr. Montgomery spoke about the highlights of this workshop on transforming continuity clinics. There is a shortage of primary care graduates. Main Line Health System shared their success with transforming their ambulatory curriculum. Having institutional and stakeholder buy-in is key. Identify the drivers of dissatisfaction that are unique to each primary care training experience to be the target of interventions. This work takes time. Dr. Montgomery is starting a new residency program and plans to take home tips on how to improve patient continuity, optimize the EMR, and enhance office efficiency. Even for residents who are not going into primary care, this training is important as most physicians will have ambulatory clinic time.
This study looked at the quality of narrative evaluations using the Narrative Evaluation Quality Instrument (NEQI). The longer the delay in completion of an evaluation, the lower the quality of the evaluation. Women faculty were found to provide higher quality written evaluations. Reassuringly, the gender of the learner did not impact the quality of evaluations.
Dr. Cahill and her group presented techniques for improving feedback from faculty. This session was full of valuable take home tips you could operationalize at your institution. They used a multi-component approach to training faculty on the milestones including short asynchronous audio slideshows, “Faculty Five in 5” (available on youtube), and standardized pocket feedback cards.
Dr. Cahill’s 5 Step Approach to Feedback:
Making a small upfront investment in time can go a long way.
A workshop about how to respond to microaggressions. Ask your learners at the start of your time learning together, “I hope these don’t happen, but unfortunately microaggressions do occur. If a microaggression occurs while we’re on service together, how would you like us to handle that?” Some learners may prefer to speak up for themselves, while others would expect the attending to step in, while others may be most comfortable talking it through privately after the fact.
Preplan who you most want to meet and what topics you most want to cover. Get together with your team to divide and conquer.
Think about who is not present at the conference. If you see material that they could benefit from, pass it on.
Take time for those hallway conversations to build relationships and share ideas.
Plan for post-conference CME time to reflect on the conference. Take a day to reflect on your own, or plan a meeting for the attendees from your institution after the conference to talk about what you want to bring to your organization. If you don’t take time to consolidate what you have learned and plan how you are going to apply this new information, your progress will be limited.
Mooney CJ, Pascoe JM, Blatt AE, Lang VJ, Kelly MS, Braun MK, Burch JE, Stone RT. Predictors of faculty narrative evaluation quality in medical school clerkships. Med Educ. 2022 Dec;56(12):1223-1231. doi: 10.1111/medu.14911. Epub 2022 Aug 23. PMID: 35950329.
Listeners will be served delicious knowledge food from #AIMW23.
After listening to this episode listeners will…
Drs. Kate Cahill, Shobhina Chheda, Anne Montgomery, and Abby Spencer report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.
Cahill K, Chheda S, Montgomery A, Spencer A, Heublein M, Kryzhanovskaya E. “#26 Pearls from the Alliance of Academic Internal Medicine AIMW23: Feedback, Failure, and Clinic Transformation”. The Curbsiders Teach Podcast. https://thecurbsiders.com/teach. April 18, 2023.
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