I am a GP and a lecturer in Cardiff University. I like finding solutions to problems and thinking about what the problems are. I also blog at

Inaugural #ukhped chat…. what models of communication do we use?

At 9pm on Thursday 11th December Janet Foland, an occupational therapist, and myself (a GP) will be leading a chat about the different models of communication that we use in our professions. I’d initially suggested this because I thought that all health professions value communication and that it would therefore be interesting to see if we talked and taught about it in different ways. Straight away Janet replied with a tweet which straight away showed that this topic would work.

I asked Janet if she would co-lead the discussion with me.

As background in medical education, the Calgary-Cambridge model has been quite dominant in the last decade or so. And t looks as if it has spread into other professions. It is very instrumental compared to that Taylor’s Intentional relationship model which Janet linked to. in 2012 the Health Foundation published a wonderful paper on the need for a new model of the consultation. It’s a great read if you can find the time.

Later we will start by asking three questions-

1. What models of communication are common in your profession?

2. How are these taught and discussed with learners?

3. What can we learn from other professions about communication?

Please do join us if you can and make history!


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Time for #ukhped ??

NHSHD_25Jan_091  Photography by Paul Clarke for NHS Hack Day Cardiff

Photography by Paul Clarke for NHS Hack Day Cardiff

We’ve been doing the #ukmeded chats off and on for the last few years. Everyone is welcome to participate in the chats- medical students, doctors teaching students, doctors not teaching students, patients, public, other health professions. We encourage this. But maybe it is time to use a new hashtag which everyone can use to signify that they are sharing or talking about something that will be of interest to many health professionals, students, patients. Tonight at 9pm we’re going to try and use the #ukhped tag to see if people think that there is a need for a tag like this and how it might be used. Please join us!

PS I used the NHS Hack Day pic because it is all about different people learning together. Oh and you can come to the next one in Cardiff in January!

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Interprofessional Education/Learning… what works?

In June 2011 we had a great #ukmeded chat about interprofessional education and learning. I thought it would be a good time to look at this topic again. So I’m hoping that you will join me, and two BSc in Medical Education students, @cjjefferies and @camillekostov tonight at 9pm to discuss:

– what has been your experience of IPE?

-what has worked well?

-what could we do in the future? can online IPE work?

See you then!

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Medical student agreements- How do they help?

This is a video about a ‘white coat ceremony’. Leeds has introduced it’s own version although most UK medical student see patients well before 3rd year.

Many medical schools are now introducing agreements (or charters) which students may be asked to sign which lay out their responsibilities as a developing professional. Asking about these on Twitter shows that many students don’t remember what they have signed or don’t feel that the exercise had any value. What do you think? What is the benefit of these agreements? How do they help?

Here are some of the agreements which I have found.

Looking forward to hearing your views!

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What motivates you? How can we motivate others?

What do you think motivates people in medical education? What motivates doctors?
How might medical education reduce motivation?Might this be a downside of some of our assessments?

Watch Dan Pink. Tonight at 9pm we will try and answer some of these questions.


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National exit exam: yes or no?



Study by DAEllis

In advance of  tonight’s #ukmeded chat a great post has been written by @mintygreenmedic and her friends. You can find it here.  They have had a lot of discussion already and I am pretty certain that there will be a lot of interesting tweets on this topic.

The blog links to several very useful resources. A survey in 2007  showed that the majority of students didn’t want a national exit exam. And the UK Medical Schools Council sets out their position here. In 2008 at least they were not in support of it because they thought that there was no desire for it, and it would cost a lot of money and take a lot of effort. They were also against increased competiveness between medical schools, through the ranking of schools that an exam might lead to. They cite the McManus paper which shows that the biggest predictor of how students do in postgrad exams is the Alevels they got. We discussed this paper a few years ago in Twitter journal club and a very interesting discussion it was too!

It’s also interesting to look across to the US where USMLE is a national exit exam and is used to rank students for entry to specialty programmes. I’m told that there was talk of moving to a pass/fail exam and using other ways to select for specialties. Interestingly, a survey of students shows that the majority did want a numerical score and did want this to be used for selection to training as they thought it was fairer.

So what do you think?


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#ukmeded chat 24/1/2013 So what about assessment?

Image : arbeidsplass by Camilla Hoel

You will often hear it said, especially in medical education, that ‘assessment drives learning’? But is that really true? As an undergraduate do you feel that your assessments are preparing you to be a doctor? And if you are qualified how do you feel about your assessments as an undergrad as you look back? We could ask the same questions about postgrad assessments too.

We could have several chat sessions on this topic- which if you ever go to a medical education conference you will see is a very popular topic! But tonight it would be interesting just to start with thinking about how you feel about assessment generally. Is there too much? Too little? Looking at the wrong things? And what are the things that medical schools can do to help you gain most from assessment?

As always have a read at our declaration around archiving which is here

PS 5 bonus points if you can find who first said that ‘assessment drives learning’.

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