T1 What models have you used to help learners remember what they have learned? Pros/Cons? #CMEchat

T2 Describe your perfect support system for knowledge retention and translation? #CMEchat

T3 On a budget, what support systems can we employ to support knowledge retention and translation? #CMEchat

T4 What triggers do you personally rely on to support learning, or engrain new behaviors? ‘To do’ lists? Visual Cues? Connecting x to y? #CMEchat

T5 Data suggest setting up questions/reminders by text message/email triggers memory (http://bit.ly/s6GpYz) any experience? #CMEchat

And, our discussion can be reviewed below, or downloaded HERE:

From User    Tweet

rmtyner               Happy Holidays Everyone!!  #CMEchat

YogAlicia3            Enjoy the holidays, #cmechat folks!

GrantsMeister  my favorite tweet was  "Learning is Repetition, Learning is repetition etc" but I can't find it to retweet it! #TOTD #CMEchat

greyelmy             @CMEChat Heather Guerrero here from Gilead Sciences. My first #CMEchat. Thanks for a great conversation!

BrianSMcGowan              I have signed up for "Basic Music Theory ; by Colin O'Dwyer EdM" on Qstream #CMEchat

theCMEguy        I'm in! RT @YogAlicia3: @theCMEguy Attend one session per day of the meeting, and review each night at the bar. ;) #cmechat

JediPD  Happy Holidays! Teachers & Students alike. #CMEChat

theCMEguy        I will use a spaced learning program to try and remember Alliance hashtag is #acehp12 and not #acme12 or #achpe12 or #cmechat

YogAlicia3            @theCMEguy Attend one session per day of the meeting, and review each night at the bar. ;) #cmechat

theCMEguy        Indeed RT @YogAlicia3: Could be wrong learners, wrong needs, bad facilitator, bad setting, wrong color slides, out of tune singing. #cmechat

BrianSMcGowan              in life as in learning. RT @JediPD: @BrianSMcGowan In small group less distraction more observing eyes. #CMEChat

YogAlicia3            @areesemd We missed you on #cmechat again!!

BrianSMcGowan              @meducate @rmtyner @GrantsMeister are each committed to trying a spaced learning program for 5 weeks to report back at #acehp12 #CMEchat

JediPD  @BrianSMcGowan In small group less distraction more observing eyes. #CMEChat

CMEChat             The real impact of the #CMEchat lies in your action - please engage others to participate & take action on things your have learned!

GrantsMeister  @BrianSMcGowan I'll give it a try #CMEchat

CMEChat             As we get wrap up, please vote for the tweet of the day (#TOTD) seen during this week's #CMEchat.

CMEChat             Thx for joiing in #CMEchat. All discussions herein are assumed 2 b personal opinion & not that of current, past, or future employers.

theCMEguy        Suggestions on how? RT @BrianSMcGowan: T5 - action item - try a spacing model for your personal learning in the next month  #CMEchat

BrianSMcGowan              @JediPD - so in small groups there is less likelihood of waste, especially in a groups that allow for team learning...#CMEChat

rmtyner               @BrianSMcGowan I am in as well...  #CMEchat

JediPD  @BrianSMcGowan Re #s: isn't learning coefficient, individual desire based. Some come for food, others to chat & others to lurk. #CMEChat

meducate           @BrianSMcGowan I'm in...#cmechat

BrianSMcGowan              now if we could get @spelletier to set some reminders we could prove that the model works ;-) #CMEchat

BrianSMcGowan              T5 - action item - try a spacing model for your personal learning in the next month - we will discuss results in Orlando? #CMEchat Who's in?

GrantsMeister  Perhaps Kerfoot an invited guest at a future #CMEChat ?

theCMEguy        @BrianSMcGowan Sure! I have text reminders that tell me when Sixers/Flyers/Phillies starting. I get it & immeditely change behavior #cmechat

GrantsMeister  Kerfoot the lead author on this report! Perhaps I will become a Kerfoot groupie #CMEchat

BrianSMcGowan              The # in the room is an issue of probability. given the complexity of the content, the chance of impact goes way down w/ big #'s #CMEchat

YogAlicia3            @theCMEguy Could be wrong learners, wrong needs, bad facilitator, bad setting, wrong color slides, out of tune singing... #cmechat

JediPD  @meducate Duly Impressed!! #CMEChat and a little Melatonin.

BrianSMcGowan              T5 - can a system as simple as scheduling prewritten text messages as testing reminders have an impact? #CMEchat (data suggest yes.)

theCMEguy        True. If so, that's presenter/facilitator's fault, no? #cmechat RT @YogAlicia3: Can have 90+% disengaged in small rooms, too.

meducate           @JediPD #cmechat Three different topics, two different countries, a lot of fun (and hard work)

BrianSMcGowan              @meducate 6 of 1, a half-gross of the other... #cmechat

theCMEguy        T5: Yes, have done the email reminder thing, but have no real way of measuring impact #cmechat

meducate           @BrianSMcGowan #cmechat I see it as proportionate while you see it as an asymptotic decline?

BrianSMcGowan              T5 - I tried the Kerfoot program before - interesting, well documented, but i struggled to 'be ready' for the question....#CMEchat

JediPD  @meducate Lots of (Luck) Hard work! #CMEChat

meducate           #CMEChat T5 Have used SMS at physician and patient level. Again, anecdotally it works in those who favor the technology

BrianSMcGowan              @meducate - great addition, but IMO your math is wrong...and that is my problem if 10=5, then 100=10? #cmechat

spelletier             Ack, coming in too late to participate. Can't wait to read what y'all are talking about in the archives! Love the topic. #cmechat

GrantsMeister  check out this guy's resume when it comes to continuing medical education #CMEchat  t.co/AZJR31fQ

theCMEguy        @BrianSMcGowan Understood. A lot depends on the individual learner and their motivation to learn. Can happen in any setting. #CMEchat

meducate           @JediPD #cmechat I'm giving 3 plenary talks in the next 3 months. I'll be practicing what I am preaching!

BrianSMcGowan              Two extra credit points for @GrantsMeister for getting ahead of the class ;-) #CMEchat

CMEChat             T5 Data suggest setting up questions/reminders by text message/email triggers memory (http://t.co/umAVirnW) any experience? #CMEchat

meducate           @BrianSMcGowan @theCMEguy I disagree....10=5 learners, 100=50 learners. Some people in every group will learn. #cmechat

BrianSMcGowan              T4 - I need things to be simple, unexpected, credible, concrete, emotional, stories ;-) See 'Made to Stick' #CMEchat

JediPD  Agreed RT @meducate: @JediPD #cmechat The best plenary sessions are the ones that don't feel like plenary sessions

theCMEguy        T4: I need to read something 3 times before I am really able to retain it for any length of time. #3isthemagicnumber #cmechat

meducate           @BrianSMcGowan #cmechat t4 And I rely on others for the analytics. Teach me now what I can apply 5 minutes from now.

BrianSMcGowan              @theCMEguy - without hesitation, yes. ~100 = audience; whereas ~10 = learners. (my opinion) #cmechat

GrantsMeister  I'd be interested in almost anything written on this topic by B.P. Kerfoot, MD, EdM, a urology surgeon at Harvard #CMEchat

BrianSMcGowan              T4 - i am also a creature of habit and very analytical so if i try something new I want to know its impact on X #CMEchat #rapidlearningcycle

theCMEguy        @BrianSMcGowan Would you propose the same thing for undergrad/grad college courses? I had many w/ >100 people. #cmechat

meducate           @JediPD #cmechat The best plenary sessions are the ones that don't feel like plenary sessions

BrianSMcGowan              @YogAlicia3 - not at all my presumption, but the types of learning that occur there are akin to category 2 types of learning... #cmechat

meducate           RT @GrantsMeister: T2 interesting article from Harvard Magazine on how to improve knowledge retention t.co/GWVCehOL  #CMEchat

BrianSMcGowan              T4 - what about the concept of using 'afters' - using established habits to trigger new habits? /via @bjfogg #CMEchat

theCMEguy        T4: Have started "live tweeting" as many things as possible. Helps me remember, lets me engage, gives me an archive. #cmechat

JediPD  The best Plenary Sessions are ones where a line of Qs are formed before a microphone & the lecturer has the patience. #CMEChat

meducate           @BrianSMcGowan #cmechat Technology can facilitate learning, engagment and measurement in larger rooms, so you can validate credits

GrantsMeister  T2 interesting article from Harvard Magazine on how to improve knowledge retention t.co/qWgKsrEE  #CMEchat

YogAlicia3            @BrianSMcGowan #cmechat So your presumption there is that NO learning is taking place in that room? I strongly disagree.

BrianSMcGowan              I propose that NO CME credits be given for live activities given in rooms of more than 100 learners...#CMEchat (audience vs learners)

rmtyner               T4 I am a big fan of "To Do" lists and checklists #CMEchat

theCMEguy        Good. Have done this BUT need to actually use questions! RT @rmtyner: what about option for Qs during registration? #CMEchat

JediPD  @BrianSMcGowan I agree with @meducate Engaging with a simple Q and allowing for answer keeps the learning momentum. Even in 1000. #CMEChat

meducate           @BrianSMcGowan @JediPD #cmechat Maybe not!  Pre- and peri-meeting question cards or tweets etc can collect questions in large groups

ColumbiaSurgery             RT @YogAlicia3:  T3 On a budget, what support systems can we practically employ to support knowledge retention and translation? #cmechat

CMEChat             T4 What triggers do you personally rely on to support learning or new behaviors? ‘To do’ lists? Visual Cues? Connecting x to y? #CMEchat

rmtyner               what about option for Qs during registration? RT @meducate: @JediPD  I like to start and end with Q & A #CMEchat

BrianSMcGowan              and simplify note taking. marvelous. RT @theCMEguy: T3: providing a place or space for participant to take notes and retain them #cmechat

JediPD  From Aviation: Checklist must be a confirmatory action after the memorized process. Gives double dose before pushing the throttle. #CMEChat

rmtyner               RT @YogAlicia3: T3 Have seen pocket cards with guidelines, clinical tools, etc. go out with CME content. Good if used. #CMEchat

BrianSMcGowan              in a room of 10 maybe, but impossible in rooms of 100 or 1000. #ThisIsCME RT @meducate: @JediPD #cmechat I like to start and end with Q & A

theCMEguy        T3: providing a place or space for participant to take notes and retain them #cmechat

YogAlicia3            T3 #cmechat Have seen 'pocket cards' with guidelines, clinical tools, etc. go out with CME content. Good if used.

BrianSMcGowan              T3 As @bjfogg would surely agree, for knowledge to translate into practice: B =  M*A*T (triggers may be the least expensive option) #CMEchat

YogAlicia3            MT @briansmcgowan most cost effective tools may simply be checklists and assorted triggers, so called 'non-educational strategies' #CMEchat

meducate           @JediPD #cmechat I like to start and end with Q & A

rmtyner               "reinforcement has to be easy for the learner to engage in and access

 #CMEchat"

GrantsMeister  T3 find ways to get more mileage out of resources we already own, software we already own, hardware we already own #CMEchat

JediPD  Think, in any didactic lecture make Q&A session = Time. #CMEChat

BrianSMcGowan              T3 - but the most cost effective tools may simply be checklists and assorted triggers, so called 'non-educational strategies' #CMEchat

theCMEguy        T3: How about simply providing a hashtag at a live meeting? Can tweet notes and engage with others in attendance, ask questions etc #cmechat

meducate           #CMEChat T3 Online chats post courses/Actvities are cheap and serve to reinforce

BrianSMcGowan              T3 - I go back to social learning and gamification - connect your learners - facilitate peer-to-peer learning. #CMEChat

YogAlicia3            RT @cmechat T3 On a budget, what support systems can we practically employ to support knowledge retention and translation? #CMEchat

JediPD  In Medicine all translated knowledge is in Real Life. Closest practical virtuality is Robotic Surgery. #CMEChat (Telemedicine not handson)

renee_berry      RT @BrianSMcGowan: T3 On a budget, what support systems can we employ to support knowledge retention and translation? #CMEchat

BrianSMcGowan              T3 On a budget, what support systems can we employ to support knowledge retention and translation? #CMEchat

meducate           @BrianSMcGowan #cmechat #epocrates had ppl send pix in of themselves using mobile CME. You saw anesthesiologists, battlefield medics etc

YogAlicia3            T3 #cmechat Has to start with individualized needs assessment, or nothing matters. If I don't care or need to know it, I won't remember it.

GrantsMeister  T2 I also like the Malcom Knowles concept of the written learning compact, or charter. I least I think that's Knowles #CMEchat

meducate           @JediPD #cmechat Agreed!  I can teach anyone the protocols in ACLS and they could perform, but they wouldn't know why each step was taken

theCMEguy        um...#busted RT @YogAlicia3: @BrianSMcGowan Sorry, Derek, did you just WARN of cheesiness??? #cmechat

leavittm               RT @BrianSMcGowan: Kirkpatrick's levels and education 'evidence'. 1.usa.gov/tWaUJy #CMEchat #meded

CMEChat             T3 On a budget, what support systems can we practically employ to support knowledge retention and translation? #CMEchat

YogAlicia3            @theCMEguy @BrianSMcGowan Sorry, Derek, did you just WARN of cheesiness??? #cmechat

BrianSMcGowan              T2 - strikes me that we would spend $1B+ on CME models of pushing content and almost nothing on supporting translation. #CMEchat

meducate           #CMEChat T2 The perfect system may not exist, but creating learning that fits with time, practice setting and preferences works..

GrantsMeister  T2 small study group where each member takes a turn teaching subject to others #CMEchat

YogAlicia3            @BrianSMcGowan T2 #cmechat Or learning needs to be so relevant to RL, that application/practice/reflection are automatically part of RL.

theCMEguy        Me too, but beware the "cheesiness" factor...RT @BrianSMcGowan: ...I'm a huge advocate of social learning and gamified models #CMEchat

BrianSMcGowan              #TOTDb RT @JediPD: There is a Difference between Rote and Understanding. The latter comes through Translation. #CMEChat

JediPD  There is a Difference between Rote and Understanding. The latter comes through Translation. #CMEChat

BrianSMcGowan              as educators...or both...RT @theCMEguy: T2: Are we talking personally or in our role as educators? #CMEchat

theCMEguy        T2: Are we talking personally or in our role as educators? #CMEchat

GrantsMeister  remember flash cards? #CMEchat

BrianSMcGowan              T2 - .there needs to be a motivation to reflect, to practice, to assess. I'm a huge advocate of social learning and gamified models #CMEchat

meducate           @JediPD Exactly- but I am sometimes happy when learners can apply knowledge  #cmechat

YogAlicia3            T2 RT @briansmcgowan #TOTD RT @YogAlicia3: T1 #cmechat Retention FAR easier to manage w curriculum and community of learning than 1 off.

GrantsMeister  we had a tutoring technique called "backwards build-up." break down hard  sentence into chunks and memorize, beginning at end #CMEchat

BrianSMcGowan              #YouAreStartingToSoundLikeMe ;-) RT @meducate: @BrianSMcGowan #cmechat Right but we need it replicated in multiple settings

meducate           @JediPD #cmechat Per Bart Simpson Learning is Repetition Learning is Repetition Learning is Repetition Learning is Repetition

ColumbiaSurgery             RT @CMEChat: T2 Describe your perfect support system for knowledge retention and translation? #cmechat

theCMEguy        Practicing repetition? RT @CMEChat: T1 What models have you used to help learners remember what they have learned? Pros/Cons? #CMEchat

BrianSMcGowan              #TOTD RT @YogAlicia3: T1 #cmechat Retention FAR easier to manage with curricular approach and community of learning than one off...

JediPD  @meducate "Practical" maybe something like "putting it into action." #CMEChat

CMEChat             T2 Describe your perfect support system for knowledge retention and translation? #CMEchat

theCMEguy        +100! RT @JediPD: Learning is Repetition: "Creating a RUT in your BRAIN!" #CMEChat

YogAlicia3            T1 #cmechat Retention FAR easier to manage with curricular approach and community of learning than one off...

meducate           @BrianSMcGowan #cmechat Right but we need it replicated in multiple settings

YogAlicia3            @BrianSMcGowan #cmechat Totally willing to periodically taste test so I don't have to keep making them. MOC as motivation. Is a start.

meducate           @JediPD #cmechat And practice is defined differently in different settings

BrianSMcGowan              @meducate - this was the veritas study from 3+ years ago... #cmechat

JediPD  Learning is Repetition: "Creating a RUT in your BRAIN!" #CMEChat

theCMEguy        @meducate Potential for studying this next year. Fingers crossed! #cmechat

BrianSMcGowan              t1- so consider sending tools out after 1st learning, building activities upon activities, and encouraging practice and reflection #CMEchat

theCMEguy        "Yeah, can't force them to do it... RT @jjuch: T1: challenge is building the relationship...

 #cmechat"

meducate           @theCMEguy #cmechat That is the golden data set - 1 vs more than 1 to demonstrate differences

JediPD  In Medicine: learning is a product of didactic  knowledge followed by practice. Surgeons routinely read procedures before surgery #CMEChat

YogAlicia3            List of reasons is own #cmechat MT @briansmcgowan have given lip service to 1-off education as ineffective, yet little evolution from it

meducate           @BrianSMcGowan #cmechat it seems to work, but, more experience is needed to see how well and perfect the model

theCMEguy        @meducate Agree. Have done  a couple times, but have not looked at diff btwn 1-off participants & partic in multiple activities #CMEchat

rmtyner               i think a series of shorter activities that build on each other can be an effective reinforcement tech #CMEchat #CMEchat

jjuch      "T1: challenge is building the relationship so you have opportunity to provide serial learning and reinforcers

 #cmechat"

GrantsMeister  the reverse also helps : do this live meeting, then sign up for these online reminders #CMEchat

BrianSMcGowan              @meducate - the 'promise of a flipped classroom in CME'...sound promising... #CMEChat

ColumbiaSurgery             RT @CMEChat: (so we begin...) T1 What models have you used to help learners remember what they have learned? Pros/Cons? #cmechat

meducate           #CMEChat Linking activities ie, do this online course before being able to register for live meeting has worked but haven't done it often

GrantsMeister  repetition is key, didn't Flexner say that a long time ago? #CMEchat

BrianSMcGowan              T1 - we have given lip service to 1-off education as being ineffective, yet there is little evolution from it in recent years...#CMEchat

YogAlicia3            T1 @BrianSMcGowan #cmechat I think happens, but not intentional, well, or with that terminology. Goal = increase participants/outcomes.

theCMEguy        T1: Also have used take home pamphlets, flyers, and mobile apps to reinforce info... #cmechat

ColumbiaSurgery             RT @BrianSMcGowan: #CMEchat: the science behind knowledge retention and translation. making lessons stick & taking action! #cmechat

BrianSMcGowan              T1 -  in think the reminders would be helpful, Veritas guys studied sequential programs - where sequence grows learning. #CMEchat

jjuch      "Hi all. Will be in an out today but didn't want to miss another chat entirely

 #cmechat"

BrianSMcGowan              T1 We could look at the AHRQ study on effectiveness to know that very little has been done here - so what have you done? #CMEchat

theCMEguy        T1: We send 1-mo highlights e-mail to all participants. Pros: easy/inexpensive. Cons: Need to have their e-mail/no read guarantee #cmechat

GrantsMeister  Sounds like what we used to call "learner engagement" when I worked at Proliteracy   t.co/rJOnB2V4  #CMEchat

BrianSMcGowan              t1 - in my experience this idea of learning retention has been largely (entirely) overlooked in US CME #CMEchat

YogAlicia3            T1 #cmechat I think one of the common-est is to provide the same material bunches of ways/times. IDK data, but suspect not so successful.

BrianSMcGowan              @YogAlicia3 - but how would you ensure that he retain his learning... #cmechat

YogAlicia3            RT @cmechat (so we begin...) T1 What models have you used to help learners remember what they have learned? Pros/Cons? #CMEchat

ColumbiaSurgery             RT @meducate: #CMEChat Lawrence tweeting from Long Island, NY

YogAlicia3            @theCMEguy If my Twitter skills were up to par, I'd send you a pic. And the recipe so we can assess skills-based learning. ;) #cmechat

CMEChat             (so we begin...) T1 What models have you used to help learners remember what they have learned? Pros/Cons? #CMEchat

BrianSMcGowan              #CMEchat this week: the science behind knowledge retention and translation. making lessons stick & helping learners take action!

theCMEguy        @YogAlicia3 You win! (plus it's almost 60 degrees here for some reason...) #cmechat

meducate           #CMEChat Lawrence tweeting from Long Island, NY

YogAlicia3            @theCMEguy Meringue covered pecans on this end. #cmechat

rmtyner               #CMEchat Michelle checking in from Indiana #CMEchat

theCMEguy        And to you! RT @meducate: #CMEChat Happy Hanukkah!

YogAlicia3            Hello, #cmechat!! Alicia here with the fireplace on (winter has arrived!) - educator and yogi.  :)

BrianSMcGowan              looking forward to the final #CMEchat of 2011 - brian here. moderating the chat from just outside of Philadelphia...(and third PA person on)

meducate           #CMEChat Happy Hanukkah!

theCMEguy        Derek in Exton.  Eating caramel popcorn. #CMEchat

GrantsMeister  "hello from Downingtown PA

#CMEchat"

CMEChat             As with each #CMEchat the archive will be available archived on www.CMEadvocate.com

CMEChat             As with each #CMEchat we will guide the convo with 3 or 4 topics, but the real learning and teaching lies in your tweets - please engage.

CMEChat             Rule 7. A few mins before the end of #CMEchat, reintroduce yourself. Links, requests & shameless plugs welcome, too - #makingfriends

CMEChat             Rule 5. Periodically RT questions so those outside #CMEchat know what you’re talking about & so they can chime in too

CMEChat             Rule 4. Please remember to use the #CMEchat hashtag so all of the #CMEchat participants can follow the #CMEchat discussion!!!!

CMEChat             Rule 3. When writing, complete thoughts help followers outside chat learn from you. #CMEchat

CMEChat             Rule 2. [try to] stay on the #CMEchat topic. A new question will be asked every 12 min or so. If you can, include T# in related responses.

CMEChat             Rules for #CMEchat: 1. Introduce yourself. Location? Focus? Fave topics? What brings you here today?

CMEChat             Welcome to #CMEchat. All discussions herein are assumed to be personal opinion & not that of current, past, or future employers.

BrianSMcGowan              15 mins til #CMEchat. Science behind knowledge retention/translation. Making lessons stick & helping learners take action

theCMEguy        RT @BrianSMcGowan: 45 mins til #CMEchat. Science behind knowledge retention/translation. Making lessons stick & helping learners take action

BrianSMcGowan              Just a final reminder on #CMEchat homework for this week - evidence of the spacing effect in #meded: http://t.co/8xOkJnMf