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Achieving “Stickiness”: Making Your Teaching Moments Memorable Shelly Dev MD FRCPC Department of Critical Care Medicine Sunnybrook Health Sciences Centre Toronto October 3, 2017

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Page 1: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Achieving “Stickiness”:Making Your Teaching Moments Memorable

Shelly Dev MD FRCPC

Department of Critical Care Medicine

Sunnybrook Health Sciences Centre

Toronto

October 3, 2017

Page 2: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Learning Objectives

By completion of this session learners will be able to:

1. Define “STICKINESS”;

2. Discuss strategies to make teaching moments “sticky”;

3. Make plans to celebrate your improved teaching evaluations and feedback from patients/families.

Page 3: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make
Page 4: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

We all have stories of memorable teachers.

Page 5: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Why was it so memorable?

Page 6: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

We Could Call These Memories

“S T I C K Y”

Page 7: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make
Page 8: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

“S T I C K Y”

Ideas that are understood and remembered and have a lasting impact –

they change your audience’s opinions or behaviour.

From Heath and Heath 2008 “Made to Stick”

Page 9: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

“S T I C K Y”

Ideas that are understood and rememberedand have a lasting impact –

they change your audience’s opinions or behaviour.

From Heath and Heath 2008 “Made to Stick”

Page 10: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

S.P. Dev 2010

Page 11: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

All Good Teachers are Well-Prepared Actors

Page 12: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Blocking the Scene &

Learning Your Lines

Page 13: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make
Page 14: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

3 points

Is

Plenty

Page 15: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

❖3 points

❖Is

❖Plenty

Page 16: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

3 Points Is Plenty

Page 17: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

3 points

Is

Plenty!

Page 18: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

The Stickiness Plan

I. Set the Stage for Learning

II. Simple to Start

III. Rules of Engagement

IV. Stick

Page 19: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

I. Set the Stage for Learning

Page 20: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

How Do Adults Learn Best?

Page 21: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Adult Learning Theory

Learning is optimized when it is:

Goal oriented, based in explicit objectives

RCPSC 2011 Educational Design Guide

Page 22: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Adult Learning Theory

Learning is optimized when it is:

Goal oriented, based in explicit objectives

“Let’s talk about how we define ARDs and see if we can apply these definitions to our patient.”

RCPSC 2011 Educational Design Guide

Page 23: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Adult Learning Theory

Learning is optimized when it is:

Goal oriented, based in explicit objectives

RCPSC 2011 Educational Design Guide

Page 24: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Adult Learning Theory

Learning is optimized when it is:

Goal oriented, based in explicit objectives

Clearly relevant to a learner’s practice

RCPSC 2011 Educational Design Guide

Page 25: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Adult Learning Theory

Learning is optimized when it is:

Goal oriented, based in explicit objectives

Clearly relevant to a learner’s practice

“It will be important for you to know this when you’re alone on call and have to decide how to

ventilate your patient.”

RCPSC 2011 Educational Design Guide

Page 26: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Adult Learning Theory

Learning is optimized when it is:

Goal oriented, based in explicit objectives

Clearly relevant to a learner’s practice

“This will definitely come up on your exam.”

RCPSC 2011 Educational Design Guide

Page 27: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Adult Learning Theory

Learning is optimized when it is:

Goal oriented, based in explicit objectives

Clearly relevant to a learner’s practice

RCPSC 2011 Educational Design Guide

Page 28: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Adult Learning Theory

Learning is optimized when it is:

Goal oriented, based in explicit objectives

Clearly relevant to a learner’s practice

Connected to previously accumulated knowledge and experience

RCPSC 2011 Educational Design Guide

Page 29: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Adult Learning Theory

Learning is optimized when it is:

Goal oriented, based in explicit objectives

Clearly relevant to a learner’s practice

Connected to previously accumulated knowledge and experience

“Has anyone seen a patient with ARDS before?”

RCPSC 2011 Educational Design Guide

Page 30: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Adult Learning Theory

Learning is optimized when it is:

Goal oriented, based in explicit objectives

Clearly relevant to a learner’s practice

Connected to previously accumulated knowledge and experience

RCPSC 2011 Educational Design Guide

Page 31: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Never underestimate the intelligence of your audience.

Don’t overestimate their knowledge either.

Adapted from C.P. Snow

Page 32: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Achieving Eternal Stickiness: The Plan

I. Set the Stage for Learningo Objectives What to expect

o Relevance Why you need to know this

o Assess Knowledge Have you heard of this before?

Page 33: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

II. Simple to Start

Page 34: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

What is a pomelo?

Exercise taken from Made to StickHeath and Heath 2008

Page 35: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make
Page 36: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Schemas

“[A] collection of generic properties of a concept or category….

From Made to Stick, Heath and Heath 2008

Page 37: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Schemas

“[A] collection of generic properties of a concept or category…. [the] prerecorded information stored in our memories.”

From Made to Stick, Heath and Heath 2008

Page 38: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Using Schema

• How big is an average kidney?

• Why is it harder to inhale than exhale?

Page 39: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

So what exactly do you mean by

“stroke”?

Page 40: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Achieving Eternal Stickiness: The Plan

I. Set the Stage for Learningo Objectives What to expect

o Relevance Why you need to know this

o Assess Knowledge Have you heard of this before?

II. Simple to Starto Using schemas

Page 41: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

III. Rules of Engagement

Page 42: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

The Botched Tracheostomy

Page 43: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make
Page 44: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make
Page 45: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Engaging the Senses

• Examples

• Stories

• Visuals and media

Page 46: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Achieving Eternal Stickiness: The Plan

I. Set the Stage for Learningo Objectives What to expect

o Relevance Why you need to know this

o Assess Knowledge Have you heard of this before?

II. Simple to Starto Using schemas

III. Rules of Engagemento Make your points, with feeling

Page 47: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

IV. Reinforce

Page 48: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

“Sticking” Activities

“Here is the article I was referring to today.”

“Let’s discuss your thoughts on this study tomorrow.”

“What effect does PEEP have on PVR?”

”Is it a, b, or c?”

Page 49: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Sticking Activities = Reinforcing

Group Activity: Immediate• MCQs• Discussion

Individual Activity: Delayed• Selected references• Instructed reflection

Page 50: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Achieving Eternal Stickiness: The Plan

I. Set the Stage for Learningo Objectives What to expect

o Relevance Why you need to know this

o Assess Knowledge Have you heard of this before?

II. Simple to Starto Using schemas

III. Rules of Engagemento Make your points, with feeling

IV. Reinforceo Experiment with (inter)activity to allow for practice

Page 51: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Learning Objectives: How Did We Do?

By completion of this session learners will be able to:

✓Define “STICKINESS”;

✓ Discuss strategies to make teaching moments “sticky”;

Make plans to celebrate your improved teaching evaluations and feedback from patients/families.

Page 52: Making Learning Stick - Critical Care Canada Forum · Learning Objectives By completion of this session learners will be able to: 1. efine STIKINSS; 2. Discuss strategies to make

Thanks For Your Undivided Attention.

[email protected]