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    higher learning

    Explore " higher learning" with insightful episodes like "Nice to Know vs. Need to Know with Dr. Jeanne Frenzel!", "Two Pills Tips: Motivate Students to Come to Class Prepared!", "Open your Mind to the Possibilities with Dr. Seena Haines!", "Two Pills Tips: Tips for the Busy Preceptor!" and "Escaping Monotony with Master Mentor Dr. Heidi Eukel!" from podcasts like ""Take Two Pills and listen to this podcast", "Take Two Pills and listen to this podcast", "Take Two Pills and listen to this podcast", "Take Two Pills and listen to this podcast" and "Take Two Pills and listen to this podcast"" and more!

    Episodes (100)

    Nice to Know vs. Need to Know with Dr. Jeanne Frenzel!

    Nice to Know vs. Need to Know with Dr. Jeanne Frenzel!

    VOLUME UP FOR SOME AWESOME CONTENT ON THIS EPISODE!!!

    Jeanne Frenzel, PharmD, PhD is an Associate Professor in the College of Health Professions at North Dakota State University. In her on words, Dr. Frenzel is a wife, mom, pharmacist, educator, scholar.  Loves exploration and adventure.  Serious about researching innovative pedagogies for teaching complex pharmacy practice skills to students using technology and simulation.


    Two Pills Tips: Motivate Students to Come to Class Prepared!

    Two Pills Tips: Motivate Students to Come to Class Prepared!

    Check out our crossover podcast episode with Queer Meducation! Queer Meducation is a platform to educate medical professionals and the public on LGTBQI and nonbinary healthcare.  On our episode, KB and I discuss HIV meds then and now! Thanks to the host KB for such a fun episode! 

     

    How do I motivate students to come to class prepared?? 

     

    Resources: 

    https://www.bellarmine.edu/docs/default-source/faculty-development-docs/10-motivating-students-to-come-prepared-to-class.pdf?sfvrsn=62a09081_2 

    Dirksen, J. (2012). Design for how people learn. Berkeley, CA: New Riders. 

    http://otl.du.edu/teaching-resources/motivating-students-to-do-the-readings/ 

    https://teach.its.uiowa.edu/sites/teach.its.uiowa.edu/files/docs/docs/Motivating_Students_to_Prepare_for_Class_ed.pdf 

     

    Up to 70% of learners do not come to class prepared!

    Students often begin the semester prepared due to concerns of being called on or out of respect for instructor, but this typically gradually drops off throughout the course. Motivating students involves influencing human behavior, which is complex and challenging.  There are so many factors we cannot control, so let’s focus on those that we can! 

                   >>>>> Find the full tip and episode information at www.twopillspodcast.com <<<<<<<<<<<

    Open your Mind to the Possibilities with Dr. Seena Haines!

    Open your Mind to the Possibilities with Dr. Seena Haines!

    Interview with Dr. Seena L. Haines, PharmD, BCACP, FAPhA, FASHP, FCCP, FNAP, BC-ADM, CDE. Professor and Chair, Department of Pharmacy Practice. The University of Mississippi School of Pharmacy.



    In her own words:

    In addition to being an aspiring yoga instructor, Dr. Seena Haines is a bit of a foodie who likes to travel.  Her most recent travel adventures took her to Rome, Florence, Sorrento and Venice, Italy.  Unlike her last two visits to Italy, this time she managed to stay away from gelato.  Her son, Ian, will be driving soon.  Watch out!  Her dog, Jed Walker, is a total sweetheart who likes peanut butter more than life itself.  Dr. Stuart Haines managed to steel Seena’s heart after they attended an invitational conference on diabetes management.  Their mutual love of teaching and learning make for super interesting conversations at home.  Ok, maybe not so much...


    Two Pills Tips: Tips for the Busy Preceptor!

    Two Pills Tips: Tips for the Busy Preceptor!

    Tips for the busy preceptor- teaching while balancing patient care! 

     Resources: 

    Embracing challenges of precepting: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4062747/ 

    Managing your time as a preceptor: http://ushp.org/resources/Documents/Sebranek%20Evans_USHPMidwinter2018_2ppHandout_FINAL.PDF 

     -Planning 

    -My schedule is that I have three students at a time and they are with me all day every day for 8 weeks.  So, planning is essential. 

    -My best piece of advice, and it may just be me, is to over-plan 

    -I plan out the calendar in advance and give it to the students on the first day.  It is, of course, subject to change.  However, it shows them my expectations up front and allows them to (hopefully) manage their time.  I even include when the drafts of presentations are due and any meetings that I would like for them to attend. 

    -One of my best tips when it comes to planning is to provide more assignments/activities than you think is necessary.  Our health science students are amazing-they are driven, have strong work ethics, and are eager to learn.  The last thing I want is a bored student.  Of course, the ideal is a student who is self-motivated to read the latest journal in their free time, but I think it is important to have more activities in mind rather than fewer. 

    -By having sufficient independent work for your students, it also helps you as the preceptor to feel less overwhelmed.  In the time that they are working independently, you can be preparing for your next committee meeting, working on an IRB proposal, responding to emails, etc.   

    -Students can certainly help with any projects that you have, but also don’t feel like you need to originate all of their work.  Before my students arrive, I reach out to several colleagues at my institution.  I reach out to my physicians, pharmacy leadership, nursing leadership, and our infection preventionist.  I tell them that I will have three students for x number of months and they would be happy to work on any handouts, case reviews, etc-basically whatever has been sitting on that person’s desk for a while.  Our students may not do the project perfectly, but it at least gives the person a draft to work from.  I think this does a few things.  It reinforces the value of our students to others within the hospital and it reinforces the value of the work to the students. It is not just busy work for them to complete, it actually matters to someone (who may be outside of pharmacy).  As an example, my students are working on a patient case review for an upcoming quality meeting, a brochure for a new drug at the infusion center, and a handout for staff on our C diff testing process.  I coordinated the initial meetings/emails about these projects and then met with everyone involved to discuss deadlines.  I think it is a win-win.   

     -Patient care 

    -Establish expectations 

    -Be VERY specific-exactly how many patients they should work up, what time (to the minute) they should be ready, and what information they should be prepared to give you 

     Read the full transcript at www.twopillspodcast.com !

    Escaping Monotony with Master Mentor Dr. Heidi Eukel!

    Escaping Monotony with Master Mentor Dr. Heidi Eukel!


    Dr. Heidi Eukel takes us through a number of fresh ideas on interactive learning and shares how to avoid pitfalls she encountered while experimenting with learning games the first time around. 

    In her own words: 

    "I’ve been a professor (ugh, that word makes me feel old and boring) at my alma mater since 2009. 

    I have the COOLEST teaching job ever – I practice in a licensed pharmacy that does not serve real patients – I take 15 student groups through 2-hour simulations on a weekly basis.

    My expertise (in my fake pharmacy) include MTM, dispensing, consultation, community pharmacy practice, and communication.

    I LOVE integrating pop culture into my teaching techniques – escape rooms, amazing race, minute-to-win-it, etc.

    My best tip for faculty:  show the students that you’re human… I open lectures with a picture of my children being ridiculous (crying over the same toy, playing a trick on me, my clothing covered in baby food, etc.)

    My current research is: escape rooms in education (nursing education, pharmacy education, interprofessional healthcare education) AND engaging pharmacists in the opioid epidemic (I received a $120,000 grant from ND Human Services, taking a project state-wide now!)

    Highlights (full transcript at www.twopillspodcast.com):

    H: I always knew that I wanted to be a teacher.  Exploring that Avenue of healthcare education was a little rocky for me.  My expertise is in Community Pharmacy practice.  My teaching is focused around motivating students to connect with their patients and to take that next step to be a pharmacist that makes a change.

     

    H:  I use a technique that I learned from one of my colleagues called “read me.”  I created a Word document called read me.  It is all about what I need to do next time to make an activity better.  I type it up quickly right after the activity and then I review it before implementing the activity the following year.

    One thing that went well for me is something that I piloted two years ago.  It is in the area of communication.  I often have Pharmacy student counsel each other in my Pharmacy.  While they may think that they sound great, they may be using words that patients do not understand.  Therefore, I implemented a self and peer assessment.  They record themselves counseling.  They pull up the rubric that I use and then assess themselves counseling.  I also take that video footage and assign it to another student.  It is random and Anonymous, but they also have to evaluate it.  They have to provide detailed feedback.  None of it is worth a grade, but it is all just formative feedback.  I have seen it really help our student’s comfort and ability to counsel. 

    H: My absolute favorite part of my career is mentoring students.  I love seeing them choose what path they are going to take and reminding them that your path right after graduation is not a permanent decision.

     I also really love writing up the manuscripts for the research that I have done.  The first few that I did were really hard and collaboration was very important.  Now, after riding that bike for a while, it feels so much more natural.  It is really fun to share what you are doing.  It is great to connect with Pharmacy faculty around the country and around the world.  It is exciting. 

    Part of the difficulty is engaging students.  They are very comfortable with boring PowerPoint lectures.  They are not as comfortable in a pharmacy setting where they are performing in front of their peers and faculty...  

    Full info available at www.twopillspodcast.com

    Two Pills Tips: Escape Rooms!

    Two Pills Tips: Escape Rooms!


                    If you have worksheets, you can create an escape room! 

     

    Resources: 

    https://teacheveryday.com/escape-room-in-the-classroom/ 

    https://www.edtechteam.com/blog/2017/08/break-out-of-classroom/ 

    https://sites.google.com/site/digitalbreakouttemplate/home 

     

    Escape rooms are SO hot right now.  I have seen diabetes escape rooms, gram positive infections escape rooms, and even interprofessional education escape rooms.  They sound daunting and difficult to create.  However, after making my first one, I can tell you-if you have worksheets, you can create an escape room! 

     

    Who: I piloted it in my elective, so a smaller group.  Students were in teams of 2-3. 

     

    What: This was an end of course review for an infectious disease elective 

     

    Where: Classroom 

     

    When: End of course 

     

    Why:  

    -Allows you to review many concepts in a short amount of time 

    -Students are entirely immersed in the content as they attempt to solve the locks 

    -Timer naturally creates sense of urgency and competition 


     .... Full episode information available at www.twopillspodcast.com 

     

     

    Embracing Ambiguity with Dr. Angela Gomez!

    Embracing Ambiguity with Dr. Angela Gomez!


    Dr. Angela Gomez has over twenty years of experience in the fields of continuing education, instructional design, performance improvement, coaching, mentoring, and project management. Angela's background includes a Bachelor of Business Administration degree from Wichita State University in Wichita, Kansas, a Master of Science degree and a Ph.D. in Educational Psychology from Texas A&M University. 

    She is also a Board Certified Bariatric Educator. Dr. Gomez currently serves as Manager of Continuing Education Programs for Cardinal Health Innovative Delivery Solutions. She has served in this position since 2005 and manages the continuing education programs for over 3,000 pharmacists and pharmacy technicians. She has grown the program from 10 offerings in 2007 to over 200 offerings in 2018. 

    She also assists pharmacists with developing professional development plans and honing their presentation and professional interaction skills. She regularly consults with the Texas A&M College of Pharmacy concerning educational deliverables and operates as an independent consultant to assist companies with the development of documentation and educational materials to bring their products and services to market, and to educate consumers on the proper use of the products.... Full bio and contact info at www.twopillspodcast.com

    Two Pills Tips: Step Away from the Podium!

    Two Pills Tips: Step Away from the Podium!

    Resources: 

     

    http://www.pnas.org/content/111/23/8410 

     

    https://community.acue.org/blog/three-misconceptions-using-active-learning-stem/ 

      

    https://news.aamc.org/medical-education/article/flipped-classrooms-scrapping-traditional-lectures-/ 

     

     Episode Notes:

    • “Universities were founded in Western Europe in 1050 and lecturing has been the predominant form of teaching ever since” 
    • Scott Freeman, University of Washington 
    • “It’s almost unethical to be lecturing if you have this data…an abundance of proof that lecturing is outmoded, outdated, and inefficient.” 
    • Eric Mazur, Harvard University  
    • Our Learners 
    • Self-directed, problem-centered, prefer active involvement 
    • Millennial learners are participatory and prefer assembling information 
    • Need to recall extensive amounts of practical information  
    • Why active learning? 
    • Meta-analysis of 225 undergrad STEM studies  
    • Comparing student performance when exposed to traditional lecture vs. lecture with active learning  
    • Performance 
    • Traditional lecture = 34% 
    • Active learning = 22% 
    • Exam scores ↑ 6% 
    • Letter grade ↑ C+ to B- 
    • Active Learning 
    • Student centered 
    • Knowledge structures changing 
    • Contextualized knowledge 
    • Small groups 
    • Student dialogue 
    • Transformational 
    • Passive Learning 
    • Teacher centered 
    • Passive learning/memorization 
    • Knowledge out of context 
    • Individual 
    • Student listening 
    • Traditional 

     

    Expect the Unexpected with Dr. Michael Neville!

    Expect the Unexpected with Dr. Michael Neville!



    In his own words, "I laugh when I think back on my view of the world as a young man.  I would describe my “purposeful academic journey” like this:  Take a stick.  Throw it into a stream.  Watch where it ends up.  I was a kid who thought that those who became valedictorians were just lucky.  I barely got into pharmacy school and struggled once I got there, only figuring out what was going on as I was finishing my degree.  I just knew I wanted to help people, and so I have."

    His prescription for life involves self-care; applying what we preach to our patients to our own lives! Eat well, get outside (with some sunscreen!), and take the extra time in the day to get on your feet and exercise! Sitting is the new smoking in major causes of disease and death in this country so get moving!


    A Creative Picture of Mental Health and More with Dr. Elizabeth Skoy!

    A Creative Picture of Mental Health and More with Dr. Elizabeth Skoy!

    Dr. Elizabeth Skoy is an Associate Professor of Pharmacy Practice at the North Dakota State University School of Pharmacy. She has a strong passion for innovation in education and within community pharmacy and uses this passion to drive her service, teaching and research. 

    Book Recommendations: 

    -- Classroom Assessment Techniques: A Handbook for College Teachers - Thomas A. Angelo, K. Patricia Cross

    -- What the Best College Teachers Do - Ken Bain

    Questions? Comments? Recommend someone for an interview? Contact us twopillspodcast@gmail.com or find us on twitter @twopillspodcast!

    Highlights (full transcript at www.twopillspodcast.com):

    My practice background is Community Pharmacy.  I touch on the expansion of Community Pharmacy rather than the traditional roles.  I teach non-sterile compounding, point-of-care testing like hypercholesterolemia and glucose, and some of the newer point-of-care test such as strep or influenza.  I also teach in the immunizations course.

    Don't let the students or interns get lost in the regular workflow.  Community pharmacies get busy, but don't forget about those teaching moments.  Pull your learners into moments when you are calling providers are reviewing profiles.  That way, they are exposed to more of the pharmacist role than the technician role.  Bring them into those behind the scenes of behind the counter moments that we use our knowledge in our license for.

    I have always been passionate about service.  A colleague and I decided to start up a medical mission rotation to Guatemala.  We started it eight or nine years ago.  As we were setting up this rotation, we were brainstorming how we could capture learning.  It felt like surveys, preceptor evaluations, or even reflections would not capture the in-depth learning that is happening.  So, we discovered the methodology of Photovoice.  It uses a camera to capture a time, moment, or experience.  We wanted to use photography to capture their learning.  We found their reflections to be so much deeper doing that.

    From there, my colleague and I thought about how we could capture a medication experience.  My colleague has a practice site in a psychiatric clinic.  We decided to focus on patients who were taking medications for mental health.  Our findings were fascinating and we learn so much from our participants.  We noticed that the college students in our cohort had a slightly different experience than the other participants.  We received a seed Grant from our School of Pharmacy to study our North Dakota State University college students.  We then recruited college students to participate in Photovoice.  It has drastically expanded in such a positive way.

     

    Our Counseling Center sat in on the interviews and thought that this could be a new way to approach group therapy.  They have done some Photovoice sessions within the Counseling Center.  Participants have often been resistant to group therapy due to stigma, anxiety, etc.  When they were talking about a photograph, the focus was on the photo and not on them and their illness.  We collected those photographs and reflections.  It has become a campus-wide movement to start to talk about mental health from the viewpoint of our college students in a different way.  A professor of photography on campus is working with us.  She puts it really well by saying that “everyone can relate to a photograph”.  Once we can agree that we can relate to a photograph, we come a step closer to being able to relate to someone with mental illness.

    So much of what I do is focus on collaboration.  Everything is better in a team.  I do not have all the answers or the strengths.  Other people bring skills and information to the table.  I try to take advantage of an

    Two Pills Tips: Exam Wrappers!

    Two Pills Tips: Exam Wrappers!
    Exam Wrappers aka Error Analysis Exercises  Resources:  https://www.duq.edu/about/centers-and-institutes/center-for-teaching-excellence/teaching-and-learning/exam-wrappers  https://www.cmu.edu/teaching/designteach/teach/examwrappers/  https://www.facultyfocus.com/articles/teaching-professor-blog/strategy-work-look-exam-wrappers/  https://teachingcommons.stanford.edu/teaching-talk/exam-wrappers  Why: When students receive back a graded exam, they often focus on the single number/grade earned. While this focus is understandable, it can lead students to miss out on learning opportunities:  identifying their own individual areas of strength and weakness to guide further study;  reflecting on their preparation time and study strategies;   characterizing the nature of their mistakes to find any recurring patterns that could be addressed.  What: short handouts that students complete when an exam is returned to them. These exam wrappers direct students to review their performance and adapt their future studying. These exam wrappers may be the answer for students who need direction to help them improve their exam scores but aren’t sure where to start. 3 main questions to ask:  study skills used to prepare;  types of mistakes they made on the exam; and  what modifications might improve their performance on the next test.  We’ll break down the purpose of each question.  Question 1: Study skills used to prepare  Allows for reflection on what the student did right while studying and what they can improve on for next time. For example, if they write down that they crammed for the test, studied minimally, or studied concepts but not more specific problems, for example, they will begin to associate this method of studying with their presumably lower test grade. Alternatively, good study practices will support a higher test grade and let the student know they are studying optimally.  Question 2: Types of mistakes made on the exam  Self-analysis of which problems they answered incorrectly. Do they notice a trend with a certain concept or type of problem? Are any of the problems they had trouble with due to a possible lack of/inefficient method of studying? If so, they can look back to Question 1 and see where they might have fallen short in their studying habits (or lack thereof).  Question 3: Changes to improve performance on the next exam  Possible connections between how they study and what they had trouble with. If, through the prior two questions, they have found a trend (such as not studying a concept enough and subsequently missing most problems related to that concept on the test), the student knows how to direct their studying for the next exam.  When:  Students prepare for and take the exam using their typical study strategies.  Instructors hand out the exam wrappers alongside the exam results and class time (probably only approximately 10 minutes) is devoted to filling them out.   The instructor collects the exam wrappers. This step is necessary for a variety of reasons: if the instructor is making them an assignment, he/she needs to keep track of who has completed them. Additionally, collecting them and analyzing the students’ responses gives the instructional team a sense of strengths and weaknesses. To me, collection of the exam wrappers may depend on the class size and setting.  At the time when students should begin studying for the next exam, the instructor returns the completed exam wrappers (from the previous exam) to students so they can revisit their responses. Another option is to give students a few minutes to reread their exam wrappers and then take a few minutes for students to share effective study strategies.  How:   Sample questions for an exam wrapper:  Approximately how much time did you spend preparing for this exam? ______    Find full episode content and resources available at www.twopillspodcast.com

    Two Pills Tips: Pecha Kucha!

    Two Pills Tips: Pecha Kucha!
    Two Pills Tips: Pecha Kucha Your Way Out of Boring Lectures! Resources: https://remixhumanities.wordpress.com/2010/11/03/pecha-kucha-in-the-classroom-tips-and-strategies-for-better-presentations/ http://www.pecha-kucha.org/what http://chronicle.com/blogs/profhacker/challenging-the-presentation-paradigm-in-6-minutes-40-seconds-pecha-kucha/22807 https://www.usm.edu/sites/default/files/groups/speaking-center/pdf/teach_with_pechakucha.pdf http://tlt.cofc.edu/2012/10/25/pecha-kucha-in-the-classroom/ What: Pecha Kucha is the Japanese term for the sound of conversations or chit chat. These presentations encourage conversations and not just delivering bullet point information in pre-designed slides. It is a presentation with 20 slides at 20 seconds each. The presentation is set with a timer to advance the slides every 20 seconds. 20 seconds is enough time to make a point, but not to ramble. As the speaker, there is a limit to the amount of text you can say in 20 seconds. It forces the speaker to be concise and the audience to be more engaged. Why: Traditional lecture slides are full of way too much text that is in the same format with each mouse click. Students are more inclined to lean back and potentially sleep, especially if they already have the slides that you are reading. Plus, our learners have seen these same text heavy slides for their entire education. We may remember chalk boards (even my college calculus classes), overhead projectors (were still used in my biochemistry class in pharmacy school), and dry erase boards. Our learners, however, have likely received information in a slide format since their early childhood education. I’m not saying that lectures with slides are bad, but they are very familiar. Let’s talk about images in lecture. They are often lame clip art, captured from an image search, or just generally used to make a slide look less full of text. In a pecha kucha, the image is often the entire slide. It forces the speaker to talk about the image, not read the text next to it. Where: Any topic that is visually stimulating. Pecha kuchas are a beautiful way to present global health or public health topics. Maybe students use their own photos captured on a rotation. I have also seen Pecha Kuchas on issues such as electrolyte disorders. Each slide is a different aspect of the disorder, such as hyperkalemia or hyponatremia. I like those ideas for Pecha Kucha because they are a single focus and you can certainly describe them with 20 slides. If you need inspiration for topics, you can find many Tedtalks that are in this style. Again, the focus is on the images and not the text. Who: Electives, rotation students. Instead of students presenting a report or proposal, have it in this style. Students either work individually or as partners. Larger teams would be more difficult for each person to be able to present. If presenting as partners, it would be advisable for one partner to present 10 slides and another partner to present the other 10 slides. This presentation style may appeal to those who struggle with public speaking. The presentations are given at a faster pace and for only a few minutes (6:40). How: The speaker (either faculty or student) designs a 20 x 20 presentation. Yes, there are constraints. However, constraints stimulate creativity and encourage take home points over details. Pecha Kucha also encourages studen

    Playing Your Cards Right with Dr. Meghan Jeffres!

    Playing Your Cards Right with Dr. Meghan Jeffres!
    Questions? Comments? Recommend someone for an interview? Contact us twopillspodcast@gmail.com or find us on twitter @twopillspodcast! Highlights (full transcript at www.twopillspodcast.com): Meghan Jeffres graduated pharmacy school from University of Wyoming, PGY1 at Intermountain Healthcare in Salt Lake City Utah, PGY2 at Barnes-Jewish Hospital in St. Louis Missouri, Assistant to Associate professor at Roseman University College of Pharmacy in Las Vegas Nevada, then back to Assistant at the University of Colorado Skaggs School of Pharmacy. She loves creating, doesn’t mind assessing, hates writing about it. L: I just have to say after knowing Meghan and working with her, I disagree with that last sentence. She is fantastic at all three of those. M: Quality of output does not necessarily mean enjoying the process. But thank you. I came in to Academia through the side door. The first classroom I was in was at Roseman, which is a 3 year accelerated program with a block schedule. Students are in class from 8 to 3 and you are responsible for that day. You have six hours to teach and spend that time with them. You are forced to schedule time in your lectures to do things. The time management is an interesting process to learn. Roseman really focused on Mastery of learning and it was a 90% pass-fail curriculum. On average, your curriculum should be ⅓ to 1/2 Active Learning. Since then, I have become an advocate for active learning. Now, I'm really looking at the scholarship of active learning. One thing that I thought would be mundane was going through worksheets. In the classroom, as infectious disease teachers, there is no standard textbook. We are often creating our own content. I give them that basic information ahead of time in a flipped classroom kind of way. Then, in class, we go through a skeleton of a workbook. I thought students might find it boring, but they are so into it. They think it's really effective. Handouts, worksheets, workbooks, or something I do all the time. Surprising part is that it is effective and yet rudimentary. It's not graded and all of it is focused on their learning and their benefit. What has not been effective was taking ID fundamentals and skipping a couple of steps. That led to asking them to apply things that they were maybe not ready for. That can be very frustrating for even your highest achieving students. It will cause them to check out. There has to be gradual steps from memorization to application in the real world. There can be assuming that they can make connection or links that haven't been assessed yet in the classroom. For someone who is new to teaching, I think the best thing is to sit in the classroom. It does not have to be your content area. You should go listen to both clinical and science folks. It takes time, but your first year as faculty is when you probably have the most flexibility to do it. If there is another pharmacy school nearby, broaden your horizons and go there to listen. There are two things to look for. One is what is the teacher doing and two how are the students responding. Sometimes it's hard to take something that you created and put it out into the world, even to your own classroom. It will be critiqued and picked apart. There's a concern that they will hate this thing that you developed or put time into. Is it going to be embarrassingly terrible? You have to be risk tolerant. It also comes with practice. You also get much better at planning. You do not want to wing it or just have it be a free-for-all. Things go sideways quickly. It comes from repeated efforts of trying new things. You will just get better at trying new things. That in itself is a skill. When I was first introduced to strength finders, I thought that was such a great concept. Stop trying to fix what you're bad at and go ahead and spend time in what you're good at. That felt like a permission slip for me. One of the

    Two Pills Tips: Making Rounds More Well-Rounded!

    Two Pills Tips: Making Rounds More Well-Rounded!
    Resources: http://pediatrics.aappublications.org/content/early/2015/12/07/peds.2015-3679 https://www.ncbi.nlm.nih.gov/pubmed/?term=24004439 This topic is a little different from our didactic-focused interventions. However, for those of us who participate in rounds or any experiential education in patient care, I think it is an important question. When I think about rounds, I think about how beneficial it can be for all participants. The process encourages attendings or faculty to teach, residents to both teach and learn as part of practice, and students to learn. However, I have also seen a less enthusiastic approach to rounds. Sometimes, it is just getting through the morning to move on to discharges, clinic follow up, etc. So, I started thinking-how can we make rounds a more well-rounded experience? Bedside rounds, or family-centered rounds in pediatrics, can be defined as conducting attending rounds, including patient presentations and discussions, in the patient’s room with nursing and family present. If you look around an ICU team (as an example) and consider the amount of salaries standing in a circle (physicians, residents, nurses, pharmacists, case managers, social workers, dieticians, PT/OT, and more)-it would behoove us to make the best use of each professional’s time. Areas of education in rounds include skills such as bedside physical examination teaching, effective communication, and encouragement of trainee independence. A first step to improving the educational experience on rounds is to have a specific plan/road map. Preparation instills confidence in both the teacher and the learner and facilitates the learning process. It allows you to maximize the learning outcomes rather than just repeating the same process day after day. Defining each person’s role on the team has multiple benefits to improving education on rounds. This ensures that each person is involved, breaks down barriers between educator and learner, engages the team, maintains interest, ensures efficient rounds, validates the learner’s input, and allows equal opportunities between learners. Devise a plan beforehand on what can be taught to act as a guide but still be flexible to improvise. No two days of rounds will be the same. Having a plan also allows for good time management and prioritizes educational opportunities to focus on the learner’s needs. I have seen this be successful in a variety of ways. For example, presentations and team goals can be set at the beginning of the week. Each presentation is then planned and topics are decided on, therefore providing clear expectations. Some attendings will choose to review a certain article in the main journal of their expertise. It becomes a group discussion facilitated by the attending and allowing the attending to provide his/her expertise. Some residents have created quizzes based on topics discussed during the week. Other residents may opt to review an OB strip each week or an EKG each week just to provide exposure to the team. If you are able to collaborate with another department, maybe your team visits radiology once weekly, pathology once weekly, or microbiology once weekly. One resident I worked with had a focus on physician wellness and started each day of rounds with DzGratitude Roundsdz where each team member said something that they were grateful for..... Full content available at twopillspodcast.com

    Follow the Yellow Brick Road!

    Follow the Yellow Brick Road!
    Interview with Dr. Diana Rangaves! Dr. Diana Rangaves is a pharmacist, philanthropist, and ethics professor turned writer. An accomplished educator, award-winning teacher, and business professional, she uses her powers for good. Diana is a foster mom for PapHavenRescue.org and lives in California with her dogs and pasture pets, in their forever home. She is the author of Embrace Your Excellence: A Psychopharmacology Primer and Mirror to the Soul and Escape into Excellence: Building a Foundation for Honest Decision-Making. References: The Four Agreements, Don Miguel Ruiz The Power of Myth, Joseph Campbell A New Kind of Science, Stephen Wolfram Resources: The Wizard of Oz, Alice in Wonderland, and Carpool Karaoke with Paul McCartney Questions? Comments? Recommend someone for an interview? Contact us twopillspodcast@gmail.com or find us on twitter @twopillspodcast! Highlights (full transcript at www.twopillspodcast.com): My teaching strategies are related to reading apprenticeship. In reading apprenticeship, we use interactive keywords and think aloud's, think pair and share, questions, and we map things. Critical thinking skills are embedded in reading apprenticeship. It is so important that once a student leaves school, they have those tools in the real world. For those of you who are considering a career in Health Sciences, you can change your environment, use your degree for multiple reasons, you are not just boxed in. After teaching for a while, I realized I could be teaching the same few courses forever. After a while, you can't integrate new stuff. I ended up writing two textbooks. They're called “Embrace Your Excellence” and “Escape Into Excellence.” “Escape into Excellence” talks about ethics and how to develop critical-thinking skills. It uses real-life case studies. It takes you from the beginning about what is ethics, what are values, how do we learn our values-all the way full circle to passing and death. How do we stand in silence and honor the people in our lives we care about who are ready to pass? “Embrace Your Excellence” is a psychopharmacology book. It introduces people to mental health, mental health issues, the pharmacology involved, including opiates and hallucinogenics. It adds the holistic piece to it with real life student cases and students writing about their experiences. It helped create a full package that students like. A lot of it was written by students for students. When I wrote, “Escape into Excellence,” we determined that all author royalties would go back to charity. Education is so important. For both “Embrace Your Excellence” and “Escape into Excellence,” all author royalties go back to Santa Rosa Junior College Foundation to support education. The royalties of my children's values book, “The Adventures of Rosie Posie Papillion,” go to pap haven rescue. It's a heart project and labor of love to impact and give back. We had to learn these skills on the fly when we got out, when we read a book, and here is a textbook that schools can use to further that endeavor. One topic was IV therapy. I brought in empty vials and bags and tubing. I gave them a scenario that included stuffed animals like dinosaurs, poodles, and others. Each doll had a flash card around their neck with a scenario. It Incorporated education, pharmacology, and calculations. Each team had a team leader who read the case. Each team member then took one of the questions And explained the answer to the other students. Each team member had a teaching moment. It gives them confidence, practice speaking, and all in a peer environment that was safe. No one was judging them, no one giving them a certain number of points, and it was a very relaxed environment. They were able to do every sensory experience within that one exercise. It is applicable to any topic. Don’t ever be afraid to step into the unknown. Fear is the worst reason in the world to do somethi

    Two Pills Tips: Classroom Card Games!

    Two Pills Tips: Classroom Card Games!
    Cards Against Humanity/Apples to Apples Resources: http://www.techsavvyed.net/archives/3811 https://insidetheclassroomoutsidethebox.wordpress.com/2016/06/19/apples-to-apples-edu-style/ What: • Word association games • Shared goal by all players to complete a phrase by matching the dealer’s card to a card in their hand to earn points • Everyone has a unique set of cards in their hand, and thus the phrases can vary wildly, depending on the preference of the player. How: • Learners are divided into teams that can range from 4 students per team to 10 or more. • In each round, one player (the ‘judge’) turns over the top prompt card and the others, who each have a hand of 8-10 cards, anonymously throw down a single card in response.  • Two sets of cards— a “judge” lays a category word or phrase and participants have to secretly lay a card from their hand that they believe best represents the word/phrase. The judge selects which card was the closest/funniest/most interesting/best. The card that the judge chooses earns a point. Who: • Small or large groups, though smaller teams may be more engaged • Classroom likely most conducive What topics: • Almost any content, usually as a review • Any topic that has clear subcategories/topics • So, for pharmacotherapy of diabetes, the topic card could be “DPP4’s, insulin, GLP-1’s, etc” and then students would have to use adjective/descriptor cards “hypoglycemia, weight gain, nausea, etc” and the best card wins • For heart failure, could use each drug class as a topic card and the descriptor cards could be “hypokalemia, mortality benefit, etc” When/Why: • Goal of this strategy is to provide an immersive active learning strategy for review and association/correlation of complex topics. • Though would take time to set up and print, could be used over and over • Estimated classroom time: 15-20 minutes Other: • This active learning strategy, like many, requires the instructor to be comfortable with a small amount of chaos. Learners typically enjoy this game and become competitive. • To add descriptor cards, could use “NOT cards”-so “NOT hypoglycemia” as a descriptor • Templates available online (see links in show notes)-probably want to print on cardstock for longer-lasting cards

    Pharmacists and Phinances!

    Pharmacists and Phinances!
    Interview with Dr. Tim Ulbrich, PharmD, RPh Tim Ulbrich is a professor of pharmacy practice and associate dean of student success at Northeast Ohio Medial University (NEOMED) College of Pharmacy. He graduated from Ohio Northern University with his Doctor of Pharmacy and completed residency training in community/ambulatory care at The Ohio State University College of Pharmacy. After paying off more than $200,000 in non-mortgage debt, Tim is working to empower pharmacists and pharmacy students to take control of their financial future. He is the creator of the Your Financial Pharmacist blog, co-host of Your Financial Pharmacist Podcast and co-author of Seven Figure Pharmacist: How to Maximize Your Income, Eliminate Debt and Create Wealth. Questions? Comments? Recommend someone for an interview? Contact us twopillspodcast@gmail.com or find us on twitter @twopillspodcast! Highlights (full transcript at www.twopillspodcast.com): One of the mentors in a faculty development session to the residents discussed evidence based teaching. In school, we always heard about evidence based medicine and evidence-based patient care, but I had never really thought about approaching teaching in a scholarly way. For me, that was a fundamental shift. It was no longer about coming into the classroom and being a sage on the stage and everyone was just going to absorb all that great knowledge that I had. For me, that was a shift to seek out the best practices in active learning, team-based learning, and problem-based learning. For me, it's all about creating a learning environment that is adaptable to the styles of the people in the room. It focuses on them as the learners and takes the focus off me as the educator. What I've come to realize is that can look different in any given class or level of learner or size of the class. Flexibility in the classroom for me is important. I have this topic and this amount of time and that's important, but I also need to be able to be ready to pivot. If I am in the classroom and I see that things are not going well or that we need to engage in the material in a different way, then I think we need to make a move. That has really become my style as I've become more confident and comfortable in the classroom. I really try to get rid of the focus off of myself. I really try to shift the focus to the learners in that setting. My vision was to create this community of pharmacists who learned together and didn't have to feel like they were alone. It's kind of an unsaid story that you make a great income, so don't worry about the financial piece. As I shared my story and was vulnerable with my story, people were saying-that's me! I think I gave people permission to say I'm stressed out about this and this is hard. Once we give permission to have that conversation, that's when we start to work towards solutions. When I think about progression, I think about the first year taking apart the anatomy of a student loan. Understanding the basics of interest and how it's calculated, budgeting, and goal setting. You then start to layer on topics throughout the second, third, and fourth year. We can be a little more proactive rather than reactive instead of just talking to students when they graduate. If we are doing it along the way, then we can tie it to career discussions. We have a professional development advising team. Now, they can fold personal finance into all of these broader career discussions. If there is no personal finance discussion at your institution currently, the easiest place to start is to do a Capstone or to tie it to a student organization. Maybe you implement a personal finance elective and better yet implement a longitudinal progressive course across the curriculum. When I can see the student take a deep breath and realize that they can see the whole picture and they feel like they have clarity around the path that they should take to get there. To me, I walk

    Welcome to Take Two Pills and listen to this podcast!

    Welcome to Take Two Pills and listen to this podcast!
    Hi! I’m Lauren and I wanted to thank you for checking out “Take Two Pills and listen to this podcast!”  Each episode, we interview innovative educators in health, medicine, and more!  You know that feeling when you go to a conference, take lots of notes, and come home inspired and ready to implement new ideas? Then, you get back to hundreds of emails, a full meeting schedule, and those great ideas get pushed to the back burner for day to day tasks.  The goal of this podcast is to keep up inspiration by hearing exciting ideas from educators in all areas of health sciences! We want to talk to pharmacists, physicians, nurses and nurse practitioners, psychologists, PT, OT, speech therapy, nutrition, public health, and more.  If you work with health sciences students or you would like to in the future, this podcast is for you!  If you have an idea for an inspirational educator who we should interview, we would love to hear from you! Please send us an email at twopillspodcast@gmail.com or find us on twitter @twopillspodcast In addition to our full length episodes, we’ll also be providing short quick listening episodes that are brief discussions of a teaching idea/concept that could be implemented in your next class.  If you have an idea for a quick teaching tip or just want to reach us, feel free to email us at twopillspodcast@gmail.com or find us on twitter @twopillspodcast. Thank you again for listening!

    Don't Fill a Bucket, Light a Fire!

    Don't Fill a Bucket, Light a Fire!
    Interview with Dr. Eleanor Vogt, PhD, RPh Eleanor Vogt, PhD, RPh, is a faculty member in the UCSF School of Pharmacy.  She has been named the president of the board of directors for the American Pharmacists Association Foundation (APhAF). Vogt has had a distinguished career working in clinical pharmacy practice, the pharmaceutical industry, health policy and planning, regulatory affairs, and patient safety and advocacy, and even as a TV pharmacist, answering questions for the public in the 1970s. She was the first consumer representative on an FDA technical review committee, and served as Senior Fellow for the AMA’s National Patient Safety Foundation, testifying before Congress on this issue. Vogt joined the faculty of the UCSF School of Pharmacy’s Department of Clinical Pharmacy in 2004 and was awarded the UCSF Presidential Chair for 2004-2005. Questions? Comments? Recommend someone for an interview? Contact us twopillspodcast@gmail.com or find us on twitter @twopillspodcast! Highlights (full transcript at www.twopillspodcast.com): My teaching style is a learning style. I consider myself a learner and that's what it's all about. Someone asked me in the classroom who should learn the most? The teacher. If the teacher is not learning, then learning isn't happening. That's the process. I really try to live that. It's a community of learners, not a classroom. We're all learning together. It's a dialogue. Learning is an internal active change process. When we have real dialogue, the real excitement and learning takes place. The answer is in the room. Having people share their experiences is what it's all about. The dynamic that goes really well for me is when everyone is involved. Sometimes that takes physical movement. I like to have people get up and move. When looking at the kinds of thoughts that medical students generate, such as imposter syndrome and thinking why did I get here. I'm not good enough. I shouldn't be here. That leads to shame, which leads to anxiety and depression. So, if we turn it around and we say that our thoughts are going to be of appreciation and gratitude and positive stories, that leads to my feelings of I am good enough. I feel confident, I am focused, I'm centered, and that leads to resiliency. Major universities are demonstrating that what happens on the outside is a reflection of what is happening on the inside. These include our perceptions and our filters that are transparent to us. We just see right through them. The exciting thing is that you can change! You can change your perception and you can change your thinking. We know so much about the benefits of breathing. In school, we teach students about inhalers and treatment for respiratory diseases. But the respiratory system is so fascinating. When you breathe in, and I invite your listeners to take a breath, be aware at the top of your in breath. And then especially at the bottom of your out-breath. There is a point at which nothing happens. Don't hold your breath, just be aware. Put your awareness when it happens. At that point, your body is in perfect balance. Both systems are in perfect balance. We call it a rest and restore point. It's potent healing. It costs nothing. It's readily available every few seconds. Not only is it physiologically healing, but it can change your perception. If you are talking to someone who is upset, you can put your focus on your own Still Point, you will find that you will become more relaxed. You'll be surprised what comes out of your mouth when you're in this more relaxed and focused state. You're no longer just reacting to the situation. You are speaking from your authentic self. It's really a mind-altering technique. And it's so simple. The prescription I give everyone, which is choose to feel good. We have the ability to change what we think. There are some wonderful simple techniques if you need them like The Still Point, like m

    Two Pills Tips: Gallery Walk!

    Two Pills Tips: Gallery Walk!
    Gallery Walk! Resources: http://www.theteachertoolkit.com/index.php/tool/gallery-walk https://serc.carleton.edu/introgeo/gallerywalk/what.html https://www.cte.cornell.edu/teaching-ideas/Two-Minute-Teaching-Tips/Gallery-Walk.html What: Use of white boards or large sticky notes posted around a room. Each sticky note/white board has a topic listed. As an example, a Gallery Walk could be used for teaching Antifungal Pharmacotherapy. Each sticky note would have a topic such as“Azoles”, “Echinocandins”, “Candida”, etc. I recommend having 5 or more sticky notes/topics for each Gallery Walk. How: Learners are divided into teams that can range from one student per team to 10 or more. Each team is assigned a topic/sticky note and given a unique color of marker. When the instructor says go, the team has a set time (usually 30 seconds to 1 minute) to write down everything they know about the topic on the sticky note in front of them. After the time is up, they rotate to the next sticky note and topic. They have to write down everything they know on that topic, but cannot repeat anything that another team has already written on that sticky note. Once all teams have rotated through all topics, the instructor walks to each sticky note and reads each statement aloud. The class then decides if the statement is accurate or not. If it is not accurate, the instructor will strike through it. The winning team is the one that has the most accurate statements, (as identified by the unique color of marker), in total across all topics. A non-competitive form of the Gallery Walk is to evaluate all statements and identify the top 3 statements that should be known about each topic. Students then have a more focused understanding of each topic. Who: Small or large groups, though smaller teams may be more effective Classroom or practice site When/Why: Goal of this strategy is to quickly assess the baseline knowledge that a learner has going into a lecture. While it could be used at the end of a lecture as a review of content recently taught, I prefer to use the Gallery Walk as a way to focus my teaching. By identifying the gaps in student knowledge, (such as subtopics rarely or never mentioned by any teams), and well understood areas (such as subtopics mentioned by all teams), the instructor can focus class time on information that may need clarification. Estimated classroom time: 15-20 minutes What topics: Almost any content Any topic that has clear subcategories/topics (I have also used with disease states such as diabetic ketoacidosis) Identified gaps and misinformation from previous clinical experience/education related to DKA Other: This active learning strategy, like many, requires the instructor to be comfortable with a small amount of chaos. Learners typically enjoy this game and become competitive. It also has quite a bit of noise with all of the teams rapidly discussing the topic. They also tend to respond with commentary regarding the accuracy of their statements on a topic (and when the instructor strikes through inaccurate ones). Gallery Walk was a success with heterogeneous groups of learners and could be an opportunity for interprofessional education and communication
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