The Harvard Macy Institute Podcast aims to connect our Harvard Macy Institute community and to develop our interest in health professions education topics and literature. Our podcast is hosted by our Program for Educators in the Health Professions course faculty Victoria Brazil, and will feature interviews with health professions education authors and their research papers.

Podcast #3 explores Four big issues for assessment in health professions education in discussion with Louis Pangaro, and guest comments from  Sharon Mickan and Martin Pusic. This discussion was originally prepared for the 2020 Systems Approach to Assessment in Health Professions Education course in Boston, where both Lou and Martin were expected to participate as faculty. However, due to the COVID-19 outbreak, the course was postponed and rescheduled for October 18^th through October 22^nd, 2020 (the Systems course will now be offered annually in October). 

Have you ever encountered a cohort of learners who are all exactly the same? Likely not.Diversity in learning style preferences is increasing! A learning style preference is a desired or default set of cognitive, psychological, and social characteristics that learners exhibit in educational environments. In education, it is sometimes important to introduce desirable difficulty so learners are challenged to make concepts stick.

However, preceptors must be mindful of the myriad interactions with learners and modify their teaching styles accordingly to the learning style preference encountered (2). To illustrate, try this simple activity: Using a pencil, print your first and last name. Now repeat this same task but switch hands. What did you experience? While using your non-dominant hand, you probably experienced increased anxiety and decreased confidence and automaticity, and the task required increased time, concentration, effort, and attention while the quality of your handwriting decreased. By not attending to learning style preferences, it is akin to forcing learners to write with their non-dominant, non-preferred hand (3).

This pearl is a first of three devoted to the application of learning styles research in medical education.

How do you recognize learning style preference in your learners? Share your thoughts on Twitter at #MedEdPearls!

1. Grasha A. 1994. A Matter of Style: The Teacher as Expert, Formal Authority, Personal Model, Facilitator, and Delegator. College Teaching, 42(4), 142-149.

2. Vaughn L., Baker R. 2001. Teaching in the medical setting: balancing teaching styles, learning styles and teaching methods. Medical Teacher, 23(6), 610-612.

3. Grasha I. 2010. The dynamics of one-on-one teaching. College Teaching, 50(4) 139-146.

Verbal feedback from senior surgeons represents an essential part of surgical training. As an organizational psychologist who has spent time observing and measuring communication in the operating room (OR), I have observed a great deal of feedback from surgeons to surgical residents, students or more junior team members; most were constructive and expressed respectfully. However, in some cases, I observed feedback that seemed unsupportive and challenging to interpret, such as: “No, no, you should do this like this and not like this [showing how to handle an instrument], as I already told you twice. You are still working like an intern.”

“Stop!” the attending blurts out as the trainee was about to make a miscalculated maneuver with her surgical instrument. The resident’s stomach flips as she realizes her potential error and readjusts. The attending, likewise, breathes a sigh of relief as the surgery is turned back on course.

As medical educators, we have all experienced high stakes moments like this one. But what is the best way to debrief this encounter? And how do we turn the “fight or flight” inducing stomach-churn into an educational opportunity? Sure, we can give feedback, and we should. However, to the learner, this experience may feel like a “mini-fail” and lead to feelings of guilt or shame, and possibly avoidance of similarly challenging scenarios in the future. Can we redirect a trainee’s learning trajectory just as we redirected the surgery? I think we can, with a secret ingredient called “growth mindset.”

I remember being a first-year physician in training, picking up the phone, and calling consults. I remember calling consults even if I found I did not always understand the question we had for our consultants. It bothered me at the time, but I was so busy, and asking why sometimes seemed like more energy than I could muster.