Esther Helmich

I am an elderly care physician, medical educator and amateur musician; passionate about emotions and professional identity development

[Esther Helmich @HelmichE]

@scristaM when wil you be joining us again?

[Esther Helmich @HelmichE]

The Groningen Rich Pictures Center at work - so excited about analysing rich pictures together!

[Esther Helmich @HelmichE]

The Groningen Rich Pictures Center at work - so excited about analysing rich pictures together!

[Esther Helmich @HelmichE]

Agreed! Let’s take these thoughts about the patient to benefit from #amee2018 to #amee2019

[Prof Karen Mattick @KarenMattick]

Great realist review study by Jan Illing and colleagues about ensuring patients benefit from education and training - this is surely key for #amee2018 ?

[Esther Helmich @HelmichE]

Sounds great, so sorry that I already needed to go home ...

[renee van der leeuw @rmvdleeuw]

@theWilsonCentre @ayeletkuper @AMEE_Online And she did it in a way that made me not only exhale but also really moved, this love for (elderly) patients is THE reason I am a doctor ❤️ #amee2018

[Esther Helmich @HelmichE]

@LingardLorelei I’m in!

[Esther Helmich @HelmichE]

@LingardLorelei @MGoldszmidt @scristaM loved your wonderfully devilish symposium on supervision - needing to prepare for my emotions workshop with @vicki_leblanc now makes me wonder how to address the emotions that play a role in supervision #Amee2018

[Esther Helmich @HelmichE]

Supervisors feel the need to serve the system at the cost of trainee autonomy and trainees say they are kept too long in a bubble not addressing systemic complexities - so what if we really opened up the system to trainees? @MGoldszmidt @scristaM #Amee2018

[Esther Helmich @HelmichE]

We don’t expose medical students to systemic complexity early enough - wonderful remark by @scristaM #Amee2018

[Esther Helmich @HelmichE]

How can we normalise observation and make ourselves more frequently observed? Nice discussion with @MGoldszmidt and @ChrisWatling3 #Amee2018

[Esther Helmich @HelmichE]

Discussion about how the trainee invites and introduces the supervisor in the room, but I am wondering if they even get the chance to do so? #Amee2018

[Esther Helmich @HelmichE]

Summary of main challenges in supervision: observation, identity, interdependence and the system by ⁦@olletencate⁩ #AMEE2018

[Esther Helmich @HelmichE]

Here is our research agenda for the next few years #amee2018

[Clare Morris @MedEdClare]

Paradoxes in clinical supervision from @olletencate - there is no natural observation, the training of independence is actually training for interdependent practice, objective assessment is impossible, how to support without challenging emerging identity, #amee2018

[Esther Helmich @HelmichE]

Supervisors taking over and providing direct care just to meet the needs of the system, but what about the needs of trainees, @MGoldszmidt asks. #Amee2018

[Esther Helmich @HelmichE]

@scristaM addressing the tension between emphasising teamwork versus assessing independent performance #Amee2018

[Clare Morris @MedEdClare]

How do we help trainees invite supervisors into the room whilst retaining role of central clinical - if they don’t, we need to ask ourselves why - as they need to be independent clinicians who can work without our supervision. Nuanced, thought provoking James Brown #amee2018

[Lorelei Lingard @LingardLorelei]

Clinical supervision is a contested social space, says James Brown. Supervisors need to be aware that the role they assume implicates the role available to the trainee. #AMEE2018

[Esther Helmich @HelmichE]

When in a supervised patient encounter the trainee was not the central clinician we need to ask the question: why? #Amee2018

[Lorelei Lingard @LingardLorelei]

Tension exists between direct observation and then values of independence in #meded and efficiency in healthcare @ChrisWatling3 #AMEE2018

[Esther Helmich @HelmichE]

⁦@ChrisWatling3⁩ challenging direct observation in #meded by questioning behavioural authenticity #AMEE2018

[Esther Helmich @HelmichE]

Great session on diagnostic error, thanks! #amee2018

[Esther Helmich @HelmichE]

At the same time in another room a similar discussion goes about learning from (diagnostic/clinical) errors. But it seems to me that clinicians may not be ready for FAIL as the first attempt in learning. How to go with this?