It’s Game Time:
Breaking the Monotony of
Morning Report
Tracie Harris, MD
Lenora Lee, MD
Ripple Sharma, MD
University of California, Davis
Objectives
Review the importance of Morning Report
 Discuss targeting teaching methods to
learner level
 Enhance retention
 Play some games!

Introduction to Morning Report

Cornerstone of resident education
 98%

of all programs have daily report
Education = Primary Purpose
 Evaluate
residents
 Analyze adverse events
 Discuss timely social issues
Morning Report Challenges
Diverse teaching style
 Diverse learning goals
 Audience participation
 Late
Late--comers
 Keeping things interesting

 For
you!
Learning Theory

All about attention!
 Focused
attention
 Re
Re--focused attention
 Increased “enjoyability”
 Intrinsically motivating material
 Stimulate different brain centers
Build on cognitive scaffolding
 Repetition is key

Keeping the Spark Alive

Take the road less travelled
A
Week in Review
 Reviewing MKSAP Questions
 Bedside morning report
 Journal Club
 Dedicated outpatient cases
 Altering structure case presentation structure
 Medical Games
Benefit of Medical Games

Captures learning theory principles
 It’s
ffun!
n! “Enjo
“Enjoyability”
abilit ”
 Morale & team building
 Intrinsically motivating material
 Reviews multiple subjects at once
 Promotes retention
 Accesses
A
different
diff
learning
l
i centers in
i brain
b i
Incorporate all level of learners
 Break the monotony

Medical Games
$25,000 Pyramid
 Family Feud
 Medical Jeopardy

What do you need?
Microsoft Powerpoint
 Laptop
L t or computer
t
 Projector and screen
 Good speakers
 Scoreboard (white board)
 2 entertaining and attractive chief
residents
 Enthusiastic housestaff

PGY Pyramid

Based on the famous TV gameshow
$25,00
$
, Pyramid
y
PGY Pyramid
Scoreboard
Team A
X
X
X
X
X
X
X
X
X
F
R
O
N
T
B
A
C
K
HOTSEAT
X
Projection Screen
X
X
Chief Resident
X
X
X
Team B
X
X
X
X
Computer
Projector
PGY--Pyramid
PGY

GAME TIME!

6 rounds, 6 terms/images per round
 Medical vocabulary, lab tests, diagnoses
 Organized by specialty or randomly
 Fast paced, 1 round can last 90 seconds
Cards
Pulm
ID
Renal
GI
Endo
PGY--Pyramid
PGY

Let’s Play!!
Round 1
Atrial Fibrillation
Round 1
Sarcoidosis
Round 1
Aseptic Meningitis
Round 1
Round 1
Pneumocystis
Pneumocystis Jirovecii Pneumonia (PJP)
Round 1
PGY--Pyramid Recap
PGY

Be creative with slides
 Target
different learning centers
 Find pictures/images unique to one disease
 Use EKGs, peripheral smears, pathology slides

Teach and incorporate learning points
 Review
images
images, unfamiliar terms
 Teach at end of each round
 Relate to larger “cognitive scaffolding”
Let’s Play the Feud!

Format similar to Family Feud
Family Feud
Two teams
 1 representative
t ti ffrom every class
l
off
learner (MS3, MS4, PGYPGY-1 etc)
 Players must shake hands!
 Host asks  player buzzes  top answer
chooses to play or pass

Family Feud
X
Chief Resident (Host)
Team A
Buzzer
X
X
X
X
X
X
X
X
X
Podium
F
R
O
N
T
X
B
A
C
K
X
X
Projection Screen
Projector
X
X
Chief Resident
X
X
X
Team B
X
X
X
X
Computer
Scoreboard
Family Feud

GAME TIME!
8
rounds of “lists” – can be diagnostic criteria,
differential diagnoses, lab tests
 Each list can have various amounts of “right”
answers (anywhere from 55-10)
 Award point totals to each answer
 All answers in one round should add up to
100
Let’s play the feud!!!
It’s Lupus,
Doofus!
Tap that… Lung!
All Confused
What’s the
Smear Show??
Typhoid Mary
My Back
Hurts!
I got a HA, not a tumor!!
Rheum Without A View
Exit Game
IT’S LUPUS, DOOFUS!!
Malar
30
1) X X X X X X ) Rash
Discoid Rash
20
2) X X X X X X Renal
disorders
7) X X X X X X 5
Photosensitivity
3) X X X X X X 15
Neurological
disorders
8) X X X X X X 4
Oral
Ulcers
10
4) X X X X X X Hematologic
disorders
9) X X X X X X 3
Arthritis
5) X X X X X X 7
Immunologic
disorders
2
10) X X X X X X Serositis
6) X X X X X X 6
+ANA
11) X X X X X X 1
Return
TAP THAT…LUNG!
THAT…LUNG
Protein
DINOSAUR
1)
X X X
25
X X 43
X
pH
EONS
5)
X
X X X X 510
LDH
FOSSIL
2)
X X
20
X X X 21
X
Cholesterol
PERIOD
6) X X
Cell
count
SHELLS
3)
X X
15
X X X 12
X
Glucose
SEDIMENT
7) X X X
G amXstain
Gram
15
JARASSIC
4)
X and
X CCulture
Xlt eX 13
X
C8)
Cytology
t lX X
X X X35
X X25
X X X 5
Return
Family Feud - Recap
Review previous AM report topics
 Lists work better

 common
symptoms
 lab
tests
 differential diagnoses

Teach and incorporate
p
learning
g points
p
 at
end of each round
 can expand on diseases, test cutoffs

Questions??
Troubleshooting
Handling an incorrect answer
 Can you/should you/how to incorporate
faculty?
 What to do with late
late--comers
 How to encourage participation

Summary

Learning and attention are improved when
material
t i l is…
i
 Enjoyable
 Intrinsically
motivating
 Utilizes different learning centers
 Builds upon cognitive scaffolding

Don’t underestimate the power of FUN!