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Jodie Eckleberry-Hunt, Ph.D., A.B.P.P. Jennifer Tucciarone, M.D.
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Disclosure of Conflict The presenters have no conflicts of interest to disclose.
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Goal and Objectives Goal: Review challenges and opportunities in teaching Generation YGoal: Review challenges and opportunities in teaching Generation Y Objectives (Audience will:)Objectives (Audience will:) Understand generational differencesUnderstand generational differences Identify 4 core issues in teaching Generation YIdentify 4 core issues in teaching Generation Y Identify several teaching strategies with Generation YIdentify several teaching strategies with Generation Y
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Who Is Generation Y? They experienced: –9/11, terrorism, SARS, globalization, school violence –Parents who told them they’re special for no reason –Games with no winners – everyone gets a trophy – a world where technology is everything/everywhere
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Who Is Generation Y? They experienced: –Highly structured, highly-supervised lives –Child-centric families –Helicopter parenting
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Who Is Generation Y? Characterized by: –Need for step-by-step help –Lack of basic skills (problem solving, study, time management) –Desire constant feedback –Crave praise –Creativity and teamwork –Technology savvy
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Who Is Generation Y? Characterized by: –Trust of authority but dislike of hierarchy –Lack of formality –Emphasis on personal wellness –Social connectedness –Need for hands on stimulation –Expectation for immediate success and promotion –Lack of self-reflection
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How Do Other Generations Compare? Baby Boomers –If you don’t know how to do it, get advice –Loyal to the end –Respect authority and hierarchy –Work is a top priority –Work hard to get to the top –Kids seen not heard –Confused by it all (as if Gen X wasn’t bad enough)
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How Do Other Generations Compare? Generation X – Independent – if you don’t know how to do it, figure it out –Work is in the top three priorities –Don’t trust authority
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Culture Clash Baby Boomers see Gen X and Y as being disloyal and lazy Gen X sees Baby Boomers as the establishment and Gen Y as whiners Gen Y say they aren’t going to live like either the Baby Boomers or Gen X
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Technology and Interactive Teaching Professionalism Mentoring (or Parenting) Communication and Feedback
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Technology and Interactive Teaching
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TECHNOLOGY Gen Y is technologically advanced Involve residents in technology committees Establish clear rules about “multi-tasking” Faculty role modeling of appropriate use of technology Teach stillness and self-reflection
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How Gen Y Learns Best New technologies Active learners
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How Gen Y Learns Best Hands-on Simulations Group discussions Case discussions involving live patients Collaborative learning
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How Gen Y Learns Best Multi media presentations Use humor, visuals, quizzes, movement Commercial breaks Integrate use of technology –Audience response system –Use your iphone to find…..
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Mentoring (or Parenting) Gen Y wants to be close with authority just like their parents Want to feel special Want to tell you private information Want to openly share their opinions Want supervisors who are approachable
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Mentoring (or Parenting) Gen Y needs: –In loco parentis (Tulgan) –Structure with clear, firm rules –Strong, regular, ongoing mentoring –Ongoing, on the spot and summative feedback –Assistance with self-reflection and being still
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Mentoring (or Parenting) Requires us to be present Requires more energy Requires creativity Requires a balance between nurtance and firmness
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Professionalism
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How other Generations see them: –lack professionalism –Lazy, unmotivated, selfish How Gen Y sees themselves –Want work life balance –How will an organization fit into their life?
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Challenges Occur with every new generation Older generations have difficulty understanding and respecting younger physicians’s desire to work less Medicine requires a strong work ethic
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How to Overcome Can’t demand changes in life philosophy Can require certain behaviors Focus on observable behaviors Rules need to be explicit and firm –Timeliness, dress, social networking, multi-tasking, discussion of personal life details in professional settings Do not assume anything is common knowledge
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How to Overcome Delineate consequences Professionalism contract Strong faculty presence Be patient, don’t look the other way
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Communication and Feedback
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Even more important Want feedback, lots of it, right now Need some assistance handling negative feedback Peer feedback is particularly valuable Multiple sources (360 degree)
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Communication and Feedback Verbal and written Behaviorally based Clear and simple All faculty should be consistent Most importantly, remember communication is a two way street. Use resident feedback to program benefit
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Communication and Feedback Handling Weaknesses –May need more explanation of why change is needed –Give residents an active role in solving the problem –Attack defensiveness head on and tie it to professionalism
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Communication and Feedback Praise –Use it –Use it to motivate –Positive quote collection –Public acknowledgements –Sharing positive patient experiences
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Cases
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References 1. Howell LP, Joad JP, Callahan E, Servis G, Bonham AC. Generational forcecasting in academic medicine: A unique method of planning for success in the next two decades. Academic Medicine. 2009;84:985-993. 2. Mangold K. Educating a new generation: Teaching baby boomer faculty about millennial students. Nurse Educator. 2007;32:21-23. 3. Borges NJ, Manuel S, Elam CL, Jones BJ. Comparing millennial and generation x medical students at one medical school. Academic Medicine. 2006;81:571-576. 4. Tulgan B Not Everyone Gets a Trophy. San Francisco: Jossey-Bass; 2009. 5. Carver L, Candella L. Attaining organization commitment across different generations of nurses. Journal of Nursing Management. 2008;16:984-991. 6. Espinoza C, Ukleja M, Rusch C. Managing the Millennials. Hoboken, NJ: John Wiley and Sons; 2010. 7. Epstein M, Howe P. (2006, Sept/Oct). The millennial generation: Recruiting, retaining, and managing. Today ’ s CPA. Sept/Oct 2006;24-27. 8. Lipkin NA, Perrymore AJ. Y in the Workplace. Franklin Lakes, NJ: Career Press; 2009. 9. Pew Research Center. Millennials: A Portrait of Generation Next. Washington DC: Pew Research Center; 2010. 10. Pardue KT, Morgan P. Millennials considered: A new generation, new approaches, and implications for nursing education. Nursing Education Perspectives. 2008;29:74-79. 11. Smith, L. Medical professionalism and the generation gap. American Journal of Medicine. 2005;118:439-442. 12. Johnston S. See one, do one, teach one. Clinical Orthopaedics and Related Research. 2006;449:186-192. 13. Moreno-Walton L, Brunett P, Akhtar S, DeBlieux PM. Teaching across the generation gap: A consensus from the council of emergency medicine residency directors 2009 academic assembly. Academic Emergency Medicine. 2009;16:S19-S24. 14. Lesser CS, Lucey CR, Egener B, Braddock CH, Linas SL, Levinson W. A behavioral and systems view of professionalism. JAMA. 2010;304:2732-37. 15. Molidor, JM. Here Comes Gen Why! Teaching the Next Generation of Medical Students. OUWBSOM Advance Program. Troy, Michigan. May 24, 2011. CME Lecture.
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