Thought-provoking and pradigm-shifting Renal Grand Rounds by Dr. Chirag Parikh UVA Nephrology today on the "Prognosis of AKI to CKD". A little AKI is not really bad, we need better determinants to categorize AKI and that could prevent several useful trials from failing.

is the learner considers you as their coach with the same set of goals, they won't get offended. #askASN

Q2: Most learners mention what you were planning to tell them during their self assessment. The problem is when the learner does not see the problem. #askASN

Q2; One strategy would be to back your assessment with input from other resources. It needs work and patience. #askASN

It also depends on what you are providing feedback about. A poorly organized presentation versus not showing up for rounds are different. There is no way to start with anything positive with the latter. #AskASN

set goals at the beginning, tell them we are doing this together, tell them when things go wrong and make new goals and plans. That way you are acting as a coach. #AskASN

I remember criticism from my favorite attendings, they made me a better person. I considered them a role model and knew they meant well. #AskASN

R2C2 is another way of putting it, Relationship, Reaction to feedback, Content of feedback and Coaching. #askASN

We do collective evaluation of both fellows and faculty as well. I specifically ask the fellows to provide comments and to only include comments that majority agreed with. #askASN

A4: I send an email in advance describing my expectations to get that out of the way. On the first of rotation day we introduce ourselves and have a friendly conversation for a few minutes. #AskASN

Gain their trust, show you are there to help and make sure they learn and reach their goals. #askASN

For large classroom teaching, I am a huge fan of Team-Based Learning. It's magical! #askASN

10 questions are done individually, then in small groups (we do 6 - 9). then we do an application exercise. Questions have to be relatively tough to create discussions. #AskASN

I have one where the individual score average is about 65% and the group average goes up to over 90%. Then they work on some cases in groups and post their answers simultaneously. I stay quiet and enjoy the conversations. #askASN

audience response helps me figure out if I need to spend any time on the topic or quickly move to the next. Very helpful. #askASN

I do intern morning report and try to make it fun. We look at the electrolytes before we hear the whole history and move backwards. The we guess things right, it is a big oh and ah. They love the session, but I don't know if they are going to become nephrologists. #askASN

I thinke we should do what IM did, separate hospital medicine and outpatient nephrologye. But that is not a topic for this group. #askASN

Yes, this was fun and educational for me. Any feedback? #askASN

Hope to see you in DC. #askASN

Start Your Career In Nephrology at the University of Virginia #IMresidents #womeninmedicine UVA Nephrology Renal Fellow Network UVA Department of Medicine vimeo.com/439216321