1/ #MedEdMethodsMonday this wk is on DEEP LISTENING.

2020 has been full of challenges & events revealing the divisiveness in our world.

#MedTwitter, as leaders in #MedEd we must practice to listen deeply to pts, colleagues, & learners.

What do I mean by “deep listening?”

2/ Good Listener, redefined

I’ve always thought I was a good listener. My friends and patients often told me so.

Then I took a leadership class @YaleSOM this spring for my #MedEd Masters & https://abs.twimg.com/emoji/v2/... draggable="false" alt="🤯" title="Exploding head" aria-label="Emoji: Exploding head">

Have you heard of the 3 levels of listening??

3/ Listening Levels
I never heard of levels of listening until my class when we were discussing #coaching.

The authors of “Coactive Coaching” describe 3 levels of listening. http://tiny.cc/CoActiveCoaching

1.">https://tiny.cc/CoActiveC... Internal listening
2. Focused listening
3. Global listening

4/ Level 1 - Internal Listening

As an introvert, and as an early learner in medical school, I was often stuck in level 1 listening-worried about what I might say & how I was being perceived.

I was listening to speak & not listening very well.

5/ Internal Listening

If you’ve ever forgotten someone’s name seconds after asking like I have, that was probably level 1 listening.

Another example paraphrased from the Coactive Coaching book:

6/ Level 2-Focused Listening aka listening to hear

I find I am in this level with peers, friends/family. I’m actively hearing the words they are speaking. But not 100% there to catch the deeper subtleties.

7/ Focused Listening

Hear is the same example conversation at level 2 listening

8/ Level 3-Global Listening

If I’m honest, my level 3 listening had unconsciously been reserved for my patients.

In level 3, I am:
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🦻🏼" title="Ear with hearing aid (medium light skin tone)" aria-label="Emoji: Ear with hearing aid (medium light skin tone)"> seeking to understand
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🦻🏼" title="Ear with hearing aid (medium light skin tone)" aria-label="Emoji: Ear with hearing aid (medium light skin tone)"> reading emotion & nonverbal cues
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🦻🏼" title="Ear with hearing aid (medium light skin tone)" aria-label="Emoji: Ear with hearing aid (medium light skin tone)"> actively trying to read between the lines

9/ Global Listening

Level 3 takes active mental energy. It also means being emotionally present.

Take the prior sample conversation, now in level 3:

10/ Level 3 listening takes INTENTIONAL PRACTICE.

But, it helps the listener
https://abs.twimg.com/emoji/v2/... draggable="false" alt="⚡️" title="High voltage sign" aria-label="Emoji: High voltage sign"> understand WHY
https://abs.twimg.com/emoji/v2/... draggable="false" alt="⚡️" title="High voltage sign" aria-label="Emoji: High voltage sign"> avoid assumptions
https://abs.twimg.com/emoji/v2/... draggable="false" alt="⚡️" title="High voltage sign" aria-label="Emoji: High voltage sign"> build deeper relationships
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🔥" title="Fire" aria-label="Emoji: Fire"> be a more effective leader

11/ At what level do you think you most often listen?

12/ To get to level 3:

https://abs.twimg.com/emoji/v2/... draggable="false" alt="⚡️" title="High voltage sign" aria-label="Emoji: High voltage sign"> Quiet the internal voice when others are speaking
https://abs.twimg.com/emoji/v2/... draggable="false" alt="⚡️" title="High voltage sign" aria-label="Emoji: High voltage sign"> Allowhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="⏱" title="Stopwatch" aria-label="Emoji: Stopwatch">for reflection. “Let me think about that for a sec.”
https://abs.twimg.com/emoji/v2/... draggable="false" alt="⚡️" title="High voltage sign" aria-label="Emoji: High voltage sign"> Summarize & reflect what you hear
https://abs.twimg.com/emoji/v2/... draggable="false" alt="⚡️" title="High voltage sign" aria-label="Emoji: High voltage sign"> Read & name emotions. “You sound xxx”
https://abs.twimg.com/emoji/v2/... draggable="false" alt="⚡️" title="High voltage sign" aria-label="Emoji: High voltage sign"> Ask yourself WHY some1 says something
https://abs.twimg.com/emoji/v2/... draggable="false" alt="⚡️" title="High voltage sign" aria-label="Emoji: High voltage sign">”Tell me more...”

13/ Read more about the 3 levels of listening @ https://tinyurl.com/3LevelsListening">https://tinyurl.com/3LevelsLi... & from this Coactive Coaching chapter:
http://tiny.cc/CoActiveListen .

Shoutout">https://tiny.cc/CoActiveL... @sdotarora, my wonderful leadership coach who is helping me with my own job transition this summer!

End/

Please share any resources that you have found helpful to improve your own listening skills.

Did you learn anything from this #tweetorial about deep listening or how you personally listen?

#MedEdPearls #FacDev #PhysicianLeadership @ELAMProgram @DunneDana @thilanMD @aoglasser @JenniferSpicer4 @JonLimMD @gradydoctor @ETSshow @DoubleDawgMD @rabihmgeha @DxRxEdu @abbyCCim @buckeye_sanjay @rav7ks