In this episode, I talk about my framework for teaching/coaching trainees in bite sized pieces when you’re busy. This works for psychiatry but also for any medical specialty.

I introduce a simple five-step framework I use when listening to trainees give case presentations — the LETTER mnemonic (Listen, Explore, Test, Teach, Encourage/Reinforce). It’s designed to help attendings and senior residents teach efficiently in small moments throughout the day, while strengthening learners’ clinical reasoning, risk assessment skills, and medical knowledge.

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