Moving to 3-week micro-rotations

Has anyone piloted a med-surg redesign using 3-week micro-rotations anchored by weekly simulation cases and low-stakes retrieval practice? I’m mapping NGN competencies to modular outcomes with H5P checks and a 12-station OSCE, and I’d love insight on pacing and securing clinical faculty buy-in without bloating prep time.

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We’ve been asking clients to text a 10–15 sec “cough video” before they arrive; it’s sped up triage and kept the really honking cases curbside. For DR thorax, I agree grids can help, but tight collimation and a true inspiratory right lateral have improved detail more for us — like wiping fog off a camera lens. @egray12 minor caveat: holiday candles/air fresheners seem to flare post-boarding tracheitis, so I tell owners to do a 48‑hour unscented zone at home.

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Try a 3–2–1 cadence: three core skills, two variations, one escalation across the three weeks, reusing one anchor case and pulling H5P checks from a shared 20‑item bank; buy‑in jumped when we gave faculty a one‑page ‘case kit’ (facilitation notes + checklist) and capped the pre‑brief at 15 minutes — like meal prep for sims. Would mapping each week to one NGN decision level and a single OSCE station keep prep from ballooning on your end?

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We got buy-in by hard‑capping prep at 45 minutes/week and issuing a one‑page “sim script” (case spine, vitals ranges, NGN prompts) drawn from a central H5P bank (e.g., Quiz (Question Set) | H5P), then we stopwatch‑tracked the pilot and shared the time saved. For pacing, keep the Week 1 case stable and only escalate cues across Weeks 2–3 — it’s meal‑prepping your sims. Would @OP’s LMS let you auto‑clone the H5P checks per cohort so faculty only tweak distractors?

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