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“The journey from student to colleague”
Lisa Johnson, [email protected] St. Peter Family
MedicineMarch 2013
To assist all residents tofacilitate professional growth and achieve competency as independent family physicians by the conclusion of their training
Objectives
To outline a job description for resident advisors
Explore challengesExamine how your programs
structure advising Discuss ILP’s and Milestones
Polling question 1
Advising Residents- The J.D.Resident advocate and guide
through the programHelp with education planning to
achieve resident promotion/graduation
Liaison between Faculty and the Resident
Assist with problem-solving
What makes a good advisor? Approachable and supportiveGives feedback wellKnowledgeable about resourcesAble to coach problem-solving and
decision-makingHelps advisee create a vision of
themselves and where they are going (life-long learning)
Keeps boundaries
What it is NOT, necessarilyBFFDrinking BuddySecretaryParentIntimidatorTherapist/ CounselorMentor
Advising needs depend on resident’s developmental needs
R1- Establishing new relationships, new cityProfessional and family role changesFeeling overwhelmed
R2- Transition from learner to supervisorBalancing new autonomy with seeking helpEstablishing mentor relationships
R3- Leadership and career planningDeveloping comfort with independenceJunior partner in the practice
Advising Residents-How do YOU do it?
Polling questions II
Advisor Meeting AgendaSocial Check-inResident Self-AssessmentCareer GoalsRecent /Future Rotations- issues/ concerns/goalsClinical Practice- how is it going?Evaluations ReviewIn-Training Exam- preparation/scoreProcedure log/ New InnovationsOther Promotion/Graduation RequirementsResident Individual Education Plan (ILP)
Giving Feedback and Coaching
Giving Feedback & Coaching
The Individual Learning PlanPlan is based on resident and advisor
assessment & goalsMust be written at least twice /yearMost effective if it includes resident inputHelps tailor the training to individual
career goalsIdentifies and solves problems early
Faculty must have clear performance standards for
Promotion and GraduationWhat happens when:a rotation is marginal or not passed?an activity/project isn’t completed?the IT Exam score is low?charts aren’t completed on time?attendance is pooretc, etc…
Milestones will help!
Family Medicine MilestonesACGME Plan
Each Residency will have a Clinical Competency Committee (CCC)
CCC should include faculty onlyCCC should have at least 3 faculty
membersCCC should include faculty who are
active in evaluation of the residentswww.acgme-nas.org/milestones.html
Family Medicine MilestonesACGME Plan
CCC will review each resident’s progress in each competency and enter assessments on the milestones reporting form for each resident twice a year
The program will provide feedback to each resident regarding their progress in each milestone.
www.acgme-nas.org/milestones.html
The Resident in Difficulty
What is the advisor’s role?It can get muddy and muddled“Coach” role is ideal- tune in May 8!
Advisor’s Role in Remediation or Due Process
You will be the advisee’s advocateInvolved in setting up the processMonitoring & writing reportsKeeping PD and faculty informedHelping the resident stay positive
Forming good relationships with residentsParticipating in advisees’ growth and developmentLearning to give feedbackWorking through academic problemsDeveloping the new Milestones systemsSeeing your advisee become a family doctor!
“The journey from student to colleague”
Key Points:Advisors are important to resident
successAvoid role confusion, maintain
boundariesAs a program, develop a clear
advising & evaluation systemWork closely with your advisee in good times and bad!
