The journey from student to colleague

Lisa Johnson, MDlisa.johnson@providence.orgProvidence 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

ObjectivesTo outline a job description for resident advisorsExplore challengesExamine how your programs structure advising Discuss ILPs and Milestones

Polling question 1

Advising Residents- The J.D.Resident advocate and guide through the programHelp with education planning to achieve resident promotion/graduationLiaison between Faculty and the ResidentAssist 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 residents developmental needsR1- Establishing new relationships, new cityProfessional and family role changesFeeling overwhelmedR2- Transition from learner to supervisorBalancing new autonomy with seeking helpEstablishing mentor relationshipsR3- 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 isnt completed?the IT Exam score is low?charts arent 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 residents progress in each competency and enter assessments on the milestones reporting form for each resident twice a yearThe program will provide feedback to each resident regarding their progress in each milestone.www.acgme-nas.org/milestones.html

The Resident in DifficultyWhat is the advisors role?It can get muddy and muddledCoach role is ideal- tune in May 8!

Advisors Role in Remediation or Due Process You will be the advisees 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!

***Most important part?*Easy if you have a proactive resident who knows where theyre headed*