“the journey from student to colleague” lisa johnson, md [email protected] providence...
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“The journey from student to colleague”
Lisa Johnson, [email protected] St. Peter Family
MedicineMarch 2013
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To assist all residents tofacilitate professional growth and achieve competency as independent family physicians by the conclusion of their training
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Objectives
To outline a job description for resident advisors
Explore challengesExamine how your programs
structure advising Discuss ILP’s and Milestones
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Polling question 1
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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
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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
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What it is NOT, necessarilyBFFDrinking BuddySecretaryParentIntimidatorTherapist/ CounselorMentor
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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
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Advising Residents-How do YOU do it?
Polling questions II
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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)
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Giving Feedback and Coaching
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Giving Feedback & Coaching
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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
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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!
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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
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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
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The Resident in Difficulty
What is the advisor’s role?It can get muddy and muddled“Coach” role is ideal- tune in May 8!
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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
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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!
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“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!
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