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RESIDENT ADVISING

This article discusses the role of resident advisors in facilitating the professional growth of residents and helping them become independent family physicians. It covers topics such as job description, challenges, program structure, ILPs, and milestones.

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RESIDENT ADVISING

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  1. RESIDENT ADVISING “The journey from student to colleague” Lisa Johnson, MD lisa.johnson@providence.org Providence St. Peter Family Medicine March 2013

  2. The Advisor’s GOAL To assist all residents to facilitate professional growth and achieve competency as independent family physicians by the conclusion of their training

  3. Objectives • To outline a job description for resident advisors • Explore challenges • Examine how your programs structure advising • Discuss ILP’s and Milestones

  4. Polling question 1

  5. Advising Residents- The J.D. • Resident advocate and guide through the program • Help with education planning to achieve resident promotion/graduation • Liaison between Faculty and the Resident • Assist with problem-solving

  6. What makes a good advisor? • Approachable and supportive • Gives feedback well • Knowledgeable about resources • Able to coach problem-solving and decision-making • Helps advisee create a vision of themselves and where they are going (life-long learning) • Keeps boundaries

  7. What it is NOT, necessarily • BFF • Drinking Buddy • Secretary • Parent • Intimidator • Therapist/ Counselor • Mentor

  8. Advising needs depend on resident’s developmental needs • R1- Establishing new relationships, new city • Professional and family role changes • Feeling overwhelmed • R2- Transition from learner to supervisor • Balancing new autonomy with seeking help • Establishing mentor relationships • R3- Leadership and career planning • Developing comfort with independence • Junior partner in the practice

  9. Advising Residents-How do YOU do it? Polling questions II

  10. Advisor Meeting Agenda • Social Check-in • Resident Self-Assessment • Career Goals • Recent /Future Rotations- issues/ concerns/goals • Clinical Practice- how is it going? • Evaluations Review • In-Training Exam- preparation/score • Procedure log/ New Innovations • Other Promotion/Graduation Requirements • Resident Individual Education Plan (ILP)

  11. Giving Feedback and Coaching

  12. Giving Feedback & Coaching • ASK/TELL/ASK technique • Shannon Waterman’s presentation • MOTIVATIONAL interviewing for a specific issue • Assess commitment to behavior change, pros & cons • Explore barriers and readiness • Summarize what you hear • Assist in developing a specific plan • Schedule follow-up

  13. The Individual Learning Plan • Plan is based on resident and advisor assessment & goals • Must be written at least twice /year • Most effective if it includes resident input • Helps tailor the training to individual career goals • Identifies and solves problems early

  14. Polling questions III

  15. Faculty must have clear performance standards for Promotionand Graduation • What 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 poor • etc, etc… • Milestones will help!

  16. Family Medicine MilestonesACGME Plan • Each Residency will have a Clinical Competency Committee (CCC) • CCC should include faculty only • CCC should have at least 3 faculty members • CCC should include faculty who are active in evaluation of the residents • www.acgme-nas.org/milestones.html

  17. 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

  18. The Resident in Difficulty • What is the advisor’s role? • It can get muddy and muddled • “Coach” role is ideal- tune in May 8!

  19. Advisor’s Role in Remediation or Due Process • You will be the advisee’s advocate • Involved in setting up the process • Monitoring & writing reports • Keeping PD and faculty informed • Helping the resident stay positive

  20. The Rewards of being an Advisor are Many Forming good relationships with residents Participating in advisees’ growth and development Learning to give feedback Working through academic problems Developing the new Milestones systems Seeing your advisee become a family doctor!

  21. “The journey from student to colleague” • Key Points: • Advisors are important to resident success • Avoid role confusion, maintain boundaries • As a program, develop a clear advising & evaluation system • Work closely with your advisee in good times and bad!

  22. Thank you and best wishes on the journey!

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