1. Miles to Go Before We Sleep: Behavioral Science Educators’ Role in Milestone Feedback and Evaluation Katherine Buck, Ph.D., LMFT Director of Behavioral Science John Peter Smith Family Medicine Residency Fort Worth, TX Alex Reed, PsyD, MPH Director of Behavioral Science Education University of Colorado Family Medicine Residency Denver, CO

2. John Peter Smith Family Medicine Residency

3. CU – Family Medicine Residency Program

4. Coconsultation - The CU Model “Why” coconsult? Discussing each person’s role Agenda Setting May need RENEGOTIATION Agree on roles, plan for coconsult Open Ended Questions Address Goals of Visit Diagnosis Intervention Follow up Planning Teachback All involved! Tie back to original goal

5. Coconsultation & the Milestones Preplan. Be intentional. Document, document, document Common Hits – PC2, PC3, PC4 – MK2 – SBP1, SBP2, SBP3, SBP4 – PROF2, PROF3 – C1, C2, C3, C4

6. Well, what about some of the others? There may be ways for us to contribute to less commonly considered milestones PC-5 – Why are they not seeking out surgical procedures? Problems with consenting? Communication? PBLI2 – How do we teach residents to incorporate feedback, especially early on?

7. BH Didactics or Experiences B & B Case Based Didactics Care Team Physician Wellness Video Review Milestones Covered PC-3, PC-4, MK-2, PC-3, PC-4, SBP-4, C-3 PROF-4 PC-2, PC-3, PROF-3, C-1, C- 2,

8. Summative Feedback (aka CCC)

9. Summative Feedback – What’s been formative for us? Comment on Process – Operationalization – Martial – Gestalt vs Evidence Some people have specific areas – Community medicine, EBM Poor documentation = Gestalt wins

10. Milestones – Key Roles for BS Documentation, Documentation, Documentation – Teaching faculty – Operationalize small bites Champion milestones Observing precepting across preceptors!

11. Let’s Practice Giving +’s and ∆’s

12. +’s and ∆’s +’s ∆’s You are great at growing a moustache! You look great without a moustache!

13. Field Note #1 Good job on the visit. Communication was effective and the visit was efficient. Overall, strong work!