1. “The journey from student to colleague”
RESIDENT ADVISING
“The journey from student to colleague”
Lisa Johnson, MD
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 Explore challenges
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)
Most important part?

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
Easy if you have a proactive resident who knows where they’re headed

14. Polling questions III

15. Faculty must have clear performance standards for Promotion and 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 Milestones ACGME 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

17. Family Medicine Milestones ACGME 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.

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!