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

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

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

Polling question 1

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

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

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

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

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

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?

Giving Feedback and Coaching

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

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

Polling questions III

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!

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 www.acgme-nas.org/milestones.html

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. www.acgme-nas.org/milestones.html

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

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

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!

“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!

Thank you and best wishes on the journey!