“the journey from student to colleague” lisa johnson, md lisa.johnson@providence.org providence...

“The journey from student to colleague”

Lisa Johnson, MDlisa.johnson@providence.orgProvidence St. Peter Family

MedicineMarch 2013

To assist all residents tofacilitate professional growth and achieve competency as independent family physicians by the conclusion of their training

Objectives

To outline a job description for resident advisors

Explore challengesExamine how your programs

structure advising Discuss ILP’s and Milestones

Polling question 1

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

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

What it is NOT, necessarilyBFFDrinking BuddySecretaryParentIntimidatorTherapist/ CounselorMentor

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

Advising Residents-How do YOU do it?

Polling questions II

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)

Giving Feedback and Coaching

Giving Feedback & Coaching

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

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!

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

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

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 advocateInvolved in setting up the processMonitoring & writing reportsKeeping PD and faculty informedHelping the resident stay positive

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!

“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!