Incorporating Your Advising Program Into Your Curriculum: The Best of Both Worlds! Eva Bading, M.D., FAAFP Assoc. Prof. & Chair, Family Medicine Aaron Michelfelder, M.D, FAAFP Assoc. Professor & Vice Chair, Family Medicine Keith Muccino, S.J., M.D. Assist. Dean Education, Assist. Prof. Medicine (IM, EM) Anthony Mrgudich, M4 Member, Students Advising Students Amy Blair, M.D. Assistant Professor of Family Medicine

Introductions Aaron Michelfelder, M.D. - Moderator First Year Clinical Skills Course Director Curriculum Committee Chair Keith Muccino, S.J., M.D. - Presenter Education Program Assistant Dean Advising Program Director Anthony Mrgudich, M4 - Presenter Loyola Student (for only 1 more month)

Objectives By the end of this presentation participants will be able to: Understand one model of how to “curricularize” a medical school advisor program Identify barriers and benefits of making advisor program part of the curriculum at own institution Bring back ideas and collective wisdom from the session to consider making a change to own advisor program

Goals of Advising Program Academic Advising Career Counseling Personal Counseling

Prior System (SSOM) 560 students (total 4 years) 56 Advisors (all departments, levels of ability) Each advisor responsible ~10 students each ---------------------------------------------------------------- Faculty development activities Web page resource Handbook

Prior System - Challenges Variability in student need/timing for advising Variability in faculty ability/availability Attrition/Finding Replacements Confusion with other “mentor” programs Limited career counseling system Advisors not attuned to students’ curricular experience

Rethinking Advising System Maintain three objectives Optimize infrastructure Target best faculty Assure necessary and timely contact Connect with curriculum

Patient Centered Medicine Three yr. course curriculum Didactic component Facilitated small groups Regular meeting times

PCM III PCM I ADVISOR SYSTEM Year I Year II Year III Year IV Small-group Facilitators = Advisors Year I Year II Year III Year IV Settle In Academic progress Self-awareness Career exploration 3rd Yr Track Choices Boards Step I Choosing a Specialty 4th Yr Schedule Planning Apply Interview Rank Match

PCM – Advising Program Strengths: Small group facilitators = advisors Assign best faculty Don’t grade students. No COI Observe advisees’ performance Delivery of advising content Deliver career counseling content Faculty development part of course development Allows peer input

PCM – Advising Program Future goals & considerations: Select best faculty as facilitators Each class complete designated CiM activities Expand Specialty Exploration panels Tap Alumni Association Members Should advisors receive/access transcripts? What do students think, need?

Advising – Career Counseling Careers in Medicine

Careers in Medicine Navigating the Match Understanding Yourself Exploring Your Options Choosing a Specialty Navigating the Match

Career Counseling Year 1 Year 2 Year 3 Year 4 Complete MBTI during M1 orientation Introduce CIM in PCM1 (December); Discuss importance of personal profile and periodic review Facilitator led session “understanding yourself” using CIM workshop on Interests /Values Complete MSPI Review personal profile with advisor(s) Discuss Summer Options Year 2 Reflection & follow up with advisors on summer experiences Research into specialties Present 3 choices in small group discussion Specialty information sessions Plan 3rd year track schedule Step 1 prep & Exam Year 3 Choosing My Specialty - discuss w/PCM3 small group Review personal profile w advisor 4th year schedule & elective planning Year 4 Navigating the MATCH PROGRAM Career Counseling

Advising Made Easy Part of Curriculum with small- group infrastructure & assigned faculty Advisors prompted & developed through course schedule and system

Student Perspective Anthony Mrgudich, M4 - Students Advising Students Member

Student Perspective ?

Students Advising Students (SAS) (Peer Advising) Mission Statement: Students Advising Students (SAS) is an organization that was designed to provide knowledge and advice about pertinent topics faced by medical students. SAS consists of a group of third and fourth year medical students whose role is to serve as a source of information for other SSOM students.

Students Advising Students (SAS) Presentations: Time Management Preparation for 2nd year Panels: Anatomy Panel Step I Panel Post-Match Panel Other: PCM I small groups Book Sale Crash Course Surveys Website

Surgery General Surgery Daily/Progress Note—MS III Patient Name MR Number DOB Date Time General Surgery Daily/Progress Note—MS III S: 24 hour events… the nurses’ observations may be helpful. Pt. subjective assessment of N/V/F/C, pain, wound, SOB, bowel activity, all per the patient. O: Vitals: Tmax / Tcurrent / bp / hr / resp / O2 sats/accucheck Vent settings: I/O: last 8hr- ‘in” (PO, IV)/ “outs” (urine, stool) previous 24hr- ‘in” (PO, IV)/ “outs” (urine, stool) Labs: Meds: Exam: GEN: HEENT: CV: PULM: ABD: EXT: NEURO: WOUND: LINES: A/P: __ y/o male/female with PMHx of ___ now with ______ (name the problem) s/p (status-post name the type of surgery performed) _____, post-op day ___ (the day of the operation is post-op day 0). 1.       CV 2.       HEME 3.       PULM 4.       GI 5.       RENAL 6.       WOUND 7.       ID 8.       NEURO/PSYCH 9.       FEN (fluids/electrolytes/nutrition) 10. Disposition Surgery Op Note: Look in your pocket. There should be a Maxwell’s in there. Follow the format given to you.   Things to Know: Surgeons are to the point—they want no more and no less info than is needed to take care of the Pt. PATs are pre-op physical exams performed in the Surgical Admitting Center: be thorough and quick. Your job will often consist only of retracting and cutting sutures. Become adept with steady hands. Practice your knots so you can be a star when you get to suture something. Always carry an energy bar or food in your lab coat pocket (a different pocket from your hemoccult supplies). Pee BEFORE going to the OR. It is bad form to scrub out routinely for bathroom breaks. It is always better to ask before touching/doing anything if you are not sure! Divide up the cases the day before they are scheduled. You should know about the case and the patient before you get to the OR. Always be in the OR waiting and ready when the attending arrives. Take advantage of procedure opportunities! No matter how much you are scolded and how tired you may be, remain a human being. That way you will still have friends after surgery. Books: Surgery Recall (for answers to everyday pimp questions) or Advanced Surgery Recall (for aspiring surgeons) Surgical Attending Rounds (helpful when studying for oral exams) Principles of Surgery, Greenfield (to look up specifics) List by problem for floor patients. List systems for ICU/MICU patients. Be concise and direct. Do not say “consider” or “suggest” List each problem and your plan to “fix” it.

SAS Future Projects Summarize / Organize tips for using EPIC Create presentations regarding common medical illnesses

Advising Web Resources Advising Web Page Students Advising Students Web Page

Discussion What challenges do you face? What are your thoughts on our program? Should Advisors have their students grades? Any ideas to share with the group? Questions to ask of us or the group?

Thanks!