1. 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

2. 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)

3. 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

4. Goals of Advising Program
Academic Advising
Career Counseling
Personal Counseling

5. 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

6. 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

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

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

9. 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

10. 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

11. 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?

12. Advising – Career Counseling
Careers in Medicine

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

14. 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

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

16. Student Perspective
Anthony Mrgudich, M4 - Students Advising Students Member

17. Student Perspective ?

18. 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.

19. 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

20. 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)
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.

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

22. Advising Web Resources
Advising Web Page
Students Advising Students Web Page

24. 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?

25. Thanks!