Faculty Resources

Resident Advisor 

Individualized Learning Plans Worksheet 

Faculty Guide: Being an Advisor 

Coaching Worksheet 

Test Taking Resources 

Fatigue Management 

Growth Mindset Resources: 

• Growth Mindset Graphic 

• Microsoft: Instilling a Growth Mindset  

• Mindset by Carol Dweck

• 12 Tips to promote a feedback culture with a growth mindset: Swinging the feedback pendulum from recipes to relationships

The Doctor's Art : “The Doctor's Art" is a weekly podcast that explores what makes medicine meaningful, featuring profiles and stories from clinicians, patients, educators, leaders, and others working in healthcare.

Below, you will find below a guide with suggested topics to review with your advisee based on their level of training.

ALL MEETINGS

( ) Upcoming rotations and learning goals (Individualized Learning Plans Worksheet )

( ) Personal wellbeing 

( ) Relationships with colleagues, patients/families 

( ) Time management and efficiency

( ) Inbasket management 

( ) Address/support for any concerns/areas for growth brought up by CCC 

( ) Review ITE exam scores + discuss longitudinal study plan, resources:

• Index of learning styles: https://www.webtools.ncsu.edu/learningstyles/

• ABFM recommends studying for 1 hour sessions x 36 hours total (more effective than 6 hour sessions x 6 which is less fruitful and inefficient)

• Review old ITE exam results

EARLY PGY-1

( ) Review role of advisor and expectations for advisor-advisee relationship 

( ) Provide contact information for how/when they can reach you outside of meetings

( ) Discuss confidentiality of issues brought up (seek permission to share any information with CCC)

( ) Specifics of inbasket management

LATE PGY-1

( ) Senior/PGY-2 readiness: leadership skill development 

( ) Review ITE exam scores + discuss longitudinal study plan (resources, test-taking resources )

EARLY PGY-2

( ) Plan for Step 3 + test taking support if needed (review past ITE scores, reach out to PD/APD if needs additional test taking support; all residents have access to learning specialist from CERE)

( ) Elective planning

LATE PGY-2

( ) Elective planning

( ) Career goals

( ) Fellowship application requirements and deadlines, letters of recommendations, etc

( ) Scholary Projects

( ) CV Review 

EARLY PGY-3

( ) Elective planning

( ) Career goals 

( ) Fellowship application requirements and deadlines, letters of recommendations, etc

( ) R3P project progress 

( ) Taking boards (need to register by fall (~Oct), ABFM modules must be completed prior to registering!)

LATE PGY-3

( ) Career goals

( ) Job search Questions for Potential Employers

Core EPAs for Entering Residency 

ACGME Milestones: Family Medicine 

ACGME Milestones: Supplemental Guide with Examples 

Podcast we listened to: https://thecurbsiders.com/teach-podcast/39-live-from-aimw24-artificial-intelligence-in-health-professions-education 

Podcast, Using GPT to build a FM curriculum: Episode 10 - by Karim Hanna, MD - AI+MedEd (substack.com)

CU’s AI policy: Generative AI Policy | Office of the Provost (columbia.edu) 

Articles: 

• Exploring the Applications of ChatGPT in Family Medicine Education: Five Innovative Ways for Faculty Integration (stfm.org) 

• The Hazards of Using chatGPT 

• Competencies for the Use of Artificial Intelligence in Primary Care

Point of Care Resources 

Can be accessed from any hospital computer:

• Dynamed (more frequently updated than Uptodate with less pharmaceutical company support, and less expert opinion narratives). Also has an app. (FREE via Columbia Libraries) 

• Stat Pearls: brief refiew articles for general review of topics 

• AFP Articles for bread and butter family medicine topics 

• CDC website: any question related to ID 

• USPSTF for preventative care recommendations 

• ACOG articles for prenatal care 

• UptoDate is very easy to access, and tracks time reading articles for CME credit. Also has an app.

• Visual dx: “web-based clinical decision support system proven to enhance diagnostic accuracy, aid therapeutic decisions”

• PEPID: focuses on primary care, and cites evidence for recommendations from FPIN.  It has useful calculators, pill identifiers, and a lab test reference tool. “I find it to be more concise than Up to Date”.  ($299 per year)

• Choosing Wisely from ABIM app and website:  “helping choose care that is supported by evidence, not duplicative of other tests or procedures already received, free from harm, and truly necessary”.  Also has an app.

Point of care apps

General:

• Diagnosaurus:   “quick-reference tool helps healthcare professionals perform differential diagnosis with speed and confidence at the point of care”

  • • • free through columbia ACCESS library along with many other resources/text books: http://www.columbia.edu/cgi-bin/cul/resolve?clio14974278

      • APP costs ~$5

• AHRQ EPS  for prevention guidelines https://epss.ahrq.gov/PDA/index.jsp

• Shots immunization app  https://www.aafp.org/patient-care/public-health/immunizations/shots-app.html

• Aspirin Guide app http://www.aspiringuide.com/nav/1 (these guidelines are changing!)

• Memorial Sloan Kettering’s About Herbs app and website for looking up herbs https://www.mskcc.org/cancer-care/diagnosis-treatment/symptom-management/integrative-medicine/herbs/herbs-botanicals-other-products-faqs

• Good Rx https://www.goodrx.com/ helps find affordable meds for uninsured pts

• MDCalc 

• Epocrates 

• Medscape 

Women’s Health:

• OB Dating wheel (many options)

• Contraception Point of Care app   https://www.reproductiveaccess.org/home/contraception-point-of-care-app/

• CDCs medical eligibility for contraception app

• ASCCP ($10) http://www.asccp.org/asccp-guidelines

• Lactmed: meds in breastfeeding: https://toxnet.nlm.nih.gov/newtoxnet/lactmed.htm 

• Urgent OB by Brancel

Podcasts

PRIMARY CARE:

• AAFP podcast (free) The AFP Podcast is a discussion of the key evidence-based learning points from each issue of American Family Physician (AFP).

• Primary Care RAP by Hippo Entertainment   https://www.hippoed.com/pc/rap/ is entertaining and relevant, 3 hour monthly podcasts, CME offered, ($395/yr or $95/yr for residents, 1 hr/month free)

• Review of Systems (free):  the podcast of the Harvard Center for Primary Care  and “covers a broad range of  topics in primary care and health care transformation.”

INTERNAL MEDICINE

• Curbsiders Internal Medicine (free):  an Internal Medicine Podcast featuring three board-certified Internists as they interview (“curbside”) the experts to provide listeners with clinical pearls and practice-changing knowledge.

• Louisville  Lectures: from the University of Louisville School of Medicine, focuses on Hospitalist and Internal Medicine

• Core IM Podcast: "Your source for digestible internal medicine content"

OB/GYN

• Green Journal podcast published by  Obstetrics & Gynecology (the Green Journal), the official publication of the ACOG

PEDIATRICS

• PediaCast CME - a pediatrics podcast from Nationwide Children's Hospital in Ohio

• Peds Soup - Core topics in pediatrics

OTHER

• Greyscale:  “takes a look at the not-so-clear areas of medicine by sharing physicians' own difficult encounters”. Produced by a faculty member at Swedish First Hill Family Medicine Residency.

• Sickboy Podcast is about managing and humanizing chronic disease.  In the words of the creators: “hilarious, ridiculously insightful and absolutely determined to break down the stigma associated with illness and disease”

• Explore the Space - "Examining the interface between healthcare & society, with thought leaders from across the spectrum"

• St. Emlyn's Virtual Hospital podcast - topics in emergency and critical care

Life Long Learning

• NEJM Journal Watch (subscription) reviews over 250 scientific and medical journals to present important clinical research findings and insightful commentary.  Has a general medicine version, plus many specialties.   Published twice a month and includes optional email updates and CME.

• Medical Letter on Drugs and Therapeutics (subscription):  monthly summaries of new medications, presents evidence on comparative efficacy and price with existing agents, also reviews all medications for various conditions on a regular basis.

• Essential Evidence Plus (the people that do POEMs) which is a daily critical analysis of an article or guideline using standard analysis techniques. These analyses tend to be primary care oriented. It costs around $85 per year for an individual. 

• Family Medicine Study Guide ($13.99) non-profit portable curriculum that includes 75 original case studies, 363 short answer questions, 150 rapid fire questions, 50 "Quick Pix" dermatology cases with 152 related questions and 2hrs 26mins 56 secs of Mini-Podcasts to help motivate, guide and assist you in your studying.

• 2-minute medicine (free): quick summaries of the latest studies. They provide a few line summary with a longer version if you click the links. 2 min medicine sends daily emails.

Test Prep

•  AAFP family medicine practice boards questions. It is free for members: https://www.aafp.org/cme/cme-topic/all/bd-review-questions.html

Direct Observation Form 

Goal: Create a feedback/coaching process for outpatient preceptors at our program.

Competencies:

Clinical Teaching Competencies 

Milestone-Based Tool for Learner Evaluation of Faculty Clinical Teaching 

ACGME Clinician Educator Milestones 

ACGME Clinician Educator Supplemental Guide 

Article on limitations of learner evaluations: Necessary But Insufficient and Possibly Counterproductive: The Complex Problem of Teaching Evaluations 

Slides  from faculty meeting that contains STFM, MedEd Portal competencies and current resident evaluation form.

Six Common Pitfalls of Feedback Conversations 

5 Microskills 

+/delta card technique for feedback 

Resources from 1/4/24 Faculty Development Session on Effective Feedback Practices

• Slides from ACGME course on Feedback: Feedback_moutsios_acgme_on-line_90_nov_4_2022.pptx

• Webinar we watched: On front/home page of your Medhub (2nd column from left), you have a section called "Resources/Document" --> Click on 2021 NYPH GME Educator Development  Series--> find:  

  • 1. • Giving Effective Feedback Part 1 [Kristin M Burkart, MD, MSc]

• Keep in mind biases (we won't get into this too much but good to be aware for our group): 

6. 1. 1. not much data on gender in FM but in EM and Surgery residencies: 

         • Gender Bias in Feedback/Evaluations: https://www.ohsu.edu/school-of-medicine/family-medicine/capstone-projects (Click Class of 2022--> Nikki Cairns)

           •  there are higher rates of remediation and attrition for women (systematic review shows significantly lower ratings for graduating females vs. male residents but limited info in FM

           • there are differences in content of feedback in: male preceptors-male residents and male preceptors-female residents; M-F resident-preceptor dyad contained highest proportion of communal adjectives (teamwork, collaboration) and lowest proportion of agentic (competency/leadership skills) adjective; 

           • females more likely to receive strong criticism or negative personality trait comments

           • females more likely to receive discordant feedback (one person says great job, another says stop don't do that); females more likely to receive discordant feedback in regards to confidence/autonomy and receptivity to feedback (in 44 residents evals studied, no discordance appeared for these factors in males)

           • gendered language (delightful, gem, smiling, empathetic) 

         • slight higher rates of remediation of URiM vs. non-URIM residents (15 vs. 11% in one study)

         • other biases: halo/horn effects, contrast effects, personal identification.

SOAP Approach to Problem Interactions

Lanolis JP, Thach S. Managing the difficult learning situation. Family Medicine 2000; 32(5):307-9.

• S: What do others say? Student self-assessment?

• O: What specific behaviors do you observe?

• A: Differential diagnoses to consider

  • Cognitive (information, learning problem)

  • Affective (anxiety, fear, anger)

  • Valuative (expectations, value of rotation)

  • Environment (orientation, available experiences)

  • Medical (illness, depression, substance abuse)

• P: Plan to get more information, intervene, or get help

Growth Mindset Resources:

• Mindset by Carol Dweck

• 12 Tips to promote a feedback culture with a growth mindset: Swinging the feedback pendulum from recipes to relationships

Faculty Individualized Learning Plan 

Overview of steps outlined in document:

• Step 1 - Complete Learning Needs Assessment

• Step 2 - Create Learning Objectives

• Step 3 - Identify your strategies/tools/resources

• Sept 4 - Evaluate your learning.  

AFP EBM ToolKit 

TUFTS Center for Information Mastery

• excellent resource for teaching information mastery 

• articles on how to look up answers to clinical questions

Levels of Evidence 

BMJ modules to learn basic statistical concepts and relevance to patient 

One Minute Preceptor 

Precepting in the Presence of the Patient (PIPP)  

SNAPPS Model for Precepting 

SNAPPS Model Example 

Test Taking and Longitudinal Studying Strategies ( evidence based strategies from CERE/GME)

Test Taking Skills_ Advisor Resources : slides from 4.2019, faculty development presentation by Drs. Softness and Paladine with high yield tips

ABFM Test Taking Prep Videos 

GENERAL TIPS and Best Practices for Board Study: 

1. DO NOT: 

   • Cram for boards: cramming for boards or use of crash board review courses have not shown to be effective strategies for studying.

     • board review courses are only valuable when taken far enough in advance to give learner a long term study plan.

   • Doing many board review questions or question banks are NOT effective unless you are targeting specific topics you did not perform as well on (most importantly reviewing explanations for missed questions to fill knowledge gaps)
     
     

2. DO: come up with a LONGITUDINAL studying strategy using practice based learning skills throughout your 3 years in residency:

A. Create a schedule

• calculate how many actual study dates you have (cross off any personal days off, rotations when you don't have time to study, personal events, doctors visits, etc--> then consider how many actual days you have left to study)

• plan to study harder/weaker topics earlier/first

• use smaller chunks of time frequently for studying, board questions, case studies, studying with partner, oral presentations, case recalls/chart reviews, etc

B. Study strategies

2. • • you have to identify the topics that need attention (practice exams, ITE results review, identify gaps)--> Review results of ITE content area analysis

     • high yield evidence based strategies: GME/CERE Presentation on Test Taking and Longitudinal Studying Strategies 

C. Use patient care times to study: 

2. • • use pre-charting and post-clinic note writing times to look up core topics and incorporate what you learn into patient care plans (e.g. AFP article on gout if you have patient who presents with gout) 

     • look up core practice guidelines for patients on FMIS and incorporate them into your medical decision making 

     • document your thought processes/medical decision making, and reference your notes (incorporating references into notes may help commit newly learned information to memory)

3. DO: review your score report closely

   • identify topics you did not perform well on and focus studying on filling those gaps (clinical categories maybe more relevant than organ systems) 

   • review explanations for missed questions --> then review--> review again--> apply in cases--> talk to peers/attendings about cases to solidify knowledge 
     
     

4. DO: identify if you have test-taking difficulties (ABFM may give testing accommodations such as more time to complete as indicated) 

   • involve a learning specialist! Dr. Shubha Dathatri is available for any learner interested in a consultation 

   • consider evaluation for learning disabilities if this maybe an issue -- reach out to Drs. Desai and Paladine to discuss 

   • if you are interested in neuropsychiatric testing, you have options through Columbia and Cornell 

     • http://www.columbianeurology.org/patient-care/neuropsychology

     • https://www.columbiapsychiatry.org/profile/susan-m-sussmann-phd#overview

     • https://psychiatry.weill.cornell.edu/neuropsychological-and-educational-assessment-program
       
       

5. DO: coordinate retaking the ITE exam score if you suspect your test scores are not reflective of your ability (reasons such as being on night float, not feeling well, emotional stress, running out of time, forgetting to do questions, etc). 

   • we can arrange for retaking ITE exam under actual exam conditions
     
     

6. DO: use a variety of learning strategies

   • most people have a mix of learning styles

   • visual: make color coded notes, draw diagrams, concept maps 

   • auditory: listen to podcasts (even passive listening while doing other things like exercise, commuting, etc can be helpful, see resources on new website for list of useful podcasts (under resources) https://sites.google.com/view/cfcmresources/residency-program/resources/faculty-resources?authuser=0#h.qdbzwus0mtjy

   • kinesthetic: take notes when reading/listening to podcasts, highlights, frequent brief study breaks, study while exercising, make flash cards

   • reading: AFP articles are high yield

   • ABFM modules: those who do modules, perform better on exam (exam and modules created by ABFM!)
     
     

7. DO: Take advantage of the resources at your disposal

   • ABFM video series on helpful tips for studying: https://www.theabfm.org/continue-certification/cognitive-expertise/one-day-fmc-exam/exam-info (scroll down to PREPARE FOR EXAMINATION)

   • Educational specialist through GME: Shubha Dathatri (sd369@cumc.columbia.edu) to review individualized test taking strategies

   • Meet with your advisor to plan a strategy for longitudinal board studying 

   • Reach out to program leadership: Drs. Paladine and Desai 

Point of Care Resources 

Can be accessed from any hospital computer:

• Dynamed (more frequently updated than Uptodate with less pharmaceutical company support, and less expert opinion narratives). Also has an app. (FREE via Columbia Libraries) 

• Stat Pearls: brief refiew articles for general review of topics 

• AFP Articles for bread and butter family medicine topics 

• CDC website: any question related to ID 

• USPSTF for preventative care recommendations 

• ACOG articles for prenatal care 

• UptoDate is very easy to access, and tracks time reading articles for CME credit. Also has an app.

• Visual dx: “web-based clinical decision support system proven to enhance diagnostic accuracy, aid therapeutic decisions”

• PEPID: focuses on primary care, and cites evidence for recommendations from FPIN.  It has useful calculators, pill identifiers, and a lab test reference tool. “I find it to be more concise than Up to Date”.  ($299 per year)

• Choosing Wisely from ABIM app and website:  “helping choose care that is supported by evidence, not duplicative of other tests or procedures already received, free from harm, and truly necessary”.  Also has an app.

Point of care apps

General:

• Diagnosaurus:   “quick-reference tool helps healthcare professionals perform differential diagnosis with speed and confidence at the point of care”

  • • • free through columbia ACCESS library along with many other resources/text books: http://www.columbia.edu/cgi-bin/cul/resolve?clio14974278

      • APP costs ~$5

• AHRQ EPS  for prevention guidelines https://epss.ahrq.gov/PDA/index.jsp

• Shots immunization app  https://www.aafp.org/patient-care/public-health/immunizations/shots-app.html

• Aspirin Guide app http://www.aspiringuide.com/nav/1 (these guidelines are changing!)

• Memorial Sloan Kettering’s About Herbs app and website for looking up herbs https://www.mskcc.org/cancer-care/diagnosis-treatment/symptom-management/integrative-medicine/herbs/herbs-botanicals-other-products-faqs

• Good Rx https://www.goodrx.com/ helps find affordable meds for uninsured pts

• MDCalc 

• Epocrates 

• Medscape 

Women’s Health:

• OB Dating wheel (many options)

• Contraception Point of Care app   https://www.reproductiveaccess.org/home/contraception-point-of-care-app/

• CDCs medical eligibility for contraception app

• ASCCP ($10) http://www.asccp.org/asccp-guidelines

• Lactmed: meds in breastfeeding: https://toxnet.nlm.nih.gov/newtoxnet/lactmed.htm 

• Urgent OB by Brancel

Podcasts

PRIMARY CARE:

• AAFP podcast (free) The AFP Podcast is a discussion of the key evidence-based learning points from each issue of American Family Physician (AFP).

• Primary Care RAP by Hippo Entertainment   https://www.hippoed.com/pc/rap/ is entertaining and relevant, 3 hour monthly podcasts, CME offered, ($395/yr or $95/yr for residents, 1 hr/month free)

• Review of Systems (free):  the podcast of the Harvard Center for Primary Care  and “covers a broad range of  topics in primary care and health care transformation.”

INTERNAL MEDICINE

• Curbsiders Internal Medicine (free):  an Internal Medicine Podcast featuring three board-certified Internists as they interview (“curbside”) the experts to provide listeners with clinical pearls and practice-changing knowledge.

• Louisville  Lectures: from the University of Louisville School of Medicine, focuses on Hospitalist and Internal Medicine

• Core IM Podcast: "Your source for digestible internal medicine content"

OB/GYN

• Green Journal podcast published by  Obstetrics & Gynecology (the Green Journal), the official publication of the ACOG

PEDIATRICS

• PediaCast CME - a pediatrics podcast from Nationwide Children's Hospital in Ohio

• Peds Soup - Core topics in pediatrics

OTHER

• Greyscale:  “takes a look at the not-so-clear areas of medicine by sharing physicians' own difficult encounters”. Produced by a faculty member at Swedish First Hill Family Medicine Residency.

• Sickboy Podcast is about managing and humanizing chronic disease.  In the words of the creators: “hilarious, ridiculously insightful and absolutely determined to break down the stigma associated with illness and disease”

• Explore the Space - "Examining the interface between healthcare & society, with thought leaders from across the spectrum"

• St. Emlyn's Virtual Hospital podcast - topics in emergency and critical care

Life Long Learning

• NEJM Journal Watch (subscription) reviews over 250 scientific and medical journals to present important clinical research findings and insightful commentary.  Has a general medicine version, plus many specialties.   Published twice a month and includes optional email updates and CME.

• Medical Letter on Drugs and Therapeutics (subscription):  monthly summaries of new medications, presents evidence on comparative efficacy and price with existing agents, also reviews all medications for various conditions on a regular basis.

• Essential Evidence Plus (the people that do POEMs) which is a daily critical analysis of an article or guideline using standard analysis techniques. These analyses tend to be primary care oriented. It costs around $85 per year for an individual. 

• Family Medicine Study Guide ($13.99) non-profit portable curriculum that includes 75 original case studies, 363 short answer questions, 150 rapid fire questions, 50 "Quick Pix" dermatology cases with 152 related questions and 2hrs 26mins 56 secs of Mini-Podcasts to help motivate, guide and assist you in your studying.

• 2-minute medicine (free): quick summaries of the latest studies. They provide a few line summary with a longer version if you click the links. 2 min medicine sends daily emails.

Test Prep

•  AAFP family medicine practice boards questions. It is free for members: https://www.aafp.org/cme/cme-topic/all/bd-review-questions.html