Category Archives: Education

Getting to Know You, Getting to Know All About You: Best Practices for Interviewing Fourth-Year Medical Students for Residency Programs

Kristine M. Diaz, PsyD

Kristine M. Diaz, PsyD

Thirty minutes. Thirty minutes to assess an applicant’s interpersonal and communication skills, emotional intelligence, reasons for applying to your residency program, determine if there are any red flags, talk about application materials (don’t forget to comment on that personal essay!), AND answer any questions the applicant has about your program. Oh, don’t forget to recruit for your program! Yeah. Thirty minutes. That’s all the time you get. Sounds, easy? Right?!

While many websites and online documents exist that address succeeding in residency interviews for applicants, there are no guidelines or best practices with conducting the residency interview for faculty members in residency programs. The lack of guidance in conducting the interview may lead to variability in the assessment of the applicant. This variability may also lead to a poor experience for the interviewee. How does one judge the fit of an applicant in a short amount of time?

Medical schools have developed varied approaches to the interviewing process for entry to medical school. Yet, residency programs appear to vary in their approaches to the selection process, particularly the on-site interview. A systemic and individual-based program approach may be considered in the interviewing process of applicants, using ACGME milestones and the interview itself as an opportunity to evaluate your program’s success in the development of a distinct health care professional in the competitive field of medicine.

Focus on these four areas to strengthen your residency’s interview process.

The mission, values, and goals of your residency program

Time should be spent as an entire faculty, discussing the mission, values, and goals of your residency program. ACGME accreditation standards provide a common foundation for all residencies to function and operate in the development of residents in training. However, your faculty and the program’s composition of residents and staff provide an opportunity to create its own identity as a program separating the lion from the crowd. Your identity as a program will help to generate a rubric to which you have made your selections for on-site applicant interviews.

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Are We Teaching Template-Based Medicine? The Forest and the (Very Well Documented!) Trees

Bill Cayley, Jr

Bill Cayley, Jr,
MD MDiv

With the increasing use of electronic medical records (EMRs) and their ever-so-helpful templates, smart-sets, and forms for capturing information needed to support billing and guide protocols, I fear we are losing the narrative forest for the well-documented trees. Especially in family medicine, we have a long tradition of teaching our learners to appreciate narrative and nuance, and the flow of meaning and story that comes from a patient’s history can give far more insight into what may be going on than one gets from simple documentation of location, quality, quantity, etc. Now, however, our use of EMRs is pushing us more and more to documentation of positives and negatives, rather than story.

Case in point #1: As emergency room documentation has moved toward templates and away from dictation, I have found ER notes growing in length, yet declining in their ability to convey meaningful information. Documentation of an ER visit that in the past was captured by a one- or two-page dictated note, now comes in a eight- or nine-page template document that gives no real clue as to what really brought the patient in or what really happened.

Case in point #2: As EMRs use templates to guide information gathering, how often do you find yourself responding to the template in an office visit, or ordering something “because it is there,” rather than listening to the patient’s story? Continue reading

My Experience Mentoring Behavioral Science Faculty: Getting Back Much More Than I Gave

“The mediocre teacher tells. The good teacher explains. The superior teacher demonstrates. The great teacher inspires.” —William Arthur Ward

Kathryn Fraser, PhD

Kathryn Fraser, PhD

I honestly never imagined how rewarding it would be to help others who are starting out on their path as behavioral medicine faculty. In my own experience as a new behavioral science faculty member, I was sometimes ignored, criticized, and questioned straight to my face about my knowledge and my credibility. Fortunately, a series of very supportive program directors and fellow faculty helped me through some tough times and helped me find my voice. I often imagined what it might be like for new behavioral scientists who felt less than supported in their jobs.

My experience being a small-group mentor in the Behavioral Science/Family Systems Educator Fellowship (BFEF) was truly magical. My co-mentor and I were both focused on fostering an environment of growth and encouragement—we wanted to help the fellows to spread their wings and also feel well grounded in this unique field. Advising the fellows on teaching activities was only a small part of what we did. The bigger tasks were teaching them about self-care, helping them develop a strong professional identity as behavioral faculty, and helping them set professional boundaries. It is easy to feel like you are on the periphery since behavioral science is often considered by residents to be a small part of what they really need to learn. We try to help the fellows understand that their contributions are crucial to one of the cornerstones of family medicine—the physician-patient relationship.

The mentoring we received from the leaders of the BFEF was phenomenal. At planning meetings I felt like I was part of a think tank helping to pave the way for the future of behavioral science. This group helped bring out the best in me as a teacher and a mentor. Their support, warmth, and kindness made them excellent role models for the small-group mentors as we attempted to provide a safe, effective growing space for our up and coming fellows.

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