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Developing a “killer” orientation for medical students
WRME 9/25/15
Lisa Grill Dodson, MD Campus Dean, MCW Central Wisconsin ldodson@mcw.edu
Orientation can serve many purposes
Orient
Where is the bathroom?
Integrate
What is your role? What will the students role be
Align
How do you fit in to the big picture? How can they help?
Coordinate
Who will the student connect with?
Bad first days
No welcome
No preparation (send schedule and materials in advance)
No schedule
No contacts list
No space
No plan
No buddy (think Jr High lunch table)
“Busy work”
3
Good orientations
Welcoming
Structured
Appropriately comprehensive
Occurs over time (not overwhelming/no fire hoses)
Sets expectations, reduces anxiety
Saves time
Involves the entire staff
Active/Not boring
Written back up/handbook
Mentored, includes values, history
Overview of each department/function
4
Generational differences (stereotypes)
Four different generations, typically referred to as: Traditionalists “silent generation” (born 1900-1945),
Baby Boomers (born 1946-1964),
Generation X (born 1965-1981)
Generation Y “Millenials” (born 1981-2000)
5
Millenial students--generalizations
Have been described as “Special” or “trophy generation”: sheltered, confident, team-oriented, pressured, impatient, hopeful, narcissistic, entitled, familiar/less hierarchical
Helicopter or snowplow parents
Less traditional academic literacy (memorization)
More media literacy/tech savvy/digital natives
Desire authenticity
Tolerant, value diversity and change
Community oriented (global and local)
Need things to be spelled out (Hence, the value of orientation!)
6
NUTS and BOLTS
Section 1
7
Orientation as an organizational tool
Schedule, schedule, schedule
Use checklists
Orientation should start the final evaluation process.
Evaluation tool front and center
Establish checkpoints (schedule time)
midterm evaluation
final evaluation
specific student tasks/competencies
8
Rule number one: Have a plan
Day 0: Send ahead of time
Consider checklists
Welcoming letter
Lead contact
Paperwork to be completed
First day (week) scheduleWhere to show up, where to park
Who to check in with
Dress Code
Anything else required for first day duties9
Day 1 plan and beyond
Schedule essential functions for day 1 (Arrival day)
Security/badge/photo
EMR set up (* if not able to do ahead of time)
Introductions
Schedule other orientation activities for later
10
Rule number two: Involve your staff
Frees up your time
Staff are better equipped to do some parts
Gives staff an investment in the student
Demonstrates teamwork to student
Gets the job done
11
Nuts and Bolts for staff
Preparation• Who is responsible for the student?
• What type of student are they?
• What is their level?
• What can they do?
• Who should the student be introduced to and when?
• How often and how long will the student be here?
12
Consider having….
Education committee/ lead education staff person
Education bulletin board
keep photos of each student
current student bio/photo
staff space, newsletter, front desk
Patients involved in key patient “encounters”
13
Preceptor specific orientation
Get to know each other
Teaching methods
Clarify expectations
hours, call
presentations
giving feedback
grades (“to achieve an honors grade you must…”
social
15
Instant productivity
Orientation helps students integrate
• Authentic experiences
• To be useful
• Reduced anxiety
Figure out what the student knows how to do
• Checklists of procedures/conditions• Prep for sterile procedures
• Tasks • Writing notes, prescriptions
• Follow ups, return phone calls16
Make it active
Scavenger hunt (practice and/or community)
MapQuest
Newlywed game approach (guess how the other person will answer)
Jeopardy
Match game
Simulated practical experiences
Prep for sterile procedures, prescriptions, notes
“Leave a legacy” projects (for students, patients, staff, docs)
Specifics
Cheat sheet of jargon or terms specific to your organization
Do’s and don’ts
EMR access and rules
Dates/times for grand rounds, conferences, meetings
Community and clinic activities
18
What to do when you are busy (that isn’t just busy work)
Designate a scheduler
Designate a back up preceptor
Develop a case library
“Top 10” diagnoses: reading, cases
Lab, radiology, ekg interpretations
Schedule students to work with staff (MA, billing, front office)
Assign student presentations (present to staff, patients or physicians)
THANK YOU.
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