Meyer Holly, Wildermuth Annie, Melton John, Durning Steven J, Martin Paolo C
Acad Med. 2025 Feb 1;100(2):153-157. doi: 10.1097/ACM.0000000000005878. Epub 2024 Sep 16.
There is a need within graduate health professions education (HPE) programs to align advising practices to support an increasing number of working adult learners, especially those studying part-time and from remote locations. Despite the recognized importance of the advisor-advisee relationship in graduate learner success, many advisors lack formal training and have to manage multiple completing priorities. Furthermore, a lack of established evidence-based practices for graduate HPE advising has left each program navigating advising independently.
The Department of Health Professions Education, Uniformed Services University, established a small cadre of faculty to serve as academic advisors (n = 7) in August 2018. This cadre uses an advising model based on 5 advising practices, called TOTAL Advising-train the advisors, onboard the learners, touch base frequently, annually review learners, and learner review. These advising practices are meant to provide a wrap-around support system to ensure learners feel empowered to fully engage in the program while managing the demands of their personal and professional lives. TOTAL Advising provides the framework needed to achieve 3 guiding beliefs: each learner is capable of completing the program, fostering community, and providing clear communication.
Between May 2020-May 2024, learners who completed a degree (n = 21) were interviewed about their advising experiences by a program evaluator after they graduated. The themes observed from these reflect the program's 3 guiding beliefs. Additionally, from May 2018-May 2024, of the 574 learners who enrolled in the program, 568 (99%) graduated with a certificate or degree, only 6 (1%) were disenrolled.
The next steps for TOTAL Advising involve a comprehensive evaluation of the effectiveness of the training program for advisors and collaborating with other graduate HPE programs to share best practices in advising, discuss emerging challenges, and shape advising practices in the broader HPE community.
在研究生健康专业教育(HPE)项目中,需要调整咨询实践,以支持越来越多的在职成年学习者,特别是那些非全日制学习且来自偏远地区的学习者。尽管导师与学生的关系在研究生学习成功中具有公认的重要性,但许多导师缺乏正规培训,且必须应对多项相互冲突的优先事项。此外,缺乏针对研究生HPE咨询的既定循证实践,使得每个项目都在独立开展咨询工作。
2018年8月,美国军医大学健康专业教育系设立了一小批教员担任学术顾问(共7人)。这个顾问团队采用了一种基于5种咨询实践的咨询模式,即全面咨询(TOTAL Advising)——培训顾问、让学习者入学、经常保持联系、每年对学习者进行评估以及让学习者进行自我评估。这些咨询实践旨在提供一个全方位的支持系统,以确保学习者在应对个人和职业生活需求的同时,有能力充分参与该项目。全面咨询提供了实现3个指导理念所需的框架:每个学习者都有能力完成该项目、培养社区意识以及进行清晰的沟通。
在2020年5月至2024年5月期间,完成学位的学习者(共21人)在毕业后接受了项目评估人员关于其咨询经历的访谈。从这些访谈中观察到的主题反映了该项目的3个指导理念。此外,在2018年5月至2024年5月期间,在该项目注册的574名学习者中,有568人(99%)获得了证书或学位毕业,只有6人(1%)被退学。
全面咨询的下一步工作包括对顾问培训项目的有效性进行全面评估,并与其他研究生HPE项目合作,分享咨询方面的最佳实践、讨论新出现的挑战,以及在更广泛的HPE社区中塑造咨询实践。