Flourishing-Focused Advising: Harnessing Milestones 2.0 Well-Being Assessments to Cultivate Trainee Thriving (2025 Webinar)

Date

2025-06-03

Overview

In 2018, ACGME introduced “harmonized” milestones to be used across specialties, including PROF-3 “Self-awareness and Help-seeking" (1). In internal medicine, this milestone is represented in the revised milestones as PROF-4 "Knowledge of Systemic and Individual Factors of Well-Being." The PROF-4 milestone is meant to assess the extent to which trainees are have insight into the institutional and personal factors that impact well-being. Given the well-established prevalence of burnout during and after residency training, the development of a subcompetency centered on well-being represents an important addition to the expectations for graduate trainees and challenges programs to assess this multifaceted subcompetency.  Flourishing-focused advising (FFA) is a technique to assess and develop competence in trainee well-being in the revised milestones. In FFA, programs can build on the existing infrastructure of semiannual advisor and program director meetings to incorporate structured reflection on individual trainee well-being. During this process, the trainee completes a self-assessment of well-being and is prompted to consider the results through a reflective exercise before meeting with their advisor. This assessment is then used as a springboard for structured, intentional dialogue between the advisor and trainee during a semiannual review.  In this workshop, we will introduce attendees to the FFA framework, explore methods of engaging trainees in conversations about the systemic factors affecting their well-being, and introduce a structured technique to assess and develop competence in trainee well-being.  

Speakers

• David Vermette, MD
• Katie Gielissen, MD

Content Track

• Wellness

Audience

• UME, GME

Program Type

• Community-Based, University-Based