The purpose of the Mayo One Residency Program is to provide a formalized, ongoing development and support program for new crew members from completion of orientation through their first year of service. Our objectives are to continue to develop competence in the role, provide ongoing clinical, emotional, and social support for the new crew member just off orientation and to instill a teaching and learning culture for new and experienced crew members.

This is a yearlong program made up of 12 modules, one per month. The program is administered through an online learning management system. The following are the general components the residents complete as they progress through the program. A formal CFRN/FPC-C preparation process, four formal progress reviews, a formal peer mentorship component, ongoing procedure and equipment testing, pairing with a critical care transport specialist, ongoing knowledge creation (i.e. critical thinking exercises, learning assignments, OB/Neonate online program), maintenance of a flight log, a flight team meeting case study presentation, and a final project – prepare to publish or present.

At this time only one resident has completed the program so we are still collecting feedback on the program. We currently have seven residents at various stages in the program. Challenges include tracking assignment completion, communication with residents at remote bases, and workload. Successes included use of the LMS to administer the program, immediate clinical and social support after orientation, and support for preparing for CFRN

Our primary goal was to provide a culture of ongoing development; giving permission to the new team member to ask questions, to continue to be a learner, and to not have to know everything. In addition it is also ok for experienced providers to continue to challenge, ask questions, and train the new members. Communication of this goal to all members and frequent follow up and reminders were the keys to successfully implementing this culture. When our orientees come off orientation they no longer feel the anxiety of being “on their own” they fell they are being supported and understand they will need to continue to develop and learn.

Jeff Phillips, CFRN, M. Ed, MSOL, is the Nursing Education Specialist for Mayo Clinic Medical Transport

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