Purpose
Advising is a key part of professional development. Consistent but personalized advising can be challenging with high student-to-faculty advisor ratios and advisors with varied backgrounds. We have implemented a Pre-Advising Worksheet (PAW) that meets both student and advisor needs, ensures a consistent advising experience and actively engages students in the advising process.

Methods
All medical students at our institution participate in required longitudinal advising during their 3rd and 4th years focusing on academic development, professional development and readiness for residency application. There are two required meetings with additional ad hoc meetings depending on individual student needs. Advisors have a cohort of about 30 students in each of the 3rd and 4th years. The PAW, due 2 weeks prior to meeting, contains core materials for students to review and questions to answer in preparation for the advising session. Requested information includes academic progress, an individualized learning plan, extracurricular activities, specialty choices, career advisors, and personal circumstances impacting their academic progress.

Results
Prior to implementation of the PAW faculty advisors spent approximately 45-60 minutes per student reviewing and gathering information for the meetings; since implementation, preparation time has reduced to 10-15 minutes per student. All students completed the required PAW. The PAW has been adapted to accommodate changing requirements for residency applications and curricular modifications, with students and faculty advisors reporting high satisfaction. Faculty advisors report higher levels of engagement from students who are better prepared for meetings compared to prior to PAW implementation.

Conclusion
A PAW for longitudinal medical student advising has successfully improved student engagement with required advising sessions and improved efficiency for faculty advisors. The PAW is generalizable to any year of medical school, any specialty, and other health professional students. Utilizing a PAW allows for personalized, efficient, and consistent advising for large numbers of medical students.