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Sanya-Isijola F, Leung FH. ChatGPT: bridging the gap on mentorship for International Medical Graduates in low enrolment specialties. CANADIAN MEDICAL EDUCATION JOURNAL 2024; 15:93-94. [PMID: 38827915 PMCID: PMC11139794 DOI: 10.36834/cmej.78643] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 06/05/2024]
Affiliation(s)
- Frank Sanya-Isijola
- Department of Laboratory Medicine and Pathobiology, University of Toronto, Ontario, Canada
| | - Fok-Han Leung
- Department of Community and Family Medicine, University of Toronto, Ontario, Canada
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Scherer EM, Backer M, Carvajal K, Danziger-Isakov L, Frey S, Howard LM, Huang FS, Kottkamp AC, Reid T, Rodriguez-Barradas MC, Karita HCS, Teoh Z, Wald A, Whitaker J, Wiley Z, Ofotokun I, Edwards KM. The Coronavirus Disease 2019 Pandemic Unmasked the Challenges Faced by Early-Stage Faculty in Infectious Diseases: A Call to Action. Clin Infect Dis 2023; 76:753-759. [PMID: 36131321 PMCID: PMC9494497 DOI: 10.1093/cid/ciac779] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Revised: 09/12/2022] [Accepted: 09/16/2022] [Indexed: 12/02/2022] Open
Abstract
The coronavirus disease 2019 (COVID-19) pandemic and associated increase in family care responsibilities resulted in unsustainable personal and professional workloads for infectious diseases (ID) faculty on the front lines. This was especially true for early-stage faculty (ESF), many of whom had caregiving responsibilities. In addition, female faculty, underrepresented in medicine and science faculty and particularly ESF, experienced marked declines in research productivity, which significantly impacts career trajectories. When combined with staffing shortages due to an aging workforce and suboptimal recruitment and retention in ID, these work-life imbalances have brought the field to an inflection point. We propose actionable recommendations and call on ID leaders to act to close the gender, racial, and ethnic gaps to improve the recruitment, retention, and advancement of ESF in ID. By investing in systemic change to make the ID workforce more equitable, we can embody the shared ideals of diversity and inclusion and prepare for the next pandemic.
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Affiliation(s)
| | - Erin M Scherer
- Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, 30322, USA
| | - Martin Backer
- Division of Infectious Diseases, Department of Medicine, NYU Long Island School of Medicine, Mineola, NY, 11501, USA
| | - Karen Carvajal
- Infectious Diseases Fellowship, School of Medicine and Dentistry, University of Rochester, Rochester, NY, 14642, USA
| | - Lara Danziger-Isakov
- Department of Pediatrics, University of Cincinnati Medical Center, Cincinnati, OH, 45229, USA
- Division of Infectious Diseases, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 45229, USA
| | - Sharon Frey
- Division of Infectious Diseases, Allergy, and Immunology, Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, MO, 63104, USA
| | - Leigh M Howard
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Vanderbilt University Medical Center, Nashville, TN, 37232, USA
| | - Felicia Scaggs Huang
- Department of Pediatrics, University of Cincinnati Medical Center, Cincinnati, OH, 45229, USA
- Division of Infectious Diseases, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 45229, USA
| | - Angelica C Kottkamp
- Division of Infectious Diseases & Immunology, Department of Medicine, NYU Grossman School of Medicine, New York, NY, 10016, USA
| | - Tara Reid
- Department of Medicine, University of Washington, Seattle, WA, 98104, USA
| | - Maria C Rodriguez-Barradas
- Section of Infectious Diseases, Michael E. DeBakey VAMC and Department of Medicine, Baylor College of Medicine, Houston, TX, 77030, USA
| | | | - Zheyi Teoh
- Division of Infectious Diseases, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, 45229, USA
| | - Anna Wald
- Department of Medicine, University of Washington, Seattle, WA, 98104, USA
- Department of Laboratory Medicine and Pathology, Seattle, WA, 98104, USA
- Department of Epidemiology, University of Washington, Seattle, WA, 98104, USA
- Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, 98109, USA
| | - Jennifer Whitaker
- Section of Infectious Diseases, Michael E. DeBakey VAMC and Department of Medicine, Baylor College of Medicine, Houston, TX, 77030, USA
- Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX, 77030, USA
| | - Zanthia Wiley
- Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, 30322, USA
| | - Igho Ofotokun
- Division of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA, 30322, USA
- Department of Behavioral, Social and Health Education Sciences, Emory Rollins School of Public Health, Atlanta, GA, 30322, USA
- Grady Healthcare System, Infectious Diseases Program, Atlanta, GA, 30303, USA
| | - Kathryn M Edwards
- Department of Pediatrics, Division of Pediatric Infectious Diseases, Vanderbilt University Medical Center, Nashville, TN, 37232, USA
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Training in infectious diseases across europe in 2021 - A survey on training delivery, content and assessment. Clin Microbiol Infect 2021; 27:1693.e1-1693.e8. [PMID: 34371206 DOI: 10.1016/j.cmi.2021.07.033] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Revised: 07/20/2021] [Accepted: 07/22/2021] [Indexed: 01/21/2023]
Abstract
OBJECTIVES To define the status of Infectious Diseases (ID) as an approved specialty in Europe; to enumerate the number of specialists (in general and in relation to the overall population) and specialist trainees and describe the content, delivery, and evaluation of postgraduate training in ID in different countries. METHODS Structured web-based questionnaire surveys in March 2021 of responsible national authorities, specialist societies and individual country representatives to the Section of Infectious Diseases of the European Union for Medical Specialties. Descriptive analysis of quantitative and qualitative responses. RESULTS In responses received from 33/35 (94.3%) countries, ID is recognised as a specialty in 24 and as a subspecialty of general internal medicine (GIM) in 8, but it is not recognised in Spain. The number of ID specialists per country varies from <5 per million inhabitants to 78 per million. Median length of training is 5 (IQR 4.0 - 6.0) years with variable amounts of preceding and/or concurrent GIM. Only 21.2% of countries (7/33) provide the minimum recommended training of 6 months in microbiology and 30% cover competencies such as palliative care, team working and leadership, audit, and quality control. Training is monitored by personal logbook or e-portfolio in 75% (25/33) and assessed by final exams in 69.7% (23/33) of countries, but yearly reviews with trainees only occur in 54.5% (18/33) of countries. CONCLUSIONS There are substantial gaps in modernisation of ID training in many countries to match current European Training Requirements. Joint training with clinical microbiology and in multidisciplinary team working should be extended. Training/monitoring trainers should find greater focus, together with regular feedback to trainees within many national training programmes.
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Training and assessment of medical specialists in clinical microbiology and infectious diseases in Europe. Clin Microbiol Infect 2021; 27:1581-1588. [PMID: 34260952 DOI: 10.1016/j.cmi.2021.07.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 07/02/2021] [Accepted: 07/03/2021] [Indexed: 12/30/2022]
Abstract
BACKGROUND There is wide variation in the availability and training of specialists in the diagnosis and management of infections across Europe. OBJECTIVES To describe and reflect on the current objectives, structure and content of European curricula and examinations for the training and assessment of medical specialists in Clinical (Medical) Microbiology (CM/MM) and Infectious Diseases (ID). SOURCES Narrative review of developments over the past two decades and related policy documents and scientific literature. CONTENT Responsibility for curricula and examinations lies with the European Union of Medical Specialists (UEMS). The ID Section of UEMS was inaugurated in 1997 and the MM Section separated from Laboratory Medicine in 2008. The sections collaborate closely with each other and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID). Updated European Training Requirements (ETR) were approved for MM in 2017 and ID in 2018. These comprehensive curricula outline the framework for delivery of specialist training and quality control for trainers and training programmes, emphasizing the need for documented, regular formative reviews of progress of trainees. Competencies to be achieved include both specialty-related and generic knowledge, skills and professional behaviours. The indicative length of training is typically 5 years; a year of clinical training is mandated for CM/MM trainees and 6 months of microbiology laboratory training for ID trainees. Each Section is developing examinations using multiple choice questions to test the knowledge base defined in their ETR, to be delivered in 2022 following pilot examinations in 2021. IMPLICATIONS The revised ETRs and European examinations for medical specialists in CM/MM and ID provide benchmarks for national authorities to adapt or adopt locally. Through harmonization of postgraduate training and assessment, they support the promotion and recognition of high standards of clinical practice and hence improved care for patients throughout Europe, and improved mobility of trainees and specialists.
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Dellière S, Peiffer-Smadja N, João-Lopes M, Cevik M, Pichon M, Bleibtreu A, Schweitzer V, Last K, Ferreira TG, Lemaignen A, Barac A. Aims and challenges of building national trainee networks in clinical microbiology and infectious disease disciplines. Future Microbiol 2021; 16:687-695. [PMID: 34227395 DOI: 10.2217/fmb-2021-0045] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Trainees represent the medical practice of tomorrow. Interactions and collaborations at the early stage in career will strengthen the future of our specialties, clinical microbiology and infectious diseases. Trainee networks at the national level help access the best education and career opportunities. The aim of this collaborative white paper between the Trainee Association of European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and four national trainee networks is to discuss the motivation for building such networks and offer guidance for their creation and sustainability even during a health crisis.
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Affiliation(s)
- Sarah Dellière
- Université de Paris, Service de Parasitologie-Mycologie, Hôpital Saint-Louis, AP-HP, Paris, France
| | - Nathan Peiffer-Smadja
- Université de Paris, Service de Maladies Infectieuses et Tropicales, Hôpital Bichat, AP-HP, Paris, France
| | - Maria João-Lopes
- Infectious & Tropical Diseases Department, Hospital Prof Doutor Fernando Fonseca, Amadora, Portugal
| | - Muge Cevik
- Division of Infection & Global Health Research, School of Medicine, University of St Andrews, St Andrews, UK
| | - Maxime Pichon
- Infectious Agents Department, CHU de Poitiers, Bacteriology & Infection Control Laboratory, Poitiers, France; Université de Poitiers, U1070 INSERM, Pharmacologie des Agents Anti-Infectieux, Poitiers, France
| | - Alexandre Bleibtreu
- Infectious & Tropical Diseases Departement, Pitié Salpêtrière hospital, APHP-SU, Paris, France
| | - Valentijn Schweitzer
- Department of Medical Microbiology, University Medical Centre Utrecht, Utrecht, The Netherlands
| | - Katharina Last
- Institute of Medical Microbiology & Hygiene, Saarland University, Homburg/Saar, Germany
| | - Théo G Ferreira
- Université de Paris, Assistance Publique - Hôpitaux de Paris (AP-HP), Paris, France
| | - Adrien Lemaignen
- Service de Médecine Interne et Maladies Infectieuses, CHRU de Tours, Université de Tours, Tours, France
| | - Aleksandra Barac
- Clinic for Infectious & Tropical Diseases, Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia
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Last K, Power NR, Dellière S, Velikov P, Šterbenc A, Antunovic IA, Lopes MJ, Schweitzer V, Barac A. Future developments in training. Clin Microbiol Infect 2021; 27:1595-1600. [PMID: 34197928 PMCID: PMC8280350 DOI: 10.1016/j.cmi.2021.06.032] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Revised: 06/16/2021] [Accepted: 06/19/2021] [Indexed: 11/25/2022]
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has demonstrated the value of highly skilled and extensively trained specialists in clinical microbiology (CM) and infectious diseases (ID). Training curricula in CM and ID must constantly evolve to prepare trainees for future pandemics and to allow trainees to reach their full clinical and academic potential. OBJECTIVES In this narrative review, we aim to outline necessary future adaptations in CM and ID training curricula and identify current structural barriers in training with the aim of discussing possibilities to address these shortcomings. SOURCES We reviewed literature from PubMed and included selected books and online publications as appropriate. There was no time constraint on the included publications. CONTENT Drawing from the lessons learnt during the pandemic, we summarize novel digital technologies relevant to CM and ID trainees and highlight interdisciplinary teamwork and networking skills as important competencies. We centre CM and ID training within the One Health framework and discuss gender inequalities and structural racism as barriers in both CM and ID training and patient care. IMPLICATIONS CM and ID trainees should receive training and support developing skills in novel digital technologies, leadership, interdisciplinary teamwork and networking. Equally important is the need for equity of opportunity, with firm commitments to end gender inequality and structural racism in CM and ID. Policy-makers and CM and ID societies should ensure that trainees are better equipped to achieve their professional goals and are better prepared for the challenges awaiting in their fields.
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Affiliation(s)
- Katharina Last
- Centre for Infectious Diseases, Institute of Medical Microbiology and Hygiene, Saarland University, Homburg, Germany.
| | - Nicholas R Power
- Royal College of Physicians of Ireland, Setanta House, 1 Setanta Pl, Dublin 2, Ireland
| | - Sarah Dellière
- Université de Paris, Laboratoire de Parasitologie-Mycologie, Groupe Hospitalier Saint-Louis-Lariboisière-Fernand-Widal, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France
| | - Petar Velikov
- Infectious Diseases Hospital Prof. Ivan Kirov and Department of Infectious Diseases, Parasitology and Tropical Medicine, Medical University of Sofia, Sofia, Bulgaria
| | - Anja Šterbenc
- Institute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
| | - Ivana Antal Antunovic
- Department of Clinical Microbiology, University Hospital for Infectious Diseases, Zagreb, Croatia
| | - Maria João Lopes
- Infectious Diseases Department, Hospital Professor Doutor Fernando Fonseca, Amadora, Portugal
| | - Valentijn Schweitzer
- Department of Medical Microbiology, University Medical Centre Utrecht, Utrecht, the Netherlands
| | - Aleksandra Barac
- Clinic for Infectious and Tropical Diseases, University Clinical Centre of Serbia, Belgrade, Serbia
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Holder AA. Sustaining a legacy in STEM the Prof. Tara Prasad Dasgupta way: The role of a mentor in our lives. Inorganica Chim Acta 2021; 521. [PMID: 34635861 DOI: 10.1016/j.ica.2021.120304] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
A mentoring relationship is a close, individualized relationship that develops over time between a graduate student and his/her adviser, and that includes both caring and guidance. Although there is a connection between mentors and advisers, not all mentors are advisers and not all advisers are mentors, but in this case, one adviser was a mentor to all. In his eloquent style, an inspirational mentor of underrepresented individuals in Jamaica by the name of Prof. Tara Prasad Dasgupta, AKA Prof., paved the way for many us who studied in the Department of Chemistry, The University of the West Indies, Mona Campus, Jamaica from 1974 until his passing on Monday, April 2020 due to the complications of the COVID-19. Based on his effective mentoring style and the fact that there is low percentage of underrepresented individuals who pursue Ph.D. degrees in the STEM subjects around the world, more so here in the U.S.A., Europe, and in the U.K., hence there is a need to write about a story on sustaining a legacy in STEM the Prof. Tara Prasad Dasgupta way, viz., the role of a mentor in our lives. As such, his style is documented here, along with testimonies from his former graduate students, including myself.
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Affiliation(s)
- Alvin A Holder
- Department of Chemistry and Biochemistry, Old Dominion University, 4541 Hampton Boulevard, Norfolk, VA 23529, U.S.A
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House A, Dracup N, Burkinshaw P, Ward V, Bryant LD. Mentoring as an intervention to promote gender equality in academic medicine: a systematic review. BMJ Open 2021; 11:e040355. [PMID: 33500280 PMCID: PMC7839843 DOI: 10.1136/bmjopen-2020-040355] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Mentoring is frequently suggested as an intervention to address gender inequalities in the workplace. OBJECTIVES To systematically review evidence published since a definitive review in 2006 on the effectiveness of mentoring interventions aimed at achieving gender equality in academic medicine. DESIGN Systematic Review, using the Template for Intervention Description and Replication as a template for data extraction and synthesis. SAMPLE Studies were included if they described a specific mentoring intervention in a medical school or analogous academic healthcare organisation and included results from an evaluation of the intervention. ELIGIBILITY CRITERIA Mentoring was defined as (1) a formally organised intervention entailing a supportive relationship between a mentor, defined as a more senior/experienced person and a mentee defined as a more junior/inexperienced person; (2) mentoring intervention involved academic career support (3) the mentoring relationship was outside line management or supervision of performance and was defined by contact over an extended period of time. OUTCOMES The impact of mentoring was usually reported at the level of individual participants, for example, satisfaction and well-being or self-reported career progression. We sought evidence of impact on gender equality via reports of organisation-level effectiveness, of promotion or retention, pay and academic performance of female staff. RESULTS We identified 32 publications: 8 review articles, 20 primary observational studies and 4 randomised controlled trials. A further 19 discussed mentoring in relation to gender but did not meet our eligibility criteria. The terminology used, and the structures and processes reported as constituting mentoring, varied greatly. We identified that mentoring is popular with many who receive it; however, we found no robust evidence of effectiveness in reducing gender inequalities. Primary research used weak evaluation designs. CONCLUSIONS Mentoring is a complex intervention. Future evaluations should adopt standardised approaches used in applied health research to the design and evaluation of effectiveness and cost-effectiveness.
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Affiliation(s)
- Allan House
- Leeds Institute of Health Sciences, University of Leeds School of Medicine, Leeds, UK
| | - Naila Dracup
- Library (Allied Health and Social Care), University of Derby, Derby, UK
| | - Paula Burkinshaw
- Leeds University Business School, University of Leeds, Leeds, West Yorkshire, UK
| | - Vicky Ward
- School of Management, University of St Andrews, St Andrews, UK
| | - Louise D Bryant
- Leeds Institute of Health Sciences, University of Leeds School of Medicine, Leeds, UK
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Catho G, Peiffer-Smadja N, Gras J, Osei L, Le Maréchal M. Experience abroad and participation in ESCMID educational activities: results from a survey among French infectious diseases specialists in training. Clin Microbiol Infect 2019; 26:388-390. [PMID: 31678232 DOI: 10.1016/j.cmi.2019.10.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2019] [Revised: 10/17/2019] [Accepted: 10/21/2019] [Indexed: 10/25/2022]
Affiliation(s)
- G Catho
- Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
| | - N Peiffer-Smadja
- Service de Maladies Infectieuses et Tropicales, Hôpital Bichat-Claude Bernard, Assistance-Publique Hôpitaux de Paris, Paris, France
| | - J Gras
- Service de Maladies Infectieuses et Tropicales, APHP-Saint Louis Hospital, Paris, France
| | - L Osei
- Service de Maladies Infectieuses et Tropicales, CHU, Martinique
| | - M Le Maréchal
- Service de Maladies Infectieuses, CHU de Nice, France
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