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Sun VK, Chappell-Campbell L, Blankenburg R, Sznewajs A. Perspectives on Professional Development Among University and Community Pediatric Hospitalists. Clin Pediatr (Phila) 2024; 63:633-641. [PMID: 37776239 DOI: 10.1177/00099228231203299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/02/2023]
Abstract
Multiple professional societies have emphasized the importance of professional development for physicians. This qualitative study aimed to explore pediatric hospitalists' perceptions of professional development needs and to refine a framework for professional development in pediatric hospital medicine (PHM). We conducted four focus groups in April to May 2019 with 19 pediatric hospitalists at six clinical sites within a single institution. Participants identified key components of professional development including skill development, personal growth, career satisfaction, and individualization. Hospitalists agreed upon 8 domains of professional development: clinical excellence, advocacy, global health, health care administration, informatics, medical education, quality improvement, and research. They also identified missing the mentorship necessary to change their passions into career advancement, highlighted barriers and facilitators, and noted that an alignment in personally meaningful projects to what is meaningful to the institution was in everyone's best interests. Faculty programs should build infrastructure to aid pediatric hospitalists in achieving their career goals.
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Affiliation(s)
- Vivien K Sun
- Division of Pediatric Hospital Medicine, School of Medicine, Stanford University, Stanford, CA, USA
| | - Laura Chappell-Campbell
- Division of Pediatric Hospital Medicine, School of Medicine, Stanford University, Stanford, CA, USA
| | - Rebecca Blankenburg
- Division of Pediatric Hospital Medicine, School of Medicine, Stanford University, Stanford, CA, USA
| | - Aimee Sznewajs
- Department of Pediatric Hospital Medicine, Children's Minnesota, Minneapolis, MN, USA
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Bhanvadia S, Radha Saseendrakumar B, Guo J, Spadafore M, Daniel M, Lander L, Baxter SL. Evaluation of bias and gender/racial concordance based on sentiment analysis of narrative evaluations of clinical clerkships using natural language processing. BMC MEDICAL EDUCATION 2024; 24:295. [PMID: 38491461 PMCID: PMC10944013 DOI: 10.1186/s12909-024-05271-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 03/06/2024] [Indexed: 03/18/2024]
Abstract
There is increasing interest in understanding potential bias in medical education. We used natural language processing (NLP) to evaluate potential bias in clinical clerkship evaluations. Data from medical evaluations and administrative databases for medical students enrolled in third-year clinical clerkship rotations across two academic years. We collected demographic information of students and faculty evaluators to determine gender/racial concordance (i.e., whether the student and faculty identified with the same demographic). We used a multinomial log-linear model for final clerkship grades, using predictors such as numerical evaluation scores, gender/racial concordance, and sentiment scores of narrative evaluations using the SentimentIntensityAnalyzer tool in Python. 2037 evaluations from 198 students were analyzed. Statistical significance was defined as P < 0.05. Sentiment scores for evaluations did not vary significantly by student gender, race, or ethnicity (P = 0.88, 0.64, and 0.06, respectively). Word choices were similar across faculty and student demographic groups. Modeling showed narrative evaluation sentiment scores were not predictive of an honors grade (odds ratio [OR] 1.23, P = 0.58). Numerical evaluation average (OR 1.45, P < 0.001) and gender concordance between faculty and student (OR 1.32, P = 0.049) were significant predictors of receiving honors. The lack of disparities in narrative text in our study contrasts with prior findings from other institutions. Ongoing efforts include comparative analyses with other institutions to understand what institutional factors may contribute to bias. NLP enables a systematic approach for investigating bias. The insights gained from the lack of association between word choices, sentiment scores, and final grades show potential opportunities to improve feedback processes for students.
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Affiliation(s)
- Sonali Bhanvadia
- Division of Ophthalmology Informatics and Data Science, Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, La Jolla, CA, USA
- Health Department of Biomedical Informatics, University of California San Diego, La Jolla, CA, USA
| | - Bharanidharan Radha Saseendrakumar
- Division of Ophthalmology Informatics and Data Science, Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, La Jolla, CA, USA
- Health Department of Biomedical Informatics, University of California San Diego, La Jolla, CA, USA
| | - Joy Guo
- Division of Ophthalmology Informatics and Data Science, Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, La Jolla, CA, USA
- Health Department of Biomedical Informatics, University of California San Diego, La Jolla, CA, USA
| | - Maxwell Spadafore
- Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, MI, USA
| | - Michelle Daniel
- Department of Emergency Medicine, University of California San Diego, La Jolla, CA, USA
| | - Lina Lander
- Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA, USA
| | - Sally L Baxter
- Division of Ophthalmology Informatics and Data Science, Viterbi Family Department of Ophthalmology and Shiley Eye Institute, University of California San Diego, La Jolla, CA, USA.
- Health Department of Biomedical Informatics, University of California San Diego, La Jolla, CA, USA.
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Essoli S, Houdali G, Mansouri A, Mansoury O, Adarmouch L, Amine M, Sebbani M. Clinical Supervision of Medical Students in Primary Health Care Services: General Practitioners' Perspectives in Morocco. JOURNAL OF ADVANCES IN MEDICAL EDUCATION & PROFESSIONALISM 2024; 12:18-27. [PMID: 38313420 PMCID: PMC10837465 DOI: 10.30476/jamp.2023.100060.1868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 11/15/2023] [Indexed: 02/06/2024]
Abstract
Introduction Clinical supervision is crucial to establish a learning climate in which the supervisor guides the supervised. Clinical supervisors might have numerous barriers and motivations. Our study aimed to explore the clinical supervision practices among general practitioners and to describe their motivations, barriers, and needs. Methods A qualitative study was conducted using purposive sampling which is a non-probabilistic sampling method. The population was the general practitioners who were working at the primary health care centers either in the public or the private sectors (N=16). Individual semi-structured interviews were conducted by two authors, using an interview guide. All interviews were recorded, transcribed, and coded. A thematic content analysis was done manually based on an inductive approach. Results Sixteen general practitioners participated. Three main themes emerged from the study: 1) General practitioners' practices in clinical supervision, 2) the enablers to adequate clinical supervision in general practice, and 3) the general practitioners' fundamental barriers and needs in clinical supervision. Despite their lack of clinical supervision training, they could describe the different clinical supervision steps without giving their exact names. We found that their teaching skills must be reinforced. General practitioners were mainly motivated by personal and professional interests as well as moral obligations. Numerous barriers and needs were identified at the organizational, relational, and financial levels. The principles barriers and needs were the lack of clinical supervision training, lack of equipment, and remuneration. Conclusion The current study highlighted the motivations and challenges of general practitioners concerning clinical supervision. These results are helpful for all responsible institutions involved in clinical supervision and upcoming programs in Morocco.
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Affiliation(s)
- Samira Essoli
- Clinical Research Department, Mohammed VI University Hospital, Marrakesh, Morocco
- Community Medicine and Public Health Department, Bioscience and Health Research Laboratory, Faculty of Medicine, Cadi Ayyad University (UCA), Marrakesh, Morocco
| | - Ghita Houdali
- Faculty of Medicine and Pharmacy of Marrakesh (FMPM), UCA, Marrakesh, Morocco
| | - Adil Mansouri
- Clinical Research Department, Mohammed VI University Hospital, Marrakesh, Morocco
- Community Medicine and Public Health Department, Bioscience and Health Research Laboratory, Faculty of Medicine, Cadi Ayyad University (UCA), Marrakesh, Morocco
| | - Ouassim Mansoury
- Clinical Research Department, Mohammed VI University Hospital, Marrakesh, Morocco
- Community Medicine and Public Health Department, Bioscience and Health Research Laboratory, Faculty of Medicine, Cadi Ayyad University (UCA), Marrakesh, Morocco
| | - Latifa Adarmouch
- Clinical Research Department, Mohammed VI University Hospital, Marrakesh, Morocco
- Community Medicine and Public Health Department, Bioscience and Health Research Laboratory, Faculty of Medicine, Cadi Ayyad University (UCA), Marrakesh, Morocco
| | - Mohamed Amine
- Clinical Research Department, Mohammed VI University Hospital, Marrakesh, Morocco
- Community Medicine and Public Health Department, Bioscience and Health Research Laboratory, Faculty of Medicine, Cadi Ayyad University (UCA), Marrakesh, Morocco
| | - Majda Sebbani
- Clinical Research Department, Mohammed VI University Hospital, Marrakesh, Morocco
- Community Medicine and Public Health Department, Bioscience and Health Research Laboratory, Faculty of Medicine, Cadi Ayyad University (UCA), Marrakesh, Morocco
- Unit of Development and Research in Medical Education (UDREM), Faculty of Medicine, University of Geneva, Geneva, Switzerland
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Hayward K, Grom A, Muscal E, Nigrovic PA, Rouster-Stevens KA, Ardalan K, Hiraki L, Moorthy LN. Longitudinal program evaluation of an inter-institutional mentorship network for pediatric rheumatology using a quality improvement framework. RESEARCH SQUARE 2023:rs.3.rs-3717708. [PMID: 38168403 PMCID: PMC10760235 DOI: 10.21203/rs.3.rs-3717708/v1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2024]
Abstract
Background The American College of Rheumatology (ACR)/Childhood Arthritis and Rheumatology Research Alliance (CARRA) Mentoring Interest Group (AMIGO) is an inter-institutional mentorship program launched to target mentorship gaps within pediatric rheumatology. Initial program evaluation indicated increased mentorship access. Given the small size of the pediatric rheumatology workforce, maintaining a consistent supply of mentors was a potential threat to the longevity of the network. Our aims were to: (i) describe the sustainability of AMIGO over the period 2011-2018, (ii) highlight ongoing benefits to participants, and (iii) describe challenges in the maintenance of a mentorship network. Methods A mixed-methods approach centered on a quality improvement framework was used to report on process and outcomes measures associated with AMIGO annual cycles. Results US and Canada Pediatric rheumatology workforce surveys identified 504 possible participants during the time period. As of fall 2018, 331 unique individuals had participated in AMIGO as a mentee, mentor or both for a program response rate of 66% (331/504). Survey of mentees indicated high satisfaction with impact on general career development, research/scholarship and work-life balance. Mentors indicated increased sense of connection to the community and satisfaction with helping mentees despite minimal perceived benefit to their academic portfolios. Based on AMIGO's success, a counterpart program, Creating Adult Rheumatology Mentorship in Academia (CARMA), was launched in 2018. Conclusions Despite the challenges of a limited workforce, AMIGO continues to provide consistent access to mentorship opportunities for the pediatric rheumatology community. This experience can inform approaches to mentorship gaps in other academic subspecialties.
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Affiliation(s)
- Kristen Hayward
- Seattle Children's Hospital and University of Washington School of Medicine
| | - Alexi Grom
- CCHMC: Cincinnati Children's Hospital Medical Center
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Ndwiga C, Abuya T, Okondo C, Akinyi S, Wickramanayake A, Warren CE. Effect of mentorship and a mHealth application in updating provider skills and knowledge in maternal and newborn care in two informal settlements of Nairobi. BMC Womens Health 2023; 23:580. [PMID: 37940919 PMCID: PMC10633915 DOI: 10.1186/s12905-023-02740-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2023] [Accepted: 10/28/2023] [Indexed: 11/10/2023] Open
Abstract
BACKGROUND Children and women in urban informal settlements have fewer choices to access quality maternal and newborn health care. Many facilities serving these communities are under-resourced and staffed by fewer providers with limited access to skills updates. We sought to increase provider capacity by equipping them with skills to provide general and emergency obstetric and newborn care in 24 facilities serving two informal settlements in Nairobi. We present evidence of the combined effect of mentorship using facility-based mentors who demonstrate skills, support skills drills training, and provide practical feedback to mentees and a self-guided online learning platform with easily accessible EmONC information on providers' smart phones. METHODS We used mixed methods research with before and after cross-sectional provider surveys conducted at baseline and end line. During end line, 18 in-depth interviews were conducted with mentors and mentees who were exposed, and providers not exposed to the intervention to explore effectiveness and experience of the intervention on quality maternal health services. RESULTS Results illustrated marked improvement from ability to identify antepartum hemorrhage (APH), postpartum hemorrhage (PPH), manage retained placenta, ability to identify and manage obstructed labour, Pre-Eclampsia and Eclampsia (PE/E), puerperal sepsis, and actions taken to manage conditions when they present. Overall, out of 95 elements examined there were statistically significant improvements of both individual scores and overall scores from 29/95 at baseline (30.5%) to 44.3/95 (46.6%) during end line representing a 16- percentage point increase (p > 0.001). These improvements were evident in public health facilities representing a 17.3% point increase (from 30.9% at baseline to 48.2% at end line, p > 0.001). Similarly, providers working in private facilities exhibited a 15.8% point increase in knowledge from 29.7% at baseline to 45.5% at end line (p = 0.0001). CONCLUSION This study adds to the literature on building capacity of providers delivering Maternal and Newborn Health (MNH) services to women in informal settlements. The complex challenges of delivering MNH services in informal urban settings where communities have limited access require a comprehensive approach including ensuring access to supplies and basic equipment. Nevertheless, the combined effects of the self-guided online platform and mentorship reinforces EmONC knowledge and skills. This combined approach is more likely to improve provider competency, and skills as well as improving maternal and newborn health outcomes.
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Affiliation(s)
- Charity Ndwiga
- Population Council, Nairobi Kenya. Avenue 5, 3rd Floor, Rose Avenue, PO Box 17643-00500, Nairobi, Kenya
| | - Timothy Abuya
- Population Council, Nairobi Kenya. Avenue 5, 3rd Floor, Rose Avenue, PO Box 17643-00500, Nairobi, Kenya.
| | - Chantalle Okondo
- Population Council, Nairobi Kenya. Avenue 5, 3rd Floor, Rose Avenue, PO Box 17643-00500, Nairobi, Kenya
| | | | | | - Charlotte E Warren
- Population Council, Suite 280, 4301 Connecticut Ave NW, Washington, DC, USA
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Mremi A, Pancras G, Mrema D, Morris B, Mwakyandile T, Msanga DR, Mundamshimu JS, Nicholaus B, Massawe HH, Matiko M, Amour M, Malindisa E. Mentorship of young researchers in resource-limited settings: experiences of the mentees from selected health sciences Universities in Tanzania. BMC MEDICAL EDUCATION 2023; 23:375. [PMID: 37226151 DOI: 10.1186/s12909-023-04369-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 05/17/2023] [Indexed: 05/26/2023]
Abstract
INTRODUCTION Mentorship is an essential component of research capacity building for young researchers in the health sciences. The mentorship environment in resource-limited settings is gradually improving. This article describes mentees' experiences in a mentorship program for junior academicians amid the COVID-19 pandemic in Tanzania. METHODS This is a survey study that examined the experiences of mentees who participated in a mentorship program developed as part of the Transforming Health Education in Tanzania (THET) project. The THET project was funded by the US National Institutes of Health (NIH) under a consortium of three partnering academic institutions in Tanzania and two collaborating US-based institutions. Senior faculty members of respective academic institutions were designated as mentors of junior faculty. Quarterly reports submitted by mentees for the first four years of the mentorship program from 2018 to 2022 were used as data sources. RESULTS The mentorship program included a total of 12 mentees equally selected from each of the three health training institutions in Tanzania. The majority (7/12) of the mentees in the program were males. All mentees had a master's degree, and the majorities (8/12) were members of Schools/Faculties of Medicine. Most mentors (9/10) were from Tanzania's three partnering health training institutions. All mentors had an academic rank of senior lecturer or professor. Despite the onset of the COVID-19 pandemic, the regular weekly meetings between mentors and mentees were not affected. By the fourth year of the mentorship program, more than three-quarters of mentees had published research related to the mentorship program in a peer-reviewed journal, over half had enrolled in Ph.D. studies, and half had applied for and won competitive grant awards. Almost all mentees reported being satisfied with the mentorship program and their achievements. CONCLUSION The mentorship program enhanced the skills and experiences of the mentees as evidenced by the quality of their research outputs and their dissemination of research findings. The mentorship program encouraged mentees to further their education and enhanced other skills such as grant writing. These results support the initiation of similar mentorship programs in other institutions to expand their capacity in biomedical, social, and clinical research, especially in resource-limited settings, such as Sub-Saharan Africa.
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Affiliation(s)
- Alex Mremi
- Faculty of Medicine, Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania
| | - Godwin Pancras
- School of Public Health and Social Sciences, the Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar-es-salaam, Tanzania
| | - Dorah Mrema
- Faculty of Nursing, Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania
| | - Baraka Morris
- School of Nursing, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es salaam, Tanzania
| | - Tosi Mwakyandile
- School of Biomedical Sciences, Campus College of Medicine, Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar es Salaam, Tanzania
| | - Delfina R Msanga
- School of Medicine, the Catholic University of Health and Allied Sciences, P.O. Box 1464, Mwanza, Tanzania
| | - James S Mundamshimu
- Archbishop Anthony Mayala School of Nursing, the Catholic University of Health and Allied Sciences, P.O. Box 1464, Mwanza, Tanzania
| | - Bartholomeo Nicholaus
- Faculty of Medicine, Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania
| | - Honest H Massawe
- Faculty of Medicine, Kilimanjaro Christian Medical University College, P.O. Box 2240, Moshi, Tanzania
| | - Mwita Matiko
- School of Medicine, the Catholic University of Health and Allied Sciences, P.O. Box 1464, Mwanza, Tanzania
| | - Maryam Amour
- School of Public Health and Social Sciences, the Muhimbili University of Health and Allied Sciences, P.O. Box 65001, Dar-es-salaam, Tanzania
| | - Evangelista Malindisa
- School of Medicine, the Catholic University of Health and Allied Sciences, P.O. Box 1464, Mwanza, Tanzania.
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Developing a Physician-Led Model for Research Mentorship in Academic Urology. Curr Urol Rep 2023; 24:205-212. [PMID: 36763282 DOI: 10.1007/s11934-023-01148-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/27/2023] [Indexed: 02/11/2023]
Abstract
PURPOSE OF REVIEW Quality mentorship is difficult to attain amidst the conflicting demands of academic medicine. In this review, we sought to characterize mentor-mentee relationships and discuss their optimization towards productivity in the research team setting. RECENT FINDINGS A high-value mentor, defined by exceptional commitment to both research productivity and mentoring, naturally attracts prospective mentees, who can demonstrate their interest by shadowing and completing delegated tasks. Once fully initiated, the mentee establishes expectations with the mentor, identifies their roles within the research team, and, over time, takes ownership of the mentor-mentee relationship and collaborates with near-peers. Mentorship is a dynamic, reciprocal relationship that enhances career development of both participants. In the research team setting, episodic virtual research meetings and prudent delegation orient the entire team, while the mentor-mentee relationship is upheld by embracing a culture of responsiveness, feedback, and collaboration.
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Hill SEM, Ward WL, Seay A, Buzenski J. The Nature and Evolution of the Mentoring Relationship in Academic Health Centers. J Clin Psychol Med Settings 2022; 29:557-569. [PMID: 35761033 PMCID: PMC9243938 DOI: 10.1007/s10880-022-09893-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/01/2022] [Indexed: 01/09/2023]
Abstract
Mentoring has a long tradition in academic health centers, and from an institutional perspective can positively impact retention, wellness, promotion success, work satisfaction, and more. On the individual level, mentorship can provide professional growth and personal satisfaction for both participants. However, mentors may struggle with how to build their mentorship skills, navigating challenges with mentees over time, or if/how/when to conclude a mentor-mentee relationship. Mentees may not understand how to find a mentor, what the nature of that relationship is, or what their role is (what characterizes a "good" mentee). As important as mentorship is, it can be challenging for both to find and maintain a high-quality mentor-mentee relationship. This article reviews the qualities that are most critical in developing a successful mentoring relationship, the longitudinal nature of this relationship, common problems that arise, and the potential rewards that exist for each person involved in the relationship.
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Affiliation(s)
- Sarah E M Hill
- University of Arkansas for Medical Sciences, College of Medicine, Little Rock, AR, USA
| | - Wendy L Ward
- Department of Pediatrics, University of Arkansas for Medical Sciences, College of Medicine, Little Rock, AR, USA.
- Academic Affairs, University of Arkansas for Medical Sciences, College of Medicine, 4301 W. Markham #849, Little Rock, AR, USA.
| | - A Seay
- Department of Pediatrics, University of Arkansas for Medical Sciences, College of Medicine, Little Rock, AR, USA
| | - J Buzenski
- Department of Pediatrics, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA, USA
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Highet A, Kendrick DE, Bandeh-Ahmadi H, Vitous A, Yang K, Ernst C, George BC. Pragmatic Mentoring Strategies for the Busy Surgeon Scientist. JOURNAL OF SURGICAL EDUCATION 2022; 79:695-707. [PMID: 35144902 DOI: 10.1016/j.jsurg.2022.01.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 12/13/2021] [Accepted: 01/08/2022] [Indexed: 06/14/2023]
Abstract
OBJECTIVE The value of research mentorship in academic medicine is well-recognized, yet there is little practical advice for how to develop and sustain effective mentoring partnerships. Gaining research skill and mentorship is particularly critical to success in academic surgery, yet surgeon scientists are challenged in their mentorship efforts by time constraints and lack of education on how to mentor. To address this gap, this study explored the strategies that award-winning faculty mentors utilize in collaborating with their medical student mentees in research. DESIGN, SETTING, AND PARTICIPANTS For this qualitative study, the authors invited physician recipients of an institution-wide mentorship award to participate in individual, semi-structured interviews during July and August 2018. Following interview transcription, the authors independently coded the text and collaboratively identified common mentoring strategies and practices via a process of thematic analysis. RESULTS Nine physician mentors, representing a mix of genders, medical specialties and types of research (basic science, clinical, translational, and health services), participated in interviews. The authors identified 12 strategies and practices from the interview transcripts that fell into 5 categories: Initiating the partnership; Determining the research focus; Providing project oversight; Developing mentee research competence; and Supporting mentee self-efficacy. CONCLUSION Award-winning mentors employ a number of shared strategies when mentoring medical trainees in research. These strategies can serve as a guide for academic surgeons who wish to improve their research mentoring skills.
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Affiliation(s)
- Alexandra Highet
- Department of Surgery, University of California, San Francisco, San Francisco, California
| | - Daniel E Kendrick
- Department of Surgery, University of Minnesota, Minneapolis, Minnesota
| | - Hoda Bandeh-Ahmadi
- Center for Surgical Training and Research, Michigan Medicine, Ann Arbor, Michigan
| | - Ann Vitous
- Center for Health Outcomes and Policy, Michigan Medicine, Ann Arbor, Michigan
| | - Katherine Yang
- Center for Surgical Training and Research, Michigan Medicine, Ann Arbor, Michigan
| | - Caleb Ernst
- Center for Surgical Training and Research, Michigan Medicine, Ann Arbor, Michigan
| | - Brian C George
- Center for Surgical Training and Research, Michigan Medicine, Ann Arbor, Michigan; Center for Health Outcomes and Policy, Michigan Medicine, Ann Arbor, Michigan.
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Herchline D, Tenney-Soeiro R, Mehta JJ. Impact of hospitalists' social identities on perceptions of teamwork. J Interprof Care 2022:1-8. [PMID: 34979857 DOI: 10.1080/13561820.2021.1991291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 09/30/2021] [Accepted: 10/04/2021] [Indexed: 10/19/2022]
Abstract
Interprofessional teamwork provides unique opportunities for improving patient care. This study used Social Identity Theory as a conceptual framework to characterize the relationships between the social identities of pediatric hospitalists and their perceptions of interprofessional teamwork. We used qualitative methods including free-listing and semi-structured interviews to examine these relationships. We identified five key themes: (a) Pediatric hospitalists' identities fall along a spectrum ranging from profession-centered to team-centered; (b) Familiarity is conducive to formation of team identity; (c) Co-creation of a shared vision and practice of creating shared mental models strengthens sense of team; (d) Institutional culture acts as both a facilitator for and barrier to formation of team identity; (e) High-functioning teams often epitomize the concept of "flexible leadership." We conclude that Social Identity Theory can be a useful theoretical lens for examining interprofessional teamwork in healthcare settings, including among pediatric hospitalists.
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Affiliation(s)
- Daniel Herchline
- Children's Hospital of Philadelphia, Philadelphia, PA, USA
- University of Pennsylvania, Philadelphia, Pa, USA
| | - Rebecca Tenney-Soeiro
- Children's Hospital of Philadelphia, Philadelphia, PA, USA
- University of Pennsylvania, Philadelphia, Pa, USA
| | - Jay J Mehta
- Children's Hospital of Philadelphia, Philadelphia, PA, USA
- University of Pennsylvania, Philadelphia, Pa, USA
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Sephien A, Hatch L, Karsch J, Hanna K, Kumar A, Gulick D. Prevalence of, Qualities, and Barriers Associated with Mentoring Relationships from Medical Students' Perspective: A Multi-Institutional Cross-Sectional Study. South Med J 2021; 114:789-796. [PMID: 34853856 DOI: 10.14423/smj.0000000000001334] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES Reports of medical student mentorship prevalence range between 26% and 77%. This broad range likely reflects the tendencies of studies to focus on specific populations of medical students. There is little consensus about the characteristics of mentoring relationships among medical students. The primary goal of this study was to determine the reported prevalence of mentorship among medical students in the United States. The secondary goals were to assess the desired qualities of and barriers to successful mentoring from a medical student perspective. METHODS A cross-sectional online survey was administered via Qualtrics to all medical students at participating accredited medical schools from July 2018 to March 2019. The questionnaire contained a subsection of questions that assessed the existence of mentoring, facilitators, and barriers in finding a mentor, and the desired qualities of a successful mentor. RESULTS With a 94% completion rate, 369 (69%) of 532 medical students reported having a mentor. Adjusted analysis showed that fourth-year medical students were significantly more likely to have a mentor compared with first-year (odds ratio [OR] 2.65, 95% confidence interval [CI] 1.49-4.73, P = 0.001), second-year (OR 2.07, 95% CI 1.14-3.76, P = 0.016), and third-year medical students (OR 2.16, 95% CI 1.2-3.90, P = 0.011). Compassion (64%) was the most commonly reported quality in a successful mentoring relationship. Lack of time from mentor (75%) was the most commonly reported barrier. CONCLUSIONS This study may serve as a guide to fostering more supportive mentoring relationships. Each mentoring relationship should be tailored to the needs of the mentee, however.
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Affiliation(s)
- Andrew Sephien
- From the Department of Internal Medicine, HCA Healthcare/USF Morsani GME Consortium: Citrus Memorial Hospital, Inverness, Florida, the Department of Internal Medicine, University of South Florida, Tampa, the Department of General Surgery, Medical University of South Carolina, Charleston, the Department of Family Medicine, University of South Florida, Tampa, the Research Methodology and Biostatistics Core, Office of Research, Department of Internal Medicine, University of South Florida, Tampa, and the Department of Molecular Medicine, University of South Florida, Tampa
| | - Leigh Hatch
- From the Department of Internal Medicine, HCA Healthcare/USF Morsani GME Consortium: Citrus Memorial Hospital, Inverness, Florida, the Department of Internal Medicine, University of South Florida, Tampa, the Department of General Surgery, Medical University of South Carolina, Charleston, the Department of Family Medicine, University of South Florida, Tampa, the Research Methodology and Biostatistics Core, Office of Research, Department of Internal Medicine, University of South Florida, Tampa, and the Department of Molecular Medicine, University of South Florida, Tampa
| | - Jordan Karsch
- From the Department of Internal Medicine, HCA Healthcare/USF Morsani GME Consortium: Citrus Memorial Hospital, Inverness, Florida, the Department of Internal Medicine, University of South Florida, Tampa, the Department of General Surgery, Medical University of South Carolina, Charleston, the Department of Family Medicine, University of South Florida, Tampa, the Research Methodology and Biostatistics Core, Office of Research, Department of Internal Medicine, University of South Florida, Tampa, and the Department of Molecular Medicine, University of South Florida, Tampa
| | - Karim Hanna
- From the Department of Internal Medicine, HCA Healthcare/USF Morsani GME Consortium: Citrus Memorial Hospital, Inverness, Florida, the Department of Internal Medicine, University of South Florida, Tampa, the Department of General Surgery, Medical University of South Carolina, Charleston, the Department of Family Medicine, University of South Florida, Tampa, the Research Methodology and Biostatistics Core, Office of Research, Department of Internal Medicine, University of South Florida, Tampa, and the Department of Molecular Medicine, University of South Florida, Tampa
| | - Ambuj Kumar
- From the Department of Internal Medicine, HCA Healthcare/USF Morsani GME Consortium: Citrus Memorial Hospital, Inverness, Florida, the Department of Internal Medicine, University of South Florida, Tampa, the Department of General Surgery, Medical University of South Carolina, Charleston, the Department of Family Medicine, University of South Florida, Tampa, the Research Methodology and Biostatistics Core, Office of Research, Department of Internal Medicine, University of South Florida, Tampa, and the Department of Molecular Medicine, University of South Florida, Tampa
| | - Danielle Gulick
- From the Department of Internal Medicine, HCA Healthcare/USF Morsani GME Consortium: Citrus Memorial Hospital, Inverness, Florida, the Department of Internal Medicine, University of South Florida, Tampa, the Department of General Surgery, Medical University of South Carolina, Charleston, the Department of Family Medicine, University of South Florida, Tampa, the Research Methodology and Biostatistics Core, Office of Research, Department of Internal Medicine, University of South Florida, Tampa, and the Department of Molecular Medicine, University of South Florida, Tampa
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Zhao Y, Liao L, Feng H, Chen H, Ning H. Enablers and barriers to implementing care quality improvement program in nursing homes in China. BMC Geriatr 2021; 21:532. [PMID: 34620127 PMCID: PMC8496049 DOI: 10.1186/s12877-021-02488-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Accepted: 09/16/2021] [Indexed: 11/10/2022] Open
Abstract
Objective To explore the perspectives of key stakeholders on necessary factors to implement care quality improvement program. Methods We conducted qualitative descriptive research in eight nursing homes in four major prefecture-level cities of Changsha, Xiangtan, Zhuzhou, and Yueyang. Data of 50 clinical nurses and 64 nurse assistants were included and analyzed. Ethical approval was given by the medical ethics committee of Chinese Clinical Trial Registry (No. ChiCTR-IOC-17013109, https://www.chictr.org.cn/index.aspx). One-to-one interviews were used with the nursing managers, and separate focus group discussions were used with the clinical nurses and nurse assistants. All of the interviews were audio recorded and later transcribed verbatim. In addition, the first author documented the responses of every participant in the field notes during the interviews and focus groups. Results The participants’ perspectives were characterized by two main themes: (1) enablers, with four subthemes of “organizational support”, “the evidence-based practice ability”, “proactivity”, “nursing supervision and feedback;” and (2) barriers, with five sub-themes of “low educational background”, “the limitations of self-role orientation”, “resistance to change”, “lack of job motivation”, and “organizational constraints”. Conclusion These findings recognize factors at the organizational level, staff level and societal level that are necessary to implement effective mentoring. The results of this study can provide reference for nursing home in improving nursing management quality, formulating, implementing and revising training policies.
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Affiliation(s)
- Yinan Zhao
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
| | - Lulu Liao
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
| | - Hui Feng
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China. .,Xiangya-Oceanwide Health Management Research Institute, Central South University, Changsha, China. .,National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, China.
| | - Huijing Chen
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
| | - Hongting Ning
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
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Abdelhamid K, ElHawary H, Gorgy A, Alexander N. Mentorship Resuscitation During the COVID-19 Pandemic. AEM EDUCATION AND TRAINING 2021; 5:132-134. [PMID: 33043229 PMCID: PMC7537243 DOI: 10.1002/aet2.10538] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2020] [Accepted: 09/14/2020] [Indexed: 06/11/2023]
Affiliation(s)
| | - Hassan ElHawary
- Division of Plastic and Reconstructive SurgeryMcGill UniversityMontrealQuebecCanada
| | - Andrew Gorgy
- Department of SurgeryMcGill UniversityMontrealQuebecCanada
| | - Noah Alexander
- Department of Emergency MedicineUniversity of British ColumbiaVancouverBritish ColumbiaCanada
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Singla N. Academic Mentorship: Choosing the Right Research Mentor(s). KIDNEY CANCER JOURNAL : OFFICIAL JOURNAL OF THE KIDNEY CANCER ASSOCIATION 2020; 18:114. [PMID: 33456642 PMCID: PMC7808721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Affiliation(s)
- Nirmish Singla
- Departments of Urology and Oncology, The James Buchanan Brady Urological Institute, Johns Hopkins University, Baltimore, MD
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Chua WJ, Cheong CWS, Lee FQH, Koh EYH, Toh YP, Mason S, Krishna LKR. Structuring Mentoring in Medicine and Surgery. A Systematic Scoping Review of Mentoring Programs Between 2000 and 2019. THE JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS 2020; 40:158-168. [PMID: 32898120 DOI: 10.1097/ceh.0000000000000308] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
INTRODUCTION Evidence of novice mentoring's successes in having senior clinicians support junior doctors and/or medical students in their clinical, academic, and research goals has spurred efforts to include mentoring in the core medical curriculum. However, lack of effective structuring threatens the viability of mentoring programs, precipitating ethical concerns about mentoring. This review aims to answer the question "what is known about mentoring structures in novice mentoring among medical students and junior doctors in medicine and surgery postings?," which will guide the design of a consistent structure to novice mentoring. METHODS Levac (2010)'s framework was used to guide this systematic scoping review of mentoring programs in medicine and surgery published between 1 January 2000 and 31 December 2019 in PubMed, ScienceDirect, ERIC, Embase, Scopus, Mednar, and OpenGrey. A "split approach" involving concurrent independent use of a directed content analysis and thematic approach was used to analyze included articles. RESULTS Three thousand three hundred ninety-five abstracts were identified. There was concordance between the 3 themes and categories identified in analyzing the 71 included articles. These were the host organization, mentoring stages, and evaluations. CONCLUSION The data reveal the need for balance between ensuring consistency and flexibility to meet the individual needs of stakeholders throughout the stages of the mentoring process. The Generic Mentoring Framework provides a structured approach to "balancing" flexibility and consistency in mentoring processes. The Generic Mentoring Framework is reliant upon appropriate, holistic, and longitudinal assessments of the mentoring process to guide adaptations to mentoring processes and ensure effective support and oversight of the program.
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Affiliation(s)
- Wen Jie Chua
- Mr. Chua: Fourth year medical student, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Ms. Cheong: Fourth year medical student, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, and Division of Palliative Medicine, National Cancer Centre Singapore, Singapore. Ms. Lee: Fourth year medical student, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Dr. Koh: Medical officer, Tan Tock Seng Hospital, Singapore. Dr Toh is an Adjunct Lecturer at the Division of Family Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Dr. Toh: National University Hospital Singapore, Family Medicine Residency, Singapore. Dr. Mason: Research and Development Lead, Palliative Care Institute Liverpool, Academic Palliative & End of Life Care Centre, University of Liverpool, Liverpool, United Kingdom. Dr. Krishna: Senior Consultant, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Division of Palliative Medicine, National Cancer Centre Singapore, Singapore, National University Hospital Singapore, Family Medicine Residency, Singapore, Palliative Care Institute Liverpool, Academic Palliative & End of Life Care Centre, University of Liverpool, Liverpool, United Kingdom, Duke-NUS Medical School, Singapore, and Centre of Biomedical Ethics, National University of Singapore, Singapore
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Finding a Mentor. Health Serv Res 2020. [DOI: 10.1007/978-3-030-28357-5_26] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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