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Roth MF, Chick JFB, McLoughlin D, Shin DS, Chadalavada SC, Monroe EJ, Hage AN, Ji I, Lee E, Makary MS. Wellness Among Interventional Radiologists: Results From a Multidimensional Survey. Acad Radiol 2024; 31:1130-1140. [PMID: 37945493 DOI: 10.1016/j.acra.2023.09.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 09/09/2023] [Accepted: 09/16/2023] [Indexed: 11/12/2023]
Abstract
RATIONALE AND OBJECTIVES To evaluate wellness among interventional radiologists using a multidimensional survey. MATERIALS AND METHODS An anonymous 53-item survey, including 36 Perceived Wellness Survey (PWS) prompts, was created in Qualtrics (an online survey tool) to assess wellness among interventional radiology attendings and residents. The survey was open from June to September, 2022, 2 years into the COVID-19 Pandemic. The survey was distributed via Society of Interventional Radiology Forums, social media (Twitter, LinkedIn, and Facebook), and personal correspondence. PWS scores were categorized into Wellness Composite and subscores (physical, emotional, intellectual, psychological, social, and spiritual). RESULTS 367 surveys were completed. 300 (81.7%) respondents were male and 67 (18.3%) were female. Respondents included attending physicians (297; 81.0%) and residents (70; 19.0%). Practice settings included academic (174; 47.4%), private (114; 31.0%), private-academic hybrid (62; 16.9%), and others (17; 4.7%). Mean Wellness Composite at academic centers (14.74 ± 3.16; range: 5.42-23.50) was significantly lower than at private (15.22 ± 3.37; range: 6.13-23.51) and hybrid (16.14 ± 2.47; range: 10.20-23.50) practices (p = 0.01). Respondents < 40 years old had significantly lower emotional wellness subscores compared to those ≥ 40 years old (4.34 ± 0.86 vs. 4.60 ± 0.87; p = 0.006). There were no significant differences between geographic regions in the United States, however, International respondents had significantly lower social and intellectual wellness (INT) subscores. Physical wellness subscore (4.00 ± 0.9) was significantly lower than the other subscores (4.59 ± 0.81) (p < .001). Overall mean Wellness Composite was 15.11 ± 3.13 (range: 5.42-23.51). CONCLUSION Overall self-reported wellness was lower among interventional radiologists practicing at academic centers. Interventional Radiologists < 40 years old and residents had lower emotional wellness, while international respondents had lower social and INT. Overall wellness scores were lower than prior PWS studies.
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Affiliation(s)
- Matthew F Roth
- Division of Vascular and Interventional Radiology, Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio 43240, USA (M.F.R., D.M., M.S.M.).
| | - Jeffrey Forris Beecham Chick
- Division of Interventional Radiology, Department of Radiology, University of Washington, Seattle, Washington, USA (J.F.B.C., D.S.S.); The Deep Vein Institute, University of Washington, Seattle, Washington, USA (J.F.B.C., D.S.S.)
| | - Dane McLoughlin
- Division of Vascular and Interventional Radiology, Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio 43240, USA (M.F.R., D.M., M.S.M.)
| | - David S Shin
- Division of Interventional Radiology, Department of Radiology, University of Washington, Seattle, Washington, USA (J.F.B.C., D.S.S.); The Deep Vein Institute, University of Washington, Seattle, Washington, USA (J.F.B.C., D.S.S.)
| | - Seetharam C Chadalavada
- Division of Interventional Radiology, Department of Radiology, University of Cincinnati, Cincinnati, Ohio, USA (S.C.C.)
| | - Eric J Monroe
- Division of Interventional Radiology, Department of Radiology, University of Wisconsin, Madison, Wisconsin, USA (E.J.M.)
| | - Anthony N Hage
- Division of Vascular and Interventional Radiology, Department of Radiology, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA (A.N.H.)
| | - Ido Ji
- Department of Information and Statistics, Chungnam National University, Daejeon, South Korea (I.J., E.L.)
| | - Eunjee Lee
- Department of Information and Statistics, Chungnam National University, Daejeon, South Korea (I.J., E.L.)
| | - Mina S Makary
- Division of Vascular and Interventional Radiology, Department of Radiology, The Ohio State University Wexner Medical Center, Columbus, Ohio 43240, USA (M.F.R., D.M., M.S.M.)
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Ramani S, Kusurkar RA, Lyon-Maris J, Pyörälä E, Rogers GD, Samarasekera DD, Taylor DCM, Ten Cate O. Mentorship in health professions education - an AMEE guide for mentors and mentees: AMEE Guide No. 167. MEDICAL TEACHER 2023:1-13. [PMID: 37909275 DOI: 10.1080/0142159x.2023.2273217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2023]
Abstract
This AMEE guide discusses theoretical principles and practical strategies for health professions educators to promote impactful mentoring relationships. Traditional definitions are challenged, distinctions are made between roles such as mentor, advisor, coach and sponsor. As educational environments change and options for professional development expand, we argue that the traditional dyadic format of mentoring alone will not help mentees to maximise their professional growth. Newer formats of mentoring are discussed in detail and their advantages and disadvantages compared. We use a variety of theoretical concepts to anchor the practice of mentorship: self-focussed and other-focussed motives; psychological safety; personal interpretive framework; Daloz model for balancing support and challenge; zone of proximal development; communities of practice; and development along multiple layers of competence. Recommended strategies for effective mentoring are based on extensive review of literature, as well as combined professional mentoring experiences of the authors. We use key principles from the theories described and phases of mentoring relationships as foundations for the suggested best practices of mentorship. Finally, we emphasise the role of mentees in their own professional development and provide tips for them on seeking mentors, expanding their mentoring network and taking the lead in setting the agenda during mentoring meetings and formulating action plans for their own advancement.
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Affiliation(s)
- Subha Ramani
- Department of Medicine, Harvard Medical School, Boston, MA, USA
- Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA
| | - Rashmi A Kusurkar
- Research in Education, Amsterdam UMC Location Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Johnny Lyon-Maris
- GP Education Unit, University Hospitals Southampton, Southampton, United Kingdom of Great Britain and Northern Ireland
| | - Eeva Pyörälä
- Centre for University Teaching and Learning, University of Helsinki, Helsinki, Finland
| | - Gary D Rogers
- School of Medicine, Deakin University Faculty of Health, Waurn Ponds, Australia
| | | | - David C M Taylor
- Gulf Medical University, Ajman, United Arab Emirates
- Department of Public Health and Policy, University of Liverpool, Liverpool, United Kingdom of Great Britain and Northern Ireland
| | - Olle Ten Cate
- Centre for Research and Development of Education, UMC Utrecht, Utrecht, The Netherlands
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Slater PJ, Herbert AR. Mentoring the Wellbeing of Specialist Pediatric Palliative Care Medical and Nursing Trainees: The Quality of Care Collaborative Australia. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2023; 14:183-194. [PMID: 36895617 PMCID: PMC9990446 DOI: 10.2147/amep.s393052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 02/07/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND The Quality of Care Collaborative Australia (QuoCCA), working across 6 tertiary centers throughout Australia, builds capability in the generalist and specialist pediatric palliative care (PPC) workforce, by providing education in metropolitan and regional areas. As part of the education and mentoring framework, Medical Fellows and Nurse Practitioner Candidates (trainees) were funded by QuoCCA at four tertiary hospitals throughout Australia. OBJECTIVE This study explores the perspectives and experiences of clinicians who had occupied the QuoCCA Medical Fellow and Nurse Practitioner trainee positions in the specialised area of PPC at Queensland Children's Hospital, Brisbane, to identify the ways in which they were supported and mentored to maintain their wellbeing and facilitate sustainable practice. METHODS Discovery Interview methodology was used to collect detailed experiences of 11 Medical Fellows and Nurse Practitioner candidates/trainees employed by QuoCCA from 2016 to 2022. RESULTS The trainees were mentored by their colleagues and team leaders to overcome challenges of learning a new service, getting to know the families and building their competence and confidence in providing care and being on call. Trainees experienced mentorship and role modelling of self-care and team care that promoted wellbeing and sustainable practice. Group supervision provided dedicated time for reflection as a team and development of individual and team wellbeing strategies. The trainees also found it rewarding to support clinicians in other hospitals and regional teams that cared for palliative patients. The trainee roles provided the opportunity to learn a new service and broaden career horizons as well as establish wellbeing practices that could be transferred to other areas. CONCLUSION Collegial interdisciplinary mentoring, with the team learning together and caring for each other along common goals, contributed immensely to the wellbeing of the trainees as they developed effective strategies to ensure their sustainability in caring for PPC patients and families.
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Affiliation(s)
- Penelope J Slater
- Oncology Services Group, Queensland Children’s Hospital, Children’s Health Queensland Hospital and Health Service, Brisbane, QLD, Australia
| | - Anthony R Herbert
- Paediatric Palliative Care Service, Queensland Children’s Hospital, Children’s Health Queensland Hospital and Health Service, Brisbane, QLD, Australia
- Centre for Children’s Health Research, Queensland University of Technology, Brisbane, QLD, Australia
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Slater PJ, Herbert AR. Education and Mentoring of Specialist Pediatric Palliative Care Medical and Nursing Trainees: The Quality of Care Collaborative Australia. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2023; 14:43-60. [PMID: 36726358 PMCID: PMC9885964 DOI: 10.2147/amep.s393051] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 01/20/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND The Quality of Care Collaborative Australia (QuoCCA) builds capability in the generalist and specialist paediatric palliative care (PPC) workforce throughout Australia. It supports regional and community services to provide care close to families' homes, as well as building expertise in tertiary centers. OBJECTIVE Medical Fellows and Nurse Practitioner candidates (specialist trainees) were funded by QuoCCA at four tertiary hospitals throughout Australia supported by an education and mentoring framework. This study explored the activity and experiences of clinicians who had occupied these roles to evaluate their effectiveness to build PPC capability. METHODS Online surveys recorded the monthly activity of Medical Fellows, with a point in time check of knowledge, skills and confidence in 2019. Discovery Interview methodology was used to collect detailed experiences of 11 trainees employed between 2018 to 2022 in Queensland. RESULTS A combination of mentoring and formal and informal education, peer support and practical experience was valuable for trainees. They found the support of the whole interdisciplinary team advantageous to learning. Shadowing experienced team members gave them the opportunity to learn practical skills, especially regarding communication with families. Practicing clinical skills was beneficial, through being on call, attending home visits, supporting families, prescribing medications and developing treatment plans in collaboration with the team. The trainee experience was optimised through learning from families, personal reflection, involvement in research projects and delivering QuoCCA education. CONCLUSION The QuoCCA trainee roles for Medical Fellows and Nurse Practitioner candidates exhibit a valuable and effective education and mentorship framework that could be applied to other specialties. The service leadership and collaborative interdisciplinary team support various modes of education and mentoring. The roles not only develop the trainees' specialised PPC clinical skills, they also improve their general clinical practice, including communication, empathy and holistic care. A structured curriculum of education is recommended to protect these positive outcomes.
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Affiliation(s)
- Penelope J Slater
- Oncology Services Group, Queensland Children’s Hospital, Children’s Health Queensland Hospital and Health Service, South Brisbane, Queensland, Australia
| | - Anthony R Herbert
- Paediatric Palliative Care Service, Queensland Children’s Hospital, Children’s Health Queensland Hospital and Health Service, Brisbane, Queensland, Australia
- Centre for Children’s Health Research, Queensland University of Technology, Brisbane, Queensland, Australia
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Hewson T, Lagunes-Cordoba E, Tracy DK. Benefits and barriers to mentoring in psychiatry: a mentee's perspective. BJPSYCH ADVANCES 2021. [DOI: 10.1192/bja.2020.85] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARYMentoring is becoming increasingly recognised as a tool for supporting the junior workforce and for helping trainees to achieve their full potential. In this article we explore the benefits and barriers to mentoring in psychiatry from a trainee's perspective, and highlight differences between the role of a mentor and clinical and educational supervisor.
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Farheen AS, George IC, Singhal D, Troxell RM, Pillai J, Schneider L, Lomen-Hoerth C, Graves JS, Sandrone S, Nobleza COS. Current Status and Future Strategies for Mentoring Women in Neurology. Neurology 2021; 97:30-37. [PMID: 34088876 DOI: 10.1212/wnl.0000000000012242] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Accepted: 03/08/2021] [Indexed: 11/15/2022] Open
Abstract
The American Academy of Neurology's (AAN) 2017 Gender Disparity Report identified improving mentorship as a key intervention to fill the leadership and pay gaps for women in neurology. Here we summarize the literature on mentoring women, provide an outline of ideal components of programs geared toward closing gender gaps, and present a mentoring program for AAN members. The strategies discussed share similarities with those for closing gaps related to race, ethnicity, and religion. Developing effective mentorship and sponsorship programs is essential to ensure a sufficiently diverse pool of academic faculty and private practitioners and to establish equal representation in leadership roles in this field.
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Affiliation(s)
- Amtul S Farheen
- From the Lebanon VA Medical Center (A.S.F.), PA; Massachusetts General Hospital (I.C.G.), Boston; University of Oklahoma College of Medicine (D.S.), Oklahoma City; Rady Children's Hospital-San Diego (R.M.T., J.S.G.), CA; Drexel University College of Medicine (J.P.), Philadelphia, PA; Stanford Center for Sleep Sciences and Medicine (L.S.); Sierra Pacific Mental Illness Research Education and Clinical Centers (L.S.), VA Palo Alto Health Care System, Palo Alto; UCSF Medical Center (C.L.-H.); Department of Neurosciences (J.S.G.), UCSD, San Diego, CA; Imperial College London (S.S.), UK; University of Mississippi Medical Center (C.O.S.N.), Jackson; and Penn State Hershey Medical Center (A.S.F.)
| | - Ilena C George
- From the Lebanon VA Medical Center (A.S.F.), PA; Massachusetts General Hospital (I.C.G.), Boston; University of Oklahoma College of Medicine (D.S.), Oklahoma City; Rady Children's Hospital-San Diego (R.M.T., J.S.G.), CA; Drexel University College of Medicine (J.P.), Philadelphia, PA; Stanford Center for Sleep Sciences and Medicine (L.S.); Sierra Pacific Mental Illness Research Education and Clinical Centers (L.S.), VA Palo Alto Health Care System, Palo Alto; UCSF Medical Center (C.L.-H.); Department of Neurosciences (J.S.G.), UCSD, San Diego, CA; Imperial College London (S.S.), UK; University of Mississippi Medical Center (C.O.S.N.), Jackson; and Penn State Hershey Medical Center (A.S.F.)
| | - Divya Singhal
- From the Lebanon VA Medical Center (A.S.F.), PA; Massachusetts General Hospital (I.C.G.), Boston; University of Oklahoma College of Medicine (D.S.), Oklahoma City; Rady Children's Hospital-San Diego (R.M.T., J.S.G.), CA; Drexel University College of Medicine (J.P.), Philadelphia, PA; Stanford Center for Sleep Sciences and Medicine (L.S.); Sierra Pacific Mental Illness Research Education and Clinical Centers (L.S.), VA Palo Alto Health Care System, Palo Alto; UCSF Medical Center (C.L.-H.); Department of Neurosciences (J.S.G.), UCSD, San Diego, CA; Imperial College London (S.S.), UK; University of Mississippi Medical Center (C.O.S.N.), Jackson; and Penn State Hershey Medical Center (A.S.F.)
| | - Regina M Troxell
- From the Lebanon VA Medical Center (A.S.F.), PA; Massachusetts General Hospital (I.C.G.), Boston; University of Oklahoma College of Medicine (D.S.), Oklahoma City; Rady Children's Hospital-San Diego (R.M.T., J.S.G.), CA; Drexel University College of Medicine (J.P.), Philadelphia, PA; Stanford Center for Sleep Sciences and Medicine (L.S.); Sierra Pacific Mental Illness Research Education and Clinical Centers (L.S.), VA Palo Alto Health Care System, Palo Alto; UCSF Medical Center (C.L.-H.); Department of Neurosciences (J.S.G.), UCSD, San Diego, CA; Imperial College London (S.S.), UK; University of Mississippi Medical Center (C.O.S.N.), Jackson; and Penn State Hershey Medical Center (A.S.F.)
| | - Jyoti Pillai
- From the Lebanon VA Medical Center (A.S.F.), PA; Massachusetts General Hospital (I.C.G.), Boston; University of Oklahoma College of Medicine (D.S.), Oklahoma City; Rady Children's Hospital-San Diego (R.M.T., J.S.G.), CA; Drexel University College of Medicine (J.P.), Philadelphia, PA; Stanford Center for Sleep Sciences and Medicine (L.S.); Sierra Pacific Mental Illness Research Education and Clinical Centers (L.S.), VA Palo Alto Health Care System, Palo Alto; UCSF Medical Center (C.L.-H.); Department of Neurosciences (J.S.G.), UCSD, San Diego, CA; Imperial College London (S.S.), UK; University of Mississippi Medical Center (C.O.S.N.), Jackson; and Penn State Hershey Medical Center (A.S.F.)
| | - Logan Schneider
- From the Lebanon VA Medical Center (A.S.F.), PA; Massachusetts General Hospital (I.C.G.), Boston; University of Oklahoma College of Medicine (D.S.), Oklahoma City; Rady Children's Hospital-San Diego (R.M.T., J.S.G.), CA; Drexel University College of Medicine (J.P.), Philadelphia, PA; Stanford Center for Sleep Sciences and Medicine (L.S.); Sierra Pacific Mental Illness Research Education and Clinical Centers (L.S.), VA Palo Alto Health Care System, Palo Alto; UCSF Medical Center (C.L.-H.); Department of Neurosciences (J.S.G.), UCSD, San Diego, CA; Imperial College London (S.S.), UK; University of Mississippi Medical Center (C.O.S.N.), Jackson; and Penn State Hershey Medical Center (A.S.F.)
| | - Catherine Lomen-Hoerth
- From the Lebanon VA Medical Center (A.S.F.), PA; Massachusetts General Hospital (I.C.G.), Boston; University of Oklahoma College of Medicine (D.S.), Oklahoma City; Rady Children's Hospital-San Diego (R.M.T., J.S.G.), CA; Drexel University College of Medicine (J.P.), Philadelphia, PA; Stanford Center for Sleep Sciences and Medicine (L.S.); Sierra Pacific Mental Illness Research Education and Clinical Centers (L.S.), VA Palo Alto Health Care System, Palo Alto; UCSF Medical Center (C.L.-H.); Department of Neurosciences (J.S.G.), UCSD, San Diego, CA; Imperial College London (S.S.), UK; University of Mississippi Medical Center (C.O.S.N.), Jackson; and Penn State Hershey Medical Center (A.S.F.)
| | - Jennifer S Graves
- From the Lebanon VA Medical Center (A.S.F.), PA; Massachusetts General Hospital (I.C.G.), Boston; University of Oklahoma College of Medicine (D.S.), Oklahoma City; Rady Children's Hospital-San Diego (R.M.T., J.S.G.), CA; Drexel University College of Medicine (J.P.), Philadelphia, PA; Stanford Center for Sleep Sciences and Medicine (L.S.); Sierra Pacific Mental Illness Research Education and Clinical Centers (L.S.), VA Palo Alto Health Care System, Palo Alto; UCSF Medical Center (C.L.-H.); Department of Neurosciences (J.S.G.), UCSD, San Diego, CA; Imperial College London (S.S.), UK; University of Mississippi Medical Center (C.O.S.N.), Jackson; and Penn State Hershey Medical Center (A.S.F.)
| | - Stefano Sandrone
- From the Lebanon VA Medical Center (A.S.F.), PA; Massachusetts General Hospital (I.C.G.), Boston; University of Oklahoma College of Medicine (D.S.), Oklahoma City; Rady Children's Hospital-San Diego (R.M.T., J.S.G.), CA; Drexel University College of Medicine (J.P.), Philadelphia, PA; Stanford Center for Sleep Sciences and Medicine (L.S.); Sierra Pacific Mental Illness Research Education and Clinical Centers (L.S.), VA Palo Alto Health Care System, Palo Alto; UCSF Medical Center (C.L.-H.); Department of Neurosciences (J.S.G.), UCSD, San Diego, CA; Imperial College London (S.S.), UK; University of Mississippi Medical Center (C.O.S.N.), Jackson; and Penn State Hershey Medical Center (A.S.F.)
| | - Christa O'Hana S Nobleza
- From the Lebanon VA Medical Center (A.S.F.), PA; Massachusetts General Hospital (I.C.G.), Boston; University of Oklahoma College of Medicine (D.S.), Oklahoma City; Rady Children's Hospital-San Diego (R.M.T., J.S.G.), CA; Drexel University College of Medicine (J.P.), Philadelphia, PA; Stanford Center for Sleep Sciences and Medicine (L.S.); Sierra Pacific Mental Illness Research Education and Clinical Centers (L.S.), VA Palo Alto Health Care System, Palo Alto; UCSF Medical Center (C.L.-H.); Department of Neurosciences (J.S.G.), UCSD, San Diego, CA; Imperial College London (S.S.), UK; University of Mississippi Medical Center (C.O.S.N.), Jackson; and Penn State Hershey Medical Center (A.S.F.).
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Pethrick H, Nowell L, Paolucci EO, Lorenzetti L, Jacobsen M, Clancy T, Lorenzetti DL. Peer mentoring in medical residency education: A systematic review. CANADIAN MEDICAL EDUCATION JOURNAL 2020; 11:e128-e137. [PMID: 33349761 PMCID: PMC7749692 DOI: 10.36834/cmej.68751] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
BACKGROUND Medical residents may experience burnout during their training, and a lack of social support. This can impact their overall wellbeing and ability to master key professional competencies. We explored, in this study, the extent to which peer mentorship promotes psychosocial wellbeing and the development of professional competencies in medical residency education. METHODS We searched six databases (MEDLINE, EMBASE, PsycINFO, Academic Research Complete, ERIC, Education Research Complete) for studies on peer mentoring relationships in medical residency. We selected any study where authors reported on outcomes associated with peer mentoring relationships among medical residents. We applied no date, language, or study design limits to this review. RESULTS We included nine studies in this systematic review. We found that medical residents received essential psychosocial supports from peers, and motivation to develop academic and career competencies. Medical residents in peer-mentoring relationships also reported increased overall satisfaction with their residency training programs. CONCLUSIONS Peer-mentoring relationships can enhance the development of key professional competencies and coping mechanisms in medical residency education. Further rigorous research is needed to examine the comparative benefits of informal and formal peer mentoring, and identify best practices with respect to effective design of peer-mentorship programs.
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Affiliation(s)
- Helen Pethrick
- Werklund School of Education, University of Calgary, Alberta, Canada
| | - Lorelli Nowell
- Faculty of Nursing, University of Calgary, Alberta, Canada
| | - Elizabeth Oddone Paolucci
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada
| | - Liza Lorenzetti
- Faculty of Social Work, University of Calgary, Alberta, Canada
| | - Michele Jacobsen
- Werklund School of Education, University of Calgary, Alberta, Canada
| | - Tracey Clancy
- Faculty of Nursing, University of Calgary, Alberta, Canada
| | - Diane L. Lorenzetti
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada
- Health Sciences Library, University of Calgary, Alberta, Canada
- Correspondence: Diane L. Lorenzetti, Health Sciences Library, University of Calgary, 3330 Hospital Drive NW Calgary Alberta, Canada T2N4N1;
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Moutsopoulos HM. Mentoring in medicine. Eur J Clin Invest 2019; 49:e13126. [PMID: 31081116 DOI: 10.1111/eci.13126] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Accepted: 05/09/2019] [Indexed: 12/01/2022]
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Abstract
PURPOSE OF REVIEW Assessment of the current literature surrounding interventions directed toward the prevention of burnout in the field of medicine and particularly in anesthesiology. RECENT FINDINGS Recently, burnout has been noted to lead to medication errors and subsequently increased harm to our patients. On a personal level, burnout can lead to depression and even suicide amongst physicians. Strategies to prevent burnout amongst anesthesiologists that have been studied in the literature include multisource feedback, mentorship and early recognition. SUMMARY There remains no clear or definitive intervention to prevent burnout for physicians. However, changing our environment to embrace mentorship, the continual exchange of feedback and the fostering self-care could startlingly improve our work environment.
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Redfern N, Macphee GJA. Mentoring in occupational medicine: where might it fit in? Occup Med (Lond) 2018; 68:425-427. [DOI: 10.1093/occmed/kqy100] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Nancy Redfern
- Programme Director Royal College of Physicians and Surgeons of Glasgow Mentoring Programme and Consultant Anaesthetist, Newcastle upon Tyne Hospitals
| | - Graeme J A Macphee
- Programme Director Royal College of Physicians and Surgeons of Glasgow Mentoring Programme
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von Arx M, Cullati S, Schmidt RE, Richner S, Kraehenmann R, Cheval B, Agoritsas T, Chopard P, Burton-Jeangros C, Courvoisier DS. "We Won't Retire Without Skeletons in the Closet": Healthcare-Related Regrets Among Physicians and Nurses in German-Speaking Swiss Hospitals. QUALITATIVE HEALTH RESEARCH 2018; 28:1746-1758. [PMID: 29945491 DOI: 10.1177/1049732318782434] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Physicians and nurses are expected to systematically provide high-quality healthcare in a context marked by complexity, time pressure, heavy workload, and the influence of nonclinical factors on clinical decisions. Therefore, healthcare professionals must eventually deal with unfortunate events to which regret is a typical emotional reaction. Using semistructured interviews, 11 physicians and 13 nurses working in two different hospitals in the German-speaking part of Switzerland reported a total of 48 healthcare-related regret experiences. Intense feelings of healthcare-related regrets had far-reaching repercussions on participants' health, work-life balance, and medical practice. Besides active compensation strategies, social capital was the most important coping resource. Receiving superiors' support was crucial for reaffirming professional identity and helped prevent healthcare professionals from quitting their job. Findings suggest that training targeting emotional coping could be beneficial for quality of life and may ultimately lead to lower job turnover among healthcare professionals.
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Affiliation(s)
- Martina von Arx
- 1 University of Geneva, Geneva, Switzerland
- 2 University Hospitals of Geneva, Geneva, Switzerland
| | - Stéphane Cullati
- 1 University of Geneva, Geneva, Switzerland
- 2 University Hospitals of Geneva, Geneva, Switzerland
| | - Ralph E Schmidt
- 1 University of Geneva, Geneva, Switzerland
- 3 University of Zurich, Zurich, Switzerland
| | | | | | - Boris Cheval
- 1 University of Geneva, Geneva, Switzerland
- 2 University Hospitals of Geneva, Geneva, Switzerland
| | - Thomas Agoritsas
- 2 University Hospitals of Geneva, Geneva, Switzerland
- 5 McMaster University, Hamilton, Ontario, Canada
| | - Pierre Chopard
- 1 University of Geneva, Geneva, Switzerland
- 2 University Hospitals of Geneva, Geneva, Switzerland
| | | | - Delphine S Courvoisier
- 1 University of Geneva, Geneva, Switzerland
- 2 University Hospitals of Geneva, Geneva, Switzerland
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Pethrick H, Nowell L, Oddone Paolucci E, Lorenzetti L, Jacobsen M, Clancy T, Lorenzetti DL. Psychosocial and career outcomes of peer mentorship in medical resident education: a systematic review protocol. Syst Rev 2017; 6:178. [PMID: 28859683 PMCID: PMC5579942 DOI: 10.1186/s13643-017-0571-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Accepted: 08/22/2017] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Many medical residents lack ready access to social and emotional supports that enable them to successfully cope with the challenges associated with medical residency. This absence of support has been shown to lead to high levels of burnout, decreased mental wellbeing, and difficulty mastering professional competencies in this population. While there is emerging evidence that peer mentoring can be an important source of psychosocial and career-related support for many individuals, the extent of the evidence regarding the benefits of peer mentorship in medical residency education has not yet been established. We describe a protocol for a systematic review to assess the effects of peer mentoring on medical residents' mental wellbeing, social connectedness, and professional competencies. METHODS Studies included in this review will be those that report on peer-mentoring relationships among medical residents. Quantitative, qualitative, and mixed-methods studies will be eligible for inclusion. No date or language limits will be applied. We will search EMBASE, MEDLINE, PsychINFO, Web of Science, Scopus, ERIC, Education Research Complete, and Academic Research Complete databases to identify relevant studies. Two authors will independently assess all abstracts and full-text studies for inclusion and study quality and extract study data in duplicate. DISCUSSION This is the first systematic review to explicitly explore the role of peer mentoring in the context of medical residency education. We anticipate that the findings from this review will raise awareness of the benefits and challenges associated with peer-mentoring relationships, further the development and implementation of formal peer-mentoring programs for medical residents, and, through identifying gaps in the existing literature, inform future research efforts. SYSTEMATIC REVIEW REGISTRATION This protocol has not been registered in PROSPERO or any other publicly accessible registry.
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Affiliation(s)
- Helen Pethrick
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Drive NW, Calgary, AB, T2N 4Z6, Canada
| | - Lorelli Nowell
- Faculty of Nursing, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada
| | - Elizabeth Oddone Paolucci
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Drive NW, Calgary, AB, T2N 4Z6, Canada
| | - Liza Lorenzetti
- Faculty of Social Work, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada
| | - Michele Jacobsen
- Werklund School of Education, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada
| | - Tracey Clancy
- Faculty of Nursing, University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada
| | - Diane L Lorenzetti
- Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 3280 Hospital Drive NW, Calgary, AB, T2N 4Z6, Canada.
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