Connor M P, Bynoe A G, Redfern N, Pokora J, Clarke J
Head of Individual and Organisation Development Studies, University College of Ripon and York St John, Lord Mayor's Walk, York, UK.
Med Educ. 2000 Sep;34(9):747-53. doi: 10.1046/j.1365-2923.2000.00630.x.
Senior doctors report that mentoring skills are transferable to everyday medical practice and managing juniors. An analysis of views from consultants and general practitioners, who had trained together on a regional mentoring scheme, reveals significant potential for personal and professional development in such networks.
The Northern and Yorkshire Region Doctors' Development and Mentoring Network was set up in 1994. Since then there have been six programmes with 116 senior doctors participating. In 1997 there was an evaluation of the first four programmes.
Focus groups and postal questionnaire.
There were responses from 71 senior doctors, giving a response rate of 86%, and responses from 78 professional stakeholders in 49 NHS organizations, a response rate of 54%. Results indicate that the programmes were highly valued by the participants, particularly with regard to: being part of a network of senior doctors; developing mentoring skills, and engaging in personal and professional development. The most difficult part of the programme was setting up mentoring networks for junior doctors, and reasons included: personal factors, such as levels of confidence in providing mentoring; cultural factors, such as juniors not wishing to be seen to need help, and organizational factors, such as lack of time allocated for mentoring. RECOMMENDATIONS AND ISSUES FOR FURTHER DEBATE: The positive benefits from the scheme raise questions about how to develop mentoring training for senior doctors. Issues include: developing mentors; who needs mentoring; mentoring and the organization; transferability of mentoring skills, and widening the network.
资深医生报告称,指导技能可应用于日常医疗实践及管理初级医生。一项针对在地区指导计划中共同接受培训的顾问医生和全科医生观点的分析显示,此类网络在个人和职业发展方面具有巨大潜力。
北部和约克郡地区医生发展与指导网络于1994年成立。自那时起,已开展了六个项目,有116名资深医生参与。1997年对前四个项目进行了评估。
焦点小组和邮寄问卷调查。
71名资深医生做出了回应,回应率为86%;49个国民保健服务组织中的78名专业利益相关者做出了回应,回应率为54%。结果表明,参与者对这些项目高度评价,特别是在以下方面:成为资深医生网络的一员;培养指导技能,以及参与个人和职业发展。该项目最困难的部分是为初级医生建立指导网络,原因包括:个人因素,如提供指导时的信心水平;文化因素,如初级医生不希望被视为需要帮助;以及组织因素,如缺乏分配给指导的时间。
该计划的积极益处引发了关于如何为资深医生开展指导培训的问题。问题包括:培养指导者;谁需要指导;指导与组织;指导技能的可转移性,以及扩大网络。