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新时代的指导

Mentoring for a new era.

作者信息

Kalet Adina, Krackov Sharon, Rey Mariano

机构信息

Division of Primary Care, Department of Medicine, New York University School of Medicine, New York 10016, USA.

出版信息

Acad Med. 2002 Nov;77(11):1171-2. doi: 10.1097/00001888-200211000-00041.

Abstract

OBJECTIVE

Over the course of their education, medical students must develop an identity that involves a deep understanding of professional principles and the skills to apply these ideals. This task is so important that it cannot be left to informal means and should be cultivated by a structured system that is focused on professionalism. The overall goal of our student-mentoring program is to advance the professional development of our students during the first two years of medical school through regular group meetings with skilled, trained faculty facilitators.

DESCRIPTION

We shaped the program to foster meaningful mentoring relationships among students and faculty, facilitate personal reflection, and encourage exploration of larger questions related to professional development. This program has evolved from a model of individual student-faculty pairings that resulted in uneven experiences. It is organized through a new "Master Scholars Program" (MSP), inaugurated in 2001-2002. The MSP features five theme-based societies composed of students and faculty who share interests in the theme (e.g., bioethics/human rights, health policy/public health, arts/humanities in medicine, biomedical/health sciences, medical informatics/biotechnology). Approximately once per month, eight students and two faculty members from each society meet over lunch for student-led discussions on topics related to their own professional development. In the first session, structured exercises enable students to get to know one another and brainstorm a curriculum for the year. In subsequent sessions, student pairs lead discussions on topics of interest to the group ranging from "the role of medical professionals in the aftermath of the World Trade Center attacks" to "balancing careers in medicine with family." A list of each group's discussion topics is posted on an electronic bulletin board to inform others. Two faculty mentors lead each group to ensure continuity and diversity over the two-year course of their meetings. A total of 57 out of 78 (73%) attended workshops to learn about the program and enhance their facilitation skills. Professional behaviors are explicitly emphasized in the materials outlining expectations of both students and faculty. Students are expected to attend, participate in and lead discussions, be constructive, respectful, and supportive, and accept/act on constructive feedback. Mentors are to facilitate the group's process, and provide feedback and guidance about the students' ideas and passions and the challenges they encounter. The faculty mentors will contribute descriptive material for the dean's letter on each student. We assessed student understanding of the definition of professionalism prior to the mentoring program and will follow up at regular intervals. Formative evaluation of the program includes surveys and focus groups with students and faculty to assess the effectiveness of the group process in accomplishing the stated goals of the program.

DISCUSSION

Our medical school has committed resources, and our faculty and students have given thought, energy, and enthusiasm, to our mentoring program. This innovative new model has the potential to deepen and enrich the culture of medicine by providing a forum and skills for students to reflect on their own professional development and interact in a meaningful way with committed and skilled faculty who share similar interests.

摘要

目标

在医学教育过程中,医学生必须塑造一种身份认同,这需要对专业原则有深刻理解,并具备应用这些理念的技能。这项任务至关重要,不能仅依靠非正式方式,而应由专注于职业素养的结构化体系来培养。我们学生指导计划的总体目标是,通过与经验丰富、受过培训的教师主持人定期举行小组会议,在医学院的头两年促进学生的职业发展。

描述

我们设计该计划是为了促进学生与教师之间建立有意义的指导关系,便于个人反思,并鼓励探讨与职业发展相关的更广泛问题。该计划已从个别学生与教师配对的模式演变而来,那种模式导致了不均衡的体验。它是通过2001 - 2002年启动的新“硕士学者计划”(MSP)来组织的。MSP有五个基于主题的社团,由对该主题有共同兴趣的学生和教师组成(例如,生物伦理/人权、卫生政策/公共卫生、医学中的艺术/人文、生物医学/健康科学、医学信息学/生物技术)。每个社团大约每月一次,八名学生和两名教师成员共进午餐,进行由学生主导的关于与他们自身职业发展相关主题的讨论。在第一次会议上,结构化练习使学生相互了解,并为这一年集思广益制定课程。在随后的会议中,学生两人一组主导关于小组感兴趣主题的讨论,主题范围从“世贸中心袭击事件后医学专业人员的角色”到“平衡医学事业与家庭”。每个小组的讨论主题列表会张贴在电子公告板上,以便他人了解。两名教师导师带领每个小组,以确保在为期两年的会议过程中保持连贯性和多样性。78人中有57人(73%)参加了研讨会,以了解该计划并提高他们的主持技能。在概述对学生和教师期望的材料中明确强调了职业行为。期望学生出席、参与并主导讨论,要有建设性、尊重他人且给予支持,并接受建设性反馈并据此行动。导师要推动小组讨论进程,并就学生的想法、热情以及他们遇到的挑战提供反馈和指导。教师导师将为院长推荐信提供关于每个学生的描述性材料。我们在指导计划开始前评估了学生对职业素养定义的理解,并将定期进行跟进。该计划的形成性评估包括对学生和教师的调查以及焦点小组讨论,以评估小组讨论过程在实现计划既定目标方面的有效性。

讨论

我们的医学院为我们的指导计划投入了资源,我们的教师和学生也付出了思考、精力和热情。这种创新的新模式有潜力通过为学生提供一个论坛和技能,使其反思自身职业发展,并与志同道合、经验丰富的教师进行有意义的互动,从而深化和丰富医学文化。

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