Singletary S Eva
Department of Surgical Oncology, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Box 444, Houston, Texas 77030, USA.
Ann Surg Oncol. 2005 Nov;12(11):848-60. doi: 10.1245/ASO.2005.04.035. Epub 2005 Sep 19.
Effective mentoring is especially critical in the training of surgeons. The practice of surgery in the 21st century is changing rapidly at every level, requiring a more complex approach to mentoring young surgeons.
This article draws on the author's own experiences in mentoring surgeons at a large tertiary care cancer treatment center and on published reports of successful mentoring strategies at other institutions.
Besides clinical and surgical skills, surgical trainees must acquire a broad range of technical, interpersonal, administrative, and research skills. The 21st century brings special demands, including changing treatment patterns, increased diversity in trainees and in patient populations, restrictions on how we train our students, increased concerns about patient privacy, and an aging population. Besides the classic mentor/mentee relationship, different models of mentoring, including mosaic mentoring and collaborative mentoring, are being used to address these issues. Successful mentoring programs occur in institutions that maintain a culture that actively supports mentoring.
New approaches to mentoring can successfully meet the diverse needs of surgical trainees in the 21st century.
有效的指导对外科医生的培训尤为关键。21世纪的外科实践在各个层面都在迅速变化,这就需要采用更复杂的方法来指导年轻外科医生。
本文借鉴了作者在一家大型三级癌症治疗中心指导外科医生的自身经验以及其他机构已发表的成功指导策略报告。
除了临床和手术技能外,外科实习生还必须掌握广泛的技术、人际、管理和研究技能。21世纪带来了特殊需求,包括不断变化的治疗模式、实习生和患者群体日益增加的多样性、对我们培训学生方式的限制、对患者隐私的日益关注以及人口老龄化。除了经典的导师/学员关系外,不同的指导模式,包括镶嵌式指导和协作式指导,正被用于解决这些问题。成功的指导项目出现在那些保持积极支持指导文化的机构中。
新的指导方法能够成功满足21世纪外科实习生的多样化需求。