Tsai James C, Lee Paul P, Chasteen Sue, Taylor Rebecca J, Brennan Michael W, Schmidt Gail E
Department of Ophthalmology, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Arch Ophthalmol. 2006 Feb;124(2):264-7. doi: 10.1001/archopht.124.2.264.
To establish a mentoring program to provide resident physicians in ophthalmology with career guidance in practice management and to identify new and creative ways to involve future eye physicians in the legislative and political process.
A multicenter prospective study was conducted of the mentorship experiences of 24 (88.9%) of 27 resident physicians in Tennessee during the 2000-2001 academic year. Participants were assigned into 1 of 3 groups: an active mentorship group, a passive mentorship group, and a no mentorship group. The active mentorship group participated in preceptorship activities with "mentor" community-based eye physicians and scheduled meetings with state legislators and regulators. The active mentorship and passive mentorship groups attended a 1-day practice management seminar, but the no mentorship group received no formal mentorship during the 4-month study period. A survey instrument was given to all participants before and after the 4-month study period.
Following completion of the mentorship program, the active mentorship group had favorable changes in perceptions and attitudes toward medical organizations (P<.03) when compared with baseline prementorship responses. Compared with the no mentorship group, the active mentorship group also reported an increased willingness to make political campaign donations (P<.05) and expressed an increased desire for the Tennessee Academy of Ophthalmology to offer practice management programs (P<.02).
A short 4-month mentorship program can elicit favorable changes in residents' perceptions and attitudes toward medical professional organizations. Additional opportunities may lie with a lengthier and more intensive mentoring program.
建立一个指导计划，为眼科住院医师提供实践管理方面的职业指导，并探索让未来的眼科医生参与立法和政治进程的新的创造性方法。
对田纳西州27名住院医师中的24名（88.9%）在2000 - 2001学年的指导经历进行了多中心前瞻性研究。参与者被分为3组中的1组：积极指导组、被动指导组和无指导组。积极指导组与“导师”社区眼科医生参与带教活动，并安排与州立法者和监管者的会面。积极指导组和被动指导组参加了为期1天的实践管理研讨会，但无指导组在4个月的研究期间未接受正式指导。在4个月研究期前后，向所有参与者发放了一份调查问卷。
在指导计划完成后，与指导前的基线反应相比，积极指导组对医疗组织的认知和态度有了积极变化（P<0.03）。与无指导组相比，积极指导组还报告说进行政治竞选捐款的意愿增加（P<0.05），并表示更希望田纳西州眼科学会提供实践管理项目（P<0.02）。
为期4个月的短期指导计划可使住院医师对医疗专业组织的认知和态度产生积极变化。更长时间、更密集的指导计划可能会带来更多机会。
