Department of Research and Education, Zurich University Hospital, Zurich, Switzerland.
Med Educ. 2011 May;45(5):488-96. doi: 10.1111/j.1365-2923.2010.03857.x.
Although mentoring is perceived as key to a successful and satisfying career in medicine, there is a lack of methodologically sound studies to support this view. This study made use of a longitudinal design to investigate the impact of mentoring during postgraduate specialist training on the career success of doctors.
We analysed data pertaining to 326 doctors (172 women, 52.8%; 154 men, 47.2%) from a cohort of medical school graduates participating in the prospective SwissMedCareer Study, assessing personal characteristics, the possession of a mentor, mentoring support provided by the development network, and career success. The impact of personal characteristics on having a mentor was investigated using multiple linear regression analysis. The impacts of having a mentor and of having development network mentoring support on career success were analysed using hierarchical multiple regression analysis.
Up to 50% of doctors reported having a mentor. A significant gender difference was found, with fewer female than male doctors having a mentor (40.7% versus 60.4% at the fifth assessment; p ≤ 0.001). Apart from gender, significant predictors of having a mentor were instrumentality (β = 0.24, p ≤ 0.01) and extraprofessional concerns (β = -0.15, p ≤ 0.05). Both having a mentor and having career support from the development network were significant predictors of both objective (β = 0.15, p ≤ 0.01; β = 0.17, p ≤ 0.01) and subjective (β = 0.17, p ≤ 0.01; β = 0.14, p ≤ 0.05) career success, but not of career satisfaction.
This study confirmed the positive impact of mentoring on career success in a cohort of Swiss doctors in a longitudinal design. However, female doctors, who are mentored less frequently than male doctors, appear to be disadvantaged in this respect. Formal mentoring programmes could reduce barriers to mentorship and promote the career advancement of female doctors in particular.
尽管指导被认为是医生在医学领域取得成功和满意职业的关键,但缺乏方法严谨的研究来支持这一观点。本研究采用纵向设计,调查研究生专科培训期间指导对医生职业成功的影响。
我们分析了参加前瞻性瑞士医学职业研究的医学生队列中 326 名医生(女性 172 名,占 52.8%;男性 154 名,占 47.2%)的数据,评估个人特征、导师的存在、发展网络提供的指导支持以及职业成功。使用多元线性回归分析调查个人特征对导师的影响。使用分层多元回归分析分析拥有导师和发展网络指导支持对职业成功的影响。
多达 50%的医生报告说有导师。发现存在显著的性别差异,女性医生拥有导师的比例低于男性医生(第五次评估时分别为 40.7%和 60.4%;p ≤ 0.001)。除了性别,拥有导师的显著预测因素还有工具性(β=0.24,p ≤ 0.01)和非专业关注(β=-0.15,p ≤ 0.05)。拥有导师和发展网络的职业支持都是客观(β=0.15,p ≤ 0.01;β=0.17,p ≤ 0.01)和主观(β=0.17,p ≤ 0.01;β=0.14,p ≤ 0.05)职业成功的重要预测因素,但不是职业满意度的预测因素。
本研究在瑞士医生队列的纵向设计中证实了指导对职业成功的积极影响。然而,女性医生获得指导的频率低于男性医生,在这方面似乎处于不利地位。正式的指导计划可以减少指导障碍,特别是促进女性医生的职业发展。