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学术医学领域医师指导计划:系统评价。

Mentoring programs for physicians in academic medicine: a systematic review.

机构信息

College of Medicine, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

Acad Med. 2013 Jul;88(7):1029-37. doi: 10.1097/ACM.0b013e318294f368.

Abstract

PURPOSE

Mentoring is vital to professional development in the field of medicine, influencing career choice and faculty retention; thus, the authors reviewed mentoring programs for physicians and aimed to identify key components that contribute to these programs' success.

METHOD

The authors searched the MEDLINE, EMBASE, and Scopus databases for articles from January 2000 through May 2011 that described mentoring programs for practicing physicians. The authors reviewed 16 articles, describing 18 programs, extracting program objectives, components, and outcomes. They synthesized findings to determine key elements of successful programs.

RESULTS

All of the programs described in the articles focused on academic physicians. The authors identified seven mentoring models: dyad, peer, facilitated peer, speed, functional, group, and distance. The dyad model was most common. The authors identified seven potential components of a formal mentoring program: mentor preparation, planning committees, mentor-mentee contracts, mentor-mentee pairing, mentoring activities, formal curricula, and program funding. Of these, the formation of mentor-mentee pairs received the most attention in published reports. Mentees favored choosing their own mentors; mentors and mentees alike valued protected time. One barrier to program development was limited resources. Written agreements were important to set limits and encourage accountability to the mentoring relationship. Program evaluation was primarily subjective, using locally developed surveys. No programs reported long-term results.

CONCLUSIONS

The authors identified key program elements that could contribute to successful physician mentoring. Future research might further clarify the use of these elements and employ standardized evaluation methods to determine the long-term effects of mentoring.

摘要

目的

指导对于医学领域的专业发展至关重要,影响职业选择和师资保留;因此,作者回顾了针对医生的指导计划,并旨在确定有助于这些计划成功的关键因素。

方法

作者在 MEDLINE、EMBASE 和 Scopus 数据库中搜索了 2000 年 1 月至 2011 年 5 月期间描述执业医师指导计划的文章。作者共审查了 16 篇文章,描述了 18 个项目,提取了项目目标、组成部分和结果。他们综合研究结果,以确定成功项目的关键要素。

结果

文章中描述的所有项目都侧重于学术医生。作者确定了七种指导模式:二人组、同行、促进的同行、速度、功能、小组和远程。二人组模式最为常见。作者确定了正式指导计划的七个潜在组成部分:导师准备、计划委员会、导师-学员合同、导师-学员配对、指导活动、正式课程和项目资金。在这些组成部分中,导师-学员配对的形成在已发表的报告中受到最多关注。学员倾向于选择自己的导师;导师和学员都重视受保护的时间。计划发展的一个障碍是资源有限。书面协议对于设定限制和鼓励对指导关系负责非常重要。计划评估主要是主观的,使用本地开发的调查。没有项目报告长期结果。

结论

作者确定了可能有助于成功医生指导的关键计划要素。未来的研究可能会进一步阐明这些要素的使用,并采用标准化的评估方法来确定指导的长期效果。

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