Silvestre Jason, So Alycia L, Lee Bernard T
From the *Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA; and †Division of Plastic and Reconstructive Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Ann Plast Surg. 2015 Jan;74(1):85-8. doi: 10.1097/SAP.0000000000000359.
Determining a field of specialty can be a difficult decision for medical students. Career plans are often fostered through exposure to the field and mentorship, but it is often hard to identify accessible mentors. The purposes of this study were to determine the prevalence of accessible mentors among academic plastic surgery faculty and to characterize predictors of accessibility.
An audit was conducted of academic plastic surgeon faculty affiliated with integrated and combined residency programs. A request for mentorship was sent from a medical student enrolled at the faculty member's affiliated medical school. Sources for e-mail addresses included residency program Web sites, the American Society of Plastic Surgeons Web site, and a manual PubMed search. Independent predictors of accessible mentors were determined.
There were 498 e-mails delivered and 363 responses received (response rate of 73%). In total, there were 283 positive responses, resulting in 56.8% of plastic surgeons contacted identifying themselves as accessible for mentorship. Younger age [odds ratio (OR), 1.72; P = 0.005], Fellow of the American College of Surgeons (OR, 1.49; P = 0.035), and faculty members of medical schools ranked in the top 20 (OR, 1.75; P = 0.003) were associated with an increased odds of accessibility.
Most academic plastic surgeons are accessible as mentors (78%). Medical students enrolled at a highly ranked medical school seeking younger faculty mentors may have the greatest access to research opportunities and career advice. Encouraging faculty to participate in mentorship is important in developing the next generation of plastic surgeons.
对于医学生来说，确定专业领域可能是一个艰难的决定。职业规划通常通过接触该领域和接受指导来培养，但往往很难找到容易接触到的导师。本研究的目的是确定整形外科专业学术教员中容易接触到的导师的比例，并确定其可接触性的预测因素。
对与综合住院医师培训项目和联合住院医师培训项目相关的整形外科专业学术教员进行了一项审计。向在教员所属医学院就读的一名医学生发出了寻求指导的请求。电子邮件地址的来源包括住院医师培训项目网站、美国整形外科医师协会网站以及手动进行的PubMed搜索。确定了容易接触到的导师的独立预测因素。
共发送了498封电子邮件，收到363份回复（回复率为73%）。总共有283份积极回复，导致56.8%的被联系整形外科医生表示自己可以提供指导。年龄较小[优势比（OR），1.72；P = 0.005]、美国外科医师学会会员（OR，1.49；P = 0.035）以及排名前20的医学院的教员（OR，1.75；P = 0.003）与可接触性增加的几率相关。
大多数整形外科专业学术教员可以担任导师（78%）。在排名靠前的医学院就读且寻求年轻教员作为导师的医学生可能有最大的机会获得研究机会和职业建议。鼓励教员参与指导对于培养下一代整形外科医生很重要。
