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监督者还是指导者:有区别吗?对儿科实践的启示。

Supervisor or mentor: is there a difference? Implications for paediatric practice.

作者信息

Mellon Andrew, Murdoch-Eaton Deborah

机构信息

City Hospitals Sunderland NHS Foundation Trust, Sunderland, UK.

The Medical School, University of Sheffield, Sheffield, UK.

出版信息

Arch Dis Child. 2015 Sep;100(9):873-8. doi: 10.1136/archdischild-2014-306834. Epub 2015 Apr 21.

Abstract

The formal roles of educational and clinical supervisor focus on education planning and goal setting against required training elements. Assessment of performance is integral to these roles that necessarily involve some elements of developmental support to trainees. Mentoring is increasingly seen as a desirable route to support doctors in training. Definitions vary, but core expectations of mentors are that they encourage personal development and offer psychosocial support to a trainee within a longitudinal relationship. A key question is whether a supervisor is the appropriate individual to act as a mentor to an individual trainee. The supervisor's role as an assessor of performance can pose challenges and potential conflicts when providing support relating to other personal needs of trainees along their career paths. It is apparent from the literature that mentoring is a multifaceted role, with different actions required of mentors and supervisors. There is evidence that mentorship can affect specialty choice, academic output and commitment to organisations. Addressing the challenges posed by an ideal of providing mentoring to all trainees is potentially as important as ensuring supervisors of competence. The potential benefits for the profession are of enhancing the development and retention of trainees of high calibre within the paediatric discipline.

摘要

教育督导和临床督导的正式职责侧重于根据所需培训内容进行教育规划和目标设定。绩效评估是这些职责的组成部分,必然涉及对实习生的一些发展支持要素。指导越来越被视为支持实习医生的理想途径。定义各不相同,但对导师的核心期望是,他们在长期关系中鼓励个人发展并为实习生提供心理社会支持。一个关键问题是,督导是否是适合担任个别实习生导师的人选。当督导在实习生的职业道路上提供与其他个人需求相关的支持时,其作为绩效评估者的角色可能会带来挑战和潜在冲突。从文献中可以明显看出,指导是一个多方面的角色,对导师和督导有不同的要求。有证据表明,指导可以影响专业选择、学术产出和对组织的忠诚度。应对为所有实习生提供指导这一理想所带来的挑战,可能与确保督导具备能力同样重要。对该行业的潜在好处是,提高儿科学科内高素质实习生的发展和留用率。

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