Moorthy Lakshmi Nandini, Muscal Eyal, Riebschleger Meredith, Klein-Gitelman Marisa, Nigrovic Lise E, Horon Jeffrey R, Rouster-Stevens Kelly, Ferguson Polly J, Eberhard B Anne, Brunner Hermine I, Prahalad Sampath, Schneider Rayfel, Nigrovic Peter A
Rutgers University Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Texas Children's Hospital, Baylor University College of Medicine, Houston.
Arthritis Care Res (Hoboken). 2016 May;68(5):645-51. doi: 10.1002/acr.22732.
The small size of many pediatric rheumatology programs translates into limited mentoring options for early career physicians. To address this problem, the American College of Rheumatology (ACR) and the Childhood Arthritis and Rheumatology Research Alliance (CARRA) developed a subspecialty-wide interinstitutional mentoring program, the ACR/CARRA Mentoring Interest Group (AMIGO). We sought to assess the impact of this program on mentoring within pediatric rheumatology.
In a longitudinal 3-year study, participant ratings from the AMIGO pilot program were compared with those after the program was opened to general enrollment. Access to mentoring as a function of career stage was assessed by surveys of the US and Canadian pediatric rheumatologists in 2011 and 2014, before and after implementation of AMIGO.
Participants in the pilot phase (19 dyads) and the general implementation phase (112 dyads) reported comparable success in establishing mentor contact, suitability of mentor-mentee pairing, and benefit with respect to career development, scholarship, and work-life balance. Community surveys showed that AMIGO participation as mentee was high among fellows (86%) and modest among junior faculty (31%). Implementation correlated with significant gains in breadth of mentorship and in overall satisfaction with mentoring for fellows but not junior faculty.
AMIGO is a career mentoring program that serves most fellows and many junior faculty in pediatric rheumatology across the US and Canada. Program evaluation data confirm that a subspecialty-wide interinstitutional mentoring program is feasible and can translate into concrete improvement in mentoring, measurable at the level of the whole professional community.
许多儿科风湿病项目规模较小，这意味着早期职业医生的指导选择有限。为解决这一问题，美国风湿病学会（ACR）和儿童关节炎与风湿病研究联盟（CARRA）制定了一项跨机构的亚专业指导计划，即ACR/CARRA指导兴趣小组（AMIGO）。我们试图评估该计划对儿科风湿病领域指导工作的影响。
在一项为期3年的纵向研究中，将AMIGO试点项目参与者的评分与该项目向普通参与者开放后的评分进行比较。通过对2011年和2014年美国和加拿大儿科风湿病医生在AMIGO实施前后的调查，评估不同职业阶段获得指导的情况。
试点阶段（19对）和全面实施阶段（112对）的参与者在建立导师联系、导师与学员配对的适宜性以及在职业发展、学术研究和工作与生活平衡方面的益处方面报告了类似的成功情况。社区调查显示，学员中作为学员参与AMIGO的比例很高（86%），初级教员中的比例适中（31%）。实施该计划与学员在指导广度和对指导的总体满意度方面的显著提高相关，但初级教员没有。
AMIGO是一项职业指导计划，服务于美国和加拿大大多数儿科风湿病领域的学员和许多初级教员。项目评估数据证实，一项跨机构的亚专业指导计划是可行的，并且可以转化为指导方面的具体改善，在整个专业领域层面是可衡量的。
