Chen Mary M, Sandborg Christy I, Hudgins Louanne, Sanford Rania, Bachrach Laura K
a Department of Pediatrics , Stanford University School of Medicine , Stanford , California , USA.
b Faculty Development and Diversity, Stanford University , Stanford , California , USA.
Teach Learn Med. 2016 Jul-Sep;28(3):320-8. doi: 10.1080/10401334.2016.1153476. Epub 2016 Apr 7.
The departure of physician-scientists from education and research into clinical practice is a growing challenge for the future of academic medicine. Junior faculty face competing demands for clinical productivity, teaching, research, and work-life integration, which can undermine confidence in the value of an academic career. Mentorship is important to foster career development and satisfaction in junior faculty.
The goals of this academic pediatrics department were to develop, implement, and evaluate a multifaceted pediatric mentoring program to promote retention and satisfaction of junior faculty. Program elements included one-on-one mentor-mentee meetings, didactic workshops, grant review assistance, and facilitated peer-group mentoring. Program effectiveness was assessed using annual surveys of mentees and structured mentee exit interviews, as well as retention data for assistant professors.
The mentees were instructors and assistant professors in the department of pediatrics.
Seventy-nine mentees participated in the program from 2007 through 2014. The response rate from seven annual surveys was 84%. Sixty-nine percent of mentees felt more prepared to advance their careers, 81% had a better understanding of the criteria for advancement, 84% were satisfied with the program, and 95% found mentors accessible. Mentees who exited the program reported they most valued the one-on-one mentoring and viewed the experience positively regardless of promotion. Retention of assistant professors improved after initiation of the program; four of 13 hired from 2002 to 2006 left the institution, whereas 18 of 18 hired from 2007 to 2014 were retained.
This multifaceted mentoring program appeared to bolster satisfaction and enhance retention of junior pediatric faculty. Mentees reported increased understanding of the criteria for promotion and viewed the program as a positive experience regardless of career path. Individual mentor-mentee meetings were needed at least twice yearly to establish the mentoring relationship. Identifying "next steps" at the end of individual meetings was helpful to hold both parties accountable for progress. Mentees most valued workshops fostering development of tangible skills (such as scientific writing) and those clarifying the criteria for promotion more transparent. Facilitated peer-group mentoring for mentees at the instructor rank provided valuable peer support.
医师科学家离开教育与研究领域投身临床实践,这对学术医学的未来构成了日益严峻的挑战。初级教员面临着临床产出、教学、研究以及工作与生活平衡等多方面的竞争需求,这可能会削弱他们对学术生涯价值的信心。导师指导对于促进初级教员的职业发展和满意度至关重要。
该儿科学术部门的目标是制定、实施并评估一项多方面的儿科导师指导计划,以提高初级教员的留任率和满意度。计划内容包括一对一的导师-学员会面、教学研讨会、科研基金申请评审协助以及促进性的同伴小组指导。通过对学员的年度调查、结构化的学员离职访谈以及助理教授的留任数据来评估计划的有效性。
学员为儿科学系的讲师和助理教授。
2007年至2014年期间,79名学员参与了该计划。七次年度调查的回复率为84%。69%的学员感觉自己在推进职业发展方面准备更充分,81%对晋升标准有了更好的理解,84%对该计划感到满意,95%认为能联系到导师。退出该计划的学员表示,他们最看重一对一的导师指导,并且无论是否晋升,都对这段经历给予积极评价。该计划启动后,助理教授的留任率有所提高;2002年至2006年聘用的13名助理教授中有4人离开该机构,而2007年至2014年聘用的18名助理教授全部留任。
这个多方面的导师指导计划似乎提高了满意度,增强了儿科初级教员的留任率。学员表示对晋升标准有了更多了解,并且无论职业发展路径如何,都将该计划视为一次积极的经历。每年至少需要进行两次一对一的导师-学员会面,以建立导师指导关系。在每次单独会面结束时确定“下一步计划”,有助于让双方对进展负责。学员最看重培养实际技能(如科研写作)以及使晋升标准更透明的研讨会。为讲师级别的学员提供促进性的同伴小组指导,能提供宝贵的同伴支持。