Fernando Shannon M, Cheung Warren J, Choi Stephen B, Thurgur Lisa, Frank Jason R
*Department of Emergency Medicine,University of Ottawa,Ottawa,ON.
CJEM. 2018 Nov;20(6):944-951. doi: 10.1017/cem.2018.42. Epub 2018 Apr 10.
Mentorship is perceived to be an important component of residency education. However, evidence of the impact of mentorship on professional development in Emergency Medicine (EM) is lacking.
Online survey distributed to attending physician members of the Canadian Association of Emergency Physicians (CAEP), using a modified Dillman method. Survey contained questions about mentorship during residency training, and perceptions of the impact of mentorship on career development.
The response rate was 23.5% (309/1314). 63.6% reported having at least one mentor during residency. The proportion of participants with a formal mentorship component during residency was higher among those with mentors (44.5%) compared to those without any formal mentorship component during residency (8.0%, p<0.001). The most common topics discussed with mentors were career planning and work-life balance. The least common topics included research and finances. While many participants consulted their mentor regarding their first job (56.5%), fewer consulted their mentor regarding subspecialty training (45.1%) and research (41.1%). 71.8% chose to work in a similar centre as their mentor, but few completed the same subspecialty (24.8%), or performed similar research (30.4%). 94.1% stated that mentorship was important to success during residency. Participants in a formal mentorship program did not rate their experience of mentorship higher than those without a formal program.
Among academic EM physicians with an interest in mentorship, mentorship during EM residency may have a greater association with location of practice than academic scholarship or subspecialty choice. Formal mentorship programs increase the likelihood of obtaining a mentor, but do not appear to improve reported mentorship experiences.
导师指导被视为住院医师培训的一个重要组成部分。然而,缺乏关于导师指导对急诊医学(EM)专业发展影响的证据。
采用改良的迪尔曼方法,向加拿大急诊医师协会(CAEP)的主治医生会员进行在线调查。调查包含有关住院医师培训期间导师指导的问题,以及对导师指导对职业发展影响的看法。
回复率为23.5%(309/1314)。63.6%的人报告在住院医师培训期间至少有一位导师。在住院医师培训期间有正式导师指导组成部分的参与者比例,在有导师的人中(44.5%)高于在住院医师培训期间没有任何正式导师指导组成部分的人(8.0%,p<0.001)。与导师讨论的最常见话题是职业规划和工作与生活的平衡。最不常见的话题包括研究和财务。虽然许多参与者就他们的第一份工作咨询了导师(56.5%),但就专科培训(45.1%)和研究(41.1%)咨询导师的人较少。71.8%的人选择在与他们导师所在的类似中心工作,但很少有人完成相同的专科培训(24.8%)或进行类似的研究(30.4%)。94.1%的人表示导师指导对住院医师培训期间的成功很重要。参加正式导师指导计划的参与者对他们的导师指导经历的评价并不高于没有参加正式计划的人。
在对导师指导感兴趣的学术急诊医学医生中,急诊医学住院医师培训期间的导师指导与执业地点的关联可能比学术奖学金或专科选择更大。正式的导师指导计划增加了获得导师的可能性,但似乎并没有改善所报告的导师指导经历。