Centre for Medical Officer Recruitment and Education (CMORE), Royal Brisbane and Women's Hospital, Brisbane, QLD
Royal Perth Hospital, Perth, WA.
Med J Aust. 2018 Nov 5;209(9):401-405. doi: 10.5694/mja17.01106. Epub 2018 Oct 22.
To explore the value of a peer mentoring program for first year medical interns and to assess the demand for and benefits of such a program in an Australian hospital.
DESIGN, SETTING AND PARTICIPANTS: Randomised controlled study of the impact on first year interns of peer-led mentoring by second and third year interns, undertaken during 2015 at the Royal Perth Hospital, a tertiary teaching hospital. Methods and main outcome measure: Interns were recruited and randomised 1:1 to being assigned or not assigned a mentor. Qualitative outcome data were collected in semi-structured interviews and focus groups at 12 months to assess psychosocial wellbeing and job satisfaction.
Fifty-three of 79 interns (67%) applied to participate in the program. Twenty-six mentor-mentee pairs matched by sex and career preferences were established; 27 interns were allocated to the control group. Iterative data analysis identified two major themes related to the value of the mentorship program: aiding navigation through the complex health care system, and enhancing a sense of community. Participants with mentors reported high satisfaction with the program and a positive impact on stress levels, morale, sense of support, job satisfaction, and psychosocial wellbeing compared with participants without mentors.
An optional peer mentoring program enhances junior doctor support structures, builds a sense of community, and helps participating interns navigate their new professional environment. Our trial provides a feasibility model that could be adapted to local conditions, regionally or nationally.
Australian New Zealand Clinical Trials Registry, ACTRN12618000455268; 29 March 2018 (retrospective).
探索同伴导师计划对一年级医学实习生的价值，并评估澳大利亚医院对该计划的需求和收益。
设计、地点和参与者：2015 年在皇家珀斯医院（一所三级教学医院）进行的一项随机对照研究，评估由二、三年级实习生领导的同伴指导对一年级实习生的影响。方法和主要观察指标：招募实习生并按 1:1 随机分配给导师或不分配导师。在 12 个月时通过半结构化访谈和焦点小组收集定性结果数据，以评估心理健康和工作满意度。
79 名实习生中有 53 名（67%）申请参加该计划。根据性别和职业偏好匹配了 26 对导师-学员；27 名实习生被分配到对照组。迭代数据分析确定了与导师计划价值相关的两个主要主题：帮助实习生在复杂的医疗保健系统中导航，以及增强社区感。与没有导师的参与者相比，有导师的参与者对该计划非常满意，并认为该计划对降低压力水平、提高士气、增强支持感、提高工作满意度和心理健康有积极影响。
可选的同伴导师计划增强了初级医生的支持结构，建立了社区意识，并帮助参与的实习生在新的专业环境中导航。我们的试验提供了一个可行性模型，可以根据当地情况、区域或国家进行调整。
澳大利亚新西兰临床试验注册中心，ACTRN12618000455268；2018 年 3 月 29 日（回顾性）。
