Tom Wynnyee, Tom Wynnmian, Albarran Daisy, Salman Nina, Van Groenou Aneema
The Permanente Medical Group, Oakland, CA.
Perm J. 2019;23. doi: 10.7812/TPP/18-122.
The importance of mentoring new physicians is well established.
To evaluate and improve use of a competencies-based mentoring checklist to help new physicians understand the basic work environment and resources in their daily jobs as well as achieve needed competencies.
Literature searches, process improvements, and a review of curricula and mentoring from both inside and outside our large Medical Group were conducted to understand the workflow for new physician orientation, onboarding, and mentoring processes. We aimed to achieve a structured framework for mentor training, evaluation of the mentor-mentee relationship, and development of a bridge for the knowledge gaps and needs of the individual physicians in their departments. Finally, we surveyed new physician hires/mentees in 2017 about their competencies using the new checklist.
The new mentoring process was improved compared with the current mentoring process. Polling of physician mentees after implementation of the checklist showed a 75% completion rate of checklist competencies from January 2017 to April 2018, compared with a baseline of 0%.
Review of performance data and addressing deficiencies in a mentoring relationship can lead to active participation and meaningful change in competencies among new physicians.
指导新医生的重要性已得到充分确立。
评估并改进基于能力的指导检查表的使用,以帮助新医生了解日常工作中的基本工作环境和资源,并获得所需的能力。
进行文献检索、流程改进,并审查我们大型医疗集团内部和外部的课程及指导情况,以了解新医生入职培训、入职引导和指导流程的工作流程。我们旨在建立一个结构化框架,用于导师培训、评估导师与学员的关系,以及弥补各科室医生个人的知识差距和需求。最后,我们于2017年使用新检查表对新入职医生/学员的能力进行了调查。
与当前的指导流程相比,新的指导流程得到了改进。检查表实施后对医生学员的调查显示,2017年1月至2018年4月,检查表能力的完成率为75%,而基线为0%。
审查绩效数据并解决指导关系中的不足可促使新医生积极参与并在能力方面实现有意义的改变。