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太平洋紧急医学指导计划:太平洋地区医学指导模式。

The Pacific Emergency Medicine Mentoring Program: A model for medical mentoring in the Pacific region.

机构信息

School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

Emergency Department, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.

出版信息

Emerg Med Australas. 2019 Dec;31(6):1092-1100. doi: 10.1111/1742-6723.13366. Epub 2019 Aug 4.

Abstract

OBJECTIVE

To describe the development and implementation of a Pacific medical mentoring programme and to evaluate the programme after the first year.

METHODS

The mentoring programme was adapted from Australasian College for Emergency Medicine resources and involved Australian emergency physicians mentoring Pacific Island Country doctors. Using a prospective, cross-sectional survey of all participants, researchers collected data that were analysed for content using deductive and inductive methods. Content analysis aimed to generate new concepts that could apply to different components of mentoring, and overarching themes that apply to the mentoring programme overall.

RESULTS

Nineteen doctors participated in the first year of the programme; 11 mentees from three different Pacific Island Countries and eight Australasian College for Emergency Medicine Fellow mentors. The survey was completed with a 100% response rate. Five core themes were identified from the data: vital face-to-face communication (the key to effective communication); supportive personal relationship (valued and desired by mentees); motivating professional relationship (including a regional Pacific network); substantial challenges (time, distance, remote communication); and issues around the mentoring model (goal-orientation, mentor-driven, culture).

CONCLUSIONS

The present study suggests a new model of Pacific mentoring that recognises the centrality of the mentoring relationship, and allows for flexible communication, shared responsibility of mentors and mentees as co-drivers and a broad understanding of goals and timelines. Future programmes should incorporate funding for in-person meetings and educational opportunities to enhance contextual and cultural understanding. These lessons can inform future medical mentorship programmes across the Pacific.

摘要

目的

描述太平洋医学指导计划的发展和实施,并在第一年之后评估该计划。

方法

该指导计划改编自澳大利亚急诊医学院的资源,涉及澳大利亚急诊医师指导太平洋岛国医生。研究人员通过对所有参与者进行前瞻性、横断面调查,收集数据,并使用演绎和归纳方法对数据进行分析。内容分析旨在生成新的概念,这些概念可以应用于指导的不同组成部分,并应用于整个指导计划的总体主题。

结果

19 名医生参加了该计划的第一年;来自三个不同太平洋岛国的 11 名学员和 8 名澳大利亚急诊医学院研究员导师。该调查的回复率为 100%。从数据中确定了五个核心主题:至关重要的面对面交流(有效沟通的关键);支持性的个人关系(学员重视和期望);激励性的专业关系(包括太平洋地区网络);实质性挑战(时间、距离、远程沟通);以及指导模式问题(目标导向、导师驱动、文化)。

结论

本研究提出了一种新的太平洋指导模式,该模式认识到指导关系的核心地位,并允许灵活的沟通、导师和学员共同承担责任作为共同推动者,以及对目标和时间表的广泛理解。未来的项目应纳入面对面会议和教育机会的资金,以增强对背景和文化的理解。这些经验教训可以为太平洋地区的未来医学指导计划提供信息。

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