Department of Pediatrics, Stanford University School of Medicine, Stanford, Calif.
Department of Pediatrics, Stanford University School of Medicine, Stanford, Calif.
Acad Pediatr. 2020 Nov-Dec;20(8):1206-1212. doi: 10.1016/j.acap.2020.05.002. Epub 2020 May 8.
The qualities of good medical school mentors have been well described. However, there is little written about the mentoring needs of medical students applying to pediatrics residency.
In order to characterize pediatrics interns' perspectives on the mentorship needs of fourth-year medical students applying to residency, the authors conducted an IRB-approved, qualitative-modified grounded-theory study using a brief survey and semistructured focus groups of pediatric interns in January and February 2018. Two investigators independently coded the focus group transcripts and reconciled codes to develop categories and themes using constant comparison, which were then reviewed by the third author for validation. To further ensure trustworthiness of analysis, participants were asked to comment on the themes' accuracy.
Eighteen pediatrics interns participated, representing 15 medical schools. Four major themes emerged: 1) effective mentors guide medical students to self-reflect and find their own answers about what is important to them in a residency program; 2) multiple mentors are helpful during the residency application process; 3) several key components of advising are often missing during the residency application process; 4) students find it difficult to be honest with their mentors if there is a perceived conflict of interest.
Medical students applying for pediatrics residency have specific mentorship needs and cite opportunities to improve this area of mentorship. Several key recommendations include utilizing multiple mentors and providing emotional support during the residency application process. In addition, near-peer mentorship is important for medical students applying to residency and should be facilitated by medical schools.
优秀医学院导师的素质已经得到了很好的描述。然而,对于申请儿科住院医师的医学生的指导需求,却鲜有文献提及。
为了描述儿科住院医师对申请住院医师的四年级医学生的指导需求的看法,作者于 2018 年 1 月和 2 月,采用经过伦理委员会批准的简短调查和半结构化焦点小组的定性改良扎根理论研究方法,对儿科住院医师进行了研究。两名调查员独立对焦点小组的记录进行编码,并使用不断比较的方法来协调代码,以开发类别和主题,然后由第三位作者进行验证。为了进一步确保分析的可信度,要求参与者对主题的准确性发表评论。
18 名儿科住院医师参与了研究,代表了 15 所医学院。有 4 个主要主题出现:1)有效的导师指导医学生进行自我反思,并找到他们自己在住院医师项目中认为重要的答案;2)在住院医师申请过程中,有多个导师是有帮助的;3)在住院医师申请过程中,咨询的几个关键部分经常缺失;4)如果存在利益冲突,学生发现很难与导师坦诚相待。
申请儿科住院医师的医学生有特定的指导需求,并提出了改善这一指导领域的建议。几项关键建议包括在住院医师申请过程中利用多个导师和提供情感支持。此外,对于申请住院医师的医学生来说,同伴指导很重要,应该由医学院来促进。