University of Calgary, Calgary, Alberta, Canada.
Acad Psychiatry. 2021 Jun;45(3):334-338. doi: 10.1007/s40596-020-01330-w. Epub 2020 Oct 20.
CanMEDS competencies have been established and guide residency education in Canada, yet their inclusion in a formalized mentorship program for competency-based medical education (CBME) has yet to be explored.
A mixed methods study was conducted to investigate the perceptions of residents and faculty members in psychiatry who participated in a formalized CBME mentorship program. The authors conducted secondary analysis of intake survey data from program participants and collected semi-structured interview data. Chi-square analysis of survey data determined associations between participant demographics and perceptions of mentorship. Thematic analysis techniques were used to analyze interview data. Finally, survey and interview data were triangulated and transformed into broad themes.
Survey data from 46 residents and 41 faculty members and semi-structured interview data from 8 residents and 6 faculty members were analyzed. Data analysis revealed support for the informal use of the CanMEDS roles framework in a mentoring context. Factors that influenced participant satisfaction with the program included mentor qualities, the mentor-mentee pairing strategy, informality of mentoring sessions, and the presence of administrators and other program coordinators to maintain and support the program.
The perceptions of participants in this study suggest that formal mentorship programs can be beneficial for residents, in terms of enhancing clinical competencies, advancing overall well-being, ensuring preparedness to undertake professional careers, and the provision of essential psychosocial support. Future work is needed to assess the implementation of formal mentorship programs in other residency training programs.
CanMEDS 能力已经确立,并指导加拿大的住院医师教育,但它们在基于能力的医学教育 (CBME) 的正式指导计划中的纳入尚未得到探索。
本混合方法研究旨在调查参与正式 CBME 指导计划的精神病学住院医师和教师的看法。作者对该计划参与者的入学调查数据进行了二次分析,并收集了半结构化访谈数据。通过卡方分析调查数据,确定参与者人口统计学特征与指导看法之间的关联。采用主题分析技术对访谈数据进行分析。最后,对调查和访谈数据进行三角分析,并转化为广泛的主题。
对 46 名住院医师和 41 名教师的调查数据以及 8 名住院医师和 6 名教师的半结构化访谈数据进行了分析。数据分析表明,在指导背景下,非正式使用 CanMEDS 角色框架是可行的。影响参与者对该计划满意度的因素包括导师素质、导师-学员配对策略、指导会议的非正式性以及行政人员和其他计划协调员的存在,以维持和支持该计划。
本研究参与者的看法表明,正式指导计划对住院医师有益,可以提高临床能力、促进整体幸福感、确保为从事专业职业做好准备,并提供必要的心理社会支持。需要进一步研究来评估其他住院医师培训计划中正式指导计划的实施情况。