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儿科外科学中的导师制:需要结构吗?

Mentorship in pediatric surgery: A need for structure?

机构信息

Department of General Surgery, Mayo Clinic, 5777 E Mayo Blvd, Phoenix, AZ 85054.

Division of Vascular Surgery, Mayo Clinic, 5777 E Mayo Blvd, Phoenix, AZ 85054.

出版信息

J Pediatr Surg. 2021 May;56(5):892-899. doi: 10.1016/j.jpedsurg.2020.09.059. Epub 2020 Oct 6.

Abstract

INTRODUCTION

Mentorship in surgical training is critical but differs greatly from the early apprenticeship model and often spans generations. This study evaluates the current state of and desire for structured mentorship in pediatric surgical training from the perspective of program directors (PDs) and trainees.

METHODS

A survey addressing demographics, presence of or desire for structured mentorship, and proposed mentoring topics was emailed to pediatric surgery PDs (n = 58) and trainees completing fellowship in 2018-2020 (n = 72).

RESULTS

The response rate was 38.5%. 50% of trainees were female versus 15% of PDs (p = 0.02). 19% of trainees reported having a structured mentorship program versus 26% of PDs (p = 0.72). The majority, 83%, of trainees felt a structured mentorship program is warranted versus 40% of PDs (p = 0.002). There were differing opinions between trainees and PDs regarding important components of a mentoring program. Trainees felt the following were more important: transition to practice, job negotiation, CV review, financial planning and performance review. PDs felt the following were more important: quality improvement projects and work/life balance. Both agreed academic development and job search were important.

CONCLUSIONS

The majority of pediatric surgery trainees desire structured mentorship programs; however, few institutions have them. Training programs and program directors warrant a response to this gap.

LEVEL OF EVIDENCE

IV.

摘要

简介

在外科培训中,指导至关重要,但它与早期的学徒模式有很大的不同,而且通常跨越几代人。本研究从项目主任(PDs)和学员的角度评估了小儿外科学培训中结构化指导的现状和需求。

方法

一项针对人口统计学、结构化指导的存在或需求以及拟议指导主题的调查,通过电子邮件发送给完成 2018-2020 年 fellowship的小儿外科 PDs(n=58)和学员(n=72)。

结果

回复率为 38.5%。50%的学员为女性,而 PDs 中只有 15%为女性(p=0.02)。19%的学员报告有结构化的指导计划,而 PDs 中只有 26%(p=0.72)。大多数学员(83%)认为有必要设立结构化指导计划,而只有 40%的 PDs 认为有必要(p=0.002)。学员和 PDs 对指导计划的重要组成部分存在不同意见。学员认为以下方面更为重要:实践过渡、工作谈判、简历审查、财务规划和绩效评估。PDs 认为以下方面更为重要:质量改进项目和工作/生活平衡。双方都认为学术发展和求职很重要。

结论

大多数小儿外科学员都希望有结构化的指导计划,但很少有机构提供这种计划。培训项目和项目主任有必要对此差距做出回应。

证据水平

IV。

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