Division of General Surgery, University of Toronto, Toronto, Ontario, Canada.
Division of General Surgery, University of Toronto, Toronto, Ontario, Canada; Division of Thoracic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada.
J Surg Educ. 2022 Sep-Oct;79(5):1221-1227. doi: 10.1016/j.jsurg.2022.04.008. Epub 2022 May 4.
Surgical residency, and particularly the early transition years into junior residency or internship, poses great challenges to the trainee, with implications on success, burnout, and attrition. There is increasing recognition of the benefits of mentorship in surgery, however, significant barriers exist in forming these relationships. Peer mentorship also has many additional benefits, though its role in surgical training is limited. The objective of this study was to evaluate the experience following implementation of a formalized peer mentorship program within a large surgical training program.
Fourteen post-graduate year 1 (PGY1) general surgery residents were each interviewed and voluntarily matched with a post-graduate year 2 (PGY2) general surgery resident at the University of Toronto for the July 2019 to June 2020 academic year. The recommendation was for an initial meet-and-greet, followed by meetings once every 1 to 2 months. Meetings and discussion topics were encouraged, including emphasis on wellness, study skills, team leadership, and an opportunity to share experiences or concerns. A 1-year post-implementation survey was sent out individually to both groups.
Twenty-eight general surgery residents were surveyed (14 PGY1s, 14 PGY2s). Seventy percent (11/14) of PGY1s responded, while 50% (7/14) PGY2s responded. Three themes emerged from survey: I) peer mentorship provides multiple benefits, II) similar personalities make for a good peer mentorship pair, III) formal scheduled sessions for mentorship should be implemented into the residency curriculum.
Amongst junior general surgery residents, a formal peer mentorship program provides benefits to both the mentor and mentee. Scheduling difficulties in the absence of structured meetings, and the importance of the mentee-mentor match are key considerations for successful implementation of a mentorship program. Further longitudinal and multicentre studies can be performed to evaluate the long-term impact of these formalized peer mentorship programs on surgical trainee success, including burnout and attrition.
外科住院医师培训,特别是从初级住院医师到实习医师的早期过渡阶段,对学员来说是一个巨大的挑战,这对他们的成功、倦怠和流失率都有影响。人们越来越认识到外科领域导师制的好处,但在建立这些关系方面仍存在重大障碍。朋辈导师制也有许多额外的好处,尽管它在外科学培训中的作用有限。本研究的目的是评估在一个大型外科培训项目中实施正式朋辈导师制计划后的经验。
在多伦多大学,14 名第一年住院医师(PGY1)普外科住院医师每人接受采访,并自愿与一名第二年住院医师(PGY2)普外科住院医师配对,时间为 2019 年 7 月至 2020 年 6 月。建议他们初次见面,然后每 1 到 2 个月见一次面。鼓励他们见面并讨论话题,包括强调健康、学习技巧、团队领导能力,并提供分享经验或担忧的机会。在实施一年后,向两组人员分别发送了一份调查问卷。
共有 28 名普外科住院医师接受了调查(14 名 PGY1,14 名 PGY2)。70%(11/14)的 PGY1 住院医师做出了回应,而 50%(7/14)的 PGY2 住院医师做出了回应。调查结果显示出三个主题:I)朋辈导师制提供了多种好处,II)相似的个性使他们成为很好的朋辈导师制搭档,III)应该将有规律的朋辈导师制会议纳入住院医师课程。
在初级普外科住院医师中,正式的朋辈导师制对导师和学员都有好处。在没有结构化会议的情况下,安排困难以及学员与导师匹配的重要性是成功实施导师制的关键考虑因素。可以进行进一步的纵向和多中心研究,以评估这些正式朋辈导师制计划对外科住院医师培训成功(包括倦怠和流失)的长期影响。