Yong Loo Lin School of Medicine, National University of Singapore, NUHS Tower Block, 1E Kent Ridge Road, Level 11, Singapore, 119228, Singapore.
Division of Supportive and Palliative Care, National Cancer Centre Singapore, 11 Hospital Cr, Singapore, 169610, Singapore.
BMC Med Educ. 2022 May 11;22(1):359. doi: 10.1186/s12909-022-03409-4.
The redeployment of mentors and restrictions on in-person face-to-face mentoring meetings during the COVID-19 pandemic has compromised mentoring efforts in Palliative Medicine (PM). Seeking to address these gaps, we evaluate the notion of a combined novice, peer-, near-peer and e-mentoring (CNEP) and interprofessional team-based mentoring (IPT) program.
A Systematic Evidence Based Approach (SEBA) guided systematic scoping review was carried out to study accounts of CNEP and IPT from articles published between 1st January 2000 and 28th February 2021. To enhance trustworthiness, concurrent thematic and content analysis of articles identified from structured database search using terms relating to interprofessional, virtual and peer or near-peer mentoring in medical education were employed to bring together the key elements within included articles.
Fifteen thousand one hundred twenty one abstracts were reviewed, 557 full text articles were evaluated, and 92 articles were included. Four themes and categories were identified and combined using the SEBA's Jigsaw and Funnelling Process to reveal 4 domains - characteristics, mentoring stages, assessment methods, and host organizations. These domains suggest that CNEP's structured virtual and near-peer mentoring process complement IPT's accessible and non-hierarchical approach under the oversight of the host organizations to create a robust mentoring program.
This systematic scoping review forwards an evidence-based framework to guide a CNEP-IPT program. At the same time, more research into the training and assessment methods of mentors, near peers and mentees, the dynamics of mentoring interactions and the longitudinal support of the mentoring relationships and programs should be carried out.
在 COVID-19 大流行期间,导师的重新部署和对面对面指导会议的限制,影响了姑息医学(PM)的指导工作。为了解决这些差距,我们评估了新手、同行、准同行和电子指导(CNEP)以及跨专业团队指导(IPT)相结合的概念。
采用系统循证方法(SEBA)指导的系统范围审查,研究了 2000 年 1 月 1 日至 2021 年 2 月 28 日期间发表的关于 CNEP 和 IPT 的文章中的相关内容。为了提高可信度,同时使用与医学教育中的跨专业、虚拟和同行或准同行指导相关的术语,对从结构化数据库搜索中确定的文章进行主题和内容分析,将包含文章中的关键要素结合起来。
共审查了 11210 篇摘要,评估了 557 篇全文文章,最终纳入了 92 篇文章。确定并结合了四个主题和类别,使用 SEBA 的拼图和漏斗过程,揭示了 4 个领域 - 特征、指导阶段、评估方法和主办组织。这些领域表明,CNEP 的结构化虚拟和准同行指导过程补充了 IPT 的可及性和非等级方法,在主办组织的监督下,创建了一个强大的指导计划。
这项系统范围的综述提出了一个基于证据的框架,以指导 CNEP-IPT 计划。同时,应该对导师、准同行和学员的培训和评估方法、指导互动的动态以及指导关系和计划的长期支持进行更多的研究。