New York University Medical Center, New York, NY, USA.
Baylor University Medical Center at Dallas, Dallas, TX, USA.
Eval Rev. 2023 Jun;47(3):504-531. doi: 10.1177/0193841X221144338. Epub 2022 Dec 8.
To assess the elements necessary to be a successful learning community (ClinCalc) mentor to medical students from the mentee's perspective. Few such studies have utilized the in-depth and richness of detail obtained in qualitative studies. This qualitative study analyzed four focus group discussions lasting 45-90 min conducted at the University of Texas Southwestern Medical School, which has an established LC, in the year 2018. The groups included 14 pre-clerkship and 8 clerkship students. Investigators evaluated transcriptions of the focus group discussions using ATLAS.ti software. Three overarching categories of discussion emerged from the group discussions: (1) Relationship Competence, (2) Teaching Competence, and (3) Ethical and Compassionate Medical Practice Competence. Relationship Competence themes included "walk with me," relationship is most important, and one-on-one. Teaching Competence themes included above and beyond, recognize and address mentor limitations, and safe and enriching environment. Ethical and Compassionate Medical Practice Competence themes included ethical decision making and compassionate care for diverse patient populations. Mentees focused on various aspects of the mentor-mentee relationship as the single most essential competence. Themes mentees discussed as important qualities of a successful mentor may denote qualities to be prioritized in faculty development and mentor recruitment. Future studies could investigate how the LC environment informs former medical students and promotes patient outcomes.
从学员的角度评估成为医学学生成功学习共同体 (ClinCalc) 导师所需的要素。很少有此类研究利用定性研究中获得的深入和详细的信息。这项定性研究分析了 2018 年在德克萨斯大学西南医学分校进行的四次持续 45-90 分钟的焦点小组讨论,该分校有一个成熟的学习共同体。这些小组包括 14 名预科生和 8 名实习医生。研究人员使用 ATLAS.ti 软件评估焦点小组讨论的转录本。讨论产生了三个总体类别:(1)关系能力,(2)教学能力,和(3)伦理和富有同情心的医疗实践能力。关系能力主题包括“与我同行”、关系最重要和一对一。教学能力主题包括超越、认识和解决导师的局限性以及安全和丰富的环境。伦理和富有同情心的医疗实践能力主题包括伦理决策和为不同患者群体提供关怀。学员关注导师-学员关系的各个方面,认为这是最关键的能力。学员讨论的作为成功导师的重要品质的主题可能表示在教师发展和导师招聘中需要优先考虑的品质。未来的研究可以调查学习共同体环境如何告知前医学生并促进患者的结果。