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知识鸿沟:急诊医学住院医师培训中的导师制。

The Knowledge Gap: Mentorship in Emergency Medicine Residency.

机构信息

Department of Emergency Medicine, UC San Diego Health, San Diego, CA.

Department of Emergency Medicine, UC San Diego Health, San Diego, CA; Department of Emergency Medicine, UHS SoCal MEC - Temecula Valley Hospital, Temecula, CA.

出版信息

Ann Emerg Med. 2023 Jul;82(1):47-54. doi: 10.1016/j.annemergmed.2023.01.026. Epub 2023 Feb 24.

Abstract

STUDY OBJECTIVE

Studies of mentorship in emergency medicine show that mentored residents are twice as likely to describe their career preparation as excellent as compared to nonmentored peers. There has been significant interest in the mentor-mentee relationship in medicine; however, there is minimal guidance and published literature specific to emergency medicine residents.

METHODS

In this narrative review, we described the emergency medicine mentor-mentee relationship, discussed alternatives to the traditional dyadic model, and highlighted current barriers to effective mentorship. We conducted a structured literature review to identify relevant published articles regarding the mentoring of emergency medicine residents. Additional studies from general mentoring literature were included based on relevancy.

RESULTS

We identified 39 studies in emergency medicine literature based on our search criteria. Additional studies from general medicine literature were included based on relevancy to this review. Based on the limited available literature, we recommend maximizing the resident mentoring relationship by developing formal mentoring programs, supporting the advancement of women and underrepresented minority mentors, and moving toward team mentoring, including peer, near-peer, and collaborative mentorship. The development of a mentoring network is a logical strategy for residents to work with a diverse group of individuals to maximize benefits in multiple areas.

CONCLUSION

Alternative approaches to the traditional and hierarchal dyadic mentoring style (eg, team mentoring) are effective methods that residencies may promote to increase effective mentoring. Future efforts in mentoring emergency medicine residents emphasize these strategies, which are increasingly beneficial given the constraints and use of technology highlighted by the COVID-19 pandemic.

摘要

研究目的

在急诊医学领域的导师制研究表明,相比没有导师的同行,接受导师指导的住院医师更有可能将自己的职业准备描述为出色。医学领域对导师-学员关系非常关注;然而,针对急诊医学住院医师的指导和已发表文献却很少。

方法

在这篇叙述性综述中,我们描述了急诊医学导师-学员关系,讨论了传统二元模式的替代方案,并强调了有效指导的当前障碍。我们进行了结构化文献综述,以确定与急诊医学住院医师指导相关的已发表文章。根据相关性,还纳入了一般指导文献中的其他研究。

结果

根据我们的搜索标准,在急诊医学文献中确定了 39 项研究。根据本综述的相关性,还纳入了一般医学文献中的其他研究。根据有限的可用文献,我们建议通过制定正式的指导计划、支持女性和代表性不足的少数族裔导师的发展,以及向团队指导(包括同伴、准同伴和协作指导)转变,最大限度地发挥住院医师的指导关系。指导网络的发展是住院医师与不同群体的个人合作的一种合理策略,可以在多个领域实现利益最大化。

结论

替代传统和层级二元指导模式(例如团队指导)的方法是有效的,住院医师可以推广这些方法,以增加有效的指导。未来在急诊医学住院医师指导方面的努力强调了这些策略,鉴于 COVID-19 大流行所强调的限制和技术的使用,这些策略越来越有益。

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