The Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, MD; Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, DC.
Section of Plastic Surgery, The University of Michigan, Ann Arbor, MI; VA Center for Clinical Management Research, Ann Arbor, MI.
J Hand Surg Am. 2024 Oct;49(10):1040.e1-1040.e11. doi: 10.1016/j.jhsa.2022.12.015. Epub 2023 Feb 24.
Despite the increasing percentage of women within the American Society for Surgery of the Hand, women remain underrepresented within leadership in academic hand surgery. Although this disparity in leadership representation may be improving, we aimed to investigate the role mentorship plays in advancing women in academic hand surgery.
This is a survey-based, mixed-methods study. A written survey assessing themes in personal and professional experiences with mentorship was sent to hand fellowship-trained women. Inclusion criteria were the completion of a hand fellowship and current affiliation with an academic institution. An evolved grounded theory framework was used to evaluate the responses. Themes were identified based on common responses.
Of 186 eligible participants, 144 (85.2%) received the survey. The response rate was 48.6%. Respondents indicated that residency was the stage at which mentorship was most impactful (n = 25, 37%), and half of the respondents identified their desire to work in academic hand surgery during residency (n = 35, 50%). Obstacles to finding a mentor included lack of availability (n = 46, 67.7%), hesitance in searching for a mentor (n = 16, 23.5%), and searching for a mentor within an environment that was not conducive to success for trainees (n = 7, 10.3%). Most (84%) cited instances were the ones having the advice of a woman mentor was more impactful than that of a mentor who is a man. The reported need for same-sex mentorship fell into three categories: (1) insight into shared experiences, (2) assistance with conflict/bias management, and (3) support during career navigation.
The findings of this study demonstrate the need for high-quality mentorship during the residency with a specific emphasis on same-sex mentorship.
Our findings provide clear objectives related to improving access to and quality of mentorship. This foundational understanding will enrich mentor-mentee relationships, allowing for greater personal and professional success and satisfaction for both parties.
尽管美国手外科学会中的女性比例不断增加,但在学术手外科领域的领导层中,女性仍然代表性不足。尽管领导层代表性的这种差距可能正在改善,但我们旨在研究指导在推动学术手外科领域的女性发展中所起的作用。
这是一项基于调查的混合方法研究。一项评估个人和专业指导经验主题的书面调查被发送给接受过手部 fellowship 培训的女性。纳入标准是完成手部 fellowship 培训并目前与学术机构有关联。使用演变的扎根理论框架来评估这些反应。根据共同的反应确定了主题。
在 186 名符合条件的参与者中,有 144 名(85.2%)收到了调查。回复率为 48.6%。受访者表示,住院医师阶段是指导最具影响力的阶段(n=25,37%),一半的受访者表示他们希望在住院医师阶段从事学术手外科工作(n=35,50%)。寻找导师的障碍包括缺乏可用性(n=46,67.7%),不愿意寻找导师(n=16,23.5%),以及在不利于学员成功的环境中寻找导师(n=7,10.3%)。大多数(84%)受访者表示,女性导师的建议比男性导师的建议更有影响力。报告的对同性别导师的需求分为三类:(1)对共同经历的深入了解,(2)协助处理冲突/偏见管理,(3)在职业导航期间提供支持。
本研究的结果表明,在住院医师阶段需要高质量的指导,特别是需要同性别指导。
我们的研究结果提供了与改善指导机会和质量相关的明确目标。这种基础性的理解将丰富导师与学员的关系,使双方都能取得更大的个人和职业成功与满足。