National Initiative on Gender, Culture and Leadership in Medicine: C-Change, Institute for Economic and Racial Equity, The Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, United States of America.
Section of Hospital Medicine, Weill Cornell Medicine, New York, New York, United States of America.
PLoS One. 2024 Mar 18;19(3):e0300043. doi: 10.1371/journal.pone.0300043. eCollection 2024.
Improved mentoring of midcareer researchers in medical schools has been identified as an important potential avenue for addressing low vitality and high burnout rates in faculty, and the scarcity of both underrepresented minority (URM) faculty and women in biomedical research. To address the need for widescale effective mentoring, we sought to determine whether a group peer mentoring intervention (C-Change Mentoring and Leadership Institute) for early midcareer research faculty was effective for different demographic groups in a controlled trial.
Thirty-five diverse early midcareer faculty and 70 propensity-matched (PM) control subjects matched to intervention subjects on a) study inclusion criteria; b) gender, race, and ethnicity, degree, rank, years of experience, publications, grants; and c) pretest survey outcome variables, participated in the intervention. The C-Change Participant Survey assessed vitality, self-efficacy in career advancement, research success, mentoring others, valuing diversity, cognitive empathy, and anti-sexism/anti-racism skills at pretest and intervention completion. Analysis using multiple regression models included outcome pretest values and indicator variables for intervention, gender, URM status, and MD vs. PhD. Hypotheses regarding differential effectiveness of the intervention by demographic group were tested by including cross-product terms between the demographic indicator variables and the intervention indicator. Missing data were addressed using chained equations to create 100 data sets.
The intervention participants had significantly higher (favorable) scores than PM controls for: self-assessed change in vitality; self-efficacy for career advancement, research, and mentoring others; cognitive empathy; and anti-sexism/racism skills. The benefits of the intervention were nearly identical across: gender, URM vs non-URM faculty, and degree MD/PhD, except vitality significantly increased for non-URM subjects, and not for URM faculty. Self-assessed change in vitality increased for URM and non-URM.
The intervention worked successfully for enhancing vitality, self-efficacy and cross-cultural engagement across different demographic groups of biomedical research faculty.
提高医学院中年研究人员的指导被认为是解决教师活力低下和高倦怠率以及少数族裔(URM)教师和女性在生物医学研究中稀缺的重要潜在途径。为了解决广泛有效的指导需求,我们试图确定针对早期中年研究教师的小组同行指导干预(C-Change 指导和领导力学院)是否对控制试验中的不同人群有效。
35 名不同的早期中年教师和 70 名与干预对象匹配的倾向匹配(PM)对照受试者,在 a)研究纳入标准;b)性别、种族和民族、学位、职称、工作经验、出版物、赠款;c)预测试调查结果变量,参加了干预。C-Change 参与者调查评估了活力、职业发展的自我效能感、研究成功、指导他人、重视多样性、认知同理心和反性别歧视/反种族主义技能,在预测试和干预完成时进行。使用多元回归模型进行分析,包括结果预测试值和干预、性别、URM 状态以及 MD 与 PhD 的指标变量。通过包括人口统计学指标变量和干预指标变量之间的交叉乘积项,测试了人口统计学群体之间干预效果差异的假设。使用连锁方程解决缺失数据,创建了 100 个数据集。
与 PM 对照组相比,干预参与者在以下方面的得分明显更高(有利):活力自评变化;职业发展、研究和指导他人的自我效能感;认知同理心;和反性别歧视/种族主义技能。干预的益处几乎相同:性别、URM 与非 URM 教师和 MD/PhD 学位,除了非 URM 参与者的活力显著增加,而 URM 教师则没有。URM 和非 URM 的活力自评变化增加。
该干预措施成功地增强了生物医学研究教师不同人群的活力、自我效能感和跨文化参与度。