Katayama Kohta, Nishizaki Yuji, Takada Toshihiko, Kataoka Koshi, Houchens Nathan, Shimizu Taro, Yamamoto Yu, Watari Takashi, Tokuda Yasuharu, Ohira Yoshiyuki
Department of General Internal Medicine St. Marianna University School of Medicine Kawasaki Kanagawa Japan.
Department of Clinical Epidemiology, Graduate School of Medicine Fukushima Medical University Fukushima Japan.
J Gen Fam Med. 2024 May 10;25(5):249-255. doi: 10.1002/jgf2.703. eCollection 2024 Sep.
Mentorship is a dynamic reciprocal relationship, wherein a novice (mentee) grows with the encouragement of an advanced careerist (mentor). It is widely implemented in medical training programs. However, there are few reports on mentorship's educational effects in the Japanese context. This study investigated the association between mentorship and in-training examination scores during a clinical residency program in Japan.
A cross-sectional study was conducted in Japan, involving first and second year postgraduate (PGY-1 and PGY-2) residents set to take the General Medicine In-Training Examination (GM-ITE) at the end of the academic year of 2021. The GM-ITE, developed by a non-profit organization in 2012, assesses the overall clinical knowledge of PGY-1 and PGY-2 residents. Data on mentorship were obtained through an electronic survey, conducted immediately after the GM-ITE. The association between a resident's self-reported identification of at least one mentor and GM-ITE score was analyzed at multiple levels.
Of the total 4929 residents, 3266 (66.3%) reported having mentors. However, there was no association between mentorship and GM-ITE scores (adjusted score difference [aSD] = -0.22; 95% confidence interval [95% CI]: -0.64 to 0.19).
Among Japanese residents, in-training examination scores were not associated with mentorship.
导师指导是一种动态的互惠关系，新手（学员）在资深专业人员（导师）的鼓励下成长。它在医学培训项目中广泛实施。然而，在日本背景下，关于导师指导的教育效果的报道很少。本研究调查了日本临床住院医师培训项目中导师指导与培训期间考试成绩之间的关联。
在日本进行了一项横断面研究，涉及将于2021学年末参加普通内科培训考试（GM-ITE）的一年级和二年级研究生（PGY-1和PGY-2）住院医师。GM-ITE由一个非营利组织于2012年开发，用于评估PGY-1和PGY-2住院医师的整体临床知识。关于导师指导的数据通过GM-ITE考试后立即进行的电子调查获得。在多个层面分析了住院医师自我报告的至少有一位导师与GM-ITE成绩之间的关联。
在总共4929名住院医师中，3266名（66.3%）报告有导师。然而，导师指导与GM-ITE成绩之间没有关联（调整后分数差异[aSD]=-0.22；95%置信区间[95%CI]：-0.64至0.19）。
在日本住院医师中，培训期间考试成绩与导师指导无关。
