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耳鼻咽喉头颈外科学中的导师指导:一项范围综述

Mentorship in Otolaryngology Head and Neck Surgery: A Scoping Review.

作者信息

Banyi Norbert, Valenzuela Dianne, Graham M Elise, Hu Amanda C

机构信息

The University of British Columbia, Faculty of Medicine, Vancouver, BC, Canada.

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada.

出版信息

J Otolaryngol Head Neck Surg. 2025 Jan-Dec;54:19160216241307548. doi: 10.1177/19160216241307548.

Abstract

IMPORTANCE

Mentorship is increasingly recognized as a critical part of training across the spectrum of trainees. While explored more in-depth in the literature of other medical specialties, mentorship remains a nascent topic in the Otolaryngology Head and Neck Surgery (OHNS) literature.

OBJECTIVE

The objective of this study was to assess the current literature on mentorship in OHNS.

DESIGN

The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines was used and the methodology was registered on Open Science Framework (https://doi.org/10.17605/OSF.IO/X5FQ7). The Medline, EMBASE, and Web of Science databases were searched. Two authors independently selected studies, with the senior author resolving discrepancies. Study quality was assessed using the Oxford Centre for Evidence-Based Medicine levels of evidence.

SETTING AND PARTICIPANTS

English language studies employing any methodology that involved mentorship of medical trainees and staff in OHNS were included from the inception of the database up to September 20, 2023.

INTERVENTION OR EXPOSURES

Any form of mentorship.

MAIN OUTCOME MEASURE

The primary outcome was the benefits of mentorship afforded to the mentee.

RESULTS

From 415 unique articles identified, 45 studies were included. The median publication year was 2020 (IQR 6.5, range 1999-2023). The major themes of benefits from mentorship include improving residency uptake (n = 22), clinical competency and professionalism (n = 20), diversity and equity (n = 19), research productivity (n = 17), career planning and advancement (n = 17), and quality of life (n = 11). Other common themes included active mentorship (n = 29), near-peer mentorship (n = 13), and utilizing digital tools for mentorship (n = 6).

CONCLUSION AND RELEVANCE

Mentorship in OHNS has seen a sharp increase in publications in recent years. There are numerous benefits to mentorship including improving residency uptake, diversity initiatives, clinical competency and professionalism, research productivity, career planning and advancement, as well as quality of life.

摘要

重要性

导师指导日益被视为各类学员培训的关键组成部分。虽然在其他医学专业文献中有更深入的探讨,但导师指导在耳鼻咽喉头颈外科(OHNS)文献中仍是一个新兴话题。

目的

本研究的目的是评估OHNS中关于导师指导的现有文献。

设计

采用系统评价与Meta分析扩展版的范围综述指南(Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews),并在开放科学框架(https://doi.org/10.17605/OSF.IO/X5FQ7)上注册了研究方法。检索了Medline、EMBASE和科学引文索引数据库。两位作者独立选择研究,由资深作者解决分歧。使用牛津循证医学中心的证据等级评估研究质量。

背景和参与者

纳入从数据库建立至2023年9月20日期间采用任何涉及OHNS医学学员和工作人员导师指导方法的英文研究。

干预或暴露

任何形式的导师指导。

主要结局指标

主要结局是导师指导给予学员的益处。

结果

从识别出的415篇独特文章中,纳入了45项研究。中位发表年份为2020年(四分位间距6.5,范围1999 - 2023年)。导师指导带来的益处的主要主题包括提高住院医师录取率(n = 22)、临床能力和专业素养(n = 20)、多样性和公平性(n = 19)、研究产出(n = 17)、职业规划和晋升(n = 17)以及生活质量(n = 11)。其他常见主题包括积极的导师指导(n = 29)、近龄同伴导师指导(n = 13)以及利用数字工具进行导师指导(n = 6)。

结论及意义

近年来,OHNS中关于导师指导的出版物数量急剧增加。导师指导有诸多益处,包括提高住院医师录取率、推动多样性举措、提升临床能力和专业素养、增加研究产出、促进职业规划和晋升以及改善生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2451/11694310/cd6921cb559c/10.1177_19160216241307548-img2.jpg

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