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确定大型精神科部门教员的指导需求——为创建正式指导计划提供支持。

Identifying the mentorship needs among faculty in a large department of psychiatry- support for the creation of a formal mentorship program.

作者信息

Esplen Mary Jane, Fiksenbaum Lisa M, Lin Elizabeth, Darani Shaheen A, Teshima John, Vigod Simone N, Kozloff Nicole, Szatmari Peter, Lanctôt Krista L, Ho Certina, Silver Ivan, Soklaridis Sophie, Wong Jiahui

机构信息

University of Toronto, Toronto, ON, Canada.

Centre for Addiction and Mental Health, Toronto, ON, Canada.

出版信息

BMC Med Educ. 2025 Jan 11;25(1):47. doi: 10.1186/s12909-024-06629-y.

Abstract

BACKGROUND

Study aims were to assess the current state and needs of faculty to inform the design of a formal mentorship program in a large academic Department of Psychiatry.

METHODS

A 57- item self-administered online survey questionnaire was distributed to all faculty members.

RESULTS

225 faculty members completed the survey (24%). 68% of respondents had a mentor and reported high satisfaction (mean = 4.3, SD = 1.05) (range 1 to 5). Among those respondents lacking access to mentorship, 65% expressed interest. Open-ended questions indicated that international medical graduates, faculty identifying as minority, women and clinician teachers may lack access to mentorship. PhD faculty felt disadvantaged compared to MD faculty in gaining first authorship (M=1.64 ± 0.79 vs. M=1.36 ± 0.67; t = 2.51, p = .013); reported more authorship disputes (M =1.99 ± 0.91 vs. M =1.66 ± 0.76; t = 2.63 p = .009) and experienced questionable scientific integrity concerning colleagues (M =2.01 ± 0.92 vs. M =1.70 ± 0.81; t = 2.42 p = .017). For both MD and PhD faculty, women were significantly more likely to experience authorship disputes (χ(2) = 8.67, p = .013). The department was perceived as treating faculty with respect (72% agreed) with 54% agreeing that it embraces diversity (54%). Identified benefits to mentorship included receiving advice about academic promotion, opportunities for career advancement, advocacy, and advice as a researcher, teacher or clinician. Only 26% of mentors received formal training to support their role; 59% expressed interest in education. Respondents supported a more formal, accessible, inclusive program, with training, tools, and a matching strategy based on mentee preferences.

CONCLUSIONS

Challenges and inequities were identified with the department's current ad hoc approach to mentorship. A limitation of the study was the response rate, while similar to response rates of other physician surveys, raises the potential for response bias. In comparing study participants to the department, the sample appeared to provide a fair representation. The study has implications for identifying the need and design of more formal mentorship programs in academic medicine.

摘要

背景

本研究旨在评估一个大型精神病学学术部门中教职员工的现状和需求,以为正式导师计划的设计提供参考。

方法

向所有教职员工发放了一份包含57个项目的在线自填式调查问卷。

结果

225名教职员工完成了调查(回复率24%)。68%的受访者有导师,并表示高度满意(平均分为4.3,标准差为1.05)(范围为1至5)。在那些没有导师指导的受访者中,65%表示有兴趣。开放式问题表明,国际医学毕业生、少数族裔身份的教职员工、女性和临床教师可能缺乏导师指导。与医学博士教职员工相比,博士教职员工在获得第一作者身份方面感到处于劣势(均值分别为1.64±0.79和1.36±0.67;t=2.51,p=0.013);报告的作者身份争议更多(均值分别为1.99±0.91和1.66±0.76;t=2.63,p=0.009),并且在同事的科学诚信方面存在疑问(均值分别为2.01±0.92和1.70±0.81;t=2.42,p=0.017)。对于医学博士和博士教职员工而言,女性经历作者身份争议的可能性显著更高(χ(2)=8.67,p=0.013)。该部门被认为尊重教职员工(72%表示同意),54%的人同意其包容多样性(54%)。确定的导师指导的益处包括获得关于学术晋升的建议、职业发展机会、支持以及作为研究人员、教师或临床医生的建议。只有26%的导师接受过支持其角色的正式培训;59%表示对教育培训感兴趣。受访者支持一个更正式、易参与、包容的计划,包括培训、工具以及基于学员偏好的匹配策略。

结论

该部门当前临时的导师指导方式存在挑战和不公平现象。本研究的一个局限性是回复率,尽管与其他医生调查的回复率相似,但存在回复偏差的可能性。在将研究参与者与该部门进行比较时,样本似乎具有代表性。该研究对于确定学术医学中更正式的导师计划的需求和设计具有启示意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/519b/11724559/a28f12756ba0/12909_2024_6629_Fig1_HTML.jpg

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