How We Do It: An Innovative General Surgery Mentoring Program.

Autor: Shen MR; Department of General Surgery, Michigan Medicine, Ann Arbor Michigan. Electronic address: maryrshen@gmail.com., Zhuo L; University of Michigan Medical School, Ann Arbor, Michigan., Madison K; Department of General Surgery, Michigan Medicine, Ann Arbor Michigan., Bredbeck BC; Department of General Surgery, Michigan Medicine, Ann Arbor Michigan., Kemp MT; Department of General Surgery, Michigan Medicine, Ann Arbor Michigan., Santos-Parker JR; Department of Surgery, University of California, San Francisco, San Francisco, California., Sandhu G; Department of General Surgery, Michigan Medicine, Ann Arbor Michigan., George BC; Department of General Surgery, Michigan Medicine, Ann Arbor Michigan., Gauger PG; Department of General Surgery, Michigan Medicine, Ann Arbor Michigan., Hughes DT; Department of General Surgery, Michigan Medicine, Ann Arbor Michigan., Dimick JB; Department of General Surgery, Michigan Medicine, Ann Arbor Michigan., Kwakye G; Department of General Surgery, Michigan Medicine, Ann Arbor Michigan.
Jazyk: angličtina
Zdroj: Journal of surgical education [J Surg Educ] 2022 Sep-Oct; Vol. 79 (5), pp. 1088-1092. Date of Electronic Publication: 2022 May 14.
DOI: 10.1016/j.jsurg.2022.04.004
Abstrakt: Objective: The taxing nature of surgery residency is well-documented in the literature, with residents demonstrating high rates of burnout, depression, suicidal thoughts, sexual harassment, and racial discrimination. Mentoring has been shown to improve camaraderie, address challenges of underrepresentation in medicine, and be associated with lower burnout. However, existing formal mentoring programs tend to be career-focused and hierarchal without opportunity to discuss important sociocultural issues. An innovative approach is needed to address these cultural and anthropological issues in surgery residencies while creating camaraderie and learning alternative perspectives across different levels of training. We sought to describe the framework we used to fill these needs by creating and implementing a novel mentoring program.
Design: A vertical, near-peer mentoring system of 7 groups was created consisting of the following members: 1 to 2 medical students, a PGY-1 general surgery resident, a PGY-4 research resident, and a faculty member. Meetings occur every 3 to 4 months in a casual setting with the first half of the meeting dedicated to intentional reflection and the second half focused on an evidence-based discussion regarding a specific topic in the context of surgery (i.e., burnout, discrimination, allyship, and finding purpose).
Setting: Program implementation took place at the University of Michigan in Ann Arbor, MI.
Participants: Medical students, general surgery residents, and general surgery faculty were recruited.
Conclusions: We have successfully launched the pilot year of a cross-spectrum formal mentoring program in general surgery. This program emphasizes camaraderie throughout training while providing opportunities for evidence-based discussion regarding sociocultural topics. We have included increased opportunities for community inclusivity and mentoring while allowing trainees and faculty members to discuss sensitive topics in a supportive environment. We plan to continue developing the program with robust evaluation and to expand the program to other surgical specialties and to other institutions.
Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Mary R. Shen, MD, MS is supported by the Health Services Research Training Program (NIH T32HS00053). Kerry Madison, MD is supported by the Surgical Oncology Training Program T32 (NIH 5T32CA009672-30), Brooke C. Bredbeck, MD - Dr. Bredbeck is supported by the Ruth L. Kirschstein Research Service Award from the National Cancer Institute (NCI; T32 CA009672). Michael T. Kemp, MD – No disclosures to report. Jessica R. Santos-Parker, MD, PhD – No disclosures to report. Gurjit Sandhu, PhD - No disclosures to report. Brian C. George, MD, MAEd - No disclosures to report. Paul Gauger, MD – No disclosures to report. David T. Hughes, MD – No disclosures to report. Justin B. Dimick, MD, MPH – Dr. Dimick is supported by the following grants: Using Video Analysis to Improve Outcomes of Laparoscopic Colectomy: National Institute of Health R01HS025365; Long-Term Comparative Effectiveness of Sleeve Gastrectomy: National Institute of Health R01DK115408. He is the co-founder of ArborMetrix, Inc, a venture-capital backed healthcare software company focused on measuring and improving hospital quality and cost-efficiency. He is a consultant for US News and World Report, Medicare Payment Advisory Commission, American College of Surgeons, and The Leapfrog Group. Gifty Kwakye, MD, MPH – No disclosures to report.
(Copyright © 2022 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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