Mentorship Effectiveness in Cardiothoracic Surgical Training.


Journal

The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R

Informations de publication

Date de publication:
08 2021
Historique:
received: 23 02 2020
revised: 15 07 2020
accepted: 24 07 2020
pubmed: 5 10 2020
medline: 7 9 2021
entrez: 4 10 2020
Statut: ppublish

Résumé

Mentoring is an essential component of cardiothoracic surgery training, yet trainees report varied experiences despite substantial efforts to enhance mentorship opportunities. This study aimed to evaluate mentorship effectiveness and identify gaps in mentorship education. A survey was distributed to cardiothoracic surgical trainees in Accreditation Council for Graduate Medical Education-accredited programs (n = 531). Responses to 16 questions concerning trainee experiences, expectations, and perspectives on mentorship were collected. An 11-component mentorship effectiveness tool generated a composite score (0 to 55), with a score of 44 or lower indicating less effective mentorship. Sixty-seven residents completed the survey (12.6%), with most (83.6%) reporting a current mentor. Trainees with mentors cited "easy to work with and approachable" (44 of 58; 75.9%) as the major criterion for mentor selection, whereas trainees without a mentor reported an inability to identify one who truly reflected the resident's needs (6 of 11; 45.5%). Resident age, gender, race or ethnicity, marital status, family status, postgraduate year, and training program type or size were not associated with having a mentor (P = .15 to .73). The median mentorship effectiveness score was 51 (interquartile range, 44, 55). More than one-third of residents (25 of 67) had either no mentor (n = 6) or less effective mentorship (n = 16), or both (n = 3). Resident and program characteristics were not associated with mentorship effectiveness (P = .39 to .99). Finally, 61.2% of residents had not received education on effective mentorship, and 53.8% did not currently serve as a mentor. Many resident respondents have either no mentor or less effective mentorship, and most reported not having received education on mentorship. Addressing these gaps in mentorship training and delivery should be prioritized.

Sections du résumé

BACKGROUND
Mentoring is an essential component of cardiothoracic surgery training, yet trainees report varied experiences despite substantial efforts to enhance mentorship opportunities. This study aimed to evaluate mentorship effectiveness and identify gaps in mentorship education.
METHODS
A survey was distributed to cardiothoracic surgical trainees in Accreditation Council for Graduate Medical Education-accredited programs (n = 531). Responses to 16 questions concerning trainee experiences, expectations, and perspectives on mentorship were collected. An 11-component mentorship effectiveness tool generated a composite score (0 to 55), with a score of 44 or lower indicating less effective mentorship.
RESULTS
Sixty-seven residents completed the survey (12.6%), with most (83.6%) reporting a current mentor. Trainees with mentors cited "easy to work with and approachable" (44 of 58; 75.9%) as the major criterion for mentor selection, whereas trainees without a mentor reported an inability to identify one who truly reflected the resident's needs (6 of 11; 45.5%). Resident age, gender, race or ethnicity, marital status, family status, postgraduate year, and training program type or size were not associated with having a mentor (P = .15 to .73). The median mentorship effectiveness score was 51 (interquartile range, 44, 55). More than one-third of residents (25 of 67) had either no mentor (n = 6) or less effective mentorship (n = 16), or both (n = 3). Resident and program characteristics were not associated with mentorship effectiveness (P = .39 to .99). Finally, 61.2% of residents had not received education on effective mentorship, and 53.8% did not currently serve as a mentor.
CONCLUSIONS
Many resident respondents have either no mentor or less effective mentorship, and most reported not having received education on mentorship. Addressing these gaps in mentorship training and delivery should be prioritized.

Identifiants

pubmed: 33011166
pii: S0003-4975(20)31558-7
doi: 10.1016/j.athoracsur.2020.07.045
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

645-651

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2021 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

Heidi J Reich (HJ)

Thoracic Surgery Residents Association; Division of Thoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

Xiaoying Lou (X)

Thoracic Surgery Residents Association; Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia.

Alexander A Brescia (AA)

Thoracic Surgery Residents Association; Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan.

Matthew C Henn (MC)

Thoracic Surgery Residents Association; Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Missouri.

J Hunter Mehaffey (JH)

Thoracic Surgery Residents Association; Division of Thoracic and Cardiovascular Surgery, University of Virginia Medical Center, Charlottesville, Virginia.

Bridget Frommel (B)

Division of Thoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California; Thoracic Surgery Residency Administrators and Coordinators Section.

Jason Han (J)

Thoracic Surgery Residents Association; Division of Cardiothoracic Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.

James Mirocha (J)

Division of Thoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

Taryne Imai (T)

Division of Thoracic Surgery, Cedars-Sinai Medical Center, Los Angeles, California. Electronic address: taryne.imai@cshs.org.

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