Identifying and addressing mentorship gaps in European trauma and emergency surgical training. Results from the Young European Society of Trauma and Emergency Surgery (yESTES) mentorship survey.

Early-career surgeons Emergency general surgery Gender gap Mentorship Non-technical skills Surgical education Trauma surgery

Journal

European journal of trauma and emergency surgery : official publication of the European Trauma Society
ISSN: 1863-9941
Titre abrégé: Eur J Trauma Emerg Surg
Pays: Germany
ID NLM: 101313350

Informations de publication

Date de publication:
09 Aug 2024
Historique:
received: 30 05 2024
accepted: 14 07 2024
medline: 9 8 2024
pubmed: 9 8 2024
entrez: 9 8 2024
Statut: aheadofprint

Résumé

European training pathways for surgeons dedicated to treating severely injured and critically ill surgical patients lack a standardized approach and are significantly influenced by diverse organizational and cultural backgrounds. This variation extends into the realm of mentorship, a vital component for the holistic development of surgeons beyond mere technical proficiency. Currently, a comprehensive understanding of the mentorship landscape within the European trauma care (visceral or skeletal) and emergency general surgery (EGS) communities is lacking. This study aims to identify within the current mentorship environment prevalent practices, discern existing gaps, and propose structured interventions to enhance mentorship quality and accessibility led by the European Society for Trauma and Emergency Surgery (ESTES). Utilizing a structured survey conceived and promoted by the Young section of the European Society of Trauma and Emergency Surgery (yESTES), we collected and analyzed responses from 123 ESTES members (both surgeons in practice and in training) across 20 European countries. The survey focused on mentorship experiences, challenges faced by early-career and female surgeons, the integration of non-technical skills (NTS) in mentorship, and the perceived role of surgical societies in facilitating mentorship. Findings highlighted a substantial mentorship experience gap, with 74% of respondents engaging in mostly informal mentorship, predominantly centered on surgical training. Notably, mentorship among early-career surgeons and trainees was less reported, uncovering a significant early-career gap. Female surgeons, representing a minority within respondents, reported a disproportionately poorer access to mentorship. Moreover, while respondents recognized the importance of NTS, these were inadequately addressed in current mentorship practices. The current mentorship input of surgical societies, like ESTES, is viewed as insufficient, with a call for structured programs and initiatives such as traveling fellowships and remote mentoring. Our survey underscores critical gaps in the current mentorship landscape for trauma and EGS in Europe, particularly for early-career and female surgeons. A clear need exists for more formalized, inclusive mentorship programs that adequately cover both technical and non-technical skills. ESTES could play a pivotal role in addressing these gaps through structured interventions, fostering a more supportive, inclusive, and well-rounded surgical community.

Identifiants

pubmed: 39120653
doi: 10.1007/s00068-024-02610-y
pii: 10.1007/s00068-024-02610-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s).

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Auteurs

Stefano Piero Bernardo Cioffi (SPB)

Department of Surgery, University of Rome Sapienza, Rome, Italy. Stefanopiero.cioffi@uniroma1.it.
General Surgery Trauma Team, Niguarda Hospital, Milan, Italy. Stefanopiero.cioffi@uniroma1.it.
Young-ESTES, European Society for Trauma and Emergency Surgery, St. Polten, Austria. Stefanopiero.cioffi@uniroma1.it.

Laura Benuzzi (L)

General Surgery Trauma Team, Niguarda Hospital, Milan, Italy.
Young-ESTES, European Society for Trauma and Emergency Surgery, St. Polten, Austria.

Marit Herbolzheimer (M)

Young-ESTES, European Society for Trauma and Emergency Surgery, St. Polten, Austria.
Department for Trauma Surgery, BG Trauma Center Murnau, Murnau, Germany.

Enrico Marrano (E)

Young-ESTES, European Society for Trauma and Emergency Surgery, St. Polten, Austria.
Department of General Surgery, Germans Trias I Pujol University Hospital, Barcelona, Badalona, Spain.

Gabriele Bellio (G)

Young-ESTES, European Society for Trauma and Emergency Surgery, St. Polten, Austria.
Emergency Surgery Unit, IRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.

Wouter Pieter Kluijfhout (WP)

Young-ESTES, European Society for Trauma and Emergency Surgery, St. Polten, Austria.
Department of Traumasurgery, OLVG Amsterdam, Amsterdam, The Netherlands.

Frans-Jasper Wijdicks (FJ)

Young-ESTES, European Society for Trauma and Emergency Surgery, St. Polten, Austria.
Department of Trauma Surgery, Diakonessenhuis Hospital Utrecht, Utrecht, The Netherlands.

Annika Hättich (A)

Young-ESTES, European Society for Trauma and Emergency Surgery, St. Polten, Austria.
Department for Trauma and Orthopaedic Surgery, University Hospital Hamburg Eppendorf, Hamburg, Germany.

Peep Talving (P)

Institute of Clinical Medicine, University of Tartu, University Hospital, Puusepa 8, Tartu, Estonia.

Eileen Bulger (E)

Harborview Medical Center, University of Washington, Seattle, WA, USA.

Jonathan Tilsed (J)

Hull Royal Infirmary, Anlaby Road, Hu3 2Jz, Hull, England, UK.
UEMS Division of Emergency Surgery, Liverpool, UK.

Diego Mariani (D)

Asst Ovest Milanese, Chirurgia Generale E Urgenza, Legnano, Italy.

Cristina Rey Valcarcel (CR)

Hospital General Universitario Gregorio Marañón, Madrid (HGGM), Spain.

Shahin Mohseni (S)

Department of Surgery, Sheikh Shakhbout Medical City (SSMC), Abu Dhabi, United Arab Emirates.

Susan Brundage (S)

Department of Surgery, R Adams Cowley Shock Trauma Center, Baltimore, USA.

Carlos Yanez (C)

General and Acute Care Surgery Department, San Jorge University Hospital, Huesca, Spain.

Jan P A M Verbruggen (JPAM)

Department of Trauma Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.

Frank Hildebrand (F)

Department of Orthopaedics Trauma and Reconstructive Surgery, University Hospital RWTH, Aachen, Germany.

Inger B Schipper (IB)

Trauma Surgery Department, University of Leiden, Leiden University Medical Center, Leiden, The Netherlands.

Christine Gaarder (C)

Department of Traumatology, Oslo University Hospital Ullevål (OUH U), Olso, Norway.

Stefania Cimbanassi (S)

General Surgery Trauma Team, Niguarda Hospital, Milan, Italy.
Department of Surgical Pathophysiology and Transplantation, State University of Milan, Milan, Italy.

Hayato Kurihara (H)

Emergency Surgery Unit, IRCCS Fondazione Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
State University of Milan, Milan, Italy.

Gary Alan Bass (GA)

Division of Traumatology, Surgical Critical Care and Emergency Surgery, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, USA.
Center for Peri-Operative Research and Transformation (C-PORT), University of Pennsylvania, Philadelphia, USA.

Classifications MeSH