Mentoring/Coaching

指导 / 辅导
  • 文章类型: Journal Article
    学术医学的受训者和教职员工经常与自我提升作斗争。对于女性和其他在医学中代表性不足的群体来说,障碍可能更可怕。在进行自我推销活动时,最好以经验为基础的故事来说明个人优势。
    我们开发了一个90到120分钟的研讨会,利用迭代日记和同行讨论等方法,教授开发问题-行动-结果(PAR)故事,以便在面试和书面申请新职位时进行自我提升。参与者提供了李克特量表(1=强烈不同意,5=强烈同意)和自由反应评估,我们分析了车间的优势和需要改进的地方。
    我们亲自向28名儿科住院医师和随后的22名住院医师介绍了研讨会,研究员,和教师在一次面对面的全国会议上。61%的常驻组和100%的国家车间组完成了评估。两组均报告对研讨会的格式(M=4.7)和内容(M=4.7)非常满意,并表示打算使用所学技能(M=4.7)。优势包括PAR格式,交互性,日记,反思的机会,以及面试和写作的技巧。需要改进的领域包括在学年早些时候提供研讨会,并提供更多PAR故事的书面例子。
    本次研讨会采用了个人反思的策略,日记,和同伴反馈,以帮助参与者了解基于行为的招聘实践和PAR框架作为成功自我推广的策略。学习者可以使用这些策略来提高信心和效率,并解决他们遇到的有效自我提升的障碍。
    UNASSIGNED: Trainees and faculty in academic medicine often struggle with self-promotion. Barriers may be more formidable for women and other groups underrepresented in medicine. Experience-based stories illustrating personal strengths are preferable when engaging in self-promotion activities.
    UNASSIGNED: We developed a 90- to 120-minute workshop utilizing approaches such as iterative journaling and peer discussion to teach the development of problem-action-result (PAR) stories for self-promotion efforts in interviews and written applications to new positions. Participants provided Likert-scale (1 = strongly disagree, 5 = strongly agree) and free-response evaluations, which we analyzed for workshop strengths and areas for improvement.
    UNASSIGNED: We presented the workshop in person to 28 pediatric residents and subsequently to 22 residents, fellows, and faculty at an in-person national meeting. Sixty-one percent of the resident group and 100% of the national workshop group completed the evaluation. Both groups reported high satisfaction with the workshop\'s format (M = 4.7) and content (M = 4.7) and indicated intention to use the skills learned (M = 4.7). Strengths included the PAR format, interactivity, journaling, opportunity for reflection, and tips for interviewing and writing. Areas to improve included offering the workshop earlier in the academic year and providing more written examples of PAR stories.
    UNASSIGNED: This workshop used strategies of personal reflection, journaling, and peer feedback to help participants understand behavior-based recruiting practices and the PAR framework as a strategy for successful self-promotion. Learners can use these strategies to develop greater confidence and efficacy and to address barriers to effective self-promotion they encounter.
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  • 文章类型: Journal Article
    欣赏探究利用个人的优势来实现积极的变化,以繁荣为中心的心态强调参与,社会连通性,寻求有意义的工作。虽然这些模式对医生福祉和职业规划的影响已经在研究生医学教育中得到了评估,他们融入教师的职业发展计划受到限制。我们设计了一个工作坊来培养住院医生的职业发展,基于我们的CORE2概念框架(性格优势,整体愿景,角色评估,明确的目标,和评估)。
    我们在2022年和2023年医院医学学会(SHM)年度会议上介绍了研讨会。这个1.5小时的研讨会包括四个模块和三个小组活动,旨在帮助参与者识别他们的签名角色优势,起草一份专业的愿景声明,优先考虑专业角色,并制定与这些角色一致的SMART目标。
    在2023年SHM年会上,36名与会者参加了研讨会,32人(89%)完成了讲习班前和讲习班后的调查。车间完成后,参与者自我评估对他们标志性性格优势的熟悉程度,了解循证原则以制定明智的目标,以及他们撰写愿景声明和SMART目标的能力的信心都显著增加(p<.05)。
    该研讨会为自我导向的纵向职业发展和反思提供了一个有价值的框架。我们在先前的教育者身份形成课程的基础上,指导参与者从身份定义到职业愿景发展,再到职业角色评估,再到目标创建和迭代评估。我们研讨会的原则很容易推广到跨医学学科的临床医生-教育工作者。
    UNASSIGNED: Appreciative inquiry harnesses an individual\'s strengths to realize positive change, and a flourishing-focused mindset emphasizes engagement, social connectivity, and seeking meaningful work. Though the impact of these models on physician well-being and career planning has been evaluated in graduate medical education, their integration into career development initiatives for faculty has been limited. We designed a workshop to nurture hospitalist career development, based on our CORE2 conceptual framework (character strengths, overall vision, role assessment, explicit goals, and evaluation).
    UNASSIGNED: We presented the workshop at the 2022 and 2023 Society of Hospital Medicine (SHM) annual conferences. This 1.5-hour workshop comprised four modules and three small-group activities designed to help participants identify their signature character strengths, draft a professional vision statement, prioritize professional roles, and develop SMART goals aligned with these roles.
    UNASSIGNED: At the 2023 SHM annual conference, 36 participants attended the workshop, and 32 (89%) completed pre- and postworkshop surveys. After workshop completion, participants\' self-assessed familiarity with their signature character strengths, knowledge of evidence-based principles to develop SMART goals, and confidence in their ability to write a vision statement and SMART goals all increased significantly (p < .05).
    UNASSIGNED: This workshop provides a valuable framework for self-directed longitudinal career development and reflection. We build on prior curricula on educator identity formation by guiding participants from identity definition to professional vision development to professional role evaluation to aligned goal creation and iterative evaluation. Our workshop\'s principles are readily generalizable to clinician-educators across medical disciplines.
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  • 文章类型: Journal Article
    通常,实习生应该在住院的早期教医学生,但大多数人在住院医师之前并没有被正式教导如何成为有效的教师。目前,强调培养居民而不是学生成为居民之前的教学技能。大多数出版的学生作为教师课程是自愿的,不评估技能获得。
    我们在两个学年(2020-2022年)期间使用2小时的工作坊教授了290名四年级医学生一分钟导师(OMP)的宗旨。各种角色扮演案例使学生可以孤立和组合地练习OMP的不同部分。然后,研讨会结束后,我们使用客观结构化教学考试(OSTE)评估了他们的教学技能。
    两百七十八名学生(96%)完成了对他们的信心的自我评估,证明了OMP在研讨会之前和之后的技能。他们在所有领域的信心都得到了提高,PS<.001。此外,所有学生都成功地证明了OSTE的能力。
    我们使用了一个基于OMP的2小时工作坊,以提高四年级医学生对教学技能的信心,并允许他们在开始实习之前展示这些技能的能力。
    UNASSIGNED: Often, interns are expected to teach medical students early in their residency, but most are not formally taught how to be effective teachers before residency. Currently, there is emphasis on developing teaching skills of residents rather than students before they become residents. Most published student-as-teacher courses are voluntary and do not assess skill acquisition.
    UNASSIGNED: We taught 290 fourth-year medical students across two academic years (2020-2022) the tenets of the One-Minute Preceptor (OMP) using a 2-hour workshop during their transition to residency course. A variety of role-play cases allowed students to practice the different parts of the OMP in isolation and combined. Then, we assessed their teaching skills after the workshop using an objective structured teaching exam (OSTE).
    UNASSIGNED: Two hundred seventy-eight students (96%) completed the self-assessment of their confidence demonstrating the skills of the OMP before and after the workshop. Their confidence improved in all domains, with ps < .001. Additionally, all students successfully demonstrated competency on the OSTE.
    UNASSIGNED: We used a 2-hour workshop based on the OMP to improve fourth-year medical students\' confidence in their teaching skills and allow them to demonstrate competence in those skills before starting their intern year.
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  • 文章类型: Journal Article
    在医院医学领域,既有有限的高级教师来指导迅速增长的初级教师,又缺乏专注于针对住院医生需求的学术活动的职业发展课程。这些赤字导致学术住院医师晋升为副教授和正教授的人数不成比例地减少。我们实施了一个便利的同伴指导计划,并设有专门的课程,以促进学术住院医师的职业发展。
    我们招募了29名学术住院医师,并将他们分成五个小组,每个人都由一名高级教师指导。同行成员参加了为期9个月的课程,包括交替的大型和小型小组会议,审查了对学术进步重要的主题。定量分析评估方案的可行性,以课程主题的参与和知识改进来衡量,进行项目前和项目后调查。
    通过参与衡量,结果表明了大小组会议的可行性。小团体参与的变量更大。调查前后的结果显示,几乎所有课程主题的知识都有了显着提高(p<.05)。
    目前,学术住院医师的导师和学术技能都存在差距。我们的促进同伴指导计划与专门的课程可以用作其他医院计划的框架,以支持职业发展。
    UNASSIGNED: In the field of hospital medicine, there is both a limited pool of senior faculty to mentor the rapidly growing number of junior faculty and a lack of career development curricula focused on scholarly activities specific to the needs of the hospitalist. These deficits have resulted in a disproportionately low number of academic hospitalists being promoted to associate and full professor. We implemented a facilitated peer mentoring program with a dedicated curriculum to foster career advancement of academic hospitalists.
    UNASSIGNED: We recruited 29 academic hospitalists and divided them into five small groups, each guided by one senior faculty. Peer members participated in a 9-month curriculum consisting of alternating large- and small-group sessions that reviewed topics important for academic advancement. Quantitative analysis assessed feasibility of the program, as measured by participation and knowledge improvement on curriculum topics, with pre- and postprogram surveys.
    UNASSIGNED: Results demonstrated feasibility of the large-group sessions as measured through participation. Small-group participation was more variable. Pre- and postsurvey results showed significant knowledge improvement (p < .05) in nearly all of the curriculum topics.
    UNASSIGNED: Currently, there is a gap in both mentorship and scholarly skills of academic hospitalists. Our facilitated peer mentoring program with a dedicated curriculum can be used as a framework for other hospitalist programs to support career development.
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  • 文章类型: Journal Article
    学术指导关系的目标是使受训者能够识别/实现专业进步。尽管临床医师教育者(CEs)的导师必须了解成功职业发展的标准,很少有人接受过正式的CE导师培训。
    国家研究指导网络召集了一个专家小组,以开发一个90分钟的模块来培训CE导师。该模块包括个人发展计划,涉及CE教师挑战的案例研究,以及扩大学术活动范围的例子。讲习班已向四个机构的26名参与者提供,并通过回顾性的前/后调查进行了评估。
    使用7点量表(1=非常低,4=平均值,7=非常高),参与者将其CE指导的总体质量评为略低于平均研讨会前(M=3.9)和高于平均研讨会后(M=5.2,p<.001)。在7分制上自我感知的技能变化最大的领域(1=完全不熟练,4=中等技能,7=极其熟练)包括对指导关系设定明确的期望(M前=3.6,M后=5.1,p<.001),将导师的期望与受训者的期望保持一致(前M=3.6,后M=5.0,p<.001),并帮助受训者设定职业目标(前M=3.9,后M=5.4,p<.001)。
    该模块使用交互式和集体解决问题的方法训练CE导师。研讨会参与者更好地定义了CE进展的可证明标记,有可能影响受训者的量身定制指导。
    UNASSIGNED: The goal of academic mentoring relationships is to enable the mentee to identify/achieve professional advancement. Although mentors of clinician educators (CEs) must understand the criteria for successful career advancement, few have received formal CE mentor training.
    UNASSIGNED: The National Research Mentoring Network convened an expert panel to develop a 90-minute module for training CE mentors. This module included individual development plans, case studies involving challenges for CE faculty, and examples of the broadened scope of scholarly activity. The workshop was delivered to 26 participants across four institutions and evaluated by a retrospective pre/post survey.
    UNASSIGNED: Using a 7-point scale (1 = very low, 4 = average, 7 = very high), participants rated the overall quality of their CE mentoring as slightly below average preworkshop (M = 3.9) and as above average postworkshop (M = 5.2, p < .001). Areas of greatest self-perceived change in skills on a 7-point scale (1 = not at all skilled, 4 = moderately skilled, 7 = extremely skilled ) included setting clear expectations of the mentoring relationship (pre M = 3.6, post M = 5.1, p < .001), aligning mentor expectations with those of mentees (pre M = 3.6, post M = 5.0, p < .001), and helping mentees set career goals (pre M = 3.9, post M = 5.4, p < .001).
    UNASSIGNED: This module trains CE mentors using an interactive and collective problem-solving approach. Workshop participants better defined demonstrable markers for CE progression with potential to impact tailored guidance for mentees.
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  • 文章类型: Journal Article
    质量改进(QI)培训是住院医师医学教育的重要组成部分,也是ACGME核心能力的一部分。我们展示了我们的住院医师基于证据的QI课程,其中概述了文献中确定的成功QI教育的关键组成部分。
    我们的课程包括强制性的五部分纵向教育系列,在二年级居民的非卧床教育课程中。仿照医疗保健改善研究所的模式进行改进,并由一名首席居民教授,我们的课程通过基于案例的方式向居民介绍关键的QI概念,通过并发的居民主导的纵向QI项目,及时的教学法和应用体验式学习。居民收到了结构化的,来自他们感兴趣的领域的教师导师和质量和患者安全的首席居民的多层指导。他们正在进行的工作项目已提交给教师QI专家和机构领导,以获得更多反馈和指导。
    自2016年以来,共有234名内科住院医师完成了QI课程,并开发了67个QI项目,已经在不同的地方,区域,和全国会议。在最近的两个学年中,质量改进知识应用工具修订版(QIKAT-R)得分从4.6个课程前增加到6.3个课程后(p<.001)。
    纵向,经验,并指导QI课程通过整合与成功的教育计划和成人学习理论相关的机制,向居民传授QI技能。我们的QIKAT-R结果和项目输出表明,我们的课程与改进的受训者QI知识和系统级改进相关。
    Quality improvement (QI) training is an essential component of resident medical education and a part of the ACGME core competencies. We present our residency\'s evidence-based QI curriculum, which outlines key components identified in the literature for successful QI education.
    Our curriculum included a mandatory five-part longitudinal educational series during ambulatory education sessions for second-year residents. Modeled after the Institute for Healthcare Improvement model for improvement and taught by a chief resident, our curriculum introduced residents to key QI concepts through case-based, just-in-time didactics and applied experiential learning via concurrent resident-led longitudinal QI projects. Residents received structured, multilayer mentorship from a faculty mentor in their field of interest and the chief resident of quality and patient safety. Their work-in-progress projects were presented to faculty QI experts and institutional leadership for additional feedback and mentorship.
    Since 2016, a total of 234 internal medicine residents have completed our QI curriculum and developed 67 QI projects, which have been presented at various local, regional, and national conferences. In the 2 most recent academic years, Quality Improvement Knowledge Application Tool Revised (QIKAT-R) scores significantly increased from 4.6 precurriculum to 6.3 postcurriculum (p < .001).
    A longitudinal, experiential, and mentored QI curriculum teaches residents QI skill sets through incorporating mechanisms associated with successful educational initiatives and adult learning theory. Our QIKAT-R results and project output show that our curriculum is associated with improved trainee QI knowledge and systems-level improvements.
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  • 文章类型: Journal Article
    MedEdPORTAL是一本开放获取的期刊,供卫生专业教育者发表他们的教育活动。教育总结报告(ESR)是代表这些活动的学术表达的手稿,符合Glassick\的奖学金标准;然而,未来的作者在撰写ESR时面临挑战,这可能会导致拒绝。
    我们开发了一个会议研讨会,通过小组审查样本ESR,教卫生专业教育工作者如何编写ESR。研讨会首先介绍了制作ESR每个部分的最佳实践。然后,我们将参与者分成小组,以使用审阅者的清单并完成模板活动挂图来审阅样本ESR的指定部分。然后,每个小组在大小组讨论中进行了报告。在线分发了会议评估,以征求对研讨会有效性的看法。
    90分钟的研讨会由两名主持人组成的独立小组在三次全国会议上进行了介绍。大约35名与会者参加了第一次讲习班,50人参加了第二次和第三次讲习班。来自19名受访者(38%)的调查反馈对第三次研讨会的评估调查具有前两次迭代的代表性,并表明研讨会内容和材料是有帮助的。
    一个研讨会,使教育工作者成为MedEdPORTAL提交的ESR样本的小组同行评审员,受到好评。副编辑,教师导师,和其他经验丰富的教师发展领导者可以使用这些材料来支持未来的作者提交MedEdPORTAL,同时为国家演讲提供机会。
    UNASSIGNED: MedEdPORTAL is an open-access journal for health professions educators to publish their educational activities. The Educational Summary Report (ESR) is the manuscript that represents scholarly expression of those activities, aligned with Glassick\'s criteria for scholarship; however, prospective authors face challenges in writing ESRs, which can lead to rejection.
    UNASSIGNED: We developed a conference workshop to teach health professions educators how to write an ESR by reviewing a sample ESR in small groups. The workshop began with a didactic on best practices in crafting each section of an ESR. We then divided participants into small groups to review an assigned section of a sample ESR using a reviewer\'s checklist and completing a templated flip chart. Each small group then reported out in a large-group discussion. A conference evaluation was distributed online to solicit perceptions of the workshop\'s effectiveness.
    UNASSIGNED: The 90-minute workshop was presented by separate teams of two facilitators at three national conferences. Approximately 35 participants attended the first workshop, and 50 attended the second and third workshops. Survey feedback from 19 respondents (38%) to the evaluation survey at the third workshop was representative of the previous two iterations and demonstrated that workshop content and materials were helpful.
    UNASSIGNED: A workshop enabling educators to serve as group peer reviewers of a sample ESR for a MedEdPORTAL submission was well received. Associate editors, faculty mentors, and other experienced faculty development leaders can use these materials to support future authors in submitting to MedEdPORTAL while providing opportunities for national presentations.
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  • 文章类型: Journal Article
    Clinical Coaching Cards is a serious game for faculty development in which players take turns as Teacher and Coach to apply teaching techniques on game cards to identify new approaches to teaching in the clinical environment. The game employs active learning theory and coaching frameworks.
    Based on a literature search and local faculty practices, we identified 14 techniques for clinical teaching and created a deck of cards summarizing each. We adapted rules from social judgment games so that participants proposed and selected techniques for applicability to their own teaching. The game was presented as a subsession of larger faculty development workshops hosted by the University of Washington, and players included faculty, residents, and medical students. Evaluations focused on the applicability of techniques to participants\' clinical practice and preferred new techniques.
    Seventy-four players provided evaluations out of over 150 participants across six workshops. Participants rated the session as mostly or very organized in 70 of 74 evaluations (95%), the introductory material as mostly or very relevant in 67 evaluations (91%), and the teaching techniques as most or several being useful in 69 evaluations (93%). Although some techniques were more popular than others, every technique was selected as a Top 3 technique for future practice.
    Clinical Coaching Cards is a card game that applies active learning within a framework of peer coaching to teach bedside and clinical teaching techniques.
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  • 文章类型: Journal Article
    老年居民主导的晨报(MR)发生在许多居住项目中,但是居民很少接受有关如何促进MR的培训或对其促进的反馈。我创建并实施了必要的为期2周的居民作为教师课程,将高级居民与教师导师配对。
    课程允许针对每个特定居民的需求进行个性化设置。教师导师帮助居民设定课程目标,观察并提供了关于四个MR和一个中午会议的居民便利的反馈,并与居民一起审查了成人学习原则。课程通过领导MR指导教师和住院医师对,并应用证据指导住院医师的教学。我调查了住院医师,参加MR的居民,和教师导师来确定课程的感知教育影响。
    在2010-2016学年,124名高级居民参加了会议。老年居民自我报告的信心明显增强,兴趣,以及课程结束后的教学准备。参加MR的学员在课程实施后对质量进行了同等价值的评价,并回应说,高级居民领导MR更有可能给出明确的解释,在适当的水平上教学,并且不太可能用完时间。教师导师喜欢参与,并发现一对一的导师关系对于他们对体验的满意度很重要。
    结果数据表明,导师关系是课程中最重要的元素,灵活性是满足个人需求的关键。干预适用于其他住院医师计划和专业,教师导师不需要有医学教育背景。
    Senior resident-led morning report (MR) occurs in many residency programs, but residents rarely receive training on how to facilitate MR or feedback on their facilitation. I created and implemented a required 2-week resident-as-teacher curriculum pairing senior residents with faculty mentors.
    The curriculum allowed individualization to each specific resident\'s needs. The faculty mentor helped the resident set curricular goals, observed and provided feedback on resident facilitation of four MRs and one noontime conference, and reviewed adult learning principles with the resident. The curriculum guided the faculty and resident pair through leading MR and applied evidence to guide resident teaching. I surveyed resident teachers, the residents who attend MR, and faculty mentors to determine the curriculum\'s perceived educational impact.
    Over the 2010-2016 academic years, 124 senior residents participated. Senior residents self-reported significantly more confidence, interest, and preparedness for teaching after the curriculum. Trainees attending MR rated the quality of equal value after curriculum implementation, and responded that senior residents leading MR were more likely to give clear explanations, teach at an appropriate level, and were less likely to run out of time. Faculty mentors enjoyed participating and found the one-on-one mentorship relationship important for their satisfaction with the experience.
    Outcome data suggested that the mentorship relationship was the most important element of the curriculum and that flexibility was key to allowing individual needs to be met. The intervention is applicable to other residency programs and specialties, and faculty mentors are not required to have a medical education background.
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  • 文章类型: Journal Article
    Contract negotiation is a high-stakes interaction, yet most physicians are never taught negotiation skills. Studies suggest that women, as compared with men, display a lower propensity to initiate negotiations and negotiate less competitively, highlighting a need for training to help level the playing field for female physicians.
    We devised a learner-centered workshop for female physicians that included a mini-didactic on negotiation principles, a question-and-answer time with a lawyer, an interactive role-play on contract negotiation style, and guided reflection. The workshop was intended for women in medicine from the level of medical student to full professor. The workshop was evaluated by pre- and postworkshop surveys with quantitative questions assessing perceived comfort with and knowledge of negotiation skills and strategies, as well as qualitative questions assessing lessons learned and areas for improvement.
    After the workshop, participants (n = 34) reported significantly improved comfort with contract negotiation (p < .01) and with negotiation skills and strategies (p < .01). Through qualitative evaluation, we discovered that participants gained an appreciation for the self-advocacy in negotiation, as well as a better understanding of negotiation logistics. We also received positive feedback from participant comments, with most learners reporting that the topic was useful and worthwhile.
    We believe that this workshop fills a gap in the literature regarding contract negotiation training for physicians while also helping to level the playing field with regard to female physicians and the gender pay gap.
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