在地区医学院过渡到临床见习的指导近同伴指导计划

Emma Barr, S. Craig, Hayden Smith, Margurite Jakubiak, Talia Sopp
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摘要

从基础医学教育向临床医学教育过渡是医学培训的一个重要里程碑;然而,它与适应新的工作和学习环境的焦虑和不确定性有关。当学生也过渡到分支机构或地区校园进行员工培训时,这种感觉可能会进一步增强。在一个地区医学院设计了一个有指导的、近同伴的指导计划,希望减少与过渡到临床轮转有关的焦虑,并教临床医学学生如何有效地指导同学。方法本课程改进方案在美国中西部一所医学院的区域校区进行开发和实施。根据参与该项目的学生对反思问题的回答,列出了14个讨论主题。这些主题被分类成会议指南,导师可以在与学员的三次单独会议中参考这些指南。在项目开始之前,导师们参加了一个研讨会,以了解更多关于有效的医学指导。该项目前两年的参与者被要求完成反馈调查,评估他们在项目中的体验。结果48名潜在二年级学生中有41人同意以导师身份参与,48名潜在三年级学生中有40人同意以导师身份参与。92%的学员同意,参加该项目减少了他们过渡到职员的压力和焦虑,96%的学员表示他们会向其他学生推荐该项目。在导师中,93%的人表示他们会向其他学生推荐该项目,78%的人认为他们在项目中练习的指导技巧对他们的专业和学术发展很有用。通过引入这种有指导的、接近同伴的指导项目,学员报告说,他们在过渡到临床见习的过程中感到得到了支持,导师报告说,他们准备好了有效地指导同学。虽然这种一对一的项目的建立和执行可能需要花费一些时间,但导师获得的技能可以为他们的职业生涯提供帮助,并且给学员提供个性化的建议可以显著减少他们在高压力过渡期间的焦虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Guided Near-Peer Mentorship Program for Transitioning into Clinical Clerkships at a Regional Medical Campus
Background Transitioning from preclinical to clinical medical education is a significant milestone in medical training; however, it is associated with anxiety and uncertainty about adapting to a new work and learning environment. These feelings may be additionally heightened when students are also transitioning to a branch or regional campus for their clerkship training. A guided, near-peer mentorship program was designed at a regional medical campus in hopes of reducing anxiety associated with transitioning into clinical rotations, as well as teach clinical medical students how to effectively mentor a fellow student. Methods This curricular improvement program was developed and implemented at a regional campus of a US Midwestern medical school. A list of 14 topics for discussion was created from responses to reflection questions completed by students participating in the program. These topics were sorted into meeting guides that mentors could reference during three individual meetings with their mentee. Mentors attended a workshop prior to the start of the program to learn more about effective mentorship in medicine. Participants from the first two years of this program were asked to complete feedback surveys evaluating their experience in the program. Results Forty-one of 48 potential second-year students agreed to participate as mentees and 40 of 48 potential third-year students agreed to participate as mentors. Ninety-two percent of mentees agreed that participating in the program decreased their stress and anxiety about transitioning into clerkships and 96% reported they would recommend the program to other students. Among the mentors, 93% reported they would recommend the program to other students and 78% agreed that the mentorship skills they practiced during the program are useful in their professional and academic development. Discussion With the introduction of this guided, near-peer mentorship program, mentees reported feeling supported in their transition into clinical clerkships and mentors reported feeling prepared to effectively mentor a fellow student. Though such one-on-one programs can be somewhat time-intensive to establish and execute, the skills gained by mentors can serve them for the rest of their careers and the individualized advice given to mentees markedly decreases anxiety in a high-stress transition.
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