Mentorship and pursuit of academic medicine careers: a mixed methods study of residents from diverse backgrounds

BMC Medical Education

John-Paul Sánchez⁸  Norma I Poll-Hunter⁵  Conair E Guilliames²  Stephen D Sisson¹  Steven C Palmer³  Nicholas Wilson⁷  Peter F Cronholm⁶  Baligh R Yehia⁴ 

[1] Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland;Department of Family Medicine, Albert Einstein College of Medicine, Bronx, New York;Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania;1309 Blockley Hall, 423 Guardian Drive, Philadelphia 19104, Pennsylvania;Diversity Policy and Programs, Association of American Medical Colleges, Washington, DC, USA;Department of Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania;Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania;Department of Emergency Medicine, Albert Einstein College of Medicine, Bronx, New York, USA

关键词: Medical education;    Mentoring;    Mentorship;    Minority;    Diversity;    Career choice;    Academic careers;    Postgraduate;    Residents;   

Others  :  1122710
DOI  :  10.1186/1472-6920-14-26

 received in 2012-12-18, accepted in 2014-02-03,  发布年份 2014

【 摘 要 】

Background

Mentorship influences career planning, academic productivity, professional satisfaction, and most notably, the pursuit of academic medicine careers. Little is known about the role of mentoring in recruiting Black/African American and Hispanic/Latino residents into academia. The objective of this study was to assess the influence of mentoring on academic medicine career choice among a cohort of racially and ethnically diverse residents.

Methods

A strategic convenience sample of U.S. residents attending national professional conferences between March and July 2010; residents completed a quantitative survey and a subset participated in focus groups.

Results

Of the 250 residents, 183 (73%) completed surveys and 48 participated in focus groups. Thirty-eight percent of residents were white, 31% Black/African American, 17% Asian/other, and 14% Hispanic/Latino. Most respondents (93%) reported that mentorship was important for entering academia, and 70% reported having sufficient mentorship to pursue academic careers. Three themes about mentorship emerged from focus groups: (1) qualities of successful mentorship models; (2) perceived benefits of mentorship; and (3) the value of racial/ethnic and gender concordance. Residents preferred mentors they selected rather than ones assigned to them, and expressed concern about faculty using checklists. Black/African American, Hispanic/Latino, and female residents described actively seeking out mentors of the same race/ethnicity and gender, but expressed difficulty finding such mentors. Lack of racial/ethnic concordance was perceived as an obstacle for minority mentees, requiring explanation of the context and nuances of their perspectives and situations to non-minority mentors.

Conclusions

The majority of residents in this study reported having access to mentors. However, data show that the lack of diverse faculty mentors may impede diverse residents’ satisfaction and benefit from mentorship relationships compared to white residents. These findings are important for residency programs striving to enhance resident mentorship and for institutions working to diversify their faculty and staff to achieve institutional excellence.

【 授权许可】

   
2014 Yehia et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]US Census Bureau: Overview of Race and Hispanic Origin: 2010. In US Department of Commerce, ed. Washington, DC: US Department of Commerce, US Census Bureau; 2011.
• [2]McDonough JE: The road ahead for the affordable care act. NEJM 2012, 367(3):199-201.
• [3]Schoen C, Doty MM, Robertson RH, Collins SR: Affordable care act reforms could reduce the number of underinsured US adults by 70 percent. Health Aff (Millwood) 2011, 30(9):1762-1771.
• [4]Association of American Medical Colleges In Striving Toward Excellence: Faculty Diversity in Medical Education. Washington, DC: The Association of American Medical Colleges; 2009.
• [5]Powell D, Scott JL, Rosenblatt M, Roth PB, Pololi L: Commentary: a call for culture change in academic medicine. Acad Med 2010, 85(4):586-587.
• [6]Association of American Medical Colleges: U.S. Medical School Faculty. 2012. https://www.aamc.org/data/facultyroster/reports/ webcite. Accessed December 23, 2013
• [7]Association of American Medical Colleges: Minorities in Medical Education: Facts & Figures 2005. Washington, D.C: Association of American Medical Colleges; 2005.
• [8]Castiglioni A, Bellini LM, Shea JA: Program directors’ views of the importance and prevalence of mentoring in internal medicine residencies. J Gen Intern Med 2004, 19(7):779-782.
• [9]Sambunjak D, Straus SE, Marusic A: Mentoring in academic medicine: a systematic review. JAMA 2006, 296(9):1103-1115.
• [10]Kirsling RA, Kochar MS: Mentors in graduate medical education at the medical college of wisconsin. Acad Med 1990, 65(4):272-274.
• [11]Ogunyemi D, Solnik MJ, Alexander C, Fong A, Azziz R: Promoting residents’ professional development and academic productivity using a structured faculty mentoring program. Teach Learn Med 2010, 22(2):93-96.
• [12]Hsu AK, Tabaee A, Persky MS: Mentorship in otolaryngology residency: the resident perspective. Laryngoscope 2010, 120(6):1263-1268.
• [13]Flint JH, Jahangir AA, Browner BD, Mehta S: The value of mentorship in orthopaedic surgery resident education: the residents’ perspective. J Bone Joint Surg Am 2009, 91(4):1017-1022.
• [14]Cain JM, Schulkin J, Parisi V, Power ML, Holzman GB, Williams S: Effects of perceptions and mentorship on pursuing a career in academic medicine in obstetrics and gynecology. Acad Med 2001, 76(6):628-634.
• [15]Ramanan RA, Taylor WC, Davis RB, Phillips RS: Mentoring matters. Mentoring and career preparation in internal medicine residency training. J Gen Intern Med Apr 2006, 21(4):340-345.
• [16]Burkhardt J, Kowalenko T, Meurer W: Academic career selection in american emergency medicine residents. Acad Emerg Med 2011, 18(Suppl 2):S48-S53.
• [17]Sambunjak D, Straus SE, Marusic A: A systematic review of qualitative research on the meaning and characteristics of mentoring in academic medicine. J Gen Intern Med 2010, 25(1):72-78.
• [18]Sanchez JP, Castillo-Page L, Spencer DJ, et al.: Commentary: the building the next generation of academic physicians initiative: engaging medical students and residents. Acad Med 2011, 86(8):928-931.
• [19]Carr PL, Palepu A, Szalacha L, Caswell C, Inui T: ‘Flying below the radar’: a qualitative study of minority experience and management of discrimination in academic medicine. Med Educ 2007, 41(6):601-609.
• [20]Jeffe DB, Andriole DA, Hageman HL, Whelan AJ: Reaping what we sow: the emerging academic medicine workforce. J Natl Med Assoc 2008, 100(9):1026-1034.
• [21]Smith MA, Barry HC, Dunn RA, Keefe C, Weismantel D: Breaking through the glass ceiling: a survey of promotion rates of graduates of a primary care faculty development fellowship program. Fam Med 2006, 38(7):505-510.
• [22]Petersdorf RG, Turner KS, Nickens HW, Ready T: Minorities in medicine: past, present, and future. Acad Med 1990, 65:663-670.
• [23]Mahoney MR, Wilson E, Odom KL, Flowers L, Adler SR: Minority faculty voices on diversity in academic medicine: perspectives from one school. Acad Med 2008, 83(8):781-786.
• [24]Kitzinger J: Qualitative research. Introducing focus groups. BMJ 1995, 311:299-302.
• [25]Tashakkori A, Teddlie C: Handbook of mixed methods in social and behavioral research (2nd edition). Thousand Oaks, CA: Sage; 2010.
• [26]Hr B: Research methods in anthropology: qualitative and quantitative approaches. 4th edition. Lanham, MD: AltaMira Press; 2006.
• [27]Kanter SL: What is academic medicine? Acad Med 2008, 83:205-206.
• [28]Wilkinson D: ICRAM (the International Campaign to Revitalise Academic Medicine): agenda setting. BMJ 2004, 329:787-789.
• [29]Ross V, Mauksch L, Huntington J, Beard JM: Interdisciplinary direct observation: impact on precepting, residents, and faculty. Fam Med 2012, 44:318-324.
• [30]Davis OC, Nakamura J: A proposed model for an optimal mentoring environment for medical residents: a literature review. Acad Med 2010, 85(6):1060-1066.
• [31]Hauer KE, Teherani A, Dechet A, Aagaard EM: Medical students’ perceptions of mentoring: a focus-group analysis. Med Teach 2005, 27(8):732-734.
• [32]Brown JB, Thorpe C, Paquette-Warren J, Stewart M, Kasperski J: The mentoring needs of trainees in family practice. Educ prim Care 2012, 23(3):196-203.
• [33]Yamada K, Slanetz PJ, Boiselle PM: Perceived benefits of a radiology resident mentoring program: comparison of residents with self-selected vs assigned mentors. Can Assoc Radiol J 2013. Epub ahead of print Sep 18
• [34]Woods SK, Burgess L, Kaminetzky C, McNeill D, Pinheiro S, Heflin MT: Defining the roles of advisors and mentors in postgraduate medical education: faculty perceptions, roles, responsibilities, and resource needs. J Grad Med Educ 2010, 2:195-200.
• [35]Cochran A, Elder WB, Crandall M, Brasel K, Hauschild T, Neumayer L: Barriers to advancement in academic surgery: views of senior residents and early career faculty. Am J Surg 2013, 206(5):661-666.
• [36]Koopman RJ, Thiedke CC: Views of family medicine department chairs about mentoring junior faculty. Med Teach 2005, 27(8):734-737.
• [37]Straus SE, Johnson MO, Marquez C, Feldman MD: Characteristics of successful and failed mentoring relationships: a qualitative study across two academic health centers. Acad Med 2013, 88:82-89.
• [38]Lis LD, Wood WC, Petkova E, Shatkin J: Mentoring in psychiatric residency programs: a survey of chief residents. Acad Psychiatry 2009, 33(4):307-312.
• [39]McCord JH, McDonald R, Sippel RS, Leverson G, Mahvi DM, Weber SM: Surgical career choices: the vital impact of mentoring. J Surg Res 2009, 155(1):136-141.