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1.
BMC Med Educ ; 22(1): 197, 2022 Mar 22.
Artigo em Inglês | MEDLINE | ID: mdl-35317809

RESUMO

BACKGROUND: Feedback is essential to medical education. Although the need for effective feedback delivery is well known, more recent focus is on understanding and strengthening the faculty-trainee relationship within which the feedback process is carried out. The authors developed and implemented a combined resident-faculty feedback workshop within a psychiatry residency training program to enhance participants' understanding of challenges residents and faculty experience with the feedback process. METHODS: The one-hour workshop consisted of small group activities and large group discussions, focused on (i) feedback challenges for both residents and faculty and (ii) potential ways to address identified challenges. Participants completed pre-and post-workshop questionnaires to rate their level of understanding of, and answer open-ended questions regarding, feedback challenges. Mixed-methods assessment of questionnaire responses examined quantitative rating changes from pre- to post-workshop, as well as emergent qualitative themes from the open-ended responses. RESULTS: From a pool of 30 workshop participants, 26 completed each of the pre- and post-workshop questionnaires. Overall, participants were satisfied with the programming. Important considerations for the feedback process were (i) specific/constructive/timely feedback, (ii) meeting logistical/administrative feedback requirements, (iii) setting norms/expectations of effective/routine feedback, and (iv) relational/emotional considerations surrounding feedback. It appeared both faculty and residents were able to increase perspective taking about how the other group perceived the feedback process. CONCLUSIONS: This pilot project is one of the first to examine a joint resident-faculty workshop focused on understanding how faculty and residents can interact to better understand each other's perspective on the feedback process. Further work in this area is needed to identify common misperceptions and design programming to help correct them. Further research is also needed to examine the impact of such programming on the feedback process.


Assuntos
Docentes de Medicina , Feedback Formativo , Internato e Residência , Estudantes de Medicina , Docentes de Medicina/psicologia , Humanos , Projetos Piloto , Estudantes de Medicina/psicologia
2.
Med Educ Online ; 27(1): 2044635, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-35275804

RESUMO

BACKGROUND: The COVID-19 pandemic has exacerbated the pre-existing global crisis of physician burnout. Physician and particularly medical educator well-being, has come into focus as educators can influence their own and learners' well-being. Measuring this construct is one important step towards promoting well-being in the work and learning environments. The 5-item World Health Organization Well-Being Index (WHO-5) has been validated in different populations worldwide for assessing well-being. Yet, its psychometric acceptability remains unexplored among medical educators in Asia including Hong Kong (HK). This study evaluates the validity of the WHO-5 when used among HK medical educators. METHOD: Using data from 435 medical educators, we employed combined within-network (confirmatory factor analysis; CFA) and between-network approaches (correlation and regression) to scale validation. RESULTS: CFA results indicated that our data fit the a priori WHO-5 model, suggesting structural validity. Results of comparison of means indicated no gender differences, but there were significant differences when participants were compared by age and professional backgrounds. Resilience predicted well-being as measured by the WHO-5, suggesting construct criterion validity. CONCLUSIONS: Our findings extend the validity evidence for the WHO-5 to HK medical educators examined in this study. This enables their well-being to be assessed when evaluating the impact of future well-being programmes.


Assuntos
Docentes de Medicina , Saúde Mental , Inquéritos e Questionários , COVID-19/epidemiologia , Análise Fatorial , Docentes de Medicina/psicologia , Hong Kong/epidemiologia , Humanos , Pandemias , Reprodutibilidade dos Testes , Organização Mundial da Saúde
3.
PLoS One ; 17(2): e0263380, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35130309

RESUMO

OBJECTIVE: The relevance of communication in medical education is continuously increasing. At the Medical Faculty of Hamburg, the communication curriculum was further developed and optimized during this project. This article aims to describe the stakeholders' perceived challenges and supporting factors in the implementation and optimization processes. METHODS: The initial communication curriculum and its development after a one-year optimization process were assessed with a curricular mapping. A SWOT analysis and group discussions were carried out to provide information on the need for optimization and on challenges the different stakeholders faced. RESULTS: The curricular mapping showed that the communication curriculum is comprehensive, coherent, integrated and longitudinal. In both the implementation and the project-related optimization processes, support from the dean, cooperation among all stakeholders and structural prerequisites were deemed the most critical factors for successfully integrating communication content into the curriculum. CONCLUSION: The initiative and support of all stakeholders, including the dean, teachers and students, were crucial for the project's success. PRACTICE IMPLICATIONS: Although the implementation of a communication curriculum is recommended for all medical faculties, their actual implementation processes may differ. In a "top-down" and "bottom-up" approach, all stakeholders should be continuously involved in the process to ensure successful integration.


Assuntos
Comunicação , Currículo , Educação Médica , Docentes de Medicina/psicologia , Participação dos Interessados , Currículo/normas , Currículo/tendências , Educação Médica/métodos , Educação Médica/organização & administração , Educação Médica/normas , Educação Médica/tendências , Docentes de Medicina/normas , Alemanha , História do Século XXI , Humanos , Ciência da Implementação , Relações Interprofissionais , Percepção , Relações Médico-Paciente , Habilidades Sociais , Participação dos Interessados/psicologia , Ensino/psicologia , Ensino/normas
4.
JAMA Netw Open ; 5(1): e2145243, 2022 01 04.
Artigo em Inglês | MEDLINE | ID: mdl-35089355

RESUMO

Importance: Organizational culture and workplace interactions may enhance or adversely impact the wellness of all members of learning and work environments, yet a nuanced understanding of how such experiences within health care organizations impact the health and wellness of their membership is lacking. Objective: To identify and characterize the reported health and wellness outcomes associated with perceived discrimination among academic medicine faculty, staff, and students. Design, Setting, and Participants: This qualitative study analyzed anonymously submitted written narratives from 2016 that described experiences related to inclusion in the workplace or lack thereof. Narratives that described health outcomes associated with work- or school-based discrimination were purposively sampled. Participants were faculty, staff, and students at health-related schools or hospitals affiliated with the University of Pennsylvania. Data analysis was performed from March 2019 to January 2020. Exposures: Self-reported experiences, both witnessed and personal, of discrimination in the workplace. Results: A total of 315 narratives were collected, and 115 narratives from 115 participants were analyzed. Most respondents identified as female (70 respondents [60.9%]), non-Hispanic White (68 respondents [59.1%]), and heterosexual (89 respondents [77.4%]) and had worked at the institution for at least 1 year (99 respondents [86.0%]). The outcomes associated with adverse workplace experiences were broad and ranged in nature from emotional to mental and physical. Most reported outcomes were emotional (101 respondents [87.8%]), and more than 1 in 10 narratives (14 respondents [12.2%]) described a mental or physical health outcome. Many of the participants felt devaluated, overexerted, and hopeless, resulting in clinically relevant manifestations, such as increased stress and anxiety levels and even elevated blood pressure. Conclusions and Relevance: This qualitative study identified a continuum of negative outcomes on employee health and well-being associated with perceived discrimination and chronic exclusion in the workplace. These findings suggest the need for organizations to promote inclusion as a component of workplace wellness interventions.


Assuntos
Atitude do Pessoal de Saúde , Saúde do Trabalhador/estatística & dados numéricos , Cultura Organizacional , Local de Trabalho/psicologia , Centros Médicos Acadêmicos , Adulto , Docentes de Medicina/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recursos Humanos em Hospital/psicologia , Pesquisa Qualitativa , Determinantes Sociais da Saúde , Estudantes de Medicina/psicologia , Adulto Jovem
5.
Am J Surg ; 223(1): 194-200, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34588129

RESUMO

BACKGROUND: Despite the importance of social justice advocacy, surgeon attitudes toward individual involvement vary. We hypothesized that the majority of surgeons in this study, regardless of gender or training level, believe that surgeons should be involved in social justice movements. METHODS: A survey was distributed to surgical faculty and trainees at three academic tertiary care centers. Participation was anonymous with 123 respondents. Chi-square and Fisher's exact test were used for analysis with significance accepted when p < 0.05. Thematic analysis was performed on free responses. RESULTS: The response rate was 46%. Compared to men, women were more likely to state that surgeons should be involved (86% vs 64%, p = 0.01) and were personally involved in social justice advocacy (86% vs 51%, p = 0.0002). Social justice issues reported as most important to surgeons differed significantly by gender (p = 0.008). Generated themes for why certain types of advocacy involvement were inappropriate were personal choices, professionalism and relationships. CONCLUSIONS: Social justice advocacy is important to most surgeons in this study, especially women. This emphasizes the need to incorporate advocacy into surgical practice.


Assuntos
Defesa do Consumidor/psicologia , Justiça Social/psicologia , Cirurgiões/psicologia , Centros Médicos Acadêmicos/estatística & dados numéricos , Adulto , Idoso , Atitude do Pessoal de Saúde , Defesa do Consumidor/estatística & dados numéricos , Docentes de Medicina/psicologia , Docentes de Medicina/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Fatores Sexuais , Justiça Social/estatística & dados numéricos , Cirurgiões/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Centros de Atenção Terciária/estatística & dados numéricos , Adulto Jovem
7.
JAMA Surg ; 157(2): 105-111, 2022 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-34851404

RESUMO

Importance: Although men are increasingly involved in childrearing, little is known about paternity leave in surgical residency. Conflict between professional and family duties contribute to burnout and decreased career satisfaction for surgeons of both sexes. With men more likely than women to have children during their clinical years of surgical training, understanding the issues surrounding paternity leave is imperative to ensuring the longevity of our workforce. Objective: To explore surgical program directors' perspectives on the challenges of providing paternity leave. Design, Setting, and Participants: This qualitative descriptive study of transcripts collected from semistructured interviews of US surgical program directors was performed from October 2018 to June 2019. Program directors were selected using purposive-stratified criterion-based sampling. Interviews were audio-recorded and transcribed verbatim, with emergent themes identified using content analysis. Exposure: Paternity leave. Main Outcomes and Measures: Program directors' perspectives on paternity leave were categorized into common themes. Results: A total of 40 US general surgery program directors were interviewed (28 male [70%]; mean [SD] age, 49.7 [6.8] years; 36 [90%] were university-based programs). Twenty (50%) reported providing paternity leave of 1-week duration. Five major themes were identified: (1) paternity leave policies are poorly defined by many programs and require self-initiation by residents; (2) residents often do not take the full amount of time offered for leave; (3) stigma against male residents taking parental leave is common and may be even greater than that facing women taking maternity leave; (4) paternity leave has little to no impact on colleagues' workload owing to the brevity of time taken; and (5) men desire longer leave than what they are currently offered and wish to receive equal time off compared with childbearing parents. Conclusions and Relevance: Surgical program directors report male residents take brief paternity leave despite a desire for more time off, which may be influenced by fear of stigma and surgical culture that avoids handing off work, even for short periods of time. A cultural shift toward supporting family planning as a normal part of young adult life, rather than a medical condition to be accommodated, is necessary to promote life balance and behaviors that will sustain a long career in surgery. Implementation of defined leave policies at individual programs for the nonchildbearing parent is critical to make parental leave socially acceptable among surgical residents.


Assuntos
Atitude do Pessoal de Saúde , Docentes de Medicina/psicologia , Cirurgia Geral/educação , Licença Parental , Feminino , Humanos , Internato e Residência , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Política Organizacional , Pesquisa Qualitativa , Estados Unidos
8.
Am J Surg ; 223(1): 64-70, 2022 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34325912

RESUMO

BACKGROUND: Effective surgeon educators likely help medical students develop competency and may inspire pursuit of surgical training. We sought to determine the qualities medical students believe embody effective surgical educators. METHODS: Mixed-methods study of nationally electronically recruited 3rd-year medical students using virtual semi-structured interviews and anonymous quantitative survey to determine the most critical and most frequently encountered qualities of effective surgical educators. Thematic analysis using grounded theory was undertaken. RESULTS: Data saturation occurred after 9 interviews. Themes of effective surgical educators included: engagement (acknowledging student, knowing their name, talking to the student), fostering a positive learning environment (non-threatening, non-shaming questioning), inclusion (giving responsibility/appropriate autonomy), and understanding how to teach a novice (teaching the student how to learn, adapt to learner). On quantitative analysis of Likert based survey, encouraging, promoting a positive learning climate, timely constructive feedback, and questioning were ranked as most critical. CONCLUSION: Students highly value positive learning climate and inclusion. Faculty Development to promote these traits may improve clerkship learning and experience.


Assuntos
Educação de Graduação em Medicina/métodos , Docentes de Medicina/psicologia , Feedback Formativo , Estudantes de Medicina/psicologia , Cirurgiões/psicologia , Adulto , Educação de Graduação em Medicina/estatística & dados numéricos , Feminino , Teoria Fundamentada , Humanos , Masculino , Percepção , Pesquisa Qualitativa , Estudantes de Medicina/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos
9.
Am J Surg ; 223(1): 6-11, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-34332744

RESUMO

BACKGROUND: Burnout, often regarded as an individual failing, rather than a systemic one, negatively impacts quality of care, patient safety and healthcare costs. Focusing on improving well-being can help mitigate burnout. This study examined protective factors that promote well-being and professional fulfillment in surgeons. METHODS: Using a purposive sample, 32 semi-structured 30-60-min interviews were conducted with surgeons of varying sub-specialties and rank. Abductive exploratory analysis was used to code and interpret interview transcripts and to build a conceptual model of surgeon well-being. RESULTS: Emergent protective factors were placed into one of three levels of implementation: individual, team-level, and institutional (figure). Individual factors for well-being included autonomy and adequate time to pursue non-clinical endeavors. Team-level factors consisted of adaptability, boundaries, and cohesion. Institutional factors related to diversifying performance evaluations and celebrating and recognizing individual value and contributions. CONCLUSIONS: The conceptual model developed from the results of this study highlights factors important to surgeons' professional well-being. This model can be used to guide quality improvement efforts.


Assuntos
Esgotamento Profissional/prevenção & controle , Satisfação no Emprego , Especialidades Cirúrgicas/organização & administração , Cirurgiões/psicologia , Adaptação Psicológica , Pessoal Administrativo/organização & administração , Esgotamento Profissional/psicologia , Docentes de Medicina/organização & administração , Docentes de Medicina/psicologia , Feminino , Hospitais Universitários/organização & administração , Humanos , Masculino , Modelos Organizacionais , Pesquisa Qualitativa , Melhoria de Qualidade , Cirurgiões/organização & administração , Utah , Equilíbrio Trabalho-Vida/organização & administração
14.
Clin Orthop Relat Res ; 479(12): 2576-2586, 2021 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-34587147

RESUMO

BACKGROUND: Grit has been defined as "perseverance and passion for long-term goals" and is characterized by maintaining focus and motivation toward a challenging ambition despite setbacks. There are limited data on the impact of grit on burnout and psychologic well-being in orthopaedic surgery, as well as on which factors may be associated with these variables. QUESTIONS/PURPOSES: (1) Is grit inversely correlated with burnout in orthopaedic resident and faculty physicians? (2) Is grit positively correlated with psychologic well-being in orthopaedic resident and faculty physicians? (3) Which demographic characteristics are associated with grit in orthopaedic resident and faculty physicians? (4) Which demographic characteristics are associated with burnout and psychologic well-being in orthopaedic resident and faculty physicians? METHODS: This study was an institutional review board-approved interim analysis from the first year of a 5-year longitudinal study of grit, burnout, and psychologic well-being in order to assess baseline relationships between these variables before analyzing how they may change over time. Orthopaedic residents, fellows, and faculty from 14 academic medical centers were enrolled, and 30% (335 of 1129) responded. We analyzed for the potential of response bias and found no important differences between sites in low versus high response rates, nor between early and late responders. Participants completed an email-based survey consisting of the Duckworth Short Grit Scale, Maslach Burnout Inventory-Human Services (Medical Personnel) Survey, and Dupuy Psychological Well-being Index. The Short Grit Scale has been validated with regard to internal consistency, consensual and predictive validity, and test-retest stability. The Psychological Well-being Index has similarly been validated with regard to reliability, test-retest stability, and internal consistency, and the Maslach Burnout Inventory has been validated with regard to internal consistency, reliability, test-retest stability, and convergent validity. The survey also obtained basic demographic information such as survey participants' age, gender, race, ethnicity, marital status, current year of training or year in practice (as applicable), and region of practice. The studied population consisted of 166 faculty, 150 residents, and 19 fellows. Beyond the expected age differences between sub-populations, the fellow population had a higher proportion of women than the faculty and resident populations did. Pearson correlations and standardized ß coefficients were used to assess the relationships of grit, burnout, psychologic well-being, and continuous participant characteristics. RESULTS: We found moderate, negative relationships between grit and emotional exhaustion (r = -0.30; 95% CI -0.38 to -0.21; p < 0.001), depersonalization (r = -0.34; 95% CI -0.44 to -0.23; p < 0.001), and the overall burnout score (r = -0.39; 95% CI -0.48 to -0.31; p < 0.001). The results also showed a positive correlation between grit and personal accomplishment (r = 0.39; 95% CI 0.29 to 0.48; p < 0.001). We also found a moderate, positive relationship between grit and psychologic well-being (r = 0.39; 95% CI 0.30 to 0.49; p < 0.001). Orthopaedic surgeons with 21 years or more of practice had higher grit scores than physicians with 10 to 20 years of practice. Orthopaedic surgeons in practice for 21 years or more also had lower burnout scores than those in practice for 10 to 20 years. Married physicians had higher psychologic well-being than unmarried physicians did. CONCLUSION: Among orthopaedic residents, fellows, and faculty, grit is inversely related to burnout, with lower scores for emotional exhaustion and depersonalization and higher scores for personal accomplishment as grit increases. CLINICAL RELEVANCE: The results suggest that grit could be targeted as an intervention for reducing burnout and promoting psychologic well-being among orthopaedic surgeons. Other research has suggested that grit is influenced by internal characteristics, life experiences, and the external environment, suggesting that there is potential to increase one's grit. Residency programs and faculty development initiatives might consider measuring grit to assess for the risk of burnout, as well as offering curricula or training to promote this psychologic characteristic.


Assuntos
Esgotamento Profissional/psicologia , Docentes de Medicina/psicologia , Corpo Clínico Hospitalar/psicologia , Ortopedia/educação , Local de Trabalho/psicologia , Logro , Adulto , Feminino , Objetivos , Humanos , Internato e Residência , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica
15.
Plast Reconstr Surg ; 148(4): 650e-657e, 2021 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-34550950

RESUMO

BACKGROUND: Effective leadership is an integral component for optimal academic performance of surgical units. As one of the leading plastic surgery academic medical centers in China, the authors would like to share their experiences of using the combined parental and shared leadership approach in managing their surgical staff within the department. It has taken into account the essence of Eastern moral philosophies and Western leadership theories. METHODS: The authors performed a review of the academic development of their staff and changes in the academic productivity of the department between 1999 and 2018. The difference between the first 10 years (1999 to 2008) and second 10 years (2009 to 2018) was analyzed to assess the effectiveness of the authors' leadership approach. RESULTS: There is an increase in the number of Science Citation Index articles published in the past decade with a higher impact factor and more articles published in international journals. The timing to promotion was on average 8.4 years. The average age of promotion to consultants has increased, likely because of a later start in the training. With similar average age, prior education, and gender ratio of surgeons in the unit, the department also received 14 times more in research funding and four times more in national key topic research topic. CONCLUSIONS: The effective application of this combined leadership approach has significantly improved the academic productivity and quality of the authors' residents and surgeons and the academic advancement of the unit.


Assuntos
Centros Médicos Acadêmicos/organização & administração , Desempenho Acadêmico/estatística & dados numéricos , Docentes de Medicina/organização & administração , Liderança , Cirurgia Plástica/organização & administração , Centros Médicos Acadêmicos/estatística & dados numéricos , China , Eficiência , Docentes de Medicina/psicologia , Docentes de Medicina/estatística & dados numéricos , Humanos , Internato e Residência/organização & administração , Internato e Residência/estatística & dados numéricos , Publicações/estatística & dados numéricos , Cirurgiões/organização & administração , Cirurgiões/psicologia , Cirurgiões/estatística & dados numéricos , Cirurgia Plástica/estatística & dados numéricos
16.
Heart Surg Forum ; 24(4): E690-E699, 2021 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-34473017

RESUMO

It's Spring in Virginia, and the senior medical students have gotten their Match results and are sending emails and texts thanking their mentors for the guidance and help provided in this final stage of their medical school trajectories. Their gratitude, of course, has reminded me of my own appreciation for those who advised, taught, and mentored me at similar points in my own trajectory. However, those recollections have also called to mind some other less traditional and, perhaps, underappreciated 'mentors' that I had the great fortune to encounter and to be influenced by. These thoughts have prompted me to reflect on my appreciation for these people who, especially in retrospect, helped me become a better doctor.


Assuntos
Relações Interpessoais , Mentores , Médicos/psicologia , Educação , Educação Médica , Docentes de Medicina/psicologia , Família/psicologia , Humanos
17.
Psico USF ; 26(3): 403-416, Jul.-Sept. 2021. tab, graf
Artigo em Inglês | LILACS, Index Psicologia - Periódicos | ID: biblio-1351345

RESUMO

There are few studies found in the literature that analyze the university professor duties, specifically in the area of health. The purpose of this article was to describe the construction of a scale to evaluate the importance of health teaching skills and to seek evidence of validity using factorial (exploratory and confirmatory) analyzes based on the internal structure. The sample was composed by university students of Nursing and Medical courses (n = 315). The results indicated the presence of 4 factors that remained in the model after performing the confirmatory factorial analysis, which are: use of information and communication technologies in teaching (13 items, α = 0,87); Teaching in practical health scenarios (10 items, α = 0,81); Interpersonal relationship (6 items, α = 0,89); and Didactics (5 items; α = 0,63). We concluded that the instrument has initial evidence of validity and may be applicable in studies to diagnose the learning needs of university professors. (AU)


Há poucos estudos encontrados na literatura que analisem o contexto do professor universitário, especificamente na área de saúde. Esse artigo teve como propósito descrever a construção de uma escala de avaliação da importância das habilidades de ensino em saúde e reunir evidências de validade utilizando análises fatoriais (exploratória e confirmatória) com base na estrutura interna. A amostra foi composta por estudantes universitários dos cursos de enfermagem e medicina (n = 315). Os resultados indicaram a presença de quatro fatores que permaneceram no modelo após a realização da análise fatorial confirmatória. São eles: uso de tecnologias de informação e comunicação no ensino (treze itens; α = 0,87); ensino em cenários práticos de saúde (dez itens; α = 0,81); relacionamento interpessoal (seis itens; α = 0,89); didática (cinco itens; α = 0,63). Concluiu-se que o instrumento possui evidências iniciais de validade e pode ser aplicável em pesquisas de diagnóstico de necessidades de aprendizagem de professores universitários. (AU)


En la literatura son escasos los estudios encontrados para analizar el contexto de los profesores universitarios, específicamente en el área de salud. Este artículo tuvo como propósito describir la construcción de una escala para evaluar la importancia de las habilidades docentes en salud y buscar evidencias de validez utilizando análisis factoriales (exploratorio y confirmatorio) basados ​​en la estructura interna. La muestra se compuso por estudiantes universitarios de los grados de Enfermería y Medicina (n = 315). Los resultados indicaron la presencia de cuatro factores que permanecieron en el modelo después de la realización del análisis factorial confirmatorio. Son ellos: uso de las tecnologías de la información y de la comunicación en la enseñanza (trece ítems, α = 0,87); enseñanza en entornos prácticos de salud (diez ítems, α = 0,81); relación interpersonal (seis ítems, α = 0,89); didáctica (cinco ítems, α = 0,63). Se concluye que el instrumento tiene evidencias iniciales de validez y puede ser aplicado en investigaciones para diagnosticar las necesidades de aprendizaje de los profesores universitarios. (AU)


Assuntos
Humanos , Adolescente , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Competência Profissional , Ensino/educação , Tecnologia Educacional/educação , Docentes de Medicina/psicologia , Docentes de Enfermagem/psicologia , Capacitação de Professores , Relações Interpessoais , Estudantes de Medicina/psicologia , Estudantes de Enfermagem/psicologia , Reprodutibilidade dos Testes , Análise Fatorial , Educação Superior , Pesquisa Qualitativa
18.
JAMA Netw Open ; 4(8): e2120642, 2021 08 02.
Artigo em Inglês | MEDLINE | ID: mdl-34387678

RESUMO

Importance: As medical faculty have central roles during the COVID-19 pandemic, it is important to study the pandemic's association with the vitality and careers of medical school faculty. Objective: To examine how the COVID-19 pandemic affected midcareer research faculty in academic medicine. Design, Setting, and Participants: This qualitative study included medical school faculty who participated in the C-Change Mentoring and Leadership Institute. All US medical school faculty recipients of recent National Institutes of Health (NIH) RO1, RO1-equivalent, and K awards were invited to apply to the institute. The 99 applicants who met inclusion criteria were stratified by degree (MD or MD/PhD vs PhD), gender, and race/ethnicity. Enrollment was offered to applicants randomly selected for 40 spots, demographically balanced by sex, underrepresented in medicine minority (URMM) status, and degree. In April 2020, an inquiry was emailed to faculty enrolled in the institute requesting responses to questions about meaning in work, career choice, and values. A qualitative analysis of narrative data responses, using grounded theory, was undertaken to determine key themes. This study is part of a NIH-funded randomized trial to test the efficacy of a group peer mentoring course for midcareer faculty and study the course's mechanisms of action. Main Outcomes and Measures: Key themes in data. Results: Of 40 enrolled participants, 39 responded to the inquiry, for a response rate of 97%. The analytic sample included 39 faculty members; 19 (47%) were women, 20 (53%) identified as URMM, and 20 (53%) had an MD or MD with PhD vs 19 (47%) with PhD degrees. Key themes in the data that emerged describing faculty lived experience of the pandemic included increased meaningfulness of work; professionalism and moral responsibility; enhanced relationships with colleagues; reassertion of career choice; disrupted research; impact on clinical work; attention to health disparities, social justice and advocacy; increased family responsibilities; psychological stress; and focus on leadership. Conclusions and Relevance: During the pandemic, diverse PhD and physician investigators reported increased meaningfulness in work and professionalism and enhanced relationships, all intrinsic motivators associated with vitality. Working during the pandemic appears to have produced intrinsic rewards positively associated with vitality, in addition to adverse mental health effects. These findings have implications for combatting burnout and retaining investigators in the future.


Assuntos
COVID-19 , Docentes de Medicina/psicologia , Médicos/psicologia , Profissionalismo , Pesquisadores/psicologia , Adulto , Escolha da Profissão , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Ensaios Clínicos Controlados Aleatórios como Assunto , SARS-CoV-2 , Estados Unidos
19.
World Neurosurg ; 155: e412-e417, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34428584

RESUMO

INTRODUCTION: Due to the COVID-19 pandemic, the ACGME recommended all interviews for the 2021 residency application cycle be held virtually. Because this is major shift from neurosurgical interviews in past years, this study aims to evaluate both applicant and interviewer satisfaction of conducting interviews virtually. METHODS: For faculty, an 11-question online survey was sent to 116 United States neurosurgery training programs. A 14-question online survey was sent to 255 neurosurgery applicants. The resulting data were analyzed qualitatively and quantitatively. RESULTS: From applicants, 118 responses were received. From faculty, 171 individual responses were received. Thirty-five percent (34.7%) of applicants agreed that they were satisfied with the virtual interview process as a whole. Although 44.5% of faculty disagreed with the statement "I would like to replace in-person interviews with virtual interviews in the future", 57.3% of faculty agreed that they were likely to implement virtual interviews in the future. CONCLUSIONS: Some things might be better assessed through in-person interviews, but there are clear benefits to virtual interviews. Future iterations of the interview process, incorporating virtual interviews, might help determine how and in which situations virtual interviews can be utilized in future residency application cycles.


Assuntos
COVID-19/epidemiologia , Docentes de Medicina/tendências , Internato e Residência/tendências , Candidatura a Emprego , Neurocirurgia/tendências , Inquéritos e Questionários , COVID-19/prevenção & controle , Docentes de Medicina/psicologia , Humanos , Neurocirurgia/educação , Sistemas On-Line/tendências , Estados Unidos/epidemiologia
20.
Plast Reconstr Surg ; 148(3): 667-677, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34432703

RESUMO

SUMMARY: Mentorship is a critical tool for professional development and career success. In academic surgery, supportive mentorship affords higher job satisfaction, academic productivity, and diversity and inclusion. It protects against burnout and increasing academic surgery attrition rates. Women, underrepresented minorities, and junior plastic surgeons report lower job satisfaction and fewer mentorship opportunities. Given the unique challenges these groups face in a constantly changing health care system, the importance of mentorship cannot be overstated. Through a survey of American Society of Plastic Surgeons members, this study evaluated different aspects of mentorship to describe the current state in plastic surgery. Despite 94.05 percent of plastic surgeons believing that mentorship is valuable, only 15.16 percent reported a structured mentorship system, often without evaluation. Male and female participants agree that mentorship is needed for both professional (clinical judgment) and personal (work-life balance) development. Interestingly, women plastic surgeons felt it was important for mentees to have gender and race/ethnicity concordance to their mentors (p < 0.001). There was no agreement regarding the most effective method to implement mentorship programs, highlighting the challenges of this problem. Through thoughtful planning and commitment, mentorship programs can be instituted to benefit not just the mentee, but the mentor as well.


Assuntos
Docentes de Medicina/estatística & dados numéricos , Tutoria/estatística & dados numéricos , Cirurgia Plástica/educação , Docentes de Medicina/psicologia , Feminino , Humanos , Satisfação no Emprego , Masculino , Mentores/psicologia , Mentores/estatística & dados numéricos , Sociedades Médicas , Cirurgiões/psicologia , Cirurgiões/estatística & dados numéricos , Cirurgia Plástica/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos , Estados Unidos , Equilíbrio Trabalho-Vida
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