integration and institutionalization of mentorship … · mentorship •lack of academic mentorship...
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Joseph R. Zunt,
MD, MPH D e p a r t m e n t s o f
N e u ro lo g y,
G lo b a l H e a l t h ,
M e d ic in e
( I n fe c t iou s
D is e a s e s ) ,
E p id e m io log y
INTEGRATION AND
INSTITUTIONALIZATION OF
MENTORSHIP TRAINING
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STEPS TOWARDS INSTITUTIONALIZATION
Develop Mentoring Tools: handbook, mentor compact, case
vignettes
Provide Mentorship Training and Recognize
Mentoring Efforts
Integrate Across Levels: research groups,
departments, schools, universities, national
Assess Mentoring and Trainee Needs 1
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AFRICA: WHAT TRAINEES WANT
THEME RESPONSES
Current status of
mentorship
• Lack of academic mentorship program
Challenges facing
mentorship practices
• Adhoc method of choosing mentors
• Limited time allocated to mentorship
• Limited awareness of roles of mentors
and trainee
How mentorship can
be improved
• Facilitation of mentor-trainee matching
• Improvement of mentoring skills
Nakanjako D, et al. BMC Med Education 2011;11(53):1-6
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AFRICA: WHAT MENTORS WANT
THEME RESPONSES
Current status of Mentorship • No critical mass of mentors
• Limited mentorship skills
Challenges facing mentorship
practices
• No academic mentorship program
• Ad hoc initiation of mentor-trainee relationships
• Limited awareness of roles of mentors/trainees
• Lack of logistics for mentorship program
• Limited interest of trainees in academic careers
How mentorship can be
improved
• Establish an academic mentorship program
• Improve mentoring skills
• Motivate mentors by institutional recognition
• Provide resources to support mentoring activities
Nakanjako D, et al. BMC Med Education 2011;11(53):1-6
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PERU: WHAT TRAINEES WANT
Professional knowledge and experience
Respect
Interpersonal skills and good judgment
Shares network of colleagues and resources
Encourages trainee to develop own career
Shows initiative, takes risks
Shares credit
Invests time, energy and effort into mentoring
Shares professional experiences
COMPETENCE
CONFIDENCE
COMMITMENT
Plus the very important C… Click!
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PERU: WHAT MENTORS WANT
from trainees and peers to improve
mentoring
of mentoring efforts from Peruvian and
collaborating international institutions
Provide access to electronic literature
Improve research infrastructure
No payment desired for mentors
FEEDBACK
RECOGNITION
APPRECIATION:
“Clinical Research Mentoring: Training the Trainers”, Lima, Peru, Feb 29, 2009
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STEPS TOWARDS INSTITUTIONALIZATION
Provide Mentorship Training and Recognize
Mentoring Efforts
Integrate Across Levels: research groups,
departments, schools, universities, national
Assess Mentoring and Trainee Needs
Develop Mentoring Tools: handbook, mentor
compact, case vignettes 2
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FACTORS TO CONSIDER
TRAINEE LEVEL
PHYSICAL ATTRIBUTE
Undergraduate
Graduate
Post-Doctoral
Professional
Gender
Disability
Sexual Orientation
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GOALS FOR TRAINEES
Academic Medicine 2013;88:1002-8
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BENEFITS OF MENTORSHIP
Receive Guidance
Become More Effective
Researcher
Build Research Capacity
FOR MENTOR
FOR TRAINEE
Train New Investigators
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ROLE OF A MENTOR
career development
trainee’s career goals
trainee to acquire new
research skills
Bower et al. Medical Teacher, 1998;20(6), 595-7
Samantha Dellinger www.yorkblog.com
SUPPORT
FOSTER
CHALLENGE
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PRIMARY MENTOR • Develops mentorship plan with trainee
• Oversees mentorship activities of team
• Assures program goals are achieved by trainees
• Coordinates evaluation of trainees by mentorship team
THEMATIC MENTOR • Provides support to mentorship team in specific area of
expertise
• Participates in evaluation of trainees
PRIMARY AND THEMATIC MENTORS
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Agreement between mentors and trainees that
provides a framework for professional relationship:
• Provides overview of mentorship
• Defines frequency & mode of meetings (in-person,
virtual, phone)
• Specifies commitments of trainees and mentors
Mentors review and discuss with trainees
Signed and placed in trainee’s files
MENTORSHIP COMPACT
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STEPS TOWARDS INSTITUTIONALIZATION
Develop Mentoring Tools: handbook, mentor compact, case
vignettes
Integrate Across Levels: research groups,
departments, schools, universities, national
Assess Mentoring and Trainee Needs
3 Provide Mentorship Training and Recognize
Mentoring Efforts
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• Teach practical skills and a sense of social and
ethical responsibility:
• Medical knowledge
• Interpersonal and communication skills
• Professionalism
• Patient care
• Practice-based learning
• Systems-based learning
CORE COMPETENCIES FOR MENTORS
Stewart, M. G. Accreditation council on graduate medical education core competencies. 2001
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RESPONSIBLE CONDUCT OF RESEARCH
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FACTORS TO CONSIDER
TRAINEE LEVEL
PHYSICAL ATTRIBUTE
Undergraduate
Graduate
Post-Doctoral
Professional
Gender
Disability
Sexual Orientation
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MENTORING STUDENTS WITH
DISABILITIES
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MENTORING GAY, BISEXUAL, LESBIAN AND
TRANSGENDERED STUDENTS
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MENTORING GRADUATE STUDENTS
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MENTORING TOPICS
http://www.grad.washington.edu/mentoring/memos/
• The Literature Review
• Intentional Career Planning
• Forming an Interdisciplinary Dissertation Committee
• Writing Your Individual Development Plan
• Academic Job Offer and Salary Negotiations
• Communicating with the News Media
• What You Need to Know About Human Subjects and Animal Subjects
for Dissertations
• Working the Room
• A Dozen Sentences That Should Appear in your (Academic) Job
Application Letter
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TRANSITION TO INDEPENDENT
RESEARCH CAREERS
• Introduction to clinical research
• Integration into clinical research environment
• Provide guidance for research protocols and scientific
papers
• Encourage development of outstanding clinical
research skills
• Assist with finding funding opportunities and editing
grant applications
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MAINTAIN RELATIONSHIPS
Mentorship is a long-term commitment
Maintain connections after training period has ended
Encourage communication when trainee is challenged
Offer various ways for trainees to meet:
• in person, by email, phone, over Internet, group meetings
Encourage communication between host -country and
home-based mentors:
• Expedites resolution of problems that arise
• Reduce confusions
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MENTORING THE MENTORS: TRAINING THE NEXT GENERATION
Shah SK, Novell B, Montano SM, Behrens C, Zunt
JR. Clinical Research and Global Health: Mentoring
the Next Generation of Health Care Students.
Global Pub Health 2010;14:1-13.
UW, UCSF, UPCH, NAMRU-6
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STEPS TOWARDS INSTITUTIONALIZATION
Develop Mentoring Tools: handbook, mentor compact, case
vignettes
Provide Mentorship Training and Recognize
Mentoring Efforts
Assess Mentoring and Trainee Needs
4 Integrate Across Levels: research groups,
departments, schools, universities, national
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CLAYTON-DEDONDER MENTORSHIP FELLOWS
INSTITUTIONALIZING MENTOR TRAINING
• Define existing mentor training resources
• Develop mentoring tools
• Provide training
– seminars, workshops, grants
• Recognize mentoring efforts
• Integrate across levels
– individuals, departments, schools, universities, nations
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ESTABLISH PEER MENTORING GROUPS
Peer Mentoring Group
Simple mentoring activity,
little to no investment
http://depts.washington.edu/gwach/kizazi/
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BUILD A MENTOR REPOSITORY
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START INSTITUTIONALIZATION WITHIN A
DEPARTMENT
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DEVELOP A MENTORING TOOLKIT
http://www.go2itech.org/resources/toolkits
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INSTITUTIONALIZE A CURRICULUM
Pfund, C., et al., A research mentor training curriculum for clinical and translational researchers.
Clin Transl Sci, 2013. 6(1): p. 26-33.
Development of
a a mentor
training
curriculum that
includes monthly
train-the-trainer
seminars
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NATIONAL MENTORING SUPPORT
FOR INDIVIDUALS: K24
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NATIONAL MENTORING SUPPORT
FOR INSTITUTIONS
http://advance.washington.edu/resources/mentoring.html
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MENTORING IN THE MODERN AGE:
DISTANCE MENTORING
Functions
Support
• Facilitation
Guidance
• Orientation
• Stimulation
Collaboration
• Sharing
• Critique
Teaching
Tools
Skype/Chat
Discussion
Forums
Websites
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DISCIPLINARITY
working within a single discipline
viewing one discipline from the
perspective of another
working with different disciplines, drawing
on disciplinary knowledge
integrating knowledge and methods from
different disciplines, synthesizing
approaches
creating a unity of intellectual frameworks
beyond disciplinary perspectives
Intradisciplinary
Crossdisciplinary
Multidisciplinary
Interdisciplinary
Transdisciplinary
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Lima
Polycom
™
Lima
classroom
and
Polycom™
setup
Seattle classroom
AC
P Lima
Polycom
™
Lima
classroom
and
Polycom™
setup
Seattle classroom
AC
P
bidirectional, bilingual, binational, arboreal
Building Capacity for Distance Education
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UPCH VICERECTOR OF RESEARCH SUPPORTING
THE INSTITUTIONALIZATION OF MENTORING