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MENTORING: A Crisis in Surgical Education

MENTORING: A Crisis in Surgical Education. Christopher C. Baker, M.D. Isidore Cohn, Jr. Professor of Surgery Chair, Department of Surgery LSU Health Sciences Center New Orleans, LA. MENTORSHIP. OUTLINE Characteristics of good mentors Current educational challenges

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MENTORING: A Crisis in Surgical Education

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  1. MENTORING: A Crisis in Surgical Education Christopher C. Baker, M.D. Isidore Cohn, Jr. Professor of Surgery Chair, Department of Surgery LSU Health Sciences Center New Orleans, LA

  2. MENTORSHIP OUTLINE • Characteristics of good mentors • Current educational challenges • Strategies and solutions • Lessons from 30 years in academic surgery

  3. Trusted friend and advisor to Ulysses. Mentor

  4. Characteristics of a Good Mentor

  5. Wise and fair Patient and constructive Objective and tough (as needed) William J. Baker, MD (1915-1993)

  6. Able to set goals & ensure success for mentees Altruistic-puts trainee’s needs ahead of one’s own George F. Sheldon, MD, FACS

  7. Flexible and caring Available and enthusiastic Surgical Nurse Leaders @ UNC, 2003

  8. You Find Mentors in Unexpected Places Master Jewell Allen Sixth Degree Black Belt

  9. Roles of a Mentor Teacher Counselor Coach Trainer Role Model Sponsor Advisor

  10. Priorities for Mentors • Be patient and flexible. • Give constructive feedback. • Be readily available to mentees. • Be a good role model. • Maintain your self-awareness • Don’t neglect your own career development.

  11. Professionalism for Residents • Avoid dishonesty in all forms. • Get out of bed, see the patient, & document it. • Take care of paperwork in a timely fashion. • Be on time for cases, clinic, & conferences. • Avoid conflict in the chart & in public arenas.

  12. MaintainResident Esprit de Corps LSU—December, 2009

  13. Educational Challenges • Duty hours restrictions • Information overload • Trainee debt obligations • Measures of competency • Government regulations

  14. Impact of Duty Hours • Lack of continuity of care • Ineffective hand-offs at change of shift • Ownership of patients by residents • Development of “shift mentality” • Erosion of the team concept

  15. Impact of Duty Hours • Interferes with ability to follow a disease process in a longitudinal fashion • Reduces consistent interactions between residents and attending staff • Decreases opportunities for mentoring • Lowers chances to model professionalism

  16. Educational Strategies • Stress independent life-long learning. • Disease-centered approaches to patients • Encourage multi-disciplinary collaboration. • Promote effective mentoring.

  17. Educational Solutions • Offer training in simulation centers • Encourage flexibility • Emphasize problem-solving skills • Promote autonomy in decision-making

  18. “If you keep practicing a mistake, you’ll get really good – at the mistake.” - Benjamin Pang Jeng Lo T’ai Chi Ch’uan Master

  19. Challenges in Mentoring • Balancing nurturing and toughness • Career guidance for senior residents • Mentoring junior faculty • Providing mentorship for future leaders

  20. When faced by challenges, Sometimes you just have to…JUMP IN !

  21. Lake Winnepesaukee, NH

  22. “There are some things about swinging a cat by the tail that you can learn ONLY by swinging a cat by the tail.” - Mark Twain

  23. Lessons I’ve learned from 30 years in Academic Surgery

  24. TREASURE YOUR COLLEAGUES

  25. NC Trauma Directors Chapel Hill, 6/2004

  26. Samir Fakhry, M. D. Former Partner & Long-time Friend

  27. NURTURE YOUR FAMILIES

  28. DEVELOP AN AVOCATION

  29. Maintain Balance in Your Personal& Professional Life

  30. Conclusions • Good mentors are key for training residents. • Pay it forward . • Today’s trainees are tomorrow’s mentors . • Mentorship is a life-long journey .

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