QP 08 - Prof Dev 1:Professional Development and Medical Education - Quick Pitch
1044 - TEAMRO: Final Analysis of TEAMRO (TEAching Mentorship in Radiation Oncology), A Multicenter Prospective Phase 2 Intervention Study on Teaching Mentorship Skills to Resident Physicians Working with Med
Brigham and Women's Hospital/Dana-Farber Boston, MA
A. Saraf1, A. J. Sim2, J. J. Chen3, C. Kelsey4, G. S. Gill5, A. Le6, K. Lichter7, M. N. Mills2, N. Razavian8, S. Moningi9, and R. B. Jimenez10; 1Brigham and Women’s Hospital/Dana Farber Cancer Institute, Boston, MA, 2H. Lee Moffitt Cancer Center and Research Institute, Department of Radiation Oncology, Tampa, FL, 3University of California, San Francisco, Bakar Computational Health Sciences Institute, San Francisco, CA, 4Department of Breast Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, 5Department of Radiation Oncology and Applied Sciences, Dartmouth Cancer Center, Dartmouth Health, Lebanon, NH, 6Department of Radiation Oncology, Indiana University School of Medicine, Indianapolis, IN, 7University of California, San Francisco Department of Radiation Oncology, San Francisco, CA, 8Department of Radiation Oncology, Wake Forest University School of Medicine, Winston Salem, NC, 9Department of Radiation Oncology, Brigham and Women’s Hospital/Dana-Farber Cancer Institute, Boston, MA, 10Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical School, Boston, MA
Purpose/Objective(s): Formalized mentorship in academic medicine is linked to elevated career trajectories and a sustained positive impact on patient care. Our previous needs-based assessment found teaching of mentorship skills is lacking among radiation oncology training programs. We hypothesize the implementation of a resident mentorship curriculum and a formalized resident-medical student mentoring program will increase resident mentorship skills and actively enhance resident experience and career development. Materials/
Methods: A multi-institutional, prospective, phase 2 intervention study enrolled participants from the Radiation Oncology Education Collaborative Study Group Graduate Medical Education Committee from 4/2022-10/2023. The intervention consisted of a 4-week curriculum and a formalized 1:1 resident-medical student mentorship program during an existing radiation oncology sub-internship. Resident participants completed the Mentorship Competency Assessment (MCA; a validated 26-item survey) before and after the intervention. The primary endpoint was the average change in MCA score (range: -7 to +7). Logistic regression was utilized to assess the association between baseline characteristics and change in MCA score. Results: A total of 22/27 enrolled residents (82%) who participated in the study completed pre- and post-intervention surveys. Most were PGY-4/5 (55%), from programs with >10 residents (68%), and did not have prior training in teaching (77%) or mentorship (82%). Most residents (80%) completed at least 2 of 3 components of the curriculum. The faculty check-in component was rated helpful or very helpful (76%), followed by the lecture (39%) then the readings (33%). Residents met with students twice weekly (range: 1-4) for an average of 2.3 hours a week (range: 1-8). After the program, most residents felt confident in being a future mentor to students (91%), overall well-being was positively impacted (80%), and mentorship relationships were positively impacted (70%). All 26 mentorship skills on MCA increased after intervention (mean +1.2/7 per skill). Skills showing greatest improvement were negotiating path to professional independence (+1.7/7), coordinating effectively with other mentors (+1.6/7), helping network effectively (+1.6/7), and setting clear expectations of mentorship relationship (+1.6/7). PGY level, residency size, prior formal teaching experience, or prior formal mentorship experience were not associated with greater change in MCA score (p>0.05). Conclusion: A formalized mentorship program can impart mentorship skills to radiation oncology trainees and positively impact their own well-being and mentoring relationships. Future studies should assess how unique strengths of medical residents can be optimally included in student mentorship networks.