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Published in: Systematic Reviews 1/2017

Open Access 01-12-2017 | Protocol

Psychosocial and career outcomes of peer mentorship in medical resident education: a systematic review protocol

Authors: Helen Pethrick, Lorelli Nowell, Elizabeth Oddone Paolucci, Liza Lorenzetti, Michele Jacobsen, Tracey Clancy, Diane L. Lorenzetti

Published in: Systematic Reviews | Issue 1/2017

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Abstract

Background

Many medical residents lack ready access to social and emotional supports that enable them to successfully cope with the challenges associated with medical residency. This absence of support has been shown to lead to high levels of burnout, decreased mental wellbeing, and difficulty mastering professional competencies in this population. While there is emerging evidence that peer mentoring can be an important source of psychosocial and career-related support for many individuals, the extent of the evidence regarding the benefits of peer mentorship in medical residency education has not yet been established. We describe a protocol for a systematic review to assess the effects of peer mentoring on medical residents’ mental wellbeing, social connectedness, and professional competencies.

Methods

Studies included in this review will be those that report on peer-mentoring relationships among medical residents. Quantitative, qualitative, and mixed-methods studies will be eligible for inclusion. No date or language limits will be applied. We will search EMBASE, MEDLINE, PsychINFO, Web of Science, Scopus, ERIC, Education Research Complete, and Academic Research Complete databases to identify relevant studies. Two authors will independently assess all abstracts and full-text studies for inclusion and study quality and extract study data in duplicate.

Discussion

This is the first systematic review to explicitly explore the role of peer mentoring in the context of medical residency education. We anticipate that the findings from this review will raise awareness of the benefits and challenges associated with peer-mentoring relationships, further the development and implementation of formal peer-mentoring programs for medical residents, and, through identifying gaps in the existing literature, inform future research efforts.

Systematic review registration

This protocol has not been registered in PROSPERO or any other publicly accessible registry.
Appendix
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Literature
1.
go back to reference Kealy D, Halli P, Ogrodniczuk JS, Hadjipavlou G. Burnout among Canadian psychiatry residents: a national survey. Can J Psychiatr. 2016 Nov;61(11):732–6.CrossRef Kealy D, Halli P, Ogrodniczuk JS, Hadjipavlou G. Burnout among Canadian psychiatry residents: a national survey. Can J Psychiatr. 2016 Nov;61(11):732–6.CrossRef
2.
go back to reference Dyrbye NL, Thomas RM, Shanafelt DT. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 2006;81(4):354–73.CrossRefPubMed Dyrbye NL, Thomas RM, Shanafelt DT. Systematic review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. Acad Med. 2006;81(4):354–73.CrossRefPubMed
3.
go back to reference Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med. 2014;89(3):443–51.CrossRefPubMed Dyrbye LN, West CP, Satele D, Boone S, Tan L, Sloan J, et al. Burnout among U.S. medical students, residents, and early career physicians relative to the general U.S. population. Acad Med. 2014;89(3):443–51.CrossRefPubMed
4.
go back to reference Jennings ML, Slavin SJ. Resident wellness matters: optimizing resident education and wellness through the learning environment. Acad Med. 2015 Sep;90(9):1246–50.CrossRefPubMed Jennings ML, Slavin SJ. Resident wellness matters: optimizing resident education and wellness through the learning environment. Acad Med. 2015 Sep;90(9):1246–50.CrossRefPubMed
5.
go back to reference Aminazadeh N, Farrokhyar F, Naeeni A, Naeeni M, Reid S, Kashfi A, et al. Is Canadian surgical residency training stressful? Can J Surg. 2012;55(4):145–52. Aminazadeh N, Farrokhyar F, Naeeni A, Naeeni M, Reid S, Kashfi A, et al. Is Canadian surgical residency training stressful? Can J Surg. 2012;55(4):145–52.
6.
go back to reference Shanafelt T, Bradley K, Wipf J, Back A. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med. 2002;136(5):358–67.CrossRefPubMed Shanafelt T, Bradley K, Wipf J, Back A. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med. 2002;136(5):358–67.CrossRefPubMed
7.
go back to reference Luce EA. Beyond working hours: part I. Genesis and current difficulties. Plast Reconstr Surg. 2012;129(4):1015–21.CrossRefPubMed Luce EA. Beyond working hours: part I. Genesis and current difficulties. Plast Reconstr Surg. 2012;129(4):1015–21.CrossRefPubMed
8.
go back to reference Ahmed N, Devitt KS, Keshet I, Spicer J, Imrie K, Feldman L, et al. A systematic review of the effects of resident duty hour restrictions in surgery. Ann Surg. 2014;259(6):1041–53.CrossRefPubMedPubMedCentral Ahmed N, Devitt KS, Keshet I, Spicer J, Imrie K, Feldman L, et al. A systematic review of the effects of resident duty hour restrictions in surgery. Ann Surg. 2014;259(6):1041–53.CrossRefPubMedPubMedCentral
9.
go back to reference Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C, et al. Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Intern Med. 2017;177(2):195–205.CrossRefPubMed Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C, et al. Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis. JAMA Intern Med. 2017;177(2):195–205.CrossRefPubMed
10.
go back to reference Luthy C, Perrier A, Perrin E, Cedraschi C, Allaz A-F. Exploring the major difficulties perceived by residents in training: a pilot study. Swiss Med Wkly. 2004;2(3):612–7. Luthy C, Perrier A, Perrin E, Cedraschi C, Allaz A-F. Exploring the major difficulties perceived by residents in training: a pilot study. Swiss Med Wkly. 2004;2(3):612–7.
11.
go back to reference Prince K, Van de Wiel M, Van der Vleuten C, Boshuizen H, Scherpbier A. Junior doctors’ opinions about the transition from medical school to clinical practice: a change of environment. Educ Heal. 2004;17(3):323–31.CrossRef Prince K, Van de Wiel M, Van der Vleuten C, Boshuizen H, Scherpbier A. Junior doctors’ opinions about the transition from medical school to clinical practice: a change of environment. Educ Heal. 2004;17(3):323–31.CrossRef
12.
go back to reference Prins J, Hoekstra-Weebers JM, Gazendam-Donofrio S, Van De Wiel H, Sprangers F, Jaspers F, et al. The role of social support in burnout among Dutch medical residents. Psychol Health Med. 2007;12(1):1–6.CrossRefPubMed Prins J, Hoekstra-Weebers JM, Gazendam-Donofrio S, Van De Wiel H, Sprangers F, Jaspers F, et al. The role of social support in burnout among Dutch medical residents. Psychol Health Med. 2007;12(1):1–6.CrossRefPubMed
13.
go back to reference Jacobs SR, Dodd D, Abouserie R, Aviv AL, Zelenski JM, Rallo L, et al. Student burnout as a function of personality, social support, and workload. J Coll Stud Dev. 2003;44(3):291–303.CrossRef Jacobs SR, Dodd D, Abouserie R, Aviv AL, Zelenski JM, Rallo L, et al. Student burnout as a function of personality, social support, and workload. J Coll Stud Dev. 2003;44(3):291–303.CrossRef
14.
go back to reference Ross RR, Altmaier EM, Russell DW. Job stress, social support, and burnout among counseling center staff. J Couns Psychol. 1989;36(4):464–70.CrossRef Ross RR, Altmaier EM, Russell DW. Job stress, social support, and burnout among counseling center staff. J Couns Psychol. 1989;36(4):464–70.CrossRef
15.
go back to reference Himle DP, Jayaratne S, Thyness P. The effects of emotional support on burnout, work stress and mental health among Norwegian and American social workers. J Soc Serv Res. 1989;13(1):27–45.CrossRef Himle DP, Jayaratne S, Thyness P. The effects of emotional support on burnout, work stress and mental health among Norwegian and American social workers. J Soc Serv Res. 1989;13(1):27–45.CrossRef
16.
go back to reference Peterson U, Bergström G, Samuelsson M, Åsberg M, Nygren Å. Reflecting peer-support groups in the prevention of stress and burnout: randomized controlled trial. J Adv Nurs. 2008;63(5):506–16.CrossRefPubMed Peterson U, Bergström G, Samuelsson M, Åsberg M, Nygren Å. Reflecting peer-support groups in the prevention of stress and burnout: randomized controlled trial. J Adv Nurs. 2008;63(5):506–16.CrossRefPubMed
17.
go back to reference DeWaay DJ, Clyburn EB, Brady DW, Wong JG, Holmboe E, Bowen J, et al. Redesigning medical education in internal medicine: adapting to the changing landscape of 21st century medical practice. Am J Med Sci. 2016;351(1):77–83.CrossRefPubMed DeWaay DJ, Clyburn EB, Brady DW, Wong JG, Holmboe E, Bowen J, et al. Redesigning medical education in internal medicine: adapting to the changing landscape of 21st century medical practice. Am J Med Sci. 2016;351(1):77–83.CrossRefPubMed
18.
go back to reference Frank JR, Snell LS, Ten CO, Holmboe ES, Carraccio C, Swing SR, et al. Competency-based medical education: theory to practice. Med Teach. 2010;32(8):638–45.CrossRefPubMed Frank JR, Snell LS, Ten CO, Holmboe ES, Carraccio C, Swing SR, et al. Competency-based medical education: theory to practice. Med Teach. 2010;32(8):638–45.CrossRefPubMed
19.
go back to reference Frank JR, Snell L, Sherbino J. CanMEDS 2015 physician competency framework. Ottawa: Royal College of Physicians and Surgeons of Canada; 2015. Frank JR, Snell L, Sherbino J. CanMEDS 2015 physician competency framework. Ottawa: Royal College of Physicians and Surgeons of Canada; 2015.
20.
go back to reference Royal College of Physicians and Surgeons of Canada. Competency by design: reshaping Canadian medical education. Ottawa: Royal College; 2014. Royal College of Physicians and Surgeons of Canada. Competency by design: reshaping Canadian medical education. Ottawa: Royal College; 2014.
21.
go back to reference Carden AD. Mentoring and adult career development: the evolution of a theory. Couns Psychol. 1990;18(2):275–99.CrossRef Carden AD. Mentoring and adult career development: the evolution of a theory. Couns Psychol. 1990;18(2):275–99.CrossRef
22.
go back to reference Dominguez N, Hager M. Mentoring frameworks: synthesis and critique. Int J Mentor Coach Educ. 2013;2(3):171–88.CrossRef Dominguez N, Hager M. Mentoring frameworks: synthesis and critique. Int J Mentor Coach Educ. 2013;2(3):171–88.CrossRef
23.
go back to reference Murdock JL, Stipanovic N, Lucas K. Fostering connections between graduate students and strengthening professional identity through co-mentoring. Br J Guid Counc. 2013;41(5):487–503.CrossRef Murdock JL, Stipanovic N, Lucas K. Fostering connections between graduate students and strengthening professional identity through co-mentoring. Br J Guid Counc. 2013;41(5):487–503.CrossRef
24.
go back to reference Kram KE, Isabella LA. Mentoring alternatives: the role of peer relationships in career development. Acad Manag J. 1985;28(1):110–32.CrossRef Kram KE, Isabella LA. Mentoring alternatives: the role of peer relationships in career development. Acad Manag J. 1985;28(1):110–32.CrossRef
25.
go back to reference Hochberg MS, Berman RS, Kalet AL, Zabar S, Gillespie C, Pachter HL. Professionalism training for surgical residents: documenting the advantages of a professionalism curriculum. Ann Surg. 2016;264(3):501–7.CrossRefPubMed Hochberg MS, Berman RS, Kalet AL, Zabar S, Gillespie C, Pachter HL. Professionalism training for surgical residents: documenting the advantages of a professionalism curriculum. Ann Surg. 2016;264(3):501–7.CrossRefPubMed
26.
go back to reference Kram KE. Phases of the mentor relationship. Acad Manag J. 1983 Dec 1;26(4):608–25.CrossRef Kram KE. Phases of the mentor relationship. Acad Manag J. 1983 Dec 1;26(4):608–25.CrossRef
27.
go back to reference Grant-Vallone EJ, Ensher EA. Effects of peer mentoring on types of mentor support, program satisfaction and graduate student stress: a dyadic perspective. J Coll Stud Dev. 2000;41(6):637–42. Grant-Vallone EJ, Ensher EA. Effects of peer mentoring on types of mentor support, program satisfaction and graduate student stress: a dyadic perspective. J Coll Stud Dev. 2000;41(6):637–42.
28.
go back to reference Allen TD, McManus SE, Russell JEA. Newcomer socialization and stress: formal peer relationships as a source of support. J Vocat Behav. 1999;54(3):453–70.CrossRef Allen TD, McManus SE, Russell JEA. Newcomer socialization and stress: formal peer relationships as a source of support. J Vocat Behav. 1999;54(3):453–70.CrossRef
29.
go back to reference Frei E, Stamm M, Buddeberg-fischer B. Mentoring programs for medical students—a review of the PubMed literature 2000–2008. BMC Med Educ. 2010;10(1):32.CrossRefPubMedPubMedCentral Frei E, Stamm M, Buddeberg-fischer B. Mentoring programs for medical students—a review of the PubMed literature 2000–2008. BMC Med Educ. 2010;10(1):32.CrossRefPubMedPubMedCentral
30.
go back to reference Nowell L, Norris JM, Mrklas K, White DE. Mixed methods systematic review exploring mentorship outcomes in nursing academia. J Adv Nurs. 2017;73(3):527–44.CrossRefPubMed Nowell L, Norris JM, Mrklas K, White DE. Mixed methods systematic review exploring mentorship outcomes in nursing academia. J Adv Nurs. 2017;73(3):527–44.CrossRefPubMed
31.
go back to reference Andre C, Deerin J, Leykum L. Students helping students: vertical peer mentoring to enhance the medical school experience. BMC Res Notes. 2017;10(1):176.CrossRefPubMedPubMedCentral Andre C, Deerin J, Leykum L. Students helping students: vertical peer mentoring to enhance the medical school experience. BMC Res Notes. 2017;10(1):176.CrossRefPubMedPubMedCentral
32.
go back to reference Webb J, Brightwell A, Sarkar P, Rabbie R, Chakravorty I. Peer mentoring for core medical trainees: uptake and impact. Postgrad Med J. 2015;91(1074):188–92.CrossRefPubMed Webb J, Brightwell A, Sarkar P, Rabbie R, Chakravorty I. Peer mentoring for core medical trainees: uptake and impact. Postgrad Med J. 2015;91(1074):188–92.CrossRefPubMed
33.
go back to reference Walker D, Verklan T. Peer mentoring during practicum to reduce anxiety in first-semester nursing students. J Nurs Educ. 2016;55(11):651–4.CrossRefPubMed Walker D, Verklan T. Peer mentoring during practicum to reduce anxiety in first-semester nursing students. J Nurs Educ. 2016;55(11):651–4.CrossRefPubMed
34.
go back to reference Ford Y. Development of nurse self-concept in nursing students: the effects of a peer-mentoring experience. J Nurs Educ. 2015;54(9):S107–11.CrossRefPubMed Ford Y. Development of nurse self-concept in nursing students: the effects of a peer-mentoring experience. J Nurs Educ. 2015;54(9):S107–11.CrossRefPubMed
35.
go back to reference Wilson G, Larkin V, Redfern N, Stewart J, Steven A. Exploring the relationship between mentoring and doctors’ health and wellbeing: a narrative review. J R Soc Med. 2017;110(5):188–97.CrossRefPubMed Wilson G, Larkin V, Redfern N, Stewart J, Steven A. Exploring the relationship between mentoring and doctors’ health and wellbeing: a narrative review. J R Soc Med. 2017;110(5):188–97.CrossRefPubMed
36.
go back to reference Sng JH, Pei Y, Toh YP, Peh TY, Neo SH, Krishna LKR. Mentoring relationships between senior physicians and junior doctors and/or medical students: a thematic review. Med Teach. 2017;31:1–10. Sng JH, Pei Y, Toh YP, Peh TY, Neo SH, Krishna LKR. Mentoring relationships between senior physicians and junior doctors and/or medical students: a thematic review. Med Teach. 2017;31:1–10.
37.
go back to reference Kashiwagi DT, Varkey P, Cook DA. Mentoring programs for physicians in academic medicine: a systematic review. Acad Med. 2013;88(7):1029–37.CrossRefPubMed Kashiwagi DT, Varkey P, Cook DA. Mentoring programs for physicians in academic medicine: a systematic review. Acad Med. 2013;88(7):1029–37.CrossRefPubMed
38.
go back to reference Sambunjak D, Straus SE, Marusić A. Mentoring in academic medicine: a systematic review. JAMA. 2006;296(9):1103–15.CrossRefPubMed Sambunjak D, Straus SE, Marusić A. Mentoring in academic medicine: a systematic review. JAMA. 2006;296(9):1103–15.CrossRefPubMed
39.
go back to reference Centre for Reviews and Disseminiation. Systematic reviews: CRD’s guidance for undertaking reviews in health care. York: University of York; 2009. Centre for Reviews and Disseminiation. Systematic reviews: CRD’s guidance for undertaking reviews in health care. York: University of York; 2009.
40.
go back to reference Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159.CrossRefPubMed Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159.CrossRefPubMed
41.
go back to reference Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health. 1998;52(6):377–84.CrossRefPubMedPubMedCentral Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health. 1998;52(6):377–84.CrossRefPubMedPubMedCentral
42.
go back to reference Higgins JPT, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.CrossRefPubMedPubMedCentral Higgins JPT, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.CrossRefPubMedPubMedCentral
44.
go back to reference The Joanna Briggs Institute. JBI critical appraisal checklist for analytical cross sectional studies. Adelaide: The Joanna Briggs Institute; 2016. The Joanna Briggs Institute. JBI critical appraisal checklist for analytical cross sectional studies. Adelaide: The Joanna Briggs Institute; 2016.
45.
go back to reference Pluye P, Hong QN. Combining the power of stories and the power of numbers: mixed methods research and mixed studies reviews. Annu Rev Public Health. 2014;35:29–45.CrossRefPubMed Pluye P, Hong QN. Combining the power of stories and the power of numbers: mixed methods research and mixed studies reviews. Annu Rev Public Health. 2014;35:29–45.CrossRefPubMed
47.
go back to reference Booth A, Noyes J, Flemming K, Gerhardus A, Wahlster P, Van Der Wilt G.J., Mozygemba K, Refolo P, Sacchini D, Tummers M, Rehfuess E. Guidance on choosing qualitative evidence synthesis methods for use in health technology assessments of complex interventions. 2016. http://www.integrate-hta.eu/downloads/. Accessed 30 June 2017. Booth A, Noyes J, Flemming K, Gerhardus A, Wahlster P, Van Der Wilt G.J., Mozygemba K, Refolo P, Sacchini D, Tummers M, Rehfuess E. Guidance on choosing qualitative evidence synthesis methods for use in health technology assessments of complex interventions. 2016. http://​www.​integrate-hta.​eu/​downloads/​. Accessed 30 June 2017.
48.
go back to reference Moher D, Liberati A, Tetzlaff J, Altman DG, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264.CrossRefPubMed Moher D, Liberati A, Tetzlaff J, Altman DG, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264.CrossRefPubMed
Metadata
Title
Psychosocial and career outcomes of peer mentorship in medical resident education: a systematic review protocol
Authors
Helen Pethrick
Lorelli Nowell
Elizabeth Oddone Paolucci
Liza Lorenzetti
Michele Jacobsen
Tracey Clancy
Diane L. Lorenzetti
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2017
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-017-0571-y

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