Mentoring in palliative medicine in the time of covid-19: a systematic scoping review

Abstract

Introduction The redeployment of mentors and restrictions on in-person face-to-face mentoring meetings during the COVID-19 pandemic has compromised mentoring efforts in Palliative Medicine (PM). Seeking to address these gaps, we evaluate the notion of a combined novice, peer-, near-peer and e-mentoring (CNEP) and interprofessional team-based mentoring (IPT) program. Methods A Systematic Evidence Based Approach (SEBA) guided systematic scoping review was carried out to study accounts of CNEP and IPT from articles published between 1st January 2000 and 28th February 2021. To enhance trustworthiness, concurrent thematic and content analysis of articles identified from structured database search using terms relating to interprofessional, virtual and peer or near-peer mentoring in medical education were employed to bring together the key elements within included articles. Results Fifteen thousand one hundred twenty one abstracts were reviewed, 557 full text articles were evaluated, and 92 articles were included. Four themes and categories were identified and combined using the SEBA’s Jigsaw and Funnelling Process to reveal 4 domains - characteristics, mentoring stages, assessment methods, and host organizations. These domains suggest that CNEP’s structured virtual and near-peer mentoring process complement IPT’s accessible and non-hierarchical approach under the oversight of the host organizations to create a robust mentoring program. Conclusion This systematic scoping review forwards an evidence-based framework to guide a CNEP-IPT program. At the same time, more research into the training and assessment methods of mentors, near peers and mentees, the dynamics of mentoring interactions and the longitudinal support of the mentoring relationships and programs should be carried out.

Systematic scoping review on moral distress among physicians

“…We believe that the findings of the RToP-MD tool 203 will help direct a holistic, appropriate, accessible, personalised, longitudinal and timely support to physicians from members of a multidisciplinary mentoring, 204 supervision 205 and or coaching team which would also include a psychologist and or counsellor. 206 …”

“…We believe that the findings of the RToP-MD tool 203 will help direct a holistic, appropriate, accessible, personalised, longitudinal and timely support to physicians from members of a multidisciplinary mentoring, 204 supervision 205 and or coaching team which would also include a psychologist and or counsellor. 206 The proposed framework for a RToP-MD tool also serves to highlight the shortfalls of the current management of MD (online supplemental materials D and E) that tends to be singular, short term and impersonal when what is required is a holistic, appropriate, accessible, personalised, longitudinal and timely approach to overcome MD.…”

A systematic scoping review on patients’ perceptions of dignity

“…Krishna's Systematic Evidence-Based Approach (SEBA) is adopted to guide this systematic scoping review (SSR) (henceforth SSR in SEBA) [40,[45][46][47][48][49][50][51]. The aim of this review is to identify available data, key characteristics and knowledge gaps in current concepts of dignity in the literature.…”

Mentoring future mentors in undergraduate medical education

“…Designed around mentoring reviews [23][24][25] and fashioned around a research process that includes stages such as mentee initiation, mentee-mentor matching, initial meetings, data gathering, data analysis, manuscript writing, submission and post submission, the CNEP framework provides a structured and consistent stage-based approach that allows mentors and program administrators to assess the progress of peer-mentor's and mentee's. Completion of the stages not only provides them with skills and knowledge but presents longitudinal opportunities for assessing their values, attitudes, working styles, intercollegial interactions and ability to adapt to the PMI culture.…”