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Evaluation of a novel mentor program to improve surgical care for US hospitals

  • Julia R. Berian
  • , Juliana M. Thomas
  • , Christina A. Minami
  • , Paula R. Farrell
  • , Kevin J. O'Leary
  • , Mark V. Williams
  • , Vivek N. Prachand
  • , Amy L. Halverson
  • , Karl Y. Bilimoria
  • , Julie K. Johnson

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To evaluate a novel mentor program for 27 US surgeons, charged with improving quality at their respective hospitals, having been paired 1:1 with 27 surgeon mentors through a statewide quality improvement (QI) initiative. Design: Mixed-methods utilizing quantitative surveys and in-depth semi-structured interviews. Setting: The Illinois Surgical Quality Improvement Collaborative (ISQIC) utilized a novel Mentor Program to guide surgeons new to QI. Participants: All mentor-mentee pairs received the survey (n = 27). Purposive sampling identified a subset of mentors (n = 8) and mentees (n = 4) for in-depth semi-structured interviews. Intervention: Surgeons with expertise in QI mentored surgeons new to QI. Main outcome measures: (i) Quantitative: self-reported satisfaction with the mentor program; (ii) Qualitative: key themes suggesting actions and strategies to facilitate mentorship in QI. Results: Mentees expressed satisfaction with the mentor program (n = 24, 88.9%) and agreed that mentorship is vital to ISQIC (n = 24, 88.9%). Analysis of interview data revealed four key themes: (i) nuances of data management, (ii) culture of quality and safety, (iii) mentor-mentee relationship and (iv) logistics. Strategies from these key themes include: utilize raw data for in-depth QI understanding, facilitate presentations to build QI support, identify opportunities for in-person meetings and establish scheduled conference calls. The mentor's role required sharing experiences and acting as a resource. The mentee's role required actively bringing questions and identifying barriers. Conclusions: Mentorship plays a vital role in advancing surgeon knowledge and engagement with QI in ISQIC. Key themes in mentorship reflect strategies to best facilitate mentorship, which may serve as a guide to other collaboratives.

Original languageEnglish
Article numbermzx005
Pages (from-to)234-242
Number of pages9
JournalInternational Journal for Quality in Health Care
Volume29
Issue number2
DOIs
StatePublished - Apr 1 2017

Keywords

  • Collaboration
  • Mentors
  • Qualitative methods
  • Quality culture
  • Quality improvement
  • Surgery
  • Survey

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