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M.Jeschke - Handbook of Burns Volume 1 Acute Burn Care - 2013.pdf
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K. Jindal, S. Shahrokhi

effective mentoring skills and mentor responsibilities [4].

Implementation

Although informal mentoring occurs in the daily interactions with more senior surgeons, formal mentorship programs increase satisfaction and efficacy [18]. The success of the mentor relationship is significantly higher when mentees select their own mentors [18, 19]. Role preparation of both sides ensures a smooth introduction, as mentors need training, and mentees need objectives and reasonable expectations [52]. As with any new relationship, adequate meeting time is compulsory for the development of a trusting and fruitful alliance.

Mentorship primarily occurs because mentors consider it a rewarding feature of their profession. Increasing demands on faculty time and the current criteria for academic advancement have seriously threatened the future of mentorship. Scholarship over citizenship is currently the gauge for promotion in surgery; thus, mentoring descends to a lower priority being largely uncompensated and undervalued [31]. There is a need for novel ideas to enhance faculty participation in this cornerstone of surgical training. Institutional recognition and appreciation of mentors and publicly rewarding mentorship excellence will increase the prestige of the activity and faculty enrollment. Mentorship can also be adapted into the faculty evaluation process for promotion [31].

“Mentoring is a vital cog in the machinery of medical education” [43] and should be strongly considered in burn unit curricula.

Interprofessional education

In medicine, physicians are largely educated in isolation of other health professionals, resulting in limited collaboration, communication and coordination of care [48]. Many surgeons have been educated in a culture that places value on individual accomplishments; however, the importance of teamwork in medicine is becoming increasingly evident in the delivery of quality care and reduction

of medical errors [7, 40, 44, 45, 54, 60]. In complex care settings like burn units, a single health care professional is not equipped to handle the diversity of their patients’ needs. A strong, coherent team approach in a burn unit reduces mortality, shortens length of stay and improves rehabilitation [20]. The relationship with other health care professionals has become an emphasis of modern surgical professionalism [30].

What is interprofessional education

Health Canada defines interprofessional education (IPE) as “socializing health care providers in working together, in shared problem solving and decision making, towards enhancing the benefits for patients; developing mutual understanding of, and respect for, the contributions of various disciplines; and instilling the requisite competencies for collaborative practice.” The Centre for the Advancement of Interprofessional Education (CAIPE) similarly refers to IPE as instances when “two or more professions learn from and about each other to improve collaboration and the quality of care” [8]. IPE is a unique approach to learning, where knowledge is attained through social collaboration with other professions, and the learning process is equally as important as the content itself [48]. It improves the understanding of team member complementary skills and increases mutual accountability. The contact between professions is insufficient to build the communication, respect and trust necessary for effective team performance [49]. Learning ‘as’ a team, rather than simply ‘in’ a team, enhances the collective capability [2].

Approaches to interprofessional education

There are numerous models to engage the members of the burn unit in interactive learning. These health professionals include students, residents, occupational therapists, physiotherapists, social workers, nurses, respiratory therapists, dieticians, intensivists, surgeons and any other specialists that are involved in the complex care of these patients. Exchange based learning can be achieved through seminars, workshop discussions and case study sessions, where members of the team can explore the

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