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A Systematic Scoping Review of Ethical Issues in Mentoring in Surgery.
J Med Educ Curric Dev. 2019 Jan-Dec; 6:2382120519888915.JM

Abstract

Background

Mentoring is crucial to the growth and development of mentors, mentees, and host organisations. Yet, the process of mentoring in surgery is poorly understood and increasingly mired in ethical concerns that compromise the quality of mentorship and prevent mentors, mentees, and host organisations from maximising its full potential. A systematic scoping review was undertaken to map the ethical issues in surgical mentoring to enhance understanding, assessment, and guidance on ethical conduct.

Methods

Arksey and O'Malley's methodological framework was used to guide a systematic scoping review involving articles published between January 1, 2000 and December 31, 2018 in PubMed, Embase, Scopus, ERIC, ScienceDirect, Mednar, and OpenGrey databases. Braun and Clarke's thematic analysis approach was adopted to compare ethical issues in surgical mentoring across different settings, mentee and mentor populations, and host organisations.

Results

A total of 3849 abstracts were identified, 464 full-text articles were retrieved, and 50 articles were included. The 3 themes concerned ethical lapses at the levels of mentor or mentee, mentoring relationships, and host organisation.

Conclusions

Mentoring abuse in surgery involves lapses in conduct, understanding of roles and responsibilities, poor alignment of expectations, and a lack of clear standards of practice. It is only with better structuring of mentoring processes and effective support of host organisation tasked with providing timely, longitudinal, and holistic assessment and oversight will surgical mentoring overcome prevailing ethical concerns surrounding it.

Authors+Show Affiliations

Yong Loo Lin School of Medicine, National University of Singapore, Singapore.Yong Loo Lin School of Medicine, National University of Singapore, Singapore.Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore.Yong Loo Lin School of Medicine, National University of Singapore, Singapore.Yong Loo Lin School of Medicine, National University of Singapore, Singapore.The Medical Library at the Yong Loo Lin School of Medicine, National University of Singapore, Singapore.Department of Family Medicine, National University Hospital Singapore, Singapore.Marie Curie Palliative Care Institute, University of Liverpool, Liverpool, UK.Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore. Marie Curie Palliative Care Institute, University of Liverpool, Liverpool, UK. Centre of Biomedical Ethics, National University of Singapore, Singapore. Duke-NUS Medical School, National University of Singapore, Singapore.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31903425

Citation

Lee, Fion Qian Hui, et al. "A Systematic Scoping Review of Ethical Issues in Mentoring in Surgery." Journal of Medical Education and Curricular Development, vol. 6, 2019, p. 2382120519888915.
Lee FQH, Chua WJ, Cheong CWS, et al. A Systematic Scoping Review of Ethical Issues in Mentoring in Surgery. J Med Educ Curric Dev. 2019;6:2382120519888915.
Lee, F. Q. H., Chua, W. J., Cheong, C. W. S., Tay, K. T., Hian, E. K. Y., Chin, A. M. C., Toh, Y. P., Mason, S., & Krishna, L. K. R. (2019). A Systematic Scoping Review of Ethical Issues in Mentoring in Surgery. Journal of Medical Education and Curricular Development, 6, 2382120519888915. https://doi.org/10.1177/2382120519888915
Lee FQH, et al. A Systematic Scoping Review of Ethical Issues in Mentoring in Surgery. J Med Educ Curric Dev. 2019 Jan-Dec;6:2382120519888915. PubMed PMID: 31903425.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Systematic Scoping Review of Ethical Issues in Mentoring in Surgery. AU - Lee,Fion Qian Hui, AU - Chua,Wen Jie, AU - Cheong,Clarissa Wei Shuen, AU - Tay,Kuang Teck, AU - Hian,Eugene Koh Yong, AU - Chin,Annelissa Mien Chew, AU - Toh,Ying Pin, AU - Mason,Stephen, AU - Krishna,Lalit Kumar Radha, Y1 - 2019/12/19/ PY - 2019/09/17/received PY - 2019/10/21/accepted PY - 2020/1/7/entrez PY - 2020/1/7/pubmed PY - 2020/1/7/medline KW - Surgery KW - ethics KW - mentor KW - professionalism SP - 2382120519888915 EP - 2382120519888915 JF - Journal of medical education and curricular development JO - J Med Educ Curric Dev VL - 6 N2 - Background: Mentoring is crucial to the growth and development of mentors, mentees, and host organisations. Yet, the process of mentoring in surgery is poorly understood and increasingly mired in ethical concerns that compromise the quality of mentorship and prevent mentors, mentees, and host organisations from maximising its full potential. A systematic scoping review was undertaken to map the ethical issues in surgical mentoring to enhance understanding, assessment, and guidance on ethical conduct. Methods: Arksey and O'Malley's methodological framework was used to guide a systematic scoping review involving articles published between January 1, 2000 and December 31, 2018 in PubMed, Embase, Scopus, ERIC, ScienceDirect, Mednar, and OpenGrey databases. Braun and Clarke's thematic analysis approach was adopted to compare ethical issues in surgical mentoring across different settings, mentee and mentor populations, and host organisations. Results: A total of 3849 abstracts were identified, 464 full-text articles were retrieved, and 50 articles were included. The 3 themes concerned ethical lapses at the levels of mentor or mentee, mentoring relationships, and host organisation. Conclusions: Mentoring abuse in surgery involves lapses in conduct, understanding of roles and responsibilities, poor alignment of expectations, and a lack of clear standards of practice. It is only with better structuring of mentoring processes and effective support of host organisation tasked with providing timely, longitudinal, and holistic assessment and oversight will surgical mentoring overcome prevailing ethical concerns surrounding it. SN - 2382-1205 UR - https://www.unboundmedicine.com/medline/citation/31903425/A_Systematic_Scoping_Review_of_Ethical_Issues_in_Mentoring_in_Surgery_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31903425/ DB - PRIME DP - Unbound Medicine ER -
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