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Session 1What is Clinical Mentoring by coold

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									Session 1:
What is Clinical Mentoring
Basics of Clinical Mentoring
 Learning Objectives
 By the end of this session, participants will be
   able to:
  Define clinical mentoring and distinguish it
      from supportive supervision
  Understand the rationale for, and objectives
      of, clinical mentoring
  Outline characteristics of effective mentors
  Understand challenges to mentoring

Session 1: What is Clinical Mentoring             Slide 2
 Partner Brainstorm

              What Is Clinical Mentoring?




Session 1: What is Clinical Mentoring       Slide 3
 Clinical Mentoring Definition


 A sustained, collaborative relationship in
 which a highly experienced health care
 provider guides improvement in the quality of
 care delivered by other providers and the
 health care systems in which they work.




Session 1: What is Clinical Mentoring        Slide 4
 I-TECH’s Definition of
 What Clinical Mentors Do

 I-TECH approach includes 5 key components:
  Building relationships
  Identifying areas for improvement
  Responsive coaching and modeling of best
      practices
  Advocating for environments conducive to
      good patient care and provider development
  Collecting and reporting on data
Session 1: What is Clinical Mentoring         Slide 5
 Why Clinical Mentoring?
  Decentralization of HIV care and ART
  Strengthening the district health care system
  Task-shifting
  Transitioning to chronic HIV care
  Standardized content and care pathways
  Continuing education


Session 1: What is Clinical Mentoring        Slide 6
 Components of Mentoring (1)




Session 1: What is Clinical Mentoring   Slide 7
 Components of Mentoring (2)




Session 1: What is Clinical Mentoring   Slide 8
 Components of Mentoring (3)




Session 1: What is Clinical Mentoring   Slide 9
 Components of Mentoring (4)




Session 1: What is Clinical Mentoring   Slide 10
 Components of Mentoring (5)




Session 1: What is Clinical Mentoring   Slide 11
 Components of Mentoring (6)




Session 1: What is Clinical Mentoring   Slide 12
 Activity:
 Mentoring vs. Supportive Supervision (1)



       What activities/duties fall in each category?


                    Which fall into both categories?




Session 1: What is Clinical Mentoring                  Slide 13
 Mentoring vs. Supportive Supervision (2)
   Supportive supervision
    • Space,                            • Patient flow and     Clinical mentoring
    equipment, forms                    triage
                                                               • Clinical case review
    • Supply chain                      • Clinic
    management                          organization           • Bedside teaching
    • Training, staffing,               • Patient              • Journal club
    other human                         monitoring and         • Morbidity and mortality
    resource issues                     record-keeping         rounds
    • Entry points                      • Case mgmt.           • Assist with care and
    • Patient                           observation            referral of complicated
    satisfaction                        • Team meetings        cases
                                        • Review of referral   • Available via distance
                                        decisions              communication



Session 1: What is Clinical Mentoring                                                   Slide 14
 Mentor ≠ Preceptor
                    Mentor                       Preceptor
     Guides mentee through                Works alongside
      entire course of training:            student, directs his/her
      physical exam to                      learning by telling
      advanced, complex,                    him/her what to look for,
      end-of-life care                      how to look for it
     2-way discussion with                Telling, not showing
      open-ended questions
     Teaches by modeling,
      not only intellectual
      skills but also empathy/
      compassion

Session 1: What is Clinical Mentoring                              Slide 15
 Characteristics of a Good Mentor
     Adept at physical diagnosis
        Working knowledge of possible diagnoses and issues that
         may need addressing

     Enthusiastic and comfortable incorporating diverse
      situations/experiences into teaching
     Takes a “back-seat” approach to teaching, avoiding
      extensive lectures
        Allows mentor to explore and learn on his/her own

     Understanding of clinical systems to address
      systemic issues


Session 1: What is Clinical Mentoring                         Slide 16
 Characteristics of Effective
 Mentorship Relationships
     Relationship is warm, safe, respectful, trustful
     Both mentor and mentee want to be involved in
      mentoring relationship
     Mentor listens to learner and the learner knows it
     Mentor/mentee are able to process
      misunderstandings
     Continuity of the relationship over time
     Power is shared
     Learning is two-way; mentor is interested in learner’s
      ideas

Session 1: What is Clinical Mentoring                      Slide 17
 Activity




          What are some challenges in conducting
                                   clinical mentoring?




Session 1: What is Clinical Mentoring                    Slide 18
 Challenges to Mentoring (1)
 Obstacles to health care working (HCW)
  learning:
  Stress due to intra-clinic factors (e.g., heavy
      patient load, disorganization)
  Personal distractions
  HCWs stressed by mentor’s presence in clinic



Session 1: What is Clinical Mentoring           Slide 19
 Challenges to Mentoring (2)
  Defensiveness
  Putting on one’s “best show,” not the typical
      show, for the visiting mentor
  Bad (as opposed to best) practices
  Varying availability of resources from clinical
      site to clinical site
  Clinical site infrastructure and systems in
      need of mentoring

Session 1: What is Clinical Mentoring            Slide 20
 Key Points
     Clinical mentoring seeks to strengthen district health
      care systems by providing continuing education to
      HCWs, and working towards creating more efficient
      clinical settings.
     Clinical mentoring involves relationship-building,
      identifying areas for improvement, coaching and
      modeling, advocacy, and data collection and
      reporting.
     Effective mentors are respectful, teach and learn, are
      adept at physical diagnosis, and enthusiastic about
      teaching.

Session 1: What is Clinical Mentoring                      Slide 21

								
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