Peer Mentoring in Clinical Residency in Japan: A Nationwide, Cross-Sectional Study

Le résumé fourni par la source

Background: Peer mentoring is a reciprocal support system among trainees at similar career stages, but evidence of its effectiveness in Japan is limited. We investigated associations between peer mentoring and postgraduate medical education–related outcomes among Japanese residents. Methods: We conducted a nationwide cross-sectional study of second-year postgraduate (PGY-2) residents who took the General Medicine In-Training Examination (GM-ITE) in 2021. Peer mentoring was defined as reporting a PGY-2 mentor as the most influential mentor. The outcomes were depressive symptoms assessed using the Patient Health Questionnaire-2 (PHQ-2), and the GM-ITE score. Mixed-effects logistic regression models were used for the PHQ-2, and linear mixed-effects regression models were used for the GM-ITE score, accounting for clustering within hospitals. Results: Of 2,455 PGY-2 residents across 493 hospitals, 133 (5.4%) reported a PGY-2 mentor as their most influential mentor. Peer mentoring was not associated with PHQ-2 positivity compared with no mentorship (adjusted odds ratio: 0.97; 95% CI: 0.63–1.51). However, peer mentoring was negatively associated with the GM-ITE score compared with no mentorship (adjusted score difference: –1.56; 95% CI: –2.76 to –0.36). Conclusion: Compared with residents without mentors, peer mentoring was not associated with the depressive symptoms of residents but was negatively associated with the GM-ITE score.

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