‘To Love the Patient’: A Qualitative Study of the Role of Mentorship as Part of Medical Education in Rwanda
Keywords:
• Education, Medical [I02.358.399], Global health, Global health equity, MentoringAbstract
Background: Medical education in Africa is changing rapidly as 21st century innovations such as e-learning, expansion of simulation laboratories, and other technologies are implemented at universities across the continent. Alongside these efforts, instilling in medical students an understanding of the larger social, economic, cultural, and political dynamics that influence health is essential. In this study, we sought to understand medical students’ experience with the novel curriculum at the University of Global Health Equity (UGHE) in Rwanda, with a focus on the role of mentorship.
Methods: We conducted a qualitative, in-depth interview study with 18 medical students who had experienced the liberal arts curriculum of UGHE. Interviews were conducted by three members of the research team until theoretical saturation was reached (n=18). The constant comparative method of qualitative data analysis was employed to characterize recurrent themes.
Results: Three recurrent themes emerged pertaining to Dr. Paul Farmer’s impact as a role model for medical students: 1) he encouraged systems thinking in his students, 2) he taught students “to love the patient,” and 3) he used practical examples to inspire action. Medical students described the medical education they received as a “mind opener.” Participants recounted how Dr. Farmer’s mentorship fostered their own confidence in becoming compassionate physicians who would inspire systemic change.
Conclusion: Our findings highlight the role that mentors can play in the development of future physicians and suggest that integrating effective mentorship into the medical school experience can affect medical students’ approach to patients and motivation to pursue systems change.
References
1. Sambunjak D, Straus SE, Marušić A. Mentoring in academic medicine: a systematic review. JAMA. 2006;296(9):1103-15.
2. Jordan J, Watcha D, Cassella C, Kaji AH, Trivedi S. Impact of a mentorship program on medical student burnout. AEM Educ Train. 2019;3(3):218-25.
3. Wu J, Olagunju AT. Mentorship in medical education: reflections on the importance of both unofficial and official mentorship programs. BMC Med Educ. 2024;24(1):1233.
4. Hee JM, Yap HW, Ong ZX, Quek SQ, Toh YP, Mason S, et al. Understanding the mentoring environment through thematic analysis of the learning environment in medical education: a systematic review. J Gen Intern Med. 2019;34(10):2190-9.
5. Bandura A. Social learning theory. Englewood Cliffs (NJ): Prentice Hall; 1977.
6. Feyissa GT, Balabanova D, Woldie M. How effective are mentoring programs for improving health worker competence and institutional performance in Africa? A systematic review of quantitative evidence. J Multidiscip Healthc. 2019;12:989-1005.
7. Manzi A, Hirschhorn LR, Sherr K, Chirwa C, Baynes C, Awoonor-Williams JK, et al. Mentorship and coaching to support strengthening healthcare systems: lessons learned across the five Population Health Implementation and Training partnership projects in sub-Saharan Africa. BMC Health Serv Res. 2017;17(Suppl 3):831.
8. Ng’oda M, Gatheru PM, Oyeyemi O, Busienei P, Karugu CH, Mugo S, et al. Mentorship in health research institutions in Africa: a systematic review of approaches, benefits, successes, gaps and challenges. PLOS Glob Public Health. 2024;4(9):e0003314.
9. Atlas AM, Seltzer ES, Watters A, Riley B, Chan T. A global perspective of mentorship in medical schools: systematic review from 2014 to 2019. Med Sci Educ. 2021;31(2):969-77.
10. Farkas AH, Allenbaugh J, Bonifacino E, Turner R, Corbelli JA. Mentorship of US medical students: a systematic review. J Gen Intern Med. 2019;34:2602-9.
11. Lescano AG, Cohen CR, Raj T, Rispel L, Garcia PJ, Zunt JR, et al. Strengthening mentoring in low- and middle-income countries to advance global health research: an overview. Am J Trop Med Hyg. 2018;100(1 Suppl):3-8.
12. Bekele A, Regnier D, Paul T, Waka TY, Bradley EH. Advancing global health equity: the role of the liberal arts in health professional education. J Med Humanit. 2024;45(2):185-92.
13. Schindler H, Wallen M. Paul Farmer: a pioneer of global health, health equity, and health advocacy. Cureus. 2024;16(10):e70724.
14. Kaplan RM, Satterfield JM, Kington RS. Building a better physician—the case for the new MCAT. N Engl J Med. 2012;366(14):1265-8.
15. Farmer P. To repair the world: Paul Farmer speaks to the next generation. Oakland (CA): University of California Press; 2013.
16. Vavrus F, Thomas M, Bartlett L. Ensuring quality by attending to inquiry: learner-centered pedagogy in sub-Saharan Africa. Addis Ababa: UNESCO-IICBA; 2011.
17. Glaser BG, Strauss AL. The discovery of grounded theory: strategies for qualitative research. New York: Aldine De Gruyter; 1967.
18. Dworkin SL. Sample size policy for qualitative studies using in-depth interviews. Arch Sex Behav. 2012;41:1319-20.
19. McCracken G. The long interview. Newbury Park (CA): Sage Publications; 1988.
20. Brannigan A, Zwerman W. The real “Hawthorne effect.” Society. 2001;38:55-60.
21. Bk DS, Reddy DM, Pathak DP. Camouflage in research—the Hawthorne effect. Int J Dev Res. 2019;9(4):26996-9.
22. Strauss AL, Corbin JM. Basics of qualitative research: techniques and procedures for developing grounded theory. 2nd ed. Thousand Oaks (CA): Sage Publications; 1998.
23. Lanfer HL, Reifegerste D. Embracing challenging complexity: exploring handwashing behavior from a combined socioecological and intersectional perspective in Sierra Leone. BMC Public Health. 2021;21:1-7.
24. Ramani S, Kusurkar RA, Lyon-Maris J, Pyörälä E, Rogers GD, Samarasekera DD, et al. Mentorship in health professions education—an AMEE guide for mentors and mentees: AMEE Guide No. 167. Med Teach. 2024;46(8):999-1011.
25. Patton MQ. Qualitative research and evaluation methods: integrating theory and practice. 4th ed. Thousand Oaks (CA): Sage Publications; 2014.
26. Denzin NK, Lincoln YS. Handbook of qualitative research. Thousand Oaks (CA): Sage Publications; 1996.
27. Crabtree BF, Miller WL. Doing qualitative research. 2nd ed. Thousand Oaks (CA): Sage Publications; 1999.
28. Ahmed SK. The pillars of trustworthiness in qualitative research. J Med Surg Public Health. 2024;2:100051.
29. Teo MY, Ibrahim H, Lin CK, Hamid NA, Govindasamy R, Somasundaram N, et al. Mentoring as a complex adaptive system: a systematic scoping review of prevailing mentoring theories in medical education. BMC Med Educ. 2024;24(1):726.
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