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      Mentoring the Mentors: Implementation and Evaluation of Four Fogarty-Sponsored Mentoring Training Workshops in Low-and Middle-Income Countries

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          Abstract.

          A growing body of evidence highlights the importance of competent mentoring in academic research. We describe the development, implementation, and evaluation of four regional 2-day intensive workshops to train mid- and senior-level investigators conducting public health, clinical, and basic science research across multiple academic institutions in low- and middle-income countries (LMICs) on tools and techniques of effective mentoring. Sponsored by the Fogarty International Center, workshops included didactic presentations, interactive discussions, and small-group problem-based learning and were conducted in Lima, Peru; Mombasa, Kenya; Bangalore, India; and Johannesburg, South Africa, from 2013 to 2016. Mid- or senior-level faculty from multiple academic institutions within each region applied and were selected. Thirty faculty from 12 South America–based institutions, 29 faculty from eight East Africa–based institutions, 37 faculty from 14 South Asia–based institutions, and 36 faculty from 13 Africa-based institutions participated, with diverse representation across disciplines, gender, and academic rank. Discussions and evaluations revealed important comparisons and contrasts in the practice of mentoring, and specific barriers and facilitators to mentoring within each cultural and regional context. Specific regional issues related to hierarchy, the post-colonial legacy, and diversity arose as challenges to mentoring in different parts of the world. Common barriers included a lack of a culture of mentoring, time constraints, lack of formal training, and a lack of recognition for mentoring. These workshops provided valuable training, were among the first of their kind, were well-attended, rated highly, and provided concepts and a structure for the development and strengthening of formal mentoring programs across LMIC institutions.

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          A research mentor training curriculum for clinical and translational researchers.

          To design and evaluate a research mentor training curriculum for clinical and translational researchers. The resulting 8-hour curriculum was implemented as part of a national mentor training trial. The mentor training curriculum was implemented with 144 mentors at 16 academic institutions. Facilitators of the curriculum participated in a train-the-trainer workshop to ensure uniform delivery. The data used for this report were collected from participants during the training sessions through reflective writing, and following the last training session via confidential survey with a 94% response rate. A total of 88% of respondents reported high levels of satisfaction with the training experience, and 90% noted they would recommend the training to a colleague. Participants also reported significant learning gains across six mentoring competencies as well as specific impacts of the training on their mentoring practice. The data suggest the described research mentor training curriculum is an effective means of engaging research mentors to reflect upon and improve their research mentoring practices. The training resulted in high satisfaction, self-reported skill gains as well as behavioral changes of clinical and translational research mentors. Given success across 16 diverse sites, this training may serve as a national model. © 2012 Wiley Periodicals, Inc.
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            Mentoring health researchers globally: Diverse experiences, programmes, challenges and responses

            ABSTRACT Mentoring experiences and programmes are becoming increasingly recognised as important by those engaged in capacity strengthening in global health research. Using a primarily qualitative study design, we studied three experiences of mentorship and eight mentorship programmes for early career global health researchers based in high-income and low- and middle-income countries. For the latter, we drew upon programme materials, existing unpublished data and more formal mixed-method evaluations, supplemented by individual email questionnaire responses. Research team members wrote stories, and the team assembled and analysed them for key themes. Across the diverse experiences and programmes, key emergent themes included: great mentors inspire others in an inter-generational cascade, mentorship is transformative in personal and professional development and involves reciprocity, and finding the right balance in mentoring relationships and programmes includes responding creatively to failure. Among the challenges encountered were: struggling for more level playing fields for new health researchers globally, changing mindsets in institutions that do not have a culture of mentorship and building collaboration not competition. Mentoring networks spanning institutions and countries using multiple virtual and face-to-face methods are a potential avenue for fostering organisational cultures supporting quality mentorship in global health research.
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              Deriving competencies for mentors of clinical and translational scholars.

              Although the importance of research mentorship has been well established, the role of mentors of junior clinical and translational science investigators is not clearly defined. The authors attempt to derive a list of actionable competencies for mentors from a series of complementary methods. We examined focus groups, the literature, competencies derived for clinical and translational scholars, mentor training curricula, mentor evaluation forms and finally conducted an expert panel process in order to compose this list. These efforts resulted in a set of competencies that include generic competencies expected of all mentors, competencies specific to scientists, and competencies that are clinical and translational research specific. They are divided into six thematic areas: (1) Communication and managing the relationship, (2) Psychosocial support, (3) Career and professional development, (4) Professional enculturation and scientific integrity, (5) Research development, and (6) Clinical and translational investigator development. For each thematic area, we have listed associated competencies, 19 in total. For each competency, we list examples that are actionable and measurable. Although a comprehensive approach was used to derive this list of competencies, further work will be required to parse out how to apply and adapt them, as well future research directions and evaluation processes. © 2012 Wiley Periodicals, Inc.
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                Author and article information

                Journal
                Am J Trop Med Hyg
                Am. J. Trop. Med. Hyg
                tpmd
                tropmed
                The American Journal of Tropical Medicine and Hygiene
                The American Society of Tropical Medicine and Hygiene
                0002-9637
                1476-1645
                January 2019
                14 November 2018
                14 November 2018
                : 100
                : 1 Suppl
                : 20-28
                Affiliations
                [1 ]Department of Medicine, University of California, San Francisco (UCSF), San Francisco, California;
                [2 ]St. John’s Research Institute (SJRI), Bangalore, India;
                [3 ]Faculty of Health Sciences, Centre for Health Policy, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa;
                [4 ]Emerge, Emerging Diseases and Climate Change Research Unit, School and Public Health Administration, Universidad Peruana Cayetano Heredia, Lima, Peru;
                [5] 5Centre for Microbiology Research, Kenya Medical Research Institute (KEMRI), Nairobi, Kenya;
                [6 ]Kilimanjaro Clinical Research Institute (KCRI) and Kilimanjaro Christian Medical University College (KCMUCo), Moshi, Tanzania;
                [7 ]Vanderbilt Institute of Global Health, Nashville, Tennessee;
                [8 ]Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco (UCSF), San Francisco, California;
                [9 ]University of California Global Health Institute, San Francisco, California
                Author notes
                [* ]Address correspondence to Monica Gandhi, Division of HIV, Infectious Diseases and Global Medicine, University of California, San Francisco, CA. E-mail: monica.gandhi@ 123456ucsf.edu

                Financial support: The authors received support from the FIC Global Health Program for Fellows and Scholar consortia, including the University of California GloCal Health Fellowship (FIC D43TW009343), the Vanderbilt-Emory-Cornell-Duke Consortium for Global Health Fellows (D43TW009337), the UNC-Johns Hopkins-Morehouse-Tulane Fogarty Global Health Fellowship Program (D43TW009340), the Harvard-Boston University-Northwestern University-University of New Mexico Fogarty Global Health Training Program (D43TW010543), and the Yale-Berkeley-FIU-Stanford Global Health Equity Scholars Program (D43TW010540).

                Authors’ addresses: Monica Gandhi, Department of Medicine, University of California, San Francisco (UCSF), San Francisco, CA, E-mail: monica.gandhi@ 123456ucsf.edu . Tony Raj and Ryan Fernandez, St. John’s Research Institute (SJRI), Bangalore, India, E-mails: tonyraj@ 123456sjri.res.in and ryan@ 123456sjri.res.in . Laetitia Rispel, Centre for Health Policy & DST/NRF Research Chair, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa, E-mail: laetitia.rispel@ 123456wits.ac.za . Nonhlanhla Nxumalo, School of Public Health, University of Witwatersrand, Johanessburg, South Africa, E-mail: nonhlanhla.nxumalo@ 123456wits.ac.za . Andrés G. Lescano, School of Public Health and Management, Universidad Peruana Cayetano Heredia, Lima, Peru, E-mail: andres.lescano.g@ 123456upch.pe . Elizabeth A. Bukusi, Research Care Training Program, Center for Microbiology Research, Kenya Medical Research Institute, Nairobi, Kenya, E-mail: ebukusi@ 123456kemri.org . Blandina T. Mmbaga, Kilimanjaro Clinical Research Institute and Kilimanjaro Christian Medical University College, Moshi, Tanzania, E-mail: blaymt@ 123456gmail.com . Douglas C. Heimburger, Institute for Global Health, Vanderbilt University, Nashville, TN, E-mail: douglas.heimburger@ 123456vanderbilt.edu . Craig R. Cohen, Department of Obstetrics, Gynecology, and Reproductive Services, University of California, San Francisco, San Francisco, CA, and Global Health, University of California Global Health Institute, San Francisco, CA, E-mail: craig.cohen@ 123456ucsf.edu .

                Article
                tpmd180559
                10.4269/ajtmh.18-0559
                6329359
                30430977
                2be9fd0f-bbd0-444b-b996-b39297247725
                © The American Society of Tropical Medicine and Hygiene

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 09 July 2018
                : 01 October 2018
                Page count
                Pages: 9
                Categories
                Articles

                Infectious disease & Microbiology
                Infectious disease & Microbiology

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