Mentoring Critical Care Fellows

Baruch Toledano

Pediatric Critical Care Université de Montréal

Mentoring Matters

“For, in the end, it is impossible to have a great life unless it is a meaningful life. And it is very difficult to have a meaningful life without meaningful work.”

Jim Collins

Mentoring as a Concept

• Mentorship refers to a relationship that enables synergetic purposeful conversation to reflect on experiences, make informed decisions and act upon ideas generated

M-Manages the Relationship

E-Encourages

N-Nurtures

T-Trusts

O-Offers mutual respect

R-Responds to the Mentee’s Needs

Principles of Mentoring

• Synergy• Mentoring should be enriching for both mentor and mentee

• Mentoring is about learning and not teaching

• Mentee is empowered to take responsibility of his/her actions

• Relationship• Mentoring is a power-free partnership between two individuals

• Focus is to develop mentee's independent critical thinking

• Uniqueness• Mentoring must provide direction in order to channel efforts in the right

direction

Attitude for Mentoring

• Start • Mentors need to have an attitude of building trust and setting up the

mentoring contract

• During • Mentoring a positive attitude, encouragement and giving directions is

required

• Closing• Reducing dependency of mentee and make the mentee self dependent

Roles played by a Mentor

• Teacher

• Guide

• Counselor

• Motivator

• Coach

• Advisor

• Referral Agent

• Door Opener

• Role Model

Skills required by Mentors

• Appreciative inquiry

• Active Listening & Observations

• Empathy, Warmth & Respect

• Concreteness & Focus

• "Confrontation" to "Raise the bar"

Personal reflections on mentorship

• Know your team

• Impostor’s syndrome

• Catch them when they are good

• Keep your passion alive

• Storytelling

Know your team

• “know what each plant needs to thrive: this one a little more sun, this one more fertilizer; same careful approach with ‘growing’ fellows and take great joy in watching them bloom.”

The American Journal of Medicine (2011) 124, 453-458

Impostor syndrome

Pediatric ICU fellows confront deeper, "dark" feelings regarding their own high expectations, fallibility, anger, sense of loss, frustration, limited control

Catch them when they are good

• Constructive feed back is essential but positive feedback is an incredibly effective way to nourish behaviors you want to encourage

• Choose your moments to give constructive feedback; • Never at a vulnerable time

The importance of confidence

• Keeping the confidence in your trainees is essential, failure is inevitable

• Yet we must stay confident

• That can only accomplished if we keep the fellows confident in their abilities

Storytelling

• Tell stories that are relevant to the context• Tell stories that are real life examples• Ask mentee's reflection on the story• Share only when needed• Shared with full emotion- as it happened- Technicolor memory !• "Encourage mentee to share stories too!”• Don'ts

• Don’t draw conclusions early• Difficult to comprehend• No hidden connotations• Story shouldn't be de-motivating

HOW TO BE A MENTOR’S MENTOR:

• Let Go of Your Expectations

• Put Things in Perspective

• Set A Good Example

• Agree to Disagree

• Keep Your Promises

• Set A Positive Emotional Climate

• Learn From Children - they live in the moment

Fellows I have had the honor of working with as program director

Type et Lieu de pratiqueRuth Armano Pédiatre, BelgiqueGuillaume Émeriaud Soins intensifs pédiatriques, QuébecLars Desmet Soins intensifs pédiatriques, BelgiqueAnn Verrijckt Soins intensifs pédiatriques, BelgiqueDennis Bailey Soins intensifs pédiatriques, CHULMacha Bourdages Soins intensifs pédiatriques, CHULBirgit Bockenkamp Soins intensifs pédiatriques, AllemagneThéophile Gaillot Soins intensifs pédiatriques, FranceTanja Adamovic Soins intensifs pédiatriques, AngleterreMiriam Santschi Soins intensifs pédiatriques, CHUSGéraldine Pettersen Soins intensifs pédiatriques, QuébecJean- Sébastien Joyal Soins intensifs pédiatriques, QuébecAriane Willems Soins intensifs pédiatriques, BelgiqueValérie Payen Soins intensifs pédiatriques, FranceWassim Kechaou Pédiatre, QuébecGhassan Choker Soins intensifs pédiatriques, QuébecMarie-Ève Samson Soins intensifs pédiatriques, QuébecOliver Karam Soins intensifs pédiatriques, SuisseAlice Bordesoule Soins intensifs pédiatriques, Suisse

Type et Lieu de pratique

Allen Eddington Soins intensifs pédiatriques, USA

Pierre Demaret Soins intensifs pédiatriques, Belgique

Justine Rouette Pédiatre, Québec

Bruno Ozanne Soins intensifs pédiatriques, France

Niina Kleiber Pédiatrie, Québec

Andrea Perello Pédiatre, Québec

Jessy Bergeron Pédiatre, Québec

Laurence Ducharme-Crevier Soins Intensifs, Québec

Genevieve Dupont-Thibodeau Soins Intensifs, Québec

Jean- Sébastien Tremblay- Roy Soins Intensifs, QuébecGauthier Loron Soins intensifs, France

Pierre Bourgoin Soins Intensifs, France

Geneviève Morissette Soins Intensifs, Québec

Nadia Roumeliotis Soins Intensifs, Québec

The team