PAKISTAN: Ethical implications in mentoring medical students

May 31, 2011

An article by Dr Ambreen Usmani published by the Asian Human Rights Commission

PAKISTAN: Ethical implications in mentoring medical students

ABSRACT

Introduction : Formal mentoring programs are essential for medical colleges since medical students face a busy and stressful life style. The medical curricula are very vast, making the students socially isolated. In order to cut down the stress and over burden of studies Bahria University Medical and Dental College has implemented a structured mentoring program for the students. This mentor-mentee relationship has many benefits, but along with its success there are some ethical issues which need to be recognized and identified. Conclusion : The structured mentoring program has been proved to be very successful, however it has been seen that at certain times there is violation of the close interpersonal relationship among mentor and mentee. Some mentors have shown lack of interest in mentoring due to which they do not give proper time to their mentee. Breach in confidentiality and privacy of the mentee has also been noticed. A very common issue is the paternalistic approach of the mentors towards their mentee and this attitude may pose to be harmful. Mentor is one who has strong belief in autonomy and helps in developing his or her mentees’ personality. Key words: mentor, mentee, ethical implications, interpersonal relation, confidentiality, privacy, paternalism

INTRODUCTION

When an individual voluntarily gives time to support and encourage another individual in a non judgmental, one to one manner it is known as mentoring. Although there is no definite definition of mentoring it is usually expected that a mentor is a person who is more experienced then the mentee whereas a mentee is someone who is mentored and is usually less experienced. The mentor-mentee relationship typically develops at a time of transition in the mentees’ life and lasts for a significant and sustained period of time. Mentoring is an ancient notion; the original mentor from whom this word has been derived was one who Odysseus entrusted in charge while he went for travelling, it was Athena who became the guardian the true mentor of Odysseus’s son Telemachus. Medical students encounter a busy curricula and this leaves them hardly any time to concentrate upon and groom their personality. This demanding and stressful life style of medical students makes them socially isolated, with limited faculty-learner relationship. The study course and isolation leads medical students to burnout and sometimes become depressed. In order to combat this some academic centers have implemented learning curricula in which increased interaction between students and faculty members are facilitated. These faculty members will function as faculty advisors to a certain number of students. Formal mentoring programs are still lacking in many countries especially for medical students. Many benefits of such programs are stated for example at Zurich University, mentoring program was established in which their aim was to provide career counseling, help increase in research interest which is a source of support in their personal growth. Therefore aiming at a personal mentor – mentee relationship which is an important aspect as it helps them to bring an overall academic and personal improvement within themselves. Nowadays mentoring is widely used in institutes for both undergraduate and graduate students. It is done to nurture the students’ academic and personal well being. Students of medicine have to face a lot of stress and are overburdened with work load of studying and passing exams, this burden on students result in many different consequences especially when they are unable to share their burden and tension with anyone. In order to reduce this burden in this competing world Bahria University Medical and Dental College has established a rigorous mentoring program which caters to the students’ academic and personal problems within a certain boundary. This program is formally structured and faculty has been trained via workshops to mentor students, the mentoring program has been running for 2 years. In order to evaluate the program the faculty who are mentors and students are interviewed time to time. This is done to ensure the successful running of the program. Ten mentees have been assigned to one mentor and weekly scheduled meeting between mentor and mentee are held where the mentees can personally meet their mentors and discuss different issues. This close interpersonal relationship sometimes allows mentors and mentees to unknowingly violate the set boundaries and it has been reported that many times ethical dilemmas arise due to these close relationship.

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PAKISTAN: Ethical implications in mentoring medical students

Ten mentees have been assigned to one mentor and weekly scheduled meeting between mentor and mentee are held where the mentees can personally meet their mentors and discuss different issues. This close interpersonal relationship sometimes allows



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  Principles of interpersonal attraction have Exchange principle interaction principles, principles of self-protection, from these three principles we will talk about relationships and how lonely and depressed mood.

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