Mentorship in endocrinology training: a cross-sectional study of the United States and EuropeResearch in context

Summary: Background: Mentorship is crucial for developing both scientific and professional competencies in medical training, yet its role in endocrinology training remains underexplored. We aimed to assess the prevalence of mentorship in endocrinology trainees, analyse demographic and training prog...

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Main Authors: David Toro-Tobon, Heather Billings, Anina F. Peersen, Elizabeth J. Atkinson, Antoan S. Sojat, Ljiljana V. Marina, Irina Bancos
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:EClinicalMedicine
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Online Access:http://www.sciencedirect.com/science/article/pii/S2589537025003098
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author David Toro-Tobon
Heather Billings
Anina F. Peersen
Elizabeth J. Atkinson
Antoan S. Sojat
Ljiljana V. Marina
Irina Bancos
author_facet David Toro-Tobon
Heather Billings
Anina F. Peersen
Elizabeth J. Atkinson
Antoan S. Sojat
Ljiljana V. Marina
Irina Bancos
author_sort David Toro-Tobon
collection DOAJ
description Summary: Background: Mentorship is crucial for developing both scientific and professional competencies in medical training, yet its role in endocrinology training remains underexplored. We aimed to assess the prevalence of mentorship in endocrinology trainees, analyse demographic and training programme factors, and evaluate the impact of mentor characteristics on trainee outcomes. Methods: We conducted a cross-sectional study of endocrinology trainees in the United States and Europe (23 countries) between June 2023 to January 2024. Participants were recruited via professional societies, email lists, and social media. Those who had completed more than 7 years of training post-medical school or had missing data on duration of training were excluded. A structured online questionnaire was developed using validated mentorship competency tools and adapted for regional nuances to collect data on demographics, mentorship experiences, academic productivity, and well-being. The primary outcome assessed the prevalence of mentorship; secondary outcomes evaluated the associations between mentor characteristics and self-reported academic productivity, satisfaction within the mentorship relationship, and levels of burnout and stress. Univariable and multivariable logistic regression analyses were conducted. Findings: Between June 10, 2023, and January 1, 2024, 250 respondents (154 from the U.S. and 96 from Europe; 70.0% women, 64.4% White), 75.8% reported having a mentor. Significant regional differences emerged: U.S. trainees predominantly self-selected their mentors (69.7% vs. 23.1% in Europe) and reported less frequent interactions (monthly or less vs. more than weekly in Europe). Univariable analyses revealed that attributes such as active listening, inspirational guidance, and personalised career support were strongly linked to enhanced academic productivity, higher training satisfaction, and reduced burnout. In multivariable models, inspirational guidance was a significant predictor of academic productivity among U.S. trainees (94.4% vs. 35.3%, OR: 54.72, 95% CI: 4.7–2255.9), while in Europe, mentors facilitating strategic goal-meeting was associated with decreased burnout (77.8% vs. 40.0%, OR: 5.49, 95% CI: 1.1–33.7) and inspirational guidance with markedly improved mentorship satisfaction (90.7% vs. 28.6%, OR: 51.86, 95% CI: 2.2–1177.2). Interpretation: Though the design precludes causal inference, these findings underscore the universal benefits of mentorship in endocrinology training and highlight that targeted mentor competencies are key drivers of trainee success. Tailoring mentorship frameworks to regional training contexts may optimise academic productivity, training satisfaction, and overall well-being. Future longitudinal and qualitative studies are needed to clarify causal pathways and evaluate the effectiveness of tailored mentorship interventions. Funding: The National Center for Advancing Translational Sciences (NCATS).
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spelling doaj-art-7919aa1b2f7b4d80a812414ac7b049ae2025-08-20T03:55:53ZengElsevierEClinicalMedicine2589-53702025-08-018610337710.1016/j.eclinm.2025.103377Mentorship in endocrinology training: a cross-sectional study of the United States and EuropeResearch in contextDavid Toro-Tobon0Heather Billings1Anina F. Peersen2Elizabeth J. Atkinson3Antoan S. Sojat4Ljiljana V. Marina5Irina Bancos6Division of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, 200 First Street SW, Rochester, MN 55902, USADepartment of Education Administration, Mayo Clinic, Rochester, MN, USADivision of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN, USADivision of Clinical Trials and Biostatistics, Mayo Clinic, Rochester, MN, USAClinic of Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, Belgrade, SerbiaClinic of Endocrinology, Diabetes and Metabolic Diseases, University Clinical Centre of Serbia, Belgrade, Serbia; Faculty of Medicine, University of Belgrade, Belgrade, SerbiaDivision of Endocrinology, Diabetes, Metabolism and Nutrition, Mayo Clinic, 200 First Street SW, Rochester, MN 55902, USA; Corresponding author. Division of Endocrinology, Diabetes, Nutrition and Metabolism, Mayo Clinic, 200 First Street SW, Rochester, MN 55902, USA.Summary: Background: Mentorship is crucial for developing both scientific and professional competencies in medical training, yet its role in endocrinology training remains underexplored. We aimed to assess the prevalence of mentorship in endocrinology trainees, analyse demographic and training programme factors, and evaluate the impact of mentor characteristics on trainee outcomes. Methods: We conducted a cross-sectional study of endocrinology trainees in the United States and Europe (23 countries) between June 2023 to January 2024. Participants were recruited via professional societies, email lists, and social media. Those who had completed more than 7 years of training post-medical school or had missing data on duration of training were excluded. A structured online questionnaire was developed using validated mentorship competency tools and adapted for regional nuances to collect data on demographics, mentorship experiences, academic productivity, and well-being. The primary outcome assessed the prevalence of mentorship; secondary outcomes evaluated the associations between mentor characteristics and self-reported academic productivity, satisfaction within the mentorship relationship, and levels of burnout and stress. Univariable and multivariable logistic regression analyses were conducted. Findings: Between June 10, 2023, and January 1, 2024, 250 respondents (154 from the U.S. and 96 from Europe; 70.0% women, 64.4% White), 75.8% reported having a mentor. Significant regional differences emerged: U.S. trainees predominantly self-selected their mentors (69.7% vs. 23.1% in Europe) and reported less frequent interactions (monthly or less vs. more than weekly in Europe). Univariable analyses revealed that attributes such as active listening, inspirational guidance, and personalised career support were strongly linked to enhanced academic productivity, higher training satisfaction, and reduced burnout. In multivariable models, inspirational guidance was a significant predictor of academic productivity among U.S. trainees (94.4% vs. 35.3%, OR: 54.72, 95% CI: 4.7–2255.9), while in Europe, mentors facilitating strategic goal-meeting was associated with decreased burnout (77.8% vs. 40.0%, OR: 5.49, 95% CI: 1.1–33.7) and inspirational guidance with markedly improved mentorship satisfaction (90.7% vs. 28.6%, OR: 51.86, 95% CI: 2.2–1177.2). Interpretation: Though the design precludes causal inference, these findings underscore the universal benefits of mentorship in endocrinology training and highlight that targeted mentor competencies are key drivers of trainee success. Tailoring mentorship frameworks to regional training contexts may optimise academic productivity, training satisfaction, and overall well-being. Future longitudinal and qualitative studies are needed to clarify causal pathways and evaluate the effectiveness of tailored mentorship interventions. Funding: The National Center for Advancing Translational Sciences (NCATS).http://www.sciencedirect.com/science/article/pii/S2589537025003098MentorshipEndocrinologyMedical educationBurnoutProfessional developmentRegional differences
spellingShingle David Toro-Tobon
Heather Billings
Anina F. Peersen
Elizabeth J. Atkinson
Antoan S. Sojat
Ljiljana V. Marina
Irina Bancos
Mentorship in endocrinology training: a cross-sectional study of the United States and EuropeResearch in context
EClinicalMedicine
Mentorship
Endocrinology
Medical education
Burnout
Professional development
Regional differences
title Mentorship in endocrinology training: a cross-sectional study of the United States and EuropeResearch in context
title_full Mentorship in endocrinology training: a cross-sectional study of the United States and EuropeResearch in context
title_fullStr Mentorship in endocrinology training: a cross-sectional study of the United States and EuropeResearch in context
title_full_unstemmed Mentorship in endocrinology training: a cross-sectional study of the United States and EuropeResearch in context
title_short Mentorship in endocrinology training: a cross-sectional study of the United States and EuropeResearch in context
title_sort mentorship in endocrinology training a cross sectional study of the united states and europeresearch in context
topic Mentorship
Endocrinology
Medical education
Burnout
Professional development
Regional differences
url http://www.sciencedirect.com/science/article/pii/S2589537025003098
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