Department of Internal Medicine 

Recordkeeping Tools & Documents

   "Mentoring Towards Promotion"

Getting Off to a Good Start with Mentoring

Documents below are optional and are not required to be turned in. The SOM Annual Assessment has a section where faculty are required to provide information regarding participation in mentoring so our aim is to provide record keeping ideas preventing the need to "reinvent the wheel."  Documents are downloadable in MS Word format and can be edited to meet your needs.  Feel free to use whichever documents serve your purpose with the least amount of hassle.  For assistance with editing any form, contact Marty McLaughlin in the SOM Office of Professional Development & Faculty Affairs (PDFA).

• Mentee/Mentor Recordkeeping Documents (MSWord 2003 documents)

Created:: 12/20/2010

• Worksheet #1 - Mentee Interests for Mentoring Assistance

• Printable
• Fill-able Form

• Worksheet #2 - Mentee Goals for Mentoring Worksheet
  • Printable Updated 11.29.2011
  • Fill-able Form Updated 11.29.2011

 

• Worksheet #3 - First Meeting Agenda
  • Printable
  • Fill-able Form

 

• Worksheet #4 - Meeting Agenda and Minutes
  • Printable
  • Fill-able Form

 

Documents below are required and are to be turned in. You will be notified when they should be completed and to whom you should give them once completed.

• Documents for the MENTEE to complete
  • Needs Assessment SURVEY
    • The purpose of this form is to provide the mentee and their mentor with a tool for setting goals and to provide an outcomes measurement system for the department.  It should be completed by new faculty when they begin their employment on the faculty. 
  • Worksheet #5 - Quarterly or Semi-Annual Mentorship Evaluation

  NOTE: in leu of Worksheet #5 and in an effort to reduce paperwork, Worksheet #5SV - Quarterly or Semi-Annual Mentorship Evaluation SHORT VERSION may be used in tandem with copies of Worksheet #4.

  • Worksheet #6 - Annual Evaluation of the Mentor - Mentee evaluates working with the Mentor

 

• Documents for the MENTOR to complete

• Skills Assessment SURVEY
  • The purpose of this form is to develop a departmental database of mentoring skills and interests among the senior faculty. It should be completed by new members of the faculty who are either new associate or full professors, or existing members of the faculty who have recently been promoted from assistant professor on any track.
• Worksheet #7 - Annual Evaluation of the Mentee – Mentor evaluates working with the Mentee

Staying On Target

Typically one key component of a mentoring program is to help junior faculty members develope and articulate a 3-5 year career plan and specific on-year objectives that can be reviewed with the mentor on a regular basis. The Annual Faculty Assessment looks back at the accomplishments of the last year; celebrates the successes and identifies areas in need of improvement and perhaps suggests change. 

Individual Development Plans

The individual development plan is entirely optional but will help a faculty member focus time, energy and resources towards achieving realistic academic career goals; both personal goals and goals by the department or division for the faculty members career. These should be matched with appropriate time allocations, a mentoring team and defined outcomes. Mentees should use this document  during discussions with their formal mentor or even their Department Division Director and revise together as appropriate. To be effective it should be prepared annually and reviewed as a measurement of  career growth in preparation for completing the Annual Faculty Assessment, and, maintained by the faculty mentee.  At his or her discretion they may share a copy with their Department Division Director and/or Department Chair.  Four examples of plans are listed below:

• KU SOM Individual Development Plan (IDP) (9 pages)
• UC Davis SOM Individual Development Plan (IDP) (5 pages)
• Medicine University of Toronto (3 pages)
• NYU Department of Medicine (2 pages)

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