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Hello. So during while you're having a nice break, uh, we're going to have some nice sessional mentoring, um, to so please carry on, uh, have some coffee, Have some snacks. Relax. And while we're doing that, Omar, who is going to cover on stage in a second? He's an anesthetic registrar here in the UK, and he's worked previously with the Ethiopian Anesthetic Development Program in Ethiopia. As the name suggests. And how is he was out there. He was heavily involved in developing a mentoring program, which is going to speak about right now. So please enjoy your coffee and, uh, enjoy listening to, um and this this excellent talk about mentoring, um, and his experience in Ethiopia. All right, so we got 100 over Doma. Hello, everyone. Hope you're enjoying your break. Um, this is going to be the most, uh, the least exciting break entertainment ever. But no song and dance, but hopefully we can get some value to it. So my name's on. What's my credential to really talk to you? I'm an anesthetic trainee. I'm currently working in London. I've been both on the receiving and and sort of delivering end of meaningful mental relationships, and I kind of wanna to think about that today. I kind of initially imagine this to be more interactive. But the fact that I'm standing on the stage, that high level kind of inhibits that. So so as it's your break, it's not gonna be too intense, quite informal. They're just gonna have a shared sort of reflection on what mentoring is, how to make it useful and what we know about it in a global health context. So I hope you all got coffee and let's begin, uh, the clicker. So So if you're not excited about Greek mythology, um so the first mentor was this beard, a chap called Mentor. Um, and he's mentoring here. Telemarketers. Who's the son of Odysseus? And some say he was Athena in disguise. So that's where we think the word mentor comes from. Some people think the word mentor comes from this other big trap as well. Um, so this is a There's a There's a myth that maybe some myth I don't know, uh, there's a myth that when the Vikings used to invade new lands, they would take prisoners and indoctrinate them into the ways of Thor And that was done by these men of Thor, which became mentor. I think personally, this is a more plausible story. However, it's just a funny word. So So I just want you to have a bit of a think. What does mentorship actually mean to you? There's obviously I'm sure we have all experienced some form of mentorship at some point in our careers or even in our personal lives. It can be in formal, formal electronic. It can be defined role. But we try and think about what makes a good mentor. And if you were to be a mentor, how would that How would you be so you can positively impact someone else's life? And I want to also introduce this concept of minty ship. There's a mentor. There's a 20 it's kind of like leadership and followership as well, but I want to emphasize that the mentor and mentally relationship is a mutual relationship. Is really is a bidirectional relationship. There's there's there's a good impact that can happen to both to both sides, going both in both directions, but your there's also a way to be a good menti to get the best out of your relationship with your mentor. I just have to think about that. Just think what that means. Um, again, this is mentally more interactive. But what? What, What? What? What that means to me for? For me, both of these roles are about listening, active listening. So to be an effective mentor and give to your menti, you have to listen to them. And it's similar to be a good minty. It's all about listening, listening towards being said, trying to understand the context in which in which each other works and how can we help each other? And this is a more formal and more succinct definition from the literature. Um, so mentorship is about your professional and psycho social development, and that's kind of like a neat way to define it all, um, professional development, Yes. And that's been seen in the fields of academia particularly, but also medicine, surgery, anesthesia, which is my background. Um, it just helps to have that friendly body looking over your shoulder to guide you. It's almost about pointing out the unknown unknown, which some of the more experience will be aware of and can slowly just tweak your roots so you don't fall into these traps. So what is the impact of the good mentoring relationship? So all of all of the above, basically so confidence reduce stress it can improve your clinical skills, particularly in academia, can improve research productivity? Um, and it can also offer important networking opportunities. Um, and what's in it for the mentors? There's a really good there's a really good paper by someone called Wendy Coats. The doctor, cause I believe about that, is literally called. What's in it for me? And this highlight some some of the important things that's in it for the mentor. So it's not just a relationship that goes one way. There's a lot in it for mentors as well, and so that's primarily, uh, satisfaction purpose. And I just want to focus on this point of perspective, I think as as as we develop from, you know, students, medical students, trainees, more senior trainees and, eventually, consultants like we have in the room, your it's quite easy to end up working in a silo, so particularly anesthesia where we're kind of stuck in one theater with as a consultant, and you never sort of rotate. You never see what other people are doing. So having so having, uh, menti can be an interesting way to have your perspective constantly challenged, and you have to be able to always provide a rationale for why you do what you do. And if you haven't got that external sort of challenge or pressure, um, you can use your way a bit, so it's really important to have to have these these sores, another advanced education. Having these relationships, uh, can can really help both parties. And I'm going to strictly keep the time because it is your break. Uh, sorry. I I got excited with the power point animations, and I hope it's not going to happen one by one. Oh, no. I am pressing the clicker. I think this is me, not the clicker. Oh, come on. Hey. Okay. Sorry about that. Um, so we we we've spoken a bit about what? The benefits of men of mentoring of with the ent and the mentor in a generic context. And lots of what we know about mentoring comes from, uh, as I said, academia research, But also other other specialties, particularly things like sports, the business world. We're having a mental is far more common than the medical world. Um, but what specifically do we know about mentoring in a global health context? In, uh um I see, uh, just a really interesting scoping review. It basically highlighted, um, these few things that are of value to attempt to mentees, um, in these environments. So, uh, side by side approach. So this was looking at the acquisition of surgical skills. Um, and having someone I know, I know there's lots of, you know, with with sort of necessity Bicoh vid, um, and then the development of various online networking and teaching opportunities. There's still there's still a role for side by side teaching, having someone physically with you in theater, um, or to show you how to acquire a technical skill there. There's still a benefit or a perceived benefit of that from our colleagues in these countries. Um, mentorship was associated with the improved quality of care, particularly looking at things things like postoperative analgesia. And that's that's that's been a fairly big topic. Um, there's a definitely need for mentorship programs to be scaled up. It's an easy thing to scale up. You can you can put people in touch with each other, um, remotely, um, and also cultural matching. So I'm going to talk a bit about the end towards the end about a program that we're currently running in Ethiopia, which some of you energy and your mentor, Um And we're going to talk about the impact and the importance of cultural matching a bit later on and then mentor training. Um, having discovered this probably the hard way. Having become a mentor, there's a lot more to it than just sitting someone down and telling them everything. You know, it really is about listening. So actually training your mentors to be meaningful, to be reflective and actually understand what what the needs of them NTR, that's really important. So some of the challenges. So we spoke about cultural barriers, and as most of you do know or we'll know once you start your journey of working in different countries, you will realize how people work in such different ways. Sometimes the words you say are interpreted completely differently by someone in a different context. Uh, and you're meaning can be lost. Uh, at best you can be not understood. At worst, you can be causing offence. Um, so again, that's what the role of listening in mentorship trying to overcome these cultural barriers? Um, there's unfamiliar resources. So, for example, um, in in, in, in, in my field of anesthesia, we don't use some of the equipment and techniques that are used more commonly in in other parts of the world. So there's a limitation to how much we can explain how useful we can be in that context. Um, there's also there's also issues about expectations. Um, it's really important that the outside to define with your mentor and all with your menti what your expectations and hopes for this relationship are. Um, it's better to keep it quite strictly defined, Um, and then just developed that from the outset. You're not bound to any definition of your relationship. Um, but it's important just to keep to keep reassessing your goals together. Um, and then less important thing is obviously the time difference. Um, that can be a problem, but that can be overcome. So what makes a good mentor? So this kind of the last slide I want to leave you guys with and I have achieved this in 15 minutes. That's good um So, like I said before, for me, mentorship really is about listening. Um, it's about at the end of the day, if you strip away, if you strip away sort of the stats and the clinical skills and, uh, the economic and political and global context in which you work. And if you strip all that away And indeed if you think about if you zoom out of mentoring and think about being a doctor in general, Um, at the end of the day, it is really about human interaction. It is really about looking at another human And, hey, how can I help? And I really find behind this quote my actually really, really helpful, and it's really something to think about so people will forget what you say. They forget what you do, but they don't forget how you make them feel. And I think we can all relate to that in some way. If we think about experiences we've had or challenges that we've had clinically, personally, professionally, it's not always been someone who has come with all the right answer like, No, you have to do like this. Do like this do like this. It's often the person who just take the time to listen. And often that's I mean, it's completely free, right? It's like a very cost effective model. Um, but it really can make all the difference. So there are my references so you can hold me to task. I'm not just talking, and it's quite difficult to cover all this. There's always so much to say, and it's quite difficult to cover this in 15 minutes. If anyone's interested, I found a really good uh, a really good review review article, further reading just about how to actually implement a mentorship program in different areas. I found this article really helpful, actually. Um, and I'm just gonna finish if I have two more minutes just by talking about our program in Ethiopia. Um, so I was working there for six months, and at the end of that at the end of that period, what we did was we tried to set up first year anesthesia trainees with trainees in other countries. So in the UK, we've got some mentors in America, some in Canada as well, and the aim is primarily postural support. So it's not about necessarily trying to explain Ethiopian anesthesia from Canada. It's about it's about that pastoral care. It's about listening about being attentive, understanding, trying to bridge this divide between us. And if nothing else, that's a good foundation to build on, uh, for all other exploits in, in, in, in, in global health and global surgery. Um, so the program is going to run for about a year, and this is how it links into the sustainability theme, which is, of course, what this conference is all about. So the first year is sort of like a pilot scheme. Um, and eventually, the plan is to hand over control of that to the Ethiopian resident so that so the mentees this year will hopefully become the mentors next year. And that cycle Keep progressing until hopefully I can stop. Um, but yeah, if you have any other questions about that, feel free to feel free to find me and yeah, that is it. So thank you for your time. Enjoy your coffee. Sorry, guys. Any questions? I don't know how to work the middle chat, but I'm just going to stand here for a question. Hello? Perfect. With the mentoring thing. Oh, fine. Okay. Um so basically started. Uh, I was working in. I was working in at a stable at the time, and I was basically noticing that the so The Ethiopian Ministry of Health is trying to really upscale the amount of physician anesthesia providers that they have, and so they sort of pump more money into med schools. But there isn't really the facility to train them post at a post graduate level. So you've kind of got ratios of trainee to consultant that are not always very helpful. And and And therefore what happened was the trainees often being left to their own devices, Which is which is in some ways it's okay to kind of learn, learn the hard way. But it's not always that nice, right? Um oh, sorry. Um, and then I Also it's primarily to fill the gap of pastoral care because if you're learning everything from your senior trainees, that's fine. But at some point, you do need you need an option of having, you know, a conversation about, well, being your mental health now just addressing some factors that you might not have thought of, and just starting some conversations that they might not have considered before. Um, so that was primarily it. And I mean, I'm realistic about the impact of any mentorship program like it's. It's all about ripple effect. If you can make one person's day or life or clear trajectory a bit better, you can then equip them to be a catalyst for change elsewhere. Um, so it's quite hard to actually, I was thinking how to measure the impact of this program, and I don't actually know if you don't get any ideas. Please do tell me, um, but I think for for for for me the program is offering people an opportunity. So some of our mentor many pairs have gone really well. I'm not going to lie to you and say that it's a standup success, like some have fizzled, and I think that's normal with any relationship. Um, so sometimes for a relationship, it's it's it's good if it progresses, and sometimes if it's not useful, you can just drop it in a nice way. Yeah, so that's how I've sort of waffled on a bit, essentially started by noticing this gap, and they're noting that it's a relatively easy way to plug. It would be using my networking capabilities and my time as the resource basically, just linking Ethiopian residents up with trainees in other parts of the world. So you've got some mental based in Scotland. Something can do some in America, but mostly in the UK Just because they're the people I knew and then people I reached out to and they actually came back to me on that, Um, so, yeah, it's It's like with anything. You notice a gap, you try and fill it. You hope it works. And yeah, it's alright. Thanks for questions. Thank you. Oh, man, if you want to learn anything more about the program or mentoring in General Foreman's around, so just go chat to him, okay?