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European Journal of Applied Sciences – Vol.10, No.5

Publication Date: October 25, 2022

DOI:10.14738/aivp.105.13364. Al-Khathami, A. D. (2022). Effective Facilitated Peer Mentoring Model: From the Mentors' Perspective. European Journal of

Applied Sciences, 10(5). 600-609.

Services for Science and Education – United Kingdom

Effective Facilitated Peer Mentoring Model: From the Mentors'

Perspective

Abdullah Dukhail Al-Khathami

MBBS, ABFM, FFCM, MSc Med Edu (Cardiff-UK)

Diploma/MSc PMHC (Lisbon-Portugal), DTQM

Consultant Family and Community Medicine

Leader of Initiative Primary Mental Health Program-MOH

Supervisor of Primary Mental Health Program in Eastern Province-MOH

Former Director of Saudi Postgraduate Family Medicine

Program in Eastern Province-MOH

Senior Trainer of Training of the trainers (TOT) Courses

CBAHI Surveyor-PHC - Saudi Arabia

Vice-chair Wonca Working Party Group on Mental Health

Al-Khobar city, Saudi Arabia

ABSTRACT

Purpose: This study aimed to formulate a framework for a facilitated peer

mentoring (FPM) program from the mentors' perception; define the

characteristics and roles of the facilitator and his/her mentors, successful FPM

relationship, FPM program contents, and strategies for implementation.

Methods: The population of the study comprised 19 junior family medicine

trainers, who have experience as mentors, and were involved in a focus group

study to formulate an FPM program structure. The author conducted this study in

the postgraduate family medicine program in the Eastern Province-Ministry of

Health, Saudi Arabia, 2016. Spearman-test tested the coefficient correlation

between the characteristics and roles of the facilitator and mentors; a p-value of

0.05 was a significant finding. Results: All participants concluded the answers to

the discussion questions in four components: Effective facilitator characteristics

and his/her roles; mentors’ characteristics and their roles. There is a positive

correlation between these characteristics and roles (p-value= 0.018); successful

mentoring relationship factors, contents of the formal FPM program; and a

proposed applicable implementation plan. Conclusions: This research plays a role

in exploring the FPM program contents and roles in a comprehensive way from the

mentors' point of view. It fills the gap in the literature about the FPM program

structure in the academic institutes.

Key words: facilitator, mentoring, mentor, training program, Saudi Arabia

INTRODUCTION

Mentoring is recognized as a cornerstone of successful careers in academic programs.

1,2

Several studies have confirmed that mentorship has a central role in any effective professional

development program.3-6 Junior faculty members struggle to achieve successful careers

and face many challenges. They are expected to mentor without structure or training and

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Al-Khathami, A. D. (2022). Effective Facilitated Peer Mentoring Model: From the Mentors' Perspective. European Journal of Applied Sciences,

10(5). 600-609.

URL: http://dx.doi.org/10.14738/aivp.105.13364

often perform their work without well-structured support or guidance.7 Adding to that, there

is a lack of mentoring on obstacles to career progress.

8

The existence of an effective mentoring program is necessary for professional development .

9

Mentoring assists faculty members in their academic development and transition to new roles

and responsibilities.

10 Despite that, even in countries with extensive induction programs,

which mentoring is a part of, the role of mentors is not clear, and mentors are not formally

educated.

11 Recent research found that most faculty members are expected to mentor without

structure or training.

2 Even though there is an existence of a gap in the literature on effective

mentoring training programs.

7

Facilitating peer mentoring (FPM) model offers a new approach to professional development

that addresses the limitations of the traditional approaches in satisfying cost-effectiveness.

9 It

was proved to be an ability to enhance academic activities, increase published papers, and

promotion in academic rank, skills acquisition, and enthusiasm.

12,13 However, there is a lack of

information in the literature about the FPM model, especially its components. Thus, such

a type of collaborative peer and co-mentoring shows a satisfying and rewarding career

experience for both mentors and their mentees.10,14 However, applying the FPM program can

create “Horizontal mentorship,” as cited by DeCastro et al. (2013)15, help received from peers

and colleagues based on interactions with mutual support, sharing, learning, and

collaboration.

Few designed programs were published defining the contents of the FPM program. The Files

et al. program contained only Skills application of research medical literature.12 Where, the

Fleming et al. program included: the domains of professional development, knowledge, skills,

attitude; scholarship; ability to write career goals; and ability to align activities with the

aims.13 In addition to that, to our knowledge, there is no design for the facilitator and the

mentors in the FPM programs.

According to the O'Sullivan and Irby expanded model focused on two communities of practice:

professional development organizations - i.e., the participants, program, content, facilitator,

and context. The second community is the workplace community, i.e. work environment,

organization, teaching tasks and activities, and mentoring program. They emphasized that

participants should be engaged in their action research, initiating their plan–do–study–act

cycles, which could lead to the outcomes advocated by them.

16

In this study, we apply the concept of what was cited by O'Sullivan and Irby in their expanded

model, "understanding faculty development program processes is as important as

determining changes in participant actions that lead to changes in their learners' performance

and ultimately in changes to patient care".

16 Here, the proposed program members involved

from the beginning in the program designing, facilitator, mentors, and mentoring program as

the items of the FPM model. Hopefully, this action will have a positive impact on the program

evaluation in further study.

Moreover, the expanded model stresses the underexplored role of the facilitator, where the

facilitator is not well-studied in professional development. Who serves in this facilitator

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role?.16 This part will be elaborated in this study, where the other questions related to the

facilitators include, "How could this role be implemented and succeed?"

Hopefully, this study will provide a framework of the FPM model components for the

professional development of academic medical educators for the purpose of maintaining their

career progression.

Aim

This study seeks to define a framework for an effective facilitated peer mentoring (FPM)

program from the mentors' perspective.

Objective

The objective is to identify the following items from the view of junior family medicine

trainers on an effective FPM program:

• The characteristics and roles of an effective facilitator in such a model

• The characteristics and roles of the mentors in this model

• The characteristics of a successful FPM relationship

• The FPM program contents

• Suggested plan and strategies to implement an FPM model

METHOD

The study used the focus group method to describe an FPM program structure from the

mentors' perception.

Study setting

This study was conducted in postgraduate family medicine programs in the Eastern Province- MOH of Saudi Arabia in March 2016.

Participants

Of all the program trainers involved in the study, a total of nineteen junior family medicine

trainers were invited to participate in this study. The participants were distributed into three

groups, each group consisting of 6, 6, and 7 members, respectively. They were asked to

formulate a framework of a proposed FPM program as a result of a discussion and to

recommend answers to the following questions:

• Identify several personal characteristics of an effective facilitator in the FPM

program.

• In your opinion, what roles should the facilitator(s) play in the FPM program?

• What do you think the characteristics or features of mentors in the FPM program

should be? Identify the personal characteristics of effective mentors.

• In your opinion, what are the roles that the mentor(s) should played in the

facilitator peer mentoring program?

• What do you perceive as the characteristics of a successful mentoring relationship:

Identify key features of a successful mentoring relationship in an FPM program.

• May you identify any relevant content on an FPM program?

• May you provide examples of a program plan for this type of mentoring program?

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Al-Khathami, A. D. (2022). Effective Facilitated Peer Mentoring Model: From the Mentors' Perspective. European Journal of Applied Sciences,

10(5). 600-609.

URL: http://dx.doi.org/10.14738/aivp.105.13364

The discussion ran in 2 sessions each session took 2 hour duration in relaxed, interactive, not

a question-answer format environment. Initially, the author explained the discussion purpose

and clarified the discussion items. Then, the author sat back and observed but at some points

intervened to direct and guide the discussion process.

DATA COLLECTION AND ANALYSIS

The author transcribed all of the focus group consensus and rearranged them to have answers

together for each discussed item. For each question, the author listed the main ideas initially

especially, when the ideas occur repeated or alike meaning in purpose of identifying themes.

Identify quotations that illustrate each theme using a constant comparative meaning, and

developed codes from themes. Then, grouped the codes into categories, and axial coding to

look at the interrelationship of categories. The common mentioned points from most of the

participants were invested on.

Coefficient correlation between characteristics and roles of the facilitator and mentors was

tested by Spearman test; a p-value of 0.05 was considered as a significant finding.

Ethics issue: the approval from the research ethics committee at the research committee in

the Eastern Province-SA. Also, each participant signed an informed consent.

RESULTS

All participant (19) agreed to be involved in the focus group discussions. All of the

participants have experience as mentors but had not been mentees.

There concluded agreed answers for the discussion questions were as following:

Q1. Effective facilitator characteristics

The facilitators should own a healthy, motivated self-steam with good experience mentoring

others. They preferably have a less workload than others to have more time for facilitating

tasks and, if possible, to have a great chance to stay as long as possible, conducting the

facilitator work till they achieve the proposed goals. The characteristics of the effective

facilitator are illustrated in table 1.

Q2. Effective facilitator roles

Most commonly, the participants mentioned that facilitators should be supporters:

A "facilitator should have a responsibility of development and work on mentors' promotion."

Besides "the facilitator should guide and facilitate toward a high level of effective and efficient

competencies." The participants also stated that "facilitators should be able to contribute

effectively to solving problems as expert communicators."

Q3. Mentor characteristics

Mentors should be models for their students, honest, with a positive attitude, fair, cooperative,

and supportive. They should be available as needed, have good communication skills, and

be able to inspire others. Participants also stated that "mentors should be self-confident,

creative, and respectable and have effective facilitation skills"; "mentors must have excellent

listening skills and maintain confidentiality." The participants outlined the characteristics of

an effective mentor as listed in Table 2.

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Q4. Mentor roles

Most of the participants admit that "the mentors should be able to work on their and their

mentees' personal and professional development." They also mentioned that "mentors have

the opportunity to mentor other employees and contribute to their organization's growth and

development."

Mentors should be prepared to help their mentees through difficult situations, develop a

relationship of trust, and guide members to set and reach their goals. Besides, mentors should

be able to explore their mentees' educational background, experience, strengths, weaknesses,

and help them to establish short- and long-term goals. At the same time, "mentors should be

able to stimulate and encourage mentees to achieve effective interaction, creation of new

ideas, and sharing of thoughts and ideas in a safe environment."

The majority of the participants agreed that mentors should be able to support and guide

mentees through a flexible educational plan. Mentors have a valuable role in assessing the

mentees' achievement level, identifying their learning gaps, and selecting the most efficient

ways and processes to fill those gaps. Mentors should utilize efficient teaching

methods according to a variety of situations. Finally, some participants stated that mentors

should improve the programs through fruitful cooperation.

There is a positive correlation between these characteristics and roles of facilitators and

mentors, the correlation coefficient is .33 with P value = .02 as a statistically significant.

Q5. Successful mentoring relationship

All the participants agreed that a mentoring relationship should be based on a mutually

beneficial learning experience, in which the mentors share their personal knowledge and

experiences and promote self-discovery. This type of relationship implies support, guidance,

collaboration, and a lack of criticism. Mentors should be available when needed, accept and

listen to others' opinions, and focus on teamwork. Such relationship promotes and supports

moral and intellectual development through highly effective communication, cooperation, and

respect. From this description, the participants concluded that a successful mentoring

relationship is the cornerstone of the mentoring process, which can bring about a high level of

satisfaction for both mentors and mentees. As some participants described it, "this effective

relationship is the one can help to cope with the work challenges and difficulties."

Such a relationship should be based on trust and mutual benefit. It is important for the mentor

and mentee to become acquainted with each other. Also, an existing of short and long-term

goals strengthen the bonds of cooperation and solidify the progression. Mentors and mentees

should be trained on the basic knowledge and skills of mutual teamwork and agree together

upon the defined educational goals. The participants emphasize providing constructive

feedback after each mentoring activity for the purpose of deeper learning. Also, mentees

should have the opportunity to be reflective on their actions and achievements on a regular

basis. Finally, the relationship should be facilitated by network access to support the career

and services development.

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Al-Khathami, A. D. (2022). Effective Facilitated Peer Mentoring Model: From the Mentors' Perspective. European Journal of Applied Sciences,

10(5). 600-609.

URL: http://dx.doi.org/10.14738/aivp.105.13364

Q6. Contents of a formal facilitator peer mentoring program

The participant is encouraged to contribute to formulating the content of the "facilitated peer

mentoring program;" therefore, most of participants identify the learning styles for utilizing

them in the program. The concluded topics were "how to build clinical competencies among

mentees" followed by "how to conduct research and publish it in a peer-reviewed journal."

Also, "how to do a peer review effectively," "how to have good time management," "how to

design a development plan with clear vision, goals, and well-distributed responsibilities", and

lastly, "how to set learning steps for achieving the plan goals?

Q7. Suggested program plan for a "facilitator peer mentoring program"

The participants stated eight points should be considered in the FPM program’ plan:

• Clarify and establish what goals you will be working on during the program.

• Create learning strategies and action plan items to be achieved through each meeting

that support the desired outcomes.

• Allow space for questions, and ensure understanding.

• Review the action plan items, and evaluate what worked and what didn't, and why.

• The facilitator should provide positive, constructive feedback on a regular basis.

• Explore the mentors' reflection after each meeting.

• Discuss the opportunities for improvement.

• Establish and maintain a safe environment.

DISCUSSION

This study describes the FPM program four components: facilitator and mentors

(characteristics and roles), facilitator-mentors' relationship, and mentoring program. For

establishing such program, these components should be considered initially. It is a mentoring

program for junior faculty, which was proven its effectiveness in improving the knowledge,

skills, and attitudes necessary to promote early career advancement and peer networking.

13

First component: there is a lack in describing the facilitator's characteristics and roles.

The facilitator, as shown in our findings, should have a healthy motivated self-steam with

good experience in mentoring others. Facilitators preferably to have less of a workload to

have more time for the facilitating tasks. They should be flexible, friendly, supportive, good

communicators, and able to promote mentors. The facilitator should utilize not the effective

method only but the efficient one, as mentors asked for methods demanding less effort with

less time and cost. Mentors were also looking for a facilitator who could share with them

ways of solving their problems with an appropriate approach. The facilitator acts as a

role model for mentors in their performance. These descriptions are not completely different

from the characteristics of mentors as mentioned in other studies.17,18

Second component: The mentors’ group, who will be guided and supported by a facilitator in

the FPM program. Those mentors should also have desirable characteristics and roles.

Although a few studies have explored this subject, there are no clear identities, and mentors

are not formally educated for their roles.

11 Participants in this study explained that effective

mentors are communicators who willingly share knowledge and resources to enhance

teaching and learning. They should be a model for their mentees, honest, cooperative, and

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supportive. The mentor is the person who guides another to attain success. It is important

that the mentor is a role model for a desired outcome as cited by Young and Wright in

conclusion.

18

This study also demonstrates that mentors should be punctual as needed, have good

communication skills, and be inspiring. These characteristics and roles are in accordance with

Rowley's conclusions that a good mentor should accept the mentee, be skilled in providing

support and effective in interpersonal contexts, communicate hope and optimism, and be a

model of continuous learning.17

Our findings are comparable to the Young and Wright findings, who states that the mentor

understands his or her role, meets the mentees' needs, and is knowledgeable, respected,

a good listener, and a problem-solver.18 Thus, some factors as recommended by DeCastro et

al. should be considered such as similar interests, skill sets, personality, common background,

and style when searching for potential mentor, who will be the facilitator in the FPM

program.15

Here, there is a significant correlation between the characteristics needed and the roles

proposed for both facilitator and mentors. That means that one needs to be careful when

selecting the facilitator and mentors for a peer mentoring program.

Third component: The facilitator-mentor relationship, as cited by Young and Wright, good

mentoring relationship is required for the success of the guiding, nurturing, and caring

actions.18 Mentorship was evidenced as important for early career development and results in

improved job satisfaction and retention.

14 It is a type of integrated approach of advising,

coaching, and nurturing to enhance individual career/personal/professional growth and

development.

19

Therefore, considering the characteristics of mentoring relationships is importance for its

effect on the outcomes.

20,21 Our findings agree with other findings that a relationship should

reflect satisfaction, confidence, empowerment, and working as a team.

5,22 Therefore, the

desirable facilitator/mentors relationship should be based on a safe, respected, keen, family

environment.

Fourth component: The facilitator peer mentoring program contents, as concluded by Straus

et al. there is a gap in the literature on effective mentoring training programs.7 Not only that,

but most academic faculty members are expected to mentor without structure or training.

2

Therefore, this study could help in this moment of a shortage of references by drawing a

framework of such a program. Topics, such as the clinical competencies needed in a training

program, how to conduct research, how to do peer review effectively, time management,

development of a learning plan, and how to achieve the plan goals all look to be desirable

contents. Geoffrey et al. proved that, FPM program can enhance the ability to write career

goals and to align activities with those goals, and number of and amount of time spent

pursuing activities related to those goals.23 In same time, this program able to have a positive

impact on the academic skills and manuscript writing for junior faculty.

24

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Al-Khathami, A. D. (2022). Effective Facilitated Peer Mentoring Model: From the Mentors' Perspective. European Journal of Applied Sciences,

10(5). 600-609.

URL: http://dx.doi.org/10.14738/aivp.105.13364

Constructive feedback is also requested. Here, research guidance for the mentors is necessary,

as mentioned in other faculty development programs.24-26 Hence, a written agreement and

evaluation are essential to set the required content, and using locally-developed surveys is

important for program improvement and encouraging accountability.

14

Fifth component: To design a learning plan, the facilitator and mentors should agree on the

topics, its goals, learning strategies, and action plan for each meeting. Consequently, the

desired outcomes will be achieved. The facilitator should be supportive, ensure

understanding, and assess the action plan

to be aware of the methods that work and those that don't. Also, facilitators should provide

positive constructive feedback and explore the mentors' reflections on a regular basis

so that they find opportunities for improvement.

CONCLUSIONS

This research is important in exploring the FPM program contents and roles in a

comprehensive way from the mentors' point of view. It fills the gap in the literature about

recommended types of mentoring, FPM programs, and training programs.

ACKNOWLEDGEMENT

The Author would like to thank all those who contributed in this study, the trainers in the

Saudi postgraduate family medicine program in the Eastern Province-MOH. Also, great thanks

goes to Dr. Hassan Tawkol for his assistant in the biostatic analysis.

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Al-Khathami, A. D. (2022). Effective Facilitated Peer Mentoring Model: From the Mentors' Perspective. European Journal of Applied Sciences,

10(5). 600-609.

URL: http://dx.doi.org/10.14738/aivp.105.13364

Table (1): Characteristics of an Effective Facilitator in a Facilitator Peer Mentoring Program,

Saudi Postgraduate Family Medicine Program in the Eastern Province-MOHa, 2016

• Fair, flexible, and proactive

• A good time manager

• Welling to teach and guide

• Has good experience as advisor

• Provides opportunities for learning

• Able to provide good supervision

• Excellent communicator with mentors

• Friendly, supportive, and cooperative

• Has excellent national and international experience

• Knowledgeable and skillful to carry out the effective leader roles

• Knowledgeable and skillful to carry out the effective facilitator roles

• Knowledgeable and skillful to evaluate and help others for development a MOH=Ministry of Health

Table (2): Characteristics of Mentors in a Facilitator Peer Mentors program, Saudi Postgraduate

Family Medicine Program in the Eastern Province-MOHa, 2016

Personal

• Role model

• Wise and giver

• Positive attitude, fair

• Available as needed

• Honest, mature, helpful

• Humble, patient, grateful

• Self-motivated and confident

• Psychologically and

socially healthy

Skills

• Leadership

• Reflective

• Respectable

• Professional

• Self-delighted

• Ask for feedback

• Inspiring, creative

• Time management

• Stress management

• Competent facilitator

• Effective communicator

• Cooperative, supportive

Knowledge

• Ethics

• Clinical practice

• Rules and

Regulations

a MOH=Ministry of Health