Informed Consent Form
Study Title: The Effect of a Formalized Mentoring Program on Perception of Mentoring
Behaviors, Professional and Scholarly Activities, and Faculty Satisfaction
with Professional Development
You are being asked to participate in a research study that is being conducted by Dr. Carol A. Terregino at the Rutgers University. This is a study that is related to the Formal Mentoring Program that is being implemented at Robert Wood Johnson Medical School.
Purpose of the study:
The purpose of this study is to determine your perceptions about mentoring behaviors, professional and scholarly activities, and satisfaction with your professional development and your position at the school. You will be one of approximately 440 subjects who are full time faculty at Robert Wood Johnson Medical School and are at the instructor, assistant professor or associate professor rank.
What will be done?
You will complete a survey, which will take 10-15 minutes to complete. The survey includes questions about your current academic track, your understanding of promotion guidelines, professional achievement in your track, scholarly productivity and your satisfaction with your current position at the school. You will then be asked if you have a formal or informal mentor. If you have a formal or informal mentor you will then complete a series of questions on observed mentoring behaviors. After you complete this baseline survey, we will examine the findings of all of the subjects.
This academic year, as a standard program for all faculty below the rank of full professor, a formal mentoring program will be implemented. You will be required to identify a mentor, to sign a mentor-mentee agreement, develop an individual development plan with long term and short-term goals and review these goals with your mentor. The mentoring program is required by the school. This survey will evaluate its effectiveness.
The survey is anonymous, however in order to track the results for each individual participant, you will be asked to create a unique five-digit identifier (we suggest the last four digits of your phone number and your middle initial) so that we can link your surveys together. The survey will be distributed again for the next four academic years. The first follow-up survey will occur in AY 2019-2020, when all faculty have been in the mentoring program for at least one year. We are interested in seeing the effect of formal mentoring on your professional achievements, your satisfaction with your professional development and your place at the school and, your experience with mentoring behaviors.
We expect the study to last about five years. Participation in this study is voluntary. The only alternative to this study is not to participate.
Risks or discomforts:
Minimal risks are anticipated from taking part in this study. If you feel uncomfortable with a question, you can skip that question or withdraw from the study altogether. If you decide to quit at any time before you have finished the questionnaire, your answers will NOT be recorded.
Benefits of this study:
There is no direct benefit to you for participating in this study. You will be contributing to knowledge about the effect of the implementation of formal mentoring on faculty satisfaction. You may benefit from the reflective activity prompted by the survey items.
Compensation:
You will not be compensated for your participation in this study.
Confidentiality:
Your responses will be kept completely confidential. We will NOT know your IP address when you respond to the Internet survey. We will ask you to include a personal identifier created by and known only to youwhen you complete the Internet survey. We will not collect your name or IP address and only your personal identifier created by you will be stored with data from your surveys.
The researchers will not see your individual survey responses and the results. All information you provide will be treated confidentially. Qualtrics will be used to distribute the survey. Once data collection is complete there will be no link between the survey data and identity. The principal investigator has put in place adequate protections for your privacy in that all information provided will be kept confidential by using only your personally-created identifier to link your survey data together.
Withdrawal:
Your participation is voluntary; you are free to withdraw your participation from this study at any time. If you do not want to continue, you can simply leave this website. If you do not click on the "submit" button at the end of the survey, your answers and participation will not be recorded. You also may choose to skip any questions that you do not wish to answer.
How the findings will be used:
The results of the study will be used for to determine the effectiveness of the mentoring program for RWJMS faculty. The results from the study will be presented in to the faculty and professional meetings, and the results may be published in a journal in the future.
Contact information:
If you have concerns or questions about this research study, please contact the PI Carol A. Terregino, MD at 732-235-4906
If you have questions about your rights as a research subject, please contact the IRB Director at (732)-235-9806 New Brunswick/Piscataway.
By beginning the survey, you acknowledge that you have read this information and agree to participate in this research, with the knowledge that you are free to withdraw your participation at any time without penalty.