We should nudge clinicians and trainees to participate in health professions education programmes.

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Title: We should nudge clinicians and trainees to participate in health professions education programmes.
Authors: Harper, Lea1 (AUTHOR), Coderre, Sylvain2 (AUTHOR), Lithgow, Kirstie3 (AUTHOR), Kelly‐Turner, Kenna4 (AUTHOR), Davis, Melinda1 (AUTHOR), McLaughlin, Kevin2 (AUTHOR) kmclaugh@ucalgary.ca
Source: Medical Education. Dec2025, Vol. 59 Issue 12, p1333-1340. 8p.
Subject Terms: *Medical education, *Education theory, *Vocational guidance, Medical protocols, Satisfaction, Evaluation of human services programs, Mentoring, Hospital medical staff, Patient participation
Abstract: Health Professional Education (HPE) programmes, such as mentorship, are widely regarded as being advantageous to the personal and professional development of clinicians and trainees. Involvement in a mentoring relationship is associated with positive outcomes for both mentees and mentors, including improved career preparation, increased career success, higher job satisfaction and reduced risk of burnout. Despite these data, a minority of trainees report having a mentor. In this Cross‐Cutting Edge article, the authors focus on an impediment to participation in HPE programmes that they feel are both highly prevalent and modifiable: habit. Taking the example of mentorship, they use dual processing as their theoretical framework and describe how we use both System 1 and System 2 processing to make decisions that, in turn, promote habitual and goal‐directed actions, respectively. The authors discuss the relationship between habitual and goal‐directed actions and suggest that habits can both facilitate and hinder our goals. Drawing on the clinical literature on adherence to clinical practice guidelines, they describe how habits and contextual factors can interfere with clinical goals and how manipulating the clinical environment can move behaviour in the desired direction. They then branch into behavioural economics to describe the features of a nudge (and a sludge) and review the literature on the effectiveness of this type of intervention – including potential ethical concerns around the use of nudges as behavioural interventions. Using the MINDSPACE mnemonic/framework they suggest different types of transparent and non‐transparent nudges that could be used to increase participation in mentorship. Recognizing that mentorship is complex and the impact of a single nudge on behaviour may be ineffective or wane over time, the authors propose a process of ongoing programme evaluation and quality improvement that could help create and maintain a culture of mentorship and that can also be applied to other HPE programmes. Drawing on behaviour al economics, Harper et al. suggest ways in which we might turn mentoring into a habit to increase the rate at which trainees receive the suport they need. [ABSTRACT FROM AUTHOR]
Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: We should nudge clinicians and trainees to participate in health professions education programmes.
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  Data: <searchLink fieldCode="AR" term="%22Harper%2C+Lea%22">Harper, Lea</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Coderre%2C+Sylvain%22">Coderre, Sylvain</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lithgow%2C+Kirstie%22">Lithgow, Kirstie</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kelly‐Turner%2C+Kenna%22">Kelly‐Turner, Kenna</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Davis%2C+Melinda%22">Davis, Melinda</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McLaughlin%2C+Kevin%22">McLaughlin, Kevin</searchLink><relatesTo>2</relatesTo> (AUTHOR)<i> kmclaugh@ucalgary.ca</i>
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  Data: <searchLink fieldCode="JN" term="%22Medical+Education%22">Medical Education</searchLink>. Dec2025, Vol. 59 Issue 12, p1333-1340. 8p.
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  Data: Health Professional Education (HPE) programmes, such as mentorship, are widely regarded as being advantageous to the personal and professional development of clinicians and trainees. Involvement in a mentoring relationship is associated with positive outcomes for both mentees and mentors, including improved career preparation, increased career success, higher job satisfaction and reduced risk of burnout. Despite these data, a minority of trainees report having a mentor. In this Cross‐Cutting Edge article, the authors focus on an impediment to participation in HPE programmes that they feel are both highly prevalent and modifiable: habit. Taking the example of mentorship, they use dual processing as their theoretical framework and describe how we use both System 1 and System 2 processing to make decisions that, in turn, promote habitual and goal‐directed actions, respectively. The authors discuss the relationship between habitual and goal‐directed actions and suggest that habits can both facilitate and hinder our goals. Drawing on the clinical literature on adherence to clinical practice guidelines, they describe how habits and contextual factors can interfere with clinical goals and how manipulating the clinical environment can move behaviour in the desired direction. They then branch into behavioural economics to describe the features of a nudge (and a sludge) and review the literature on the effectiveness of this type of intervention – including potential ethical concerns around the use of nudges as behavioural interventions. Using the MINDSPACE mnemonic/framework they suggest different types of transparent and non‐transparent nudges that could be used to increase participation in mentorship. Recognizing that mentorship is complex and the impact of a single nudge on behaviour may be ineffective or wane over time, the authors propose a process of ongoing programme evaluation and quality improvement that could help create and maintain a culture of mentorship and that can also be applied to other HPE programmes. Drawing on behaviour al economics, Harper et al. suggest ways in which we might turn mentoring into a habit to increase the rate at which trainees receive the suport they need. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Medical Education is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/medu.15749
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      – Code: eng
        Text: English
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        PageCount: 8
        StartPage: 1333
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      – SubjectFull: Medical education
        Type: general
      – SubjectFull: Education theory
        Type: general
      – SubjectFull: Vocational guidance
        Type: general
      – SubjectFull: Medical protocols
        Type: general
      – SubjectFull: Satisfaction
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      – SubjectFull: Evaluation of human services programs
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      – SubjectFull: Mentoring
        Type: general
      – SubjectFull: Hospital medical staff
        Type: general
      – SubjectFull: Patient participation
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    Titles:
      – TitleFull: We should nudge clinicians and trainees to participate in health professions education programmes.
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            NameFull: Harper, Lea
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            NameFull: Lithgow, Kirstie
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            NameFull: Kelly‐Turner, Kenna
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            NameFull: Davis, Melinda
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            – D: 01
              M: 12
              Text: Dec2025
              Type: published
              Y: 2025
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