Building stronger foundations: exploring a collaborative faculty mentoring workshop for in-depth growth

Background Mentorship training programs demand a paradigm shift from theory-driven to hands-on practical approach with prioritization of preparation of mentors and mentees for their roles through self-awareness and targeted professional development planning. There is a lack of evidence generated from the health professions education institutions of global south regarding effectiveness of workshops in fostering mentorship culture. Methods This mixed method study with convergent parallel design was conducted through a collaborative mentoring workshop; “Faculty Mentoring-Building stronger by digging deeper” by Aga khan University Medical College, Karachi and University of Lahore, Punjab, Pakistan. Objective of the research was to emphasize the importance of faculty mentoring program, roles and responsibilities of mentors and mentees and perception of the participants regarding the associated role of institutions. It aimed to educate faculty members to develop personal development plans for becoming effective mentors and mentees. The demographic data was collected before the workshop, during the workshop data was collected from SWOT analysis, followed by goal settings and the action plans made by participants at the end. Post workshop online feedback was acquired by a questionnaire to comprehend participants’ educational attainment. Association between quantitative findings was done through ANOVA, while the qualitative data was subjected to thematic analysis. Results Total of 37 faculty members participated in the hands-on workshop. All faculty equally perceived the workshop as satisfactory and reported that hands-on practice led to positive experience of setting clear goals and action plans in developing oneself both as mentor and mentee. Themes identified were; Faculty Mentorship Program, Personal development Plan of Mentors and Mentees and Building Positive Mentor-Mentee Relationships. Voluntary structured program, choice of more than one faculty mentor and portfolio development based on personal SWOT was recommended by participants for the success of formal mentoring programs. Conclusion Medical Faculty of Pakistani Universities at all career levels is interested in development of formal mentoring programs in their universities. Formal training for the same is also recommended by the participants. Institutions should cultivate a culture of mentorship that supports the professional growth and success of academics for cultivating the minds that are in turn shaping our future generations.


Introduction
Mentoring is considered as reciprocal learning relationship between mentor and a mentee which has an impact on teaching, research and teacher education programs [1].Faculty members though continue to gain experience and skills through observation of self and knowledgeable others, yet getting formally mentored both at a professional and personal level is shown to add to increased efficiency and promote skills [2].By implementing effective mentoring programs, institutions can improve the professional development and job satisfaction of their faculty members, which can lead to improved research productivity, faculty satisfaction and overall institutional success.It is need of the day that institutions should organize sustainable faculty mentorship program to cater career development, provide psychosocial support and instill professional development in the faculty [3].
Foundation of these programs was laid down in the late twentieth century yet there still is a dearth of formal mentoring programs in the academic institutions of developing countries and many institutions are struggling for their initiation and sustainability [4].Limited information and characterization of programs to provide professional mentoring and development opportunities for junior faculty members contribute to the challenges in designing effective mentorship programs especially in low-and middle-income countries [5,6].In addition to that the current state of faculty mentorship lacks standardized practices, leaving mentorship relationships largely informal and inconsistent hindering their ability to navigate challenges related to teaching, research, and professional advancement.Additionally, feedback mechanisms and assessment to improve mentoring in academia are limited [7].On the contrary, the rapid evolution of educational methodologies, technological advancements, and changing student demographics require faculty members to continually adapt and innovate.The need for continuous formal mentorship training to improve career development resource for junior faculty becomes even more important today [8].
Mentorship training programs demand a paradigm shift from theory-driven to hands-on practical approach with prioritization of preparation of mentors for their roles to educate and train the mentees [9].One of the consistent approaches for enhancing mentoring effectiveness includes longitudinal mentoring training programs, workshops and courses [10].These include forward-thinking faculty development workshops with description of the action plans of individual participants, practices, barriers to mentoring, post-workshop survey evaluations and follow-up actions to establish local mentoring programs and practices [10,11].Mentorship workshops provide structured training for mentors, improve their competencies in working with diverse group of mentees which implies that number of mentor training interventions can be designed to strengthen the involvement and perseverance of mentees towards their goals and career intentions [10,11].The trainings can be augmented with distribution of hand-outs and acceptance of the mentoring process with pride by the leadership for enrichment of mentoring culture [10].A study identified mentoring workshops as one of the strategies to to acquire integrated mental health care in low-and middle-income countries [12].In Nepal, mentorship helped to facilitate post-partum family planning, its institutionalization and use of postpartum intrauterine device services [13].These workshops can be cost-effective and accessible options for educating mentors and enhance mentoring competency in faculty, staff, and trainees [14].The mentorship programs can therefore be developed, evolved and implemented through feedback obtained from the workshops and also help to dissipate myths and provide meaningful communication and contact between mentors and mentees.
With reference to current mentoring culture at Aga Khan university Pakistan (AKU), informal faculty mentoring has been practiced since the time of inception, similarly the University of Lahore Pakistan (UOL) is running the program informally since 2015.However, a standardized faculty mentorship forum was implemented in AKU in 2019 to create a supportive learning environment and enhance the capacity of faculty mentors [15,16].Qualitative investigations during course of the program highlighted the need for continuous improvement of mentoring practices, for strong foundations and rewarding culture of mentoring [17,18].After identifying the need a series of workshops for long-term career accomplishments of mentees and improvement in the mentorship programs; as is suggested by the literature [19].
However single institution practices need to be validated in multi-institutional contexts.Collaborative workshops can compensate for resource shortages and facilitate the achievement of maximum outcomes [20].Post-workshop analysis in can provide insights into the program, identify necessary changes in program design, offer guidelines for mentor preparation, evaluate career satisfaction outcomes across institutions [21].Hence a workshop was designed for addressing two institutions; one having a formal structure (AKU) and other (UOL) running the program informally to explore to emphasize on the importance and benefits of faculty mentoring program, roles and responsibilities of mentors and mentees and collect perception of the participants regarding the role of faculty mentoring programs of medical academics in these institutions of global south.
The answers were sought for the perceived importance and benefits of faculty mentoring programs, their perception of their own roles and responsibilities and that of the institution, the realization of the importance of mentor mentee relationship and value of self-awareness through personal analysis and development of goals and action plans for becoming a successful mentor or a mentee.

Methods
This mixed method study with a convergent parallel design was conducted through the implementation of a faculty mentoring workshop during May till December 2023, with the medical faculty of AKU and UOLn after approval from Ethical Review Board of AKU; ERC :2021-6127-17832.Informed consent was obtained from all participants to use anonymized activity data collected before and during the workshop and feedback data both quantitative and qualitative at the end of the workshop for publication.The unique protocol ID submitted to clinicaltrials.gov is 2021-6127-17832.

Background and organizers of the workshop
The Aga Khan University Karachi, Sindh and The University of Lahore, Punjab Pakistan are the two high ranked universities in the country imparting quality medical education [22].Both institutions have the most soughtafter faculty in the field of medicine.The formal faculty mentoring program was introduced in AKU in 2019 while this program runs informally at the University of Lahore.The organizers of the workshop from AKU were its faculty mentoring chair and from UOL were the faculty development program lead.There were two facilitators for each workshop.Same facilitators conducted the workshop at both institutions.Both the facilitators (MA and SC) were Professors and along with PhD's in their fields had a Master's degree in medical education and more than ten years of experience in conducting the workshops in the field of health professions education.

Designing and facilitation
Faculty mentoring workshop with the title "Faculty Mentoring; building stronger by digging deeper" was designed as a two-day workshop of three hours each for the faculty members of the two institutions at separate times.

Workshop learning outcomes and activities
The learning outcomes of the workshop day 1 were, importance and benefits of faculty mentoring program, roles and responsibilities of mentors and mentees, the ethics and stages of any mentoring relationship.The activities included group discussions and ethical dilemmas as demonstrated by role plays by the participants in groups of three.Day 2 agenda was developing a mentor or a mentee portfolio with special focus on self.The activities were personal Strength, Weakness, Opportunities and Threats (SWOT) analysis, goalsetting for a mentor and a mentee and developing an action plan.Most of the day was dedicated to hands-on individual activities followed by voluntary sharing of the personal development goals and a discussion on the correct ways of framing goals and realistic ways of writing an actionable plan with milestones for tracking success.

Data collection Data sources
Qualitative Data: • During Workshop: SWOT analysis, goals set and the action plan developed by each participant during the group activities and the individual hands-on sessions the workshop.• Post workshop: Reflections of participants regarding; the three things that they learnt, the questions still in their mind and one change that they will make after the workshop in themselves for being effective mentor or mentee.
Quantitative data.
• Pre workshop: The data of the faculty was collected before the workshop in terms of their title and years of experience.• Post workshop: feedback on the workshop's effectiveness was acquired by a questionnaire which was developed by department of Continuous Medical Education at Aga Khan University (Appendix A).The content, construct and criterion validity were checked before pilot testing by subject matter experts and it was ensured that questions were relevant to the objectives of the activity and was clear and understandable to the respondents.

Data analysis
The data collected before during and after the workshop was segregated for quantitative and qualitative analysis based on the study design.The quantitative data was coded and entered in IBM SPSS version 29.The level of satisfaction, perceived effectiveness of the training on the competency levels, and the career level of the faculty were computed as frequencies and percentages.ANOVA test of significance was used to compare the level of satisfaction of the workshop and the career level of the faculty.For inferential statistics the p-value of less than 0.05 was taken as significant keeping the confidence level at 95%.Thematic analysis of all the per workshop and post workshop qualitative data was done through the inductive approach as there were no preconceptions involved in collecting or analyzing the collected data.The qualitative data was categorized and coded by two authors independent of each other.The codes were taken as the statements written by the faculty members during and after the workshop.After the first phase of coding, it was reviewed by all authors and subthemes and themes were generated.The authors carried out content analysis of the text.Responses of all categories were collated.

Results
The study was based on the hands-on workshop with voluntary participation in which 16 faculty members joined in the first workshop at AKU while 21 joined in the second workshop conducted at UOL.Data from all these 37 participants were included in the study.Faculty members in their different academic ladder; early-Career: Instructors and Senior Instructors, Mid-Career: Assistant Professors, Seniors: Associate Professors and Professors/ Consultants participated in the workshop.

Quantitative findings
As shown in Table 1, all the participants were satisfied regarding the completion of workshop objectives, the level of the content delivered, time management, learning something new and overall rating.All of them were of the opinion that they will be happy to recommend this workshop to their peers.One of the participants could not get the satisfactory answer to the queries and one was of the view that knowledge gained was just a refresher, however majority of participants (62.2%) regarded this activity as an excellent resource for clarifying their roles and contributions towards faculty mentorship program.Another question asked after the workshop was the effect of this workshop on perceived level of increase in competence of the attendees as faculty mentors and mentees in which 70% of the participants documented an improvement ranging from 50% to 100% (Fig. 1).
bivariate analysis was conducted between the career levels and the questions of knowledge acquisition to explore whether the faculty at different levels of their career have similar level of knowledge regarding the formal faculty mentoring or is there a difference.Table 2 presents participant feedback that is categorized into three aspects: "Acquired New Knowledge, " "Improved Understanding of the Topic, " and "Competency Improvement".The results indicate that there are no statistically significant differences in participant feedback among different career levels for all three competency aspects suggesting that the activity's effectiveness was consistent across early-career, mid-career, and senior faculty members and all tiers of faculty equally benefited from the training.

Qualitative findings
Three major themes identified were identified related to system factors, social factors and personal factors as listed in Table 3. Themes identified are; (1) Faculty Mentorship Program with a focus on the structure and the components of the program from the organizational and institutional perspective, (2) Personal development plan of mentors and mentees with a focus on self-development, training, personal qualities and competencies and (3) Building Positive Mentor-Mentee Relationships with a focus on rapport building, culture of trust, mentor mentee communication and compatibility.The workshop participants highlighted the positive role of formal mentorship program that is owned at the organizational level with defined structure, outcomes and support systems with a special focus on time allocation and faculty training sessions in the domain of mentoring.The special emphasis was given by the participants on their own role as mentors and mentees that can be enhanced through self-awareness and analysis.This awareness was identified as the basis on which the rapport building between mentors and mentees can be improved.the progress and effort can then be tracked through the development of personal development plans leading to actionable outcomes and the analysis of the same through the development of a reflective mentoring portfolio.According to the faculty this training workshop provided them with a clear understanding of the process of development of a mentor mentee relationship and the effectiveness of developing a culture for the same through defining specific roles and responsibilities and a command on the basic communication skills to obtain the desired outcomes.The faculty agreed that this process of mentoring demands a holistic approach where the organization, the faculty and the administration needs to come together to lead to personal and professional developments where self-aware and responsible faculty members can be trained and retained for better student outcomes.

Discussion
The theoretical framework for faculty development in mentoring is based on the Maslow's hierarchy of needs pyramid, recognizing that individuals progress towards self-actualization only when their basic needs are fulfilled [23].The participants in this study highlighted those institutional policies promote a culture and climate for transfer of knowledge, skills, and resources from experienced mentors to their mentees that makes the basic foundation for professional growth and the effective attainment of career goals and this finding corroborates with the available literature on the subject [24].
Day 1 and Day 2 sessions combined didactic and experiential components in alignment with the mentoring workshop programs which have been reported to result in improved mentor-mentee relationship between women graduate students and their science advisors [25].Same principle in our workshop helped participants selfanalyze and develop career development plans, through interaction with peers and facilitators and making maximum use of the hands-on activity.Post workshop evaluation and reflection from the participants revealed that all faculty members; junior, mid-career and senior acquired new knowledge, developed understanding and acquired competencies which align with the results of another study in which mid-and senior-level investigators in lower middle-income counties (LMICs) acquired effective mentoring and developed communication and  In line with the present findings, skill development literature for being effective mentors and mentees suggests an association of focused mentoring with mentees' behavior, job satisfaction and affective organizational commitment [2627,28].It is also documented that the provision of resources, protected time, and internal funding is crucial for facilitating the academic growth of mentees and promoting scholarly activities [29], as highlighted by the participants in the present study.These workshops are also reported to develop mentorship culture and with improvement in organizational support can enhance faculty retention and mentee satisfaction [30].In addition to resources and administrative support, literature also documents rewards, incentives, and recognition of mentors for the sustainability of the program [16] which were highlighted by the study participants.
Mentorship is important for early-career researchers to navigate challenges in academic and nonacademic existence and career development [25].A study conducted at AKU-MC recommends that capacity building activities and opportunities for the faculty development should be provided to the faculty mentors as well as mentees [16].The workshop participants highlighted the need to organize mentorship workshops to increase faculty knowledge on mentorship, actual mentorship skills and practices.With reference to mentor mentee dynamics, it was noticed that communication of mentors and mentees for structured meetings with support from administration can contribute to academic performance in higher education settings which again augments other findings from previous similar investigations [31].
Present study participants also emphasized the role of personal development plan in terms of self-reflection, mentorship skills development and leadership capabilities, developing an action plan and managing time wisely along with using portfolio for documenting achievements and measuring progress.In a study conducted by Paige Haber-Curran et al., mentors identified several personal and educational advantages associated with mentorship.They report the mutual benefits that mentors and mentees derive from their mentoring relationships.A significant aspect of mentors' growth is linked to their personal development and competence, which includes enhancements in diverse areas, such as time management, selfconfidence, effective communication, leadership skills, organizational and planning abilities, personal satisfaction and recognition, individual sense of purpose, and the development of introspective and reflective learning practices [32].It has been previously suggested that mentors can further strengthen their personal development by engaging in workshops that focus on various aspects, including time management.This participation allows mentors to attain a balanced approach in handling responsibilities that come with in mentorship [32].
Mentoring is known to contribute to goal formation and clarification.In a case study involving mentoring within a Teacher Development program in Ankara, Turkey, it was found that mentoring promotes self-evaluation among both mentors and mentees.This process leads to skill enhancements in areas such as communication and reflection by mentees achieved by observing the mentor's actions.Additionally, mentorship assists in recognizing strengths and priorities, of both mentors and mentees [33].The faculty involced in self analysis through personal SWOT in this study felt better able to  identify what they needed to improve in themselves for ensuring mentor-mentee relationships that have enough value to influence each other and the system.The identified barriers to mentoring; action plans by individual participants; evaluations and follow-up actions through the post-workshop surveys can help in impactful trainings of mentorship and improve the mentorship practices [10].Considering the importance of mentorship programs for the individuals and the institutions it is crucial to address existing gaps in mentoring programs, including equitable mentor and mentee recruitment and evaluate the program outcomes to ensure that mentorship experiences are successful and beneficial [34].Investing resources in mentor training and compensating mentors for their time and efforts is essential to sustain a robust mentoring ecosystem.Finally, continuous evaluation of the outcomes and impact of mentoring efforts should be conducted to ensure their effectiveness and make necessary improvements [35].These themes were highlighted by the faculty members of medical institutions in the study who reported that the organizational factors are crucial to ensure success, self-evaluation is a necessity for any formal relationship between a mentor and a mentee and having clear and transparent goals with well designed realistic timelines tagged by achievable milestones are the pillars on which institutions of developing world can build their formal mentorships programs.
The present study is focused on the medical faculty already exposed to the concept of faculty mentoring therefore the data collected can have the impact from previous learning as well however approximately all participants were conducting SWOT and making action plans for the first time.Only a group of medical faculties of the institutions were involved in the study which needs to be further expanded to attain more generalizability of the study findings.Study data collected during or post workshop can be influenced by social desirability bias, to mitigate this feedback was anonymized during and after the workshop .Participants may have provided responses they perceived as favorable or expected by the researchers.The present study focused on immediate post-workshop feedback and perceptions which needs to be furthered through designing long term evaluations by the interested researchers in the field.

Conclusion
Medical Faculty of Pakistani Universities at all career levels is interested in development of formal mentoring programs in their universities.Participants in our study emphasized the role of organization support in terms of provision of resources, guidance, and opportunities for professional development in mentorship programs.The workshops conducted at AKU and UoL recognized the need of organizational policies, need of comprehensive formal training of faculty mentors especially in the dynamics of mentor mentee relationship, self-analysis leading to formulation of personal mentor mentee development plans and having structured mentor and mentee portfolios as evidence of their effort and progress in their journey of personal and professional development through meaningful connections.
By implementing the identified strategies, institutions can cultivate a culture of mentorship that supports the professional growth and success of academics for cultivating the minds that are in turn shaping our future generations.Establishing an evidence-based foundation for mentorship programs, the health professions institutions mayl be able to cultivate a robust mentoring culture that not only bridges the existing gaps but also contributes to the overall professional growth and success of faculty members in the diverse higher education institutions.
Future research needs to validate the key outcome of these workshops in diverse participants from different institutions.This will facilitate in transferring skills of the experienced facilitators to novice faculty members that is required for their professional growth and development.
The collaborative initiatives have the potential to set transformative precedent, fostering a culture of mentorship that not only benefits the participating institutions but also serves as a model for elevating the standards of faculty development across the entire higher education landscape in Pakistan.

Table 1
Participants response on effectiveness of workshop Relative to where you were prior to participating in this activity, please rate how well this activity has affected your ability to understand the topic/subject?
Fig. 1 Perceived competency improvement post mentoring workshop by medical faculty

Table 2
Association between career level and knowledge acquisition Early-Career: Instructors and Senior Instructors, Mid-Career: Assistant Professors, Seniors: Associate Professors and Professors/Consultants

Table 3
[10]es, subthemes and codes from the discussion and feedback of faculty mentoring workshop leadership skills through well designed training interventions[10].