Toolkit introduction

The Royal College of Surgeons of England (RCS England) has long recognised the importance of mentorship and recommends it for all surgeons at all stages of their surgical career. Surgery, and healthcare more widely, is undergoing rapid change and the personalised, developmental support offered by mentorship can put surgical teams in a position to adapt to challenges and prepare for the future.

We have launched this Toolkit with refreshed best practice guidance on mentoring, and interactive tools and documents to support surgical mentorship journeys. We have recently launched a new set of e-learning modules in consultation with our members and stakeholders across the surgical profession, available to members.

Following the recommendation made in the Kennedy Review around the College’s role to develop mentoring as a core surgical skill and as a ‘human’ element of the membership package, we have launched our new RCS England Mentoring Platform. This platform makes the mentoring experience simple and flexible, connecting our expansive network of members. Learn more about our platform and become a mentor today. Please note, our pilot programmes to become a mentee open in spring 2025 for women, non-binary, SAS and LE doctors and surgeons.

Are you interested in becoming a mentor? Register today.

Our vision:

Our vision is for the College to foster belonging through human connection and support the development of mentoring as a core surgical skill and as part of the membership proposition. Mentoring is the human means to the end that is belonging.

What is mentoring

Ask 100 different surgeons to define mentoring and it is possible you will get 100 different answers. Lively debate around the exact definition of mentoring is valuable, and can help a surgeon understand exactly what type of support they would like to receive, or the support they would be best placed to provide to others. Ensuring that any mentoring relationship is well structured with clear boundaries between mentor and mentee is vital, but we do not want to restrict our work to one definition which cannot possibly meet the needs of our 28,000 members. Mentorship should develop a mentee’s ability to make the right decisions about their career. Our approach to mentorship is inclusive – to create a sense of belonging based on the many ways that surgeons will require support over the course of their career.

What is mentoring

There are a great many different types of helping relationship. At different stages of a surgeon’s career, they may need some or all of these.

Mentorship

Mentor

Mentors help mentees develop their own self-awareness and to take charge of their own development. A mentoring relationship can be a longer-term relationship with an experienced colleague or can be as useful as a single conversation. Mentors bring their own experience and perspectives to the relationship with their mentee, helping guide them in their decision making.

Good mentors never advise or ‘tell’ – they help the mentee find a way of managing an opportunity or dilemma themselves.

Mentors require training and there are several different mentoring techniques to apply. Quality assurance of the mentoring process is necessary through reflective practice of the mentor and through discussion with other mentors.

Mentoring coach

Coach

Coaches develop a trusting relationship to help identify priorities and develop actions to address issues and improve self-awareness.

Coaching has many similarities to mentoring, but there may be greater direct intervention from the coach than a mentor, who may only signpost.

Coaching often takes place over a shorter period of time and involves ‘telling’ or ‘showing’ to help an individual build particular skills or focus on a narrowly defined task or goal. A good coach applies their skills in developing the coaching relationship, but avoids applying their own experience to the individual they are coaching.

Perceptor

Perceptor

Perceptors guide a newly qualified or appointed colleague through the uncertainties of early clinical practice.

It can involve joint operating lists, clinics or ward rounds.

Perceptorship operates similarly to supervision, but between a senior and junior consultant rather than trainee and supervisor.

Teacher

Teacher

Teachers give information to help someone develop cognitive skills and capabilities.

Teaching involves an interactive relationship involving facilitation, assessment and feedback.

Educational Supervisor

Educational supervisor

Educational supervisors direct a trainee during a specific phase of their training.

Support, direction, feedback, observation, collation of information, advice and discussion are provided by educational supervisors.

An educational supervisor is a specific job role, with time usually included in job plans, and they are responsible to Training Programme Directors.

Clincal Supervisor

Clinical supervisor

Clinical supervisors help with teaching, training and feedback in the clinical setting.

Trainees are assigned to clinical supervisors for defined periods of time within their clinical placements.

A clinical supervisor is a specific job role, with time usually included in job plans, and they are responsible to Training Programme Directors.

Apprasier

Appraiser

Appraisers take part in the annual review of a surgeon’s work and receive specific training.

Appraisers help the surgeon develop their Personal Development Plan and monitor their progress.

Appraisal is handled differently for surgeons in training, as it will be closely linked with their training progress.

Mentoring counsellor

Counsellor

Counsellors are qualified professionals and can help improve performance by resolving situations from the past.

A process of counselling can be suggested to an individual but they must agree to take part.

Clincal Supervisor for doctors

Clinical supervisor

(for a doctor in difficulty or Remedial trainer)

When a doctor is in difficulty, a specific supervision arrangement can be recommended to support an improvement in their performance.

This can be referred to as ‘targeted mentoring’ but it is helpful to consider this a supervision arrangement as the mentee is not guiding the process.

Patron

Patron

A Patron may provide advice and care to a more junior surgeon, surgeon-in-training or medical student.

This can help that person through some important decisions, but is not focused on that individual driving the action.

This relationship can often be informal and last for many years, perhaps even an entire career.

Why mentorship?

Why mentorship?

Mentorship builds relationships between individuals. The exact nature of the mentoring relationship will depend on the individual’s needs at that stage in their career. Mentorship builds belonging, and will help ensure that surgery is a diverse, inclusive and welcoming profession for those from every background.

To a mentee, it provides a place for them to reflect upon their practice and professional behaviours and work through concerns and issues. It helps them develop their approach to concerns or issues, and build better approaches to deal with them in the future. We believe that positive changes to behaviours and attitudes, through effective mentorship, can lead to better working environments and ultimately better patient care.

Mentors have the opportunity to use the relationship to reflect on their own behaviour or attitudes, and develop important skills needed for effective team-working and leadership. Being a mentor is rewarding and satisfying – helping mentees through their own career journey is a profound thing to be involved in.

Who is mentoring for?

Mentorship is for every surgeon. At different stages of a surgeon’s career, different types of mentorship can provide support to tackle different issues. Mentorship absolutely should not be associated with crisis points in a surgeon’s professional life.

Mentorship can help a surgeon improve their general skills and understanding of their performance and position at specific points of their career, such as during change or at key progression points. This can include first consultant appointments, for example.

Mentorship is also particularly beneficial for surgeons from underrepresented groups. Dedicated schemes for Women in Surgery, people from ethnic minority backgrounds or those in SAS career grades have all been successful at providing targeted support to those who may struggle to identify the right role models for their circumstances. Good mentorship can also make a particular difference to medical students and junior trainees and can help inspire them to undertake a career in surgery in the future.

Who is mentoring for?

Downloadable tools and resources

Our Mentoring good practice guide includes…

Mentoring guide cover

Mentoring guide

Mentoring checklist

Mentoring checklist

Mentoring contract

Mentoring contract

Mentorship at the heart of membership

We are profoundly committed to ensuring that our members can develop the skills they need to become the best possible mentors and mentees throughout their career.

Emerging leaders icon

Our Emerging Leaders programme supports women and non-binary people to apply for leadership roles within healthcare, through a varied programme including mentoring.