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Coaching Primary Care Clinicians in the Ambulatory Setting: Direct Observation and Deliberate Practice
Michael Crocetti1, Tina Kumra1, Michael Fingerhood2
1Division of General Pediatrics, Johns Hopkins Children's Center, and Johns Hopkins Community Physicians, Baltimore, MD.
Family Medicine
|November 14, 2019
Summary
Clinical coaching is feasible and valued in primary care settings. This feedback method identifies clinician strengths and areas for improvement, enhancing patient care.
Area of Science:
- Medical Education
- Primary Care Practice
- Healthcare Quality Improvement
Background:
- Clinical coaching programs enhance clinician performance through feedback and reflection.
- This study evaluated a primary care coaching program in community settings.
Purpose of the Study:
- To assess the feasibility and acceptability of a primary care coaching intervention.
- To identify specific observable behaviors for clinician development.
Main Methods:
- Utilized a 31-item behavioral checklist for observations.
- Four faculty observed 18 primary care clinicians across 36 patient encounters.
- Clinicians received focused feedback sessions post-observation.
Main Results:
- High frequency behaviors included compassion and effective questioning.
- Areas for improvement included apologizing for delays and using teach-back.
- Clinicians found coaching valuable and desired future sessions (81%).
- Patients reported no discomfort with observers and supported clinician coaching.
Conclusions:
- Coaching busy primary care clinicians is feasible and well-received.
- Observable behaviors effectively highlight clinician strengths and development areas.
- Patients support clinician coaching as part of professional development.
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