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Optimizing the Implementation of Surgical Coaching Through Feedback From Practicing Surgeons.

Jason C Pradarelli1,2, Steven Yule1,2, Nikhil Panda1,3

  • 1Ariadne Labs, Brigham and Women's Hospital and Harvard T. H. Chan School of Public Health, Boston, Massachusetts.

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Summary

Surgical coaching improves surgeon professional development. Key recommendations for successful peer coaching programs focus on optimizing coach-coachee relationships and session structure for better surgical performance.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Quality Improvement

Background:

  • Surgical coaching is an emerging strategy for surgeon professional development.
  • Resources for implementing surgical coaching are limited.
  • Effective implementation strategies are needed to support this innovation.

Purpose of the Study:

  • To identify surgeon-generated recommendations for implementing surgical coaching programs.
  • To analyze participant feedback from exit interviews and coaching session ratings.
  • To understand facilitators and barriers to successful surgical coaching implementation.

Main Methods:

  • Qualitative analysis of the Surgical Coaching for Operative Performance Enhancement (SCOPE) program.
  • Interviews with 46 practicing surgeons across 4 US academic medical centers.
  • Thematic analysis of interview data, stratified by Net Promoter Score (NPS).

Main Results:

  • Surgeons identified key recommendations for optimizing coach-coachee relationships and coaching sessions.
  • Positive coaching experiences (promoters) were associated with excellent first sessions, similar clinical specialties, and transparency.
  • Suboptimal experiences (detractors) were linked to poor initial sessions, dissimilar specialties, and unclear goals.

Conclusions:

  • Surgeon feedback provides critical insights into overcoming cultural and practical barriers in surgical coaching.
  • Optimizing coach-coachee dynamics and session experiences is crucial for program success.
  • Effective surgical coaching programs can enhance surgeon professional development and patient care.