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Published on: January 15, 2017
Resident Perspectives on the Coaching Approach: A Qualitative Analysis of a Longitudinal Coaching Program in an
Simanjit K Mand1, Corlin M Jewell1, Dana E Loke1
1BerbeeWalsh Department of Emergency Medicine University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA.
Background:
Coaching holds great potential for learners in graduate medical education (GME) as the specialty transitions towards competency-based medical education (CBME). Coaching has already demonstrated holding great benefits in a variety of learner performance and well-being metrics. However, there is limited data on learner perceptions of longitudinal GME coaching initiatives.
Objective:
To provide insight into learner perceptions of a longitudinal coaching program by conducting focus groups consisting of residents from a single emergency medicine residency.
Methods:
Four semi-structured focus groups were conducted with residents from each post-graduate year. Audio recordings of focus group discussions were transcribed and a thematic analysis utilizing a constructivist approach was conducted.
Results:
We identified five overarching themes: (1) resident understanding of the coach's role, (2) logistical elements that can affect the effectiveness of the coaching relationship, (3) relational factors that contribute to a successful coaching relationship, (4) resident perceptions of discussion topics and goal creation, and (5) future group opportunities for fostering more personal relationships and professional development.
Conclusion:
Overall, residents noted several strengths in the longitudinal coaching approach, particularly around feedback reflection and utility, accountability, and goal-setting. There remain areas for improvement when introducing coaching program goals and the faculty coach role, in addition to future considerations around group coaching opportunities.
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