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Developing a self-determination theory-informed coaching framework for the transition to residency.

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  • 1Department of Emergency Medicine and Pediatrics, University of Michigan Medical School, USA.

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Summary

A new coaching framework, informed by Self-Determination Theory (SDT), was developed for the medical school to residency transition (TTR). This consensus-based tool offers practical support for educators and trainees during this critical period.

Keywords:
coachingdelphi methodmedical educationprofessional identity formationself-determination theory

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Area of Science:

  • Medical Education
  • Psychology
  • Coaching

Background:

  • The transition from medical school to residency (TTR) is a critical period for physician development.
  • Effective coaching is essential to support trainees during this demanding transition.
  • Existing coaching frameworks may not adequately address the psychological needs of residents.

Purpose of the Study:

  • To develop and content-validate a consensus-based, single-session coaching framework for the TTR.
  • To inform the framework using Self-Determination Theory (SDT) principles.
  • To ensure the framework is practical and acceptable for use by medical educators.

Main Methods:

  • A modified Delphi study involving 13 medical educators from 11 U.S. institutions.
  • Nominal group technique used to generate coaching prompts and skills across four phases.
  • Multi-round consensus voting (modified Delphi) and qualitative content analysis guided framework development.

Main Results:

  • A final framework comprising 25 prompts and 4 skills was developed through consensus.
  • The framework's prompts and skills were distributed across coaching phases and mapped to SDT needs (autonomy, competence, relatedness).
  • Panelists affirmed the framework's clarity, feasibility, and acceptability for non-coach faculty.

Conclusions:

  • A pragmatic, SDT-grounded coaching framework for the TTR has been established through consensus.
  • This tool offers a structured approach to coaching during the critical transition from medical school to residency.
  • Future research should focus on evaluating the framework's feasibility, fidelity, and impact on learner outcomes.