Impact of a Virtual Professional Development Coaching Program on the Professional Fulfillment and Well-Being of Women Surgery Residents

Palamara, Kerri; McKinley, Sophia K.; Chu, Jacqueline T.; Merrill, Andrea; Yu, Liyang; Parangi, Sareh; Makowski, Maryam S.; Park, Yoon Soo; Donelan, Karen; Stein, Sharon L.

doi:10.1097/sla.0000000000005562

Cited by 23 publications

(43 citation statements)

References 19 publications

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“…The measurement of outcome domain and the missing outcome domain were found to be at some risk of bias for the Dyrbye et al [ 19 ] and McGonagle et al [ 35 ] RCTs, respectively. The Palamara et al study [ 40 ] was found to have some concerns of bias for the deviations from intended interventions domain and the missing outcome domain. The included non-randomized interventional studies and quantitative portions of the mixed-methods studies were mostly at moderate or serious risk of bias across all domains ( Table 4 ).…”

Section: Resultsmentioning

confidence: 99%

“…In their 2022 study, Dyrbye et al [ 31 ] reported a 2.5% decrease in burnout in the intervention group, whereas burnout increased in the control group (p = 0.007). Palamara et al [ 40 ] reported a decrease in burnout score from 1.39 to 1.19 for participants who received coaching (p = 0.026). The remaining studies either did not assess these outcomes or reported no difference ( Table 5 ).…”

Section: Resultsmentioning

confidence: 99%

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Impact of coaching on physician wellness: A systematic review

et al. 2023

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Physician wellness is critical for patient safety and quality of care. Coaching has been successfully and widely applied across many industries to enhance well-being but has only recently been considered for physicians. This review aimed to summarize the existing evidence on the effect of coaching by trained coaches on physician well-being, distress and burnout. MEDLINE, Embase, ERIC, PsycINFO and Web of Science were searched without language restrictions to December 21, 2022. Studies of any design were included if they involved physicians of any specialty undergoing coaching by trained coaches and assessed at least one measure along the wellness continuum. Pairs of independent reviewers determined reference eligibility. Risk of bias was assessed using the Cochrane Risk of Bias Tools for Randomized Controlled Trials (RCTs) and for Non-randomized Studies of Interventions (ROBINS-I). Meta-analysis was not possible due to heterogeneity in study design and outcome measures as well as inconsistent reporting. The search retrieved 2531 references, of which 14 were included (5 RCTs, 2 non-randomized controlled studies, 4 before-and-after studies, 2 mixed-methods studies, 1 qualitative study). There were 1099 participants across all included studies. Risk of bias was moderate or serious for non-RCTs, while the 5 RCTs were of lower risk. All quantitative studies reported effectiveness of coaching for at least one outcome assessed. The included qualitative study reported a perceived positive impact of coaching by participants. Evidence from available RCTs suggests coaching for physicians can improve well-being and reduce distress/burnout. Non-randomized interventional studies have similar findings but face many limitations. Consistent reporting and standardized outcome measures are needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Impact of coaching on physician wellness: A systematic review

et al. 2023

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“…Consultations or coaching, as a professional continuous service, might play an important role in transmitting health information and providing decision support 56 . Palamara and colleagues 57 reported an improvement in well-being among female surgery residents who received vital coaching over a web-based video platform. Nonetheless, Sieczkowska et al 58 revealed the available evidence is not of sufficient quality to support the use of self-reported health coaching as a health care intervention for weight loss.…”

Section: Discussionmentioning

confidence: 99%

Telehealth-supported exercise/physical activity programs for knee osteoarthritis: A systematic review and meta-analysis

Xiang

Wang

Zhang

et al. 2023

Preprint

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Telehealth-supported program has been increasingly integrated into chronic disease management, but it is unknown if this benefit applies to populations with knee osteoarthritis. This study aimed to assess the effectiveness of telehealth-supported exercise/physical activity programs in individuals with knee osteoarthritis. A comprehensive literature search was conducted in September 2022 on randomized controlled trials investigating the effects compared to a control condition. Twenty-three studies met eligibility criteria, of which 20 studies included in meta-analysis. Telehealth-supported exercise/physical activity programs resulted in reduced pain (g = −0.39, CI −0.67 to −0.11, I2 = 83%), better physical activity (g = 0.13, CI 0.03 to 0.23, I2 = 0%) and better physical function (g = −0.51, CI −0.98 to −0.05, I2 = 87%). In addition, better improvements in quality of life, self-efficacy for pain, and global improvement were observed, but with non-significant improvements for self-efficacy for physical function. These findings suggested that telehealth-supported exercise/physical activity program might be an effective treatment for knee osteoarthritis. Future research with standardized components and wearables should evaluate the effects.

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“…Post-program there was improvement in depression and emotional exhaustion. A more wide-scale example of an EI related initiative is the randomized control trial (RCT) conducted nationally examining the impact of a virtual Professional Development Coaching Program on 237 women surgery resident participants [51]. Coaching has been shown to promote reflection while strengthening awareness and motivation.…”

Section: Emotional Intelligencementioning

confidence: 99%

Addressing Surgeon Burnout Through a Multi-level Approach: A National Call to Action

et al. 2023

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Purpose of Review Physician burnout is an epidemic and there are unique aspects of surgery that dictate rates of burnout among general surgeons and surgical trainees. This review characterizes the scope of burnout and its drivers within the field of surgery and advocates for strategies to address burnout at the individual, institutional, and national levels. Recent Findings Rates of burnout in surgery are increasing with higher numbers of young and female surgeons affected. Contributing factors are generally related to work-life balance, longer hours, and mistreatment in the workplace. Attempts have been made at implementing structured initiatives in an effort to combat work dissatisfaction and emotional exhaustion. Still, rates of burnout continue to increase. Summary General surgeons and trainees are at high risk for burnout with resulting attrition, depression, and suicidal ideation. The solution to burnout must be addressed at individual, institutional, and national levels. Further research into the factors leading to surgeon burnout and enactment of effective strategies to mitigate burnout must be pursued.

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Impact of a Virtual Professional Development Coaching Program on the Professional Fulfillment and Well-Being of Women Surgery Residents

Cited by 23 publications

References 19 publications

Impact of coaching on physician wellness: A systematic review

Impact of coaching on physician wellness: A systematic review

Telehealth-supported exercise/physical activity programs for knee osteoarthritis: A systematic review and meta-analysis

Addressing Surgeon Burnout Through a Multi-level Approach: A National Call to Action

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