Who Benefits Most? A Multisite Study of Coaching and Resident Well-being

Palamara, Kerri; Chu, Jacqueline T.; Chang, Yuchiao; Yu, Liyang; Cosco, Dominique; Higgins, Stacy; Tulsky, Asher; Mourad, Ronda; Singh, Simran; Donelan, Karen

doi:10.1007/s11606-021-06903-5

Cited by 15 publications

(23 citation statements)

References 31 publications

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“…Our findings are consistent with prior coaching studies that showed a positive effect in some but not all aspects of physician well-being 17 , 21 , 22 , 23 , 24 , 37 , 38 and that support the theory that more than 1 intervention may be necessary to target multiple facets of well-being. A randomized clinical trial of 6 telephone coaching sessions for primary care physicians decreased burnout and increased job satisfaction but did not reduce stress or turnover intention or increase job efficacy.…”

Section: Discussionsupporting

confidence: 91%

“…Available literature shows that coaching may reduce burnout and improve well-being among physicians and trainees. 17 , 20 , 21 , 22 , 23 However, most studies rely on resource-intensive interventions and use variably trained coaches and in-person sessions that are challenging to incorporate and scale within graduate medical education. 20 , 21 , 22 , 23 , 24 We posited that a 6-month, web-based group-coaching program led by certified physician coaches would decrease burnout among resident physicians.…”

Section: Introductionmentioning

confidence: 99%

“… 17 , 20 , 21 , 22 , 23 However, most studies rely on resource-intensive interventions and use variably trained coaches and in-person sessions that are challenging to incorporate and scale within graduate medical education. 20 , 21 , 22 , 23 , 24 We posited that a 6-month, web-based group-coaching program led by certified physician coaches would decrease burnout among resident physicians. Here, we describe the results from a pilot randomized clinical trial of our coaching program, Better Together Physician Coaching (hereineafter referred to as Better Together).…”

Section: Introductionmentioning

confidence: 99%

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Effect of a Novel Online Group-Coaching Program to Reduce Burnout in Female Resident Physicians

et al. 2022

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Key Points Question Can a 6-month online group-coaching program targeted for various learning styles reduce burnout, moral injury, and impostor syndrome and increase self-compassion among female resident physicians? Findings In this pilot randomized clinical trial of 101 female resident physicians, participants who were randomly assigned to a 6-month group-coaching program and a follow-up survey had a statistically significant reduction in the emotional exhaustion subscale of burnout compared with the control group. Meaning An online multiformat group-coaching program may be an effective intervention to decrease burnout and improve well-being for female resident physicians.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of a Novel Online Group-Coaching Program to Reduce Burnout in Female Resident Physicians

et al. 2022

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“…Professional coaching is relatively new in academic medicine and has been shown to improve burnout and wellbeing among physicians and trainees [ 14 , 16 , 17 , 19 , 20 ]. Much of the existing coaching literature describes individual (1:1) coaching sessions and focuses on quantitative measures of wellbeing outcomes rather than understanding the facets that may contribute to their success [ 14 – 17 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

“We’re all going through it”: impact of an online group coaching program for medical trainees: a qualitative analysis

et al. 2022

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Background Trainees in graduate medical education are affected by burnout at disproportionate rates. Trainees experience tremendous growth in clinical skills and reasoning, however little time is dedicated to metacognition to process their experiences or deliberate identity formation to create individualized definitions of success and wellbeing. The purpose of this study was to understand the perspectives and experiences of trainees who participated in a 6-month, web-based, group coaching program for women residents in training. Methods Better Together Physician Coaching is a six-month, self-paced, online, asynchronous, coaching program with multiple components including live coaching calls, unlimited written coaching, and self-study modules. Semi-structured interviews of seventeen participants of Better Together from twelve GME programs within a single institution in Colorado were conducted from May to June of 2021. All identified as women and had participated in a 6-month coaching program. Both inductive and deductive methods were used in collecting and analyzing the data with an aim to understand learners’ perceptions of the coaching program, including “how and why” the coaching program affected training experiences and wellbeing. Results Three main themes emerged as benefits to the coaching program from the data: 1) practicing metacognition as a tool for healthy coping 2) building a sense of community, and 3) the value of a customizable experience. Conclusions Female trainees who participated in a group coaching program expressed that they found value in learning how to cope with stressors through metacognition-focused coaching. They also described that building a community and being able to customize the experience were positive aspects of the program. Trial registration ClinicalTrials.gov Identifier: NCT05280964. Date of registration: March 15th 2022. Retrospectively registered. URL of trial registry record.

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“…The PFI also separately measures Professional Fulfillment (5-Point Likert scale [0-4], 6 items for Professional Fulfillment, total range 0-24). Well-being was measured using the PERMA (Positive Emotions, Engagement, Meaning, Relationships, Accomplishments) (5-point Likert scale [1][2][3][4][5], 15 items, total range 15-75) [12]. Secondary outcomes included program-related skills and benefits including specific coping skills, experiences with reflection and receiving feedback, and use of coaching skills in other relationships.…”

Section: Discussionmentioning

confidence: 99%

The experience of academic physician coaches in a professional development coaching program

et al. 2022

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Purpose The Professional Development Coaching Program (PDCP) is a physician coaching program founded on the principles of positive psychology that has been shown to improve burnout and well-being in residents. The experience of the physician faculty coaches is not well understood. We studied the impact of a longitudinal coaching intervention on the experience of coaches. Methods From 2017 to 2019, faculty from Surgery, Pediatrics, and Medicine at an academic medical center participated as coaches in the PDCP. Coaches underwent training in positive psychology and coaching skills and coached trainees for one or two years. Surveys were performed at baseline, after 1 year (EOY-1), and after 2 years of coaching (EOY-2). Outcomes include burnout and professional fulfillment (Stanford Professional Fulfillment Index), well-being (PERMA), and experience with coaching skills. Surveys from each timepoint were paired and analyzed through bivariate analyses and multivariate linear regression. Results Of the 136 coaches who participated, 44% submitted sufficient data for paired analysis. There was no change from pre-to post-in primary outcomes on bivariate analysis. On linear regression, burnout and PERMA scores declined from baseline but did not change from EOY-1 to EOY-2. Coaches reported increased coping skills on EOY surveys compared to baseline. Confidence with coping skills was associated with low burnout, high professional fulfillment, and high PERMA. Conclusions These findings create a profile of physician coaches and demonstrate both the benefits and changes in burnout and well-being that they experience. Larger studies with comparison groups can further explore the effects of coaching on the coach.

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Who Benefits Most? A Multisite Study of Coaching and Resident Well-being

Cited by 15 publications

References 31 publications

Effect of a Novel Online Group-Coaching Program to Reduce Burnout in Female Resident Physicians

Effect of a Novel Online Group-Coaching Program to Reduce Burnout in Female Resident Physicians

“We’re all going through it”: impact of an online group coaching program for medical trainees: a qualitative analysis

The experience of academic physician coaches in a professional development coaching program

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