Collaborative narrative coaching in medicine: a case study with a resident physician and a practicing emergency physician
DOI:
https://doi.org/10.36834/cmej.75601Abstract
In recent years, many postgraduate medical institutions are transitioning from a time-based model to competency based medical education (CBME). This paradigm shift offers many advantages but has also been criticized for its potentially reductionist approach of targeting competency as the end goal. In this context, coaching may be an interesting intervention as it has been employed with success in other professional settings to go beyond achieving competency with a focus on continuous development. Currently there is little published data on the effectiveness of this intervention in the medical field. Our study aims to describe a coaching intervention between two dyads of a coach and physician as well as analysing the repercussions of the intervention on their professional practice. Results of our study show the unique learning journeys of both dyads as well as the creation of value in each cycle for both participants. In conclusion, coaching in medicine is an interesting intervention with the potential to complement the existing medical training programs in order to achieve optimal professional development.
References
Pinsk M, Karpinski J, Carlisle E. Introduction of competence by design to canadian nephrology postgraduate training. Can J Kidney Health Dis. 2018;5:1-9. http://dx.doi.org/10.1177/2054358118786972 DOI: https://doi.org/10.1177/2054358118786972
Campbell C, Hendry P, Delva D, Danilovich N, Kitto S. Implementing competency-based medical education in family medicine: a scoping review on residency programs and family practices in Canada and the United States. Family Medicine. 2020;52(4):246-54. http://dx.doi.org/10.22454/FamMed.2020.594402 DOI: https://doi.org/10.22454/FamMed.2020.594402
Touchie C, ten Cate O. The promise, perils, problems and progress of competency-based medical education. Med Ed. 2016;50(1):93-100. http://dx.doi.org/10.1111/medu.12839 DOI: https://doi.org/10.1111/medu.12839
Hawkins RE, Welcher CM, Holmboe ES, et al. Implementation of competency-based medical education: are we addressing the concerns and challenges? Med Ed. 2015;49(11):1086-102. http://dx.doi.org/https://doi.org/10.1111/medu.12831 DOI: https://doi.org/10.1111/medu.12831
Trudel P, Gilbert W, Rodrigue F. The journey from competent to innovator: using appreciative inquiry to enhance high performance coaching. Internat J Apprec Inquiry. 2016;18(2):40-6. http://dx.doi.org/10.12781/978-1-907549-27-4-5 DOI: https://doi.org/10.12781/978-1-907549-27-4-5
Royal College of Physicians and Surgeons of Canada. Committee EMS. EPA Guide: emergency medicine. 2017.
Buis ML, Maissan IM, Hoeks SE, Klimek M, Stolker RJ. Defining the learning curve for endotracheal intubation using direct laryngoscopy: a systematic review. Resuscitation. 2016;99:63-71. http://dx.doi.org/10.1016/j.resuscitation.2015.11.005 DOI: https://doi.org/10.1016/j.resuscitation.2015.11.005
Jensen M, Louka A, Barmaan B. Effect of Suction Assisted Laryngoscopy Airway Decontamination (SALAD) training on intubation quality metrics. Air Med J. 2019;38(5):325. http://dx.doi.org/10.1016/j.amj.2019.07.002 DOI: https://doi.org/10.1016/j.amj.2019.07.002
Gawande A. Personal best: top athletes and singers have coaches. Should you? The New Yorker 2003. 2011.
Rodrigue F, Trudel P, Boyd J. Learning from practice: the value of a personal learning coach for high-performance coaches. Intern Sport Coach J. 2019;6(3):285-95. http://dx.doi.org/10.1123/iscj.2018-0078 DOI: https://doi.org/10.1123/iscj.2018-0078
Drake DB. Rethinking our work with leaders: using developmental threshold zones in coaching. J Leadership Studies. 2021;14(4):50-9. http://dx.doi.org/https://doi.org/10.1002/jls.21725 DOI: https://doi.org/10.1002/jls.21725
Rodrigue F. Examining the process and the outcomes of a 12-month learning journey of intercollegiate sport coaches accompanied by a personal learning coach. Ottawa: University of Ottawa; 2019.
Lovell B. What do we know about coaching in medical education? A literature review. Med Ed. 2018;52(4):376-90. http://dx.doi.org/10.1111/medu.13482 DOI: https://doi.org/10.1111/medu.13482
Lovell B. Bringing meaning to coaching in medical education. Medical Education. 2019;53(5):426-7. http://dx.doi.org/10.1111/medu.13833 DOI: https://doi.org/10.1111/medu.13833
Hu YY, Peyre SE, Arriaga AF, et al. Postgame analysis: using video-based coaching for continuous professional development. J Amer College Surg. 2012;214(1):115-24. http://dx.doi.org/10.1016/j.jamcollsurg.2011.10.009 DOI: https://doi.org/10.1016/j.jamcollsurg.2011.10.009
Stelter R. A guide to third generation coaching. Narrative-collaborative theory and practice. 2014. DOI: https://doi.org/10.1007/978-94-007-7186-4
Stelter R. Coaching – læring og udvikling [Coaching – learning and developing]. Danish Psychology Press. 2002.
Dianne R. Stobe AMG. Evidence based coaching handbook: putting best practices to work for your clients: John Wiley; 2006.
Armson H, Lockyer JM, Zetkulic M, Könings KD, Sargeant J. Identifying coaching skills to improve feedback use in postgraduate medical education. Med Ed. 2019;53(5):477-93. http://dx.doi.org/10.1111/medu.13818 DOI: https://doi.org/10.1111/medu.13818
Yin R. A review of case study research: design and methods. 52003. p. 219.
Marshall MN. Sampling for qualitative research. Family Practice. 1996;13(6):522-6. http://dx.doi.org/10.1093/fampra/13.6.522 DOI: https://doi.org/10.1093/fampra/13.6.522
Fontana A, & Frey, J. H. The interview: from neutral stance to political involvement. In E. Bell, & H. Willmott (Eds.). Qual res bus manage. 2014;4:1125.
Wenger E, Trayner B, Laat M. Promoting and assessing value creation in communities and networks: a conceptual framework. 2011.
Forbes M. The value of collaborative learning for music practice in higher education. Brit J Music Educ. 2020;37:1-14. http://dx.doi.org/10.1017/S0265051720000200 DOI: https://doi.org/10.1017/S0265051720000200
Heemskerk W, Warning T, Brus F, Snoeren M. The potential for learning within hospital learning communities: the interplay between nursing practice and education to support research ability. Intern J Nurs Educ Scholarship. 2020;17. http://dx.doi.org/10.1515/ijnes-2019-0114 DOI: https://doi.org/10.1515/ijnes-2019-0114
Zoom. 5.5 ed. San Jose, California, U.S.: Zoom Video Communications; 2021.
NVivo. 12 ed. Doncaster, Australia: QSR International; 2018.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77-101. http://dx.doi.org/10.1191/1478088706qp063oa DOI: https://doi.org/10.1191/1478088706qp063oa
Wenger E. Learning in landscapes of practice : boundaries, identity, and knowledgeability in practice-based learning. 2015. DOI: https://doi.org/10.5334/jime.as
Giroux M, Girard G. Favoriser la position d'apprentissage grâce à l'interaction superviseur-supervisé. Pédagogie Médicale. 2009;10(3). http://dx.doi.org/10.1051/pmed/20099991 DOI: https://doi.org/10.1051/pmed/20099991
Tucker A, Nembhard I, Edmondson A. Implementing new practices: an empirical study of organizational learning in hospital intensive care units. Management Science. 2007;53:894-907. http://dx.doi.org/10.1287/mnsc.1060.0692 DOI: https://doi.org/10.1287/mnsc.1060.0692
International Coaching Federation 2023. Available from: https://coachingfederation.org/.
Hammoud M, Deiorio N, Moore M, Wolff M. Coaching in medical education. 1st Edition ed: Elsevier; 2023
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