Who Benefits Most? A Multisite Study of Coaching and Resident Well-being.
burnout
coaching
faculty development
graduate medical education
well-being
Journal
Journal of general internal medicine
ISSN: 1525-1497
Titre abrégé: J Gen Intern Med
Pays: United States
ID NLM: 8605834
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
received:
20
11
2020
accepted:
30
04
2021
pubmed:
9
6
2021
medline:
12
3
2022
entrez:
8
6
2021
Statut:
ppublish
Résumé
Coaching has been shown to improve resident well-being; however, not all benefit equally. Assess predictors of changes in resident physician well-being and burnout in a multisite implementation of a Professional Development Coaching Program. Pre- and post-implementation surveys administered to participant cohorts at implementation sites in their intern year. Effect size was calculated comparing pre- and post-intervention paired data. In total, 272 residents in their intern year at five internal medicine residency programs (Boston Medical Center, University Hospitals Cleveland Medical Center, Duke University, Emory University, Massachusetts General Hospital). Analyses included 129 residents with paired data. Interns were paired with a faculty coach trained in positive psychology and coaching skills and asked to meet quarterly with coaches. Primary outcomes included Maslach Burnout Inventory depersonalization (DP) and emotional exhaustion (EE) subscales, and the PERMA well-being scale. Key predictors included site, demographics, intolerance of uncertainty, hardiness-resilience, gratitude, and coping. Program moderators included were reflection, goal setting, and feedback. Well-being (PERMA) changed from baseline to follow-up in all participants; females showed a decline and males an increase (-1.41 vs. .83, p = 0.04). Self-reflection was associated with positive change in PERMA (mean positive change 1.93, p = 0.009). Burnout (EE) declined in non-Hispanic white residents vs. Black/Asian/Hispanic/other residents (-1.86, p = 0.021). Burnout improved with increased goal setting. Coaching programs should consider tailored approaches to support residents whose well-being is impacted by gender and/or race, and who have higher intolerance of uncertainty and lower resilience at baseline. Coaching skills of goal setting and reflection may positively affect interns and teach coping skills.
Sections du résumé
BACKGROUND
Coaching has been shown to improve resident well-being; however, not all benefit equally.
OBJECTIVE
Assess predictors of changes in resident physician well-being and burnout in a multisite implementation of a Professional Development Coaching Program.
DESIGN
Pre- and post-implementation surveys administered to participant cohorts at implementation sites in their intern year. Effect size was calculated comparing pre- and post-intervention paired data.
PARTICIPANTS
In total, 272 residents in their intern year at five internal medicine residency programs (Boston Medical Center, University Hospitals Cleveland Medical Center, Duke University, Emory University, Massachusetts General Hospital). Analyses included 129 residents with paired data.
INTERVENTIONS
Interns were paired with a faculty coach trained in positive psychology and coaching skills and asked to meet quarterly with coaches.
MAIN MEASURES
Primary outcomes included Maslach Burnout Inventory depersonalization (DP) and emotional exhaustion (EE) subscales, and the PERMA well-being scale. Key predictors included site, demographics, intolerance of uncertainty, hardiness-resilience, gratitude, and coping. Program moderators included were reflection, goal setting, and feedback.
KEY RESULTS
Well-being (PERMA) changed from baseline to follow-up in all participants; females showed a decline and males an increase (-1.41 vs. .83, p = 0.04). Self-reflection was associated with positive change in PERMA (mean positive change 1.93, p = 0.009). Burnout (EE) declined in non-Hispanic white residents vs. Black/Asian/Hispanic/other residents (-1.86, p = 0.021). Burnout improved with increased goal setting.
CONCLUSION
Coaching programs should consider tailored approaches to support residents whose well-being is impacted by gender and/or race, and who have higher intolerance of uncertainty and lower resilience at baseline. Coaching skills of goal setting and reflection may positively affect interns and teach coping skills.
Identifiants
pubmed: 34100238
doi: 10.1007/s11606-021-06903-5
pii: 10.1007/s11606-021-06903-5
pmc: PMC8858365
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
539-547Informations de copyright
© 2021. Society of General Internal Medicine.
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