Developing a feedback-rich culture in academic medicine: the effect of coaching and 360-feedback on physician leadership.

Interprofessional team communication Leadership Development; Faculty Wellness Primary care Professional fulfillment

Journal

BMC medical education
ISSN: 1472-6920
Titre abrégé: BMC Med Educ
Pays: England
ID NLM: 101088679

Informations de publication

Date de publication:
24 Oct 2022
Historique:
received: 15 07 2022
accepted: 12 10 2022
entrez: 25 10 2022
pubmed: 26 10 2022
medline: 27 10 2022
Statut: epublish

Résumé

This is a time of unprecedented change in healthcare. More physicians are being tasked with stepping into a variety of leadership roles without having received the training needed to be an effective leader. Previous data have demonstrated the effectiveness of both leadership coaching and 360-feedback tools to foster physician well-being and leadership growth. In this proof of concept study, we explore the combined effect of these two tools. The objective of this study was to examine the effect of a brief physician 360 leadership coaching intervention on perception of professional dynamics and acquired leadership skills. Participants completed a tailored 360-feedback tool to gather input on their leadership skills, then engaged in five bi-weekly leadership coaching sessions. We conducted a post-intervention semi-structured qualitative interview. Qualitative data were coded using an inductive thematic analysis approach. Twenty-three primary care physicians at an academic medical center engaged in the 360 leadership coaching study. Participants reported that the intervention yielded valuable benefits in five coaching sessions. Two overarching themes emerged: a Shift in leadership awareness and Navigating their environment. Leadership awareness included increased clarity of purpose and role, and recognition that routine feedback is critical to leadership development. Navigating their environment included gaining relationship-building communication, organizational awareness and navigation strategies. Combining a tailored 360-feedback tool with a five-session leadership coaching intervention provided physicians with valued support infrastructure for becoming more effective leaders. Physicians described a nuanced understanding of the leadership challenges physicians face, and identified the leadership tools needed to navigate the evolving healthcare delivery landscape. Curricula for physician leadership learning could consider this combination of a customized 360 plus targeted leadership coaching for training physician leaders.

Sections du résumé

BACKGROUND BACKGROUND
This is a time of unprecedented change in healthcare. More physicians are being tasked with stepping into a variety of leadership roles without having received the training needed to be an effective leader. Previous data have demonstrated the effectiveness of both leadership coaching and 360-feedback tools to foster physician well-being and leadership growth. In this proof of concept study, we explore the combined effect of these two tools. The objective of this study was to examine the effect of a brief physician 360 leadership coaching intervention on perception of professional dynamics and acquired leadership skills.
METHODS METHODS
Participants completed a tailored 360-feedback tool to gather input on their leadership skills, then engaged in five bi-weekly leadership coaching sessions. We conducted a post-intervention semi-structured qualitative interview. Qualitative data were coded using an inductive thematic analysis approach.
RESULTS RESULTS
Twenty-three primary care physicians at an academic medical center engaged in the 360 leadership coaching study. Participants reported that the intervention yielded valuable benefits in five coaching sessions. Two overarching themes emerged: a Shift in leadership awareness and Navigating their environment. Leadership awareness included increased clarity of purpose and role, and recognition that routine feedback is critical to leadership development. Navigating their environment included gaining relationship-building communication, organizational awareness and navigation strategies.
CONCLUSIONS CONCLUSIONS
Combining a tailored 360-feedback tool with a five-session leadership coaching intervention provided physicians with valued support infrastructure for becoming more effective leaders. Physicians described a nuanced understanding of the leadership challenges physicians face, and identified the leadership tools needed to navigate the evolving healthcare delivery landscape. Curricula for physician leadership learning could consider this combination of a customized 360 plus targeted leadership coaching for training physician leaders.

Identifiants

pubmed: 36280819
doi: 10.1186/s12909-022-03809-6
pii: 10.1186/s12909-022-03809-6
pmc: PMC9590387
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

733

Informations de copyright

© 2022. The Author(s).

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Auteurs

Rachel Schwartz (R)

Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA. raschwartz@stanford.edu.

Barbette Weimer-Elder (B)

Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA.

Elizabeth Wilkins (E)

Foresight Collaborative, Provo, UT, 84604, USA.
Management Department, Brigham Young University, Provo, UT, 84602, USA.

Dan Deka (D)

Flying Squirrel Experiences, LLC, Boise, ID, 83703, USA.

Stephanie Wong (S)

Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA.

Bryan K Dang (BK)

Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA.
The Valley Foundation School of Nursing, San Jose State University, San Jose, CA, 95192, USA.
Design Impact Engineering Program, The Department of Mechanical Engineering at Stanford University, Stanford, CA, 94305, USA.

Ryan Brown (R)

Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA.

Merisa Kline (M)

Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA.

Lawrence Kwan (L)

Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, 94305, USA.

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Classifications MeSH