Competencies for Those Who Coach Physicians: A Modified Delphi Study.

Autor: Passarelli AM; Institute of Coaching, McLean Hospital, Belmont, MA; Fuqua School of Business, Duke University. Electronic address: angela.passarelli@duke.edu., Gazelle G; Division of General Internal Medicine and Primary Care, Harvard Medical School, Boston, MA., Schwab LE; Atrius Health, Leslie Schwab, LLC: Physician Coaching Services, Newton, MA., Kramer RF; Spiro Coaching Institute, Greensboro, NC., Moore MA; Institute of Coaching, McLean Hospital, Belmont, MA; Wellcoaches Corporation, Wellesley, MA., Subhiyah RG; Department of Psychometrics and Data Analysis, National Board of Medical Examiners, Philadelphia, PA., Deiorio NM; Department of Emergency Medicine, Virginia Commonwealth University School of Medicine, Richmond., Gautam M; Department of Psychiatry, University of Ottawa, Ottawa, Ontario, Canada., Gill P; Health Care Administration, Mayo Clinic College of Medicine and Science, and Human Resources, Mayo Clinic, Jacksonville, FL., Hull SK; Metta Solutions, LLC, Durham, NC, and Department of Family Medicine, University of North Carolina at Chapel Hill School of Medicine., King CR; Obstetrics and Gynecology Institute, Cleveland Clinic, Cleveland, OH., Sikon A; Department of Internal Medicine and Geriatrics, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH.
Jazyk: angličtina
Zdroj: Mayo Clinic proceedings [Mayo Clin Proc] 2024 May; Vol. 99 (5), pp. 782-794.
DOI: 10.1016/j.mayocp.2024.01.002
Abstrakt: The rapidly evolving coaching profession has permeated the health care industry and is gaining ground as a viable solution for addressing physician burnout, turnover, and leadership crises that plague the industry. Although various coach credentialing bodies are established, the profession has no standardized competencies for physician coaching as a specialty practice area, creating a market of aspiring coaches with varying degrees of expertise. To address this gap, we employed a modified Delphi approach to arrive at expert consensus on competencies necessary for coaching physicians and physician leaders. Informed by the National Board of Medical Examiners' practice of rapid blueprinting, a group of 11 expert physician coaches generated an initial list of key thematic areas and specific competencies within them. The competency document was then distributed for agreement rating and comment to over 100 stakeholders involved in physician coaching. Our consensus threshold was defined at 70% agreement, and actual responses ranged from 80.5% to 95.6% agreement. Comments were discussed and addressed by 3 members of the original group, resulting in a final model of 129 specific competencies in the following areas: (1) physician-specific coaching, (2) understanding physician and health care context, culture, and career span, (3) coaching theory and science, (4) diversity, equity, inclusion, and other social dynamics, (5) well-being and burnout, and (6) physician leadership. This consensus on physician coaching competencies represents a critical step toward establishing standards that inform coach education, training, and certification programs, as well as guide the selection of coaches and evaluation of coaching in health care settings.
(Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE