Abstract:
OBJECTIVES:Coaching in medical education has recently gained prominence, but minimal attention has been given to key skills and determining how they work to effectively ensure residents are progressing and developing self-assessment skills. This study examined process-oriented and content-oriented coaching skills used in coaching sessions, with particular attention to how supervisors use them to enhance resident acceptance of feedback to enhance learning. METHODS:This qualitative study analysed secondary audiotaped data from 15 supervisors: resident dyads during two feedback sessions, 4 months apart. The R2C2 model was used to engage the resident, build a relationship, explore reactions to feedback, explore resident perceptions of content, and coach for change. Framework analysis was used, including familiarisation with the data, identifying the thematic framework, indexing and charting the data and mapping and interpretation. RESULTS:Process skills included preparation, relationship development, using micro communication skills and techniques to promote reflection and self-assessment by the resident and supervisor flexibility. Content skills related to the specific feedback content included engaging the resident in discussion, ensuring the discussion was collaborative and focused on goal setting, co-developing a Learning Change Plan, ensuring resident commitment and following up on the plan. Together, these skills foster agency in the resident learner. Three overarching themes emerged from the analysis: the interconnectedness of process and content; tensions between encouraging self-direction and ensuring progress and competence; and balancing a coaching dialogue and a teaching monologue. CONCLUSIONS:Effective coaching by supervisors requires a combination of specific process and content skills that are chosen depending on the needs of the individual resident. Mastering these skills helps residents engage and develop agency in their own professional development. These outcomes depend on faculty maintaining a balance between coaching and teaching, encouraging resident self-direction and ensuring progression to competence.
journal_name
Med Educjournal_title
Medical educationauthors
Armson H,Lockyer JM,Zetkulic M,Könings KD,Sargeant Jdoi
10.1111/medu.13818subject
Has Abstractpub_date
2019-05-01 00:00:00pages
477-493issue
5eissn
0308-0110issn
1365-2923journal_volume
53pub_type
杂志文章abstract:BACKGROUND:The assessment of clinical procedural skills has traditionally focused on technical elements alone. However, in real practice, clinicians are expected to be able to integrate technical with communication and other professional skills. We describe an integrated procedural performance instrument (IPPI), where ...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2006.02612.x
更新日期:2006-11-01 00:00:00
abstract::In the context of a curriculum reform the Faculty of Medicine of the University of Leuven, Belgium, introduced a new teaching project: video-supported small-group learning on problem-solving and clinical reasoning. The aim of this study is to reflect 20 years experience. The video-supported sessions for sixth-year med...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00219.x
更新日期:1998-07-01 00:00:00
abstract::The strengths of general practice in the UK as a training environment for overseas doctors intending to implement the World Health Organization strategy 'Health for All by the Year 2000' in primary care are identified. A course of advanced training for teachers and administrators of primary care is described and evalu...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00027.x
更新日期:1991-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2011.04078.x
更新日期:2012-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-10-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1991.tb00044.x
更新日期:1991-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1365-2923.1979.tb01530.x
更新日期:1979-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2016-12-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02697.x
更新日期:1994-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03091.x
更新日期:2008-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-09-14 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03280.x
更新日期:2009-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2003.01403.x
更新日期:2003-02-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01235.x
更新日期:2002-06-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1983.tb01091.x
更新日期:1983-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-11-03 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,随机对照试验
doi:10.1111/medu.12212
更新日期:2013-08-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1995.tb00022.x
更新日期:1995-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-10-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb01484.x
更新日期:1976-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1990.tb02521.x
更新日期:1990-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1980.tb02271.x
更新日期:1980-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2020-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1982.tb01233.x
更新日期:1982-03-01 00:00:00
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journal_title:Medical education
pub_type: 历史文章,杂志文章
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更新日期:1989-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1979.tb00916.x
更新日期:1979-01-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1365-2923.1979.tb01442.x
更新日期:1979-05-01 00:00:00