The Impact of Professional Coaching on Early Career Academic Emergency Physicians
- Conditions
- Well-BeingProfessional RolePhysician's RoleAnxietyProfessional BurnoutGoalsLeadershipDevelopment, HumanStress
- Interventions
- Behavioral: Professional coaching
- Registration Number
- NCT03125330
- Lead Sponsor
- Mayo Clinic
- Brief Summary
This research study is designed to answer the question: How does professional coaching impact early career academic emergency medicine physician goal attainment, leadership strengths, well-being, and burnout?
- Detailed Description
A recent systematic review and meta-analysis found coaching to have significant positive effects on goal attainment, well-being, coping skills, work attitudes, and goal-directed self-regulation. Randomized controlled studies of professional coaching have found significant positive effects in various settings including high school teachers and students, postgraduate students in a major university, and executives in the commercial, government, and education sectors.
Coaching provides the participant focused time with a trained professional who facilitates that participant's self-determined and self-directed problem-solving and change. Coaching helps the participant "get on the balcony" away from the action on the "dance floor" to see things from a different and broader perspective and, in doing so, enriches the participant's ability to generate options, challenge biases, understand the effects of emotions, and consider uncertainty.
This study also establishes the level of adult development of academic faculty and creates an initial qualitative dataset for further longitudinal study and theory generation for physician well-being, burnout, leadership strengths, and goal attainment.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 46
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group Coaching Professional coaching Participants meet for 90-minutes each month for 6 months for facilitated professional coaching with a group of colleagues. Additional requirements: * Complete a 30-minute online assessment of goal attainment, well-being, burnout, and leadership strengths (a) at study enrollment, (b) at 6-months after study enrollment, and (c) 12-months following study enrollment. * Complete a 15-minute VIA Character Strengths Test online prior to Group Coaching. * Prior to your initial group coaching session, participate in a 75-minute private phone interview with the primary investigator to discuss the how you make decisions and make sense of the world. * Following the completion of the final coaching session, participants are interviewed by a con-investigator by phone call to assess the experience of coaching. Each coaching session will be recorded, transcribed, anonymized, and analyzed to identify common themes. One-to-One Coaching Professional coaching Participants randomized to One-to-One Coaching meet for an initial 2-hour coaching session, followed by seven 1-hour coaching sessions every 3-weeks. These eight sessions take place over the course of 6 months. Additional requirements for One-to-One Coaching: * Complete a 30-minute online assessment of goal attainment, well-being, burnout, and leadership strengths (a) at study enrollment, (b) at 6-months after study enrollment, and (c) 12-months following study enrollment. * Complete a 15-minute VIA Character Strengths Test online prior to One-to-One Coaching. * Following the completion of the final coaching session, participants are interviewed by a con-investigator by phone call to assess the experience of coaching. Each coaching session will be recorded, transcribed, anonymized, and analyzed to identify common themes.
- Primary Outcome Measures
Name Time Method Goal Setting and Attainment 18 months (3 measurements at 6-month intervals) Each participant identifies two professional goals at study onset. For each of the goals, participants respond to the question, "Up to today, how successful have you been in achieving this goal?" and rate their goal attainment on a scale from 0% (no attainment) to 100% (complete attainment). To control for differences between participants in perceived goal attainment difficulty, participants also will rate each goal for perceived difficulty on a 4-point scale ( 1=very easy, 2=somewhat easy, 3=somewhat difficult, 4=very difficult). Goal attainment scores are calculated by multiplying the difficulty rating by the degree of success.
- Secondary Outcome Measures
Name Time Method Empowerment at Work Scale 18 months (3 measurements at 6-month intervals) A 12-item survey that measures a physician's sense of meaning, competence, self-determination, and impact while at work.
Self-Insight Scale 18 months (3 measurements at 6-month intervals) An 8-item sub-scale of the Self-reflection and Insight Scale. This scale measures individuals' levels of insight into their thoughts, feelings and behaviors.
Perspective Taking Scale 18 months (3 measurements at 6-month intervals) A 7-item subscale of The Empathy Questionnaire that measures perspective-taking.
Solution-Focused Thinking Scale 18 months (3 measurements at 6-month intervals) A 12-item scale with three subscales: Problem Disengagement, Goal Orientation, and Resource Activation.
Tolerance for Ambiguity Scale 18 months (3 measurements at 6-month intervals) An eight-item assessment that measures tolerance for ambiguity.
Psychological Well-Being Scale 18 months (3 measurements at 6-month intervals) An 18-item survey that measures eudaemonic well-being.
Abbreviated Two-Item Maslach Burnout Inventory 18 months (3 measurements at 6-month intervals) A two-item survey that measures participant burnout.
Depression, Anxiety, and Stress Scale (DASS 21) 18 months (3 measurements at 6-month intervals) A 21-item self-report questionnaire designed to measure the severity of the core symptoms of depression, anxiety, and stress in both clinical and nonclinical scenarios.
Leadership Self-Efficacy Scale 18 months (3 measurements at 6-month intervals) A 5-item scale of leadership self-efficacy.
Qualitative Summary of Coaching Program After 6-month coaching intervention. 18 months An open-ended interview covering issues such as 1) participant's experience with the coaching process and coach; 2) participant goals; 3) impact on the participant's workplace; 4) impact on participant's personal life; and 5) what the participant plans to do to sustain any changes or learnings.
Subject-Object Interview 18 months A one-time 60 to 75-minute private interview that measures the particpant's order of subject-object development based upon constructive-developmental theory.
Trial Locations
- Locations (1)
Mayo Clinic in Rochester
🇺🇸Rochester, Minnesota, United States