barry egener friday coaching the physician
DESCRIPTION
TFME 2013 Organizational Professionalism ConferenceTRANSCRIPT
Coaching the Physician
Barry Egener, MD
Outline
• Considerations for success
• The model
• Data
• Your institution
Contracti ng
• Who’s the client?• Framing the problem– Knowledge Deficit– Motivation Deficit– Personality Issue
• Framing the solution for success• Confidentiality
Diff erenti al Diagnosis
Psychiatric Illness
Physical Illness
Substance Use Disorder
Wellbeing
Personality
An Approach to Diffi cult Interacti ons
1) Elicit the Colleague/Patient Perspective2) Acknowledge that Perspective3) Present Your Own Perspective4) Agree on Common Goals5) Define Boundaries
The Process
• Meetings
• Reassessment
• Terminating
Outcomes
• Over 30 consultations; half primary care
• 1 on 1 coaching, 2-10 hours
• Results, on scale 1-7, satisfactionParticipant = 6.45 (N=25)Supervisor = 6.0 (N=17)
Egener, JGIM, 2008;23:1890-1895.
Future Explorati on
• Diagnostic – what about “personality”?
• Tailor intervention to individual
• Combining modalities
• Integrating ongoing system monitoring
W h a t A r e Y o u T h i n k i n g A b o u t ?