This observational study explores the efficacy of individual coaching in addressing challenges faced by residents during their training. Results indicate high satisfaction among participants, with reported improvements in job satisfaction and professional behavior. Key elements include structured coaching sessions, role-playing, and focused interventions on communication and collaboration skills.

1. Judith Wagter MA, Caroline Buis MSc Marina Eckenhausen MD PhD

2. Challenges in Residency Training The Added Value of Individual Coaching in the Working Place An observational study

3. Background Results Concluding remarks Future studies Challenges in Residency Training

4. Background Results Concluding remarks Future studies Challenges in Residency Training

5. Challenges in Residency Training

6. communicator collaborator professional Tailor made training of roles Challenges in Residency Training

7. “ There are complaints about the way this resident communicates with the nurses.” “ He is often perceived as an arrogant person.” “ She needs to learn how to cope with stress and the workload.” “ I need to learn how to present myself as a medical specialist.” ‘ Questions’ at intake Challenges in Residency Training

8. “ I’d like to be more self-secure in discussions with nursing teams.” “ I need to learn how to structure my work and give myself the opportunity to learn in this new job.” “ I need to be more self-secure and I want to be able to remain strong in difficult decisions.” Goals set after intake Challenges in Residency Training

9. Intake 3 sessions (0,5hrs. each) Teaching specialist / supervisor Resident Together Intervention Observation & feedback on the job (0,5 day) 3 coaching sessions (3 x 1,5hrs.) Role-playing (if necessary) Evaluation Procedure Challenges in Residency Training

10. Diagnosis Miscommunication with patients Conflicts with other professionals Extreme perfectionism Insecurity Adaptation to new job Intervention Guidance in practice Individual coaching Communication training Role-playing with actor Diagnosis and interventions Challenges in Residency Training

11. Background Results Concluding remarks Future studies Challenges in Residency Training

12. N = 10 Results Challenges in Residency Training Gender Men Women 4 6 Mean coaching period Differs: varied between X months to Y months Specialities Surgery 2 Pediatrics 2 Internal Medicine 2 Other 4

13. N = 10 Issues behind the question Challenges in Residency Training 10 questions were about professional behaviour 8 questions were also about collaboration skills 3 were also communication-issues Professional Collaborator Communicator

14. Participants reported a high satisfaction on working methods used a positive outcome in their function. Word of mouth publicity resulted in an increase of spontaneous enrolments. High satisfaction Challenges in Residency Training Results Job satisfaction increased 9 Job satisfaction decreased 1

15. Background Results Concluding remarks Future studies Challenges in Residency Training

16. Professional, objective and neutral coach: Observation by coach has no influence on appraisal. Coach is not a role model. Breaks with negative trends in thinking and behaviour. (‘Everything I say will be used against me.’) Skilled in asking, listening and specifying. Critical success factors Challenges in Residency Training

17. Coach has to be aware of the risks: Becoming part of a dismissal process Being forced to judge in promotion or degradation process Challenges in Residency Training

18. Background Results Conclusions Future studies Challenges in Residency Training

19. Future Studies Gender aspects Speciality related aspects Differences between individual and group interventions Challenges in Residency Training

20. Challenges in Residency Training