Barry egener friday coaching the physician
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TFME 2013 Organizational Professionalism Conference
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Barry egener friday coaching the physician
- 2. • Considerations for success • The model • Data • Your institution
- 3. • Who’s the client? • Framing the problem – Knowledge Deficit – Motivation Deficit – Personality Issue • Framing the solution for success • Confidentiality
- 4. Psychiatric Illness Physical Illness Substance Use Disorder Wellbeing Personality
- 5. 1) Elicit the Colleague/Patient Perspective 2) Acknowledge that Perspective 3) Present Your Own Perspective 4) Agree on Common Goals 5) Define Boundaries
- 6. • Meetings • Reassessment • Terminating
- 7. • Over 30 consultations; half primary care • 1 on 1 coaching, 2-10 hours • Results, on scale 1-7, satisfaction Participant = 6.45 (N=25) Supervisor = 6.0 (N=17) Egener, JGIM, 2008;23:1890-1895.
- 8. • Diagnostic – what about “personality”? • Tailor intervention to individual • Combining modalities • Integrating ongoing system monitoring
Editor's Notes
- ClientObligations to bothWho paysTurning someone downI sometimes accept someone on their own – rarely just want to improveFramingSpeak to supervisorTaking a history – include marital and training historyOutcomes
- Dementia, untreated diabetes, depression or other DSM-IV diagnoses Substances Impaired wellbeing. Chronic, a result of burnout, or transient: marital issues, a lawsuit, financial stressors Personality issues that don’t rise to level of disorder, such as arrogance
- MeetingsPart teacher, part therapistInclude outside relationshipsSeparate evaluation and treatmentThis work takes a lifetime – it’s never really over. Those of you who do this work still learn
- Originally 13 learner and 8 supervisor evaluations 6.3 learner; 6.7 supervisor
- System monitoring – should be rare that we need an intervention. In the ideal culture, behaviors are self-organizing, disruptive behavior either doesn’t occur, because the perpetrator self-censors in an environement which clearly does not accept disruptive behavior, or colleagues step in to extinguish it immediately because they feel empowered and skilled to do so.Only need for intervention is extreme, bullying or pathologic behavior.