Monday 15 May 2023

Coaching as a high impact intervention in Health Professions Education

Coaching as a high impact intervention in Health Professions Education (APMEC 2023 Symposium), Saturday, 27 May 2023, 1.45pm - 2.45pm, Theatre, University Cultural Center, NUS

https://medicaleducationelearning.blogspot.com/2023/05/coaching-as-high-impact-intervention-in.html

building on previous work

Shorey, S., Ang, E., Chua, J., & Goh, P. S. (2022). Coaching interventions among healthcare students in tertiary education to improve mental well-being: A mixed studies review. Nurse education today, 109, 105222. https://doi.org/10.1016/j.nedt.2021.105222

Short Communication on ‘The Role of Coaching in Health Professions Education’ at APMEC 2022 - https://medicaleducationelearning.blogspot.com/2021/11/apmec-2022-short-communication.html

https://pohsungoh.blogspot.com/2022/10/coaching-process-and-value-add-for.html





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Full transcript of my presentation, to be accompanied by Slides below section as background illustration.


















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COACHING AS A HIGH IMPACT INTERVENTION IN HEALTH PROFESSIONS EDUCATION

Session Abstract

The aim of this symposium is to present a general overview of coaching as intervention,
background theory and supporting review of the literature; share our experience as individual inhouse coaches at our medical school and academic medical center, coaching undergraduates,
postgraduates as well as individual at significant career and life transition points; review the
evidence for coaching as a high impact intervention in Health Professions Education; and in closing
discussing the value proposition of coaching, lessons learnt and plans for the future.


Overview, Background Theory and Literature Review

Poh-Sun Goh

Will focus on two areas. 1) Compare and contrast, with examples and literature, what coaching, compared with mentoring, guidance and direct instruction is good for, specificially 'What the job to be done’ is, essentially what you ‘hire’ a coach for. 2) Then describe in outline form ‘what’ coaching is, compared with mentoring, guiding, and direct instruction. 

Lai, Yi-Ling & Passmore, Jonathan. (2019). Coaching psychology: Exploring definitions and research contribution to practice?. International Coaching Psychology Review. 14. 69-83. 10.53841/bpsicpr.2019.14.2.69. 


Coaching Conversations with Medical Students - How, What and Why

Elizabeth Teh

Will talk about the structure of ontological coaching conversations; based on the 8Ps model, leading up to the group presenting the “What is coaching?” card at the end of the session.

Focusing on two main points: 1) Questions that a coach might ask to facilitate the client’s self-discovery (as opposed to questions we might ask as a teacher or mentor), and 2) Skills and competencies required of a coach to create a safe, engaging space for an effective coaching conversation.
 

Elevating the Medical School Experience Through Coaching: Common Themes and Approaches to Overcoming Challenges Students Face

Nisha Kesavan

Will first address some common themes and challenges medical students face.

Then speak about how a coach approaches challenges that a coachee raises, as well as how we can jointly develop strategies they can implement in their lives to overcome these hurdles.


Key Considerations in Developing and Implementing a Coaching Program in Medical Education

Kesavan Esuvaranathan

This will be a candid, before and after narrative of the key considerations in introducing a novel coaching program into a heavily structured and dense medical curriculum.

The presentation will outline the careful planning necessary to avoid major pitfalls and also discuss the flexibility and creativity require to respond strategically to traditional medical culture and legacy systems in medical education.

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“Simply put. Coaching to - 'Feel’ Good, ‘Look’ Good, and ‘Be’ Good
where ‘Good’ - is defined by Coachee, with assisted awareness, through reflection, working in partnership with the Coach
where Feel - includes Somatic, Thinking, and Emotions 
where ‘Look and Be’ - includes what the ‘mirror’ and ‘world’ sees, from ‘Appearance’ and Performance’, including observations and feedback from the Coach.”
Poh-Sun Goh, Monday, 17 April 2023, 0711am, Singapore time

Building on Short Communication on ‘The Role of Coaching in Health Professions Education’ presented at APMEC 2022 - https://medicaleducationelearning.blogspot.com/2021/11/apmec-2022-short-communication.html

https://pohsungoh.blogspot.com/2022/10/coaching-process-and-value-add-for.html

Shorey, S., Ang, E., Chua, J., & Goh, P. S. (2022). Coaching interventions among healthcare students in tertiary education to improve mental well-being: A mixed studies review. Nurse education today, 109, 105222. https://doi.org/10.1016/j.nedt.2021.105222


https://www.lecturio.com/pulse/coaching-in-healthcare-education/

Hammoud MM, Deiorio NM, Moore M, Wolff M. Coaching in Medical Education. 1st ed. Elsevier; 2023.

https://www.amazon.com/Coaching-Medical-Education-Residents-Innovation/dp/0323847269


Lovell, Ben. (2017). What do we know about coaching in medical education? A literature review. Medical Education. 52. 10.1111/medu.13482. https://www.researchgate.net/publication/321728432_What_do_we_know_about_coaching_in_medical_education_A_literature_review

Wolff, M., Hammoud, M., Santen, S., Deiorio, N., & Fix, M. (2020). Coaching in undergraduate medical education: a national survey. Medical education online, 25(1), 1699765. https://doi.org/10.1080/10872981.2019.1699765


"Advising, Mentoring and being Sponsored can get you in the door, help open the door. Coaching and being Coached helps you decide which room to go in, and keeps you in the room, by understanding your why, your motivations. What you need. Why you think and feel you need these. Ultimately what underpins and forms the foundation of your Academic, Clinical and Professional Performance and Presence. Coaching keeps you in the room." Poh-Sun Goh, Monday, 17 April 2023, 0736am, Singapore Time

above comment in response to Table 5, in article below

Margaret Wolff, Maya Hammoud, Sally Santen, Nicole Deiorio & Megan Fix (2020) Coaching in undergraduate medical education: a national survey, Medical Education Online, 25:1, DOI: 10.1080/10872981.2019.1699765 https://www.tandfonline.com/doi/full/10.1080/10872981.2019.1699765




Maini, A., Fyfe, M. & Kumar, S. Medical students as health coaches: adding value for patients and students. BMC Med Educ 20, 182 (2020). https://doi.org/10.1186/s12909-020-02096-3


Graddy, Ryan MD; Wright, Scott MD. On the Value of Coaching in Medicine. Academic Medicine 91(8):p 1037, August 2016. | DOI: 10.1097/ACM.0000000000001270 

Lovell, Ben. (2017). What do we know about coaching in medical education? A literature review. Medical Education. 52. 10.1111/medu.13482.  

Carney, P.A., Bonura, E.M., Kraakevik, J.A. et al. Measuring Coaching in Undergraduate Medical Education: the Development and Psychometric Validation of New Instruments. J GEN INTERN MED 34, 677–683 (2019). https://doi.org/10.1007/s11606-019-04888-w


N. DeTurk, S., J. Kaza, A., & Ng Pellegrino, A. (2022). Coaching and Mentoring: Focus on Graduate Medical Education. IntechOpen. doi: 10.5772/intechopen.94182 





Definition of Coaching by the International Coaching Federation (ICF) 
"ICF defines coaching as partnering with clients in a thought-provoking and creative process that inspires them to maximize their personal and professional potential. Coaching is a client-driven process. 
The coach’s responsibility is to:
• Discover, clarify and align with what the client wants to achieve
• Encourage client self-discovery
• Elicit client-generated solutions and strategies
• Hold the client responsible and accountable
The coaching process helps clients improve their outlook on work and life, while improving their
leadership skills and unlocking their potential."
quoted from 'Unlock your Potential' by the ICF, accessed from https://coachfederation.org/app/uploads/2018/06/UnlockYourPotential.pdf, on 4 October 2022












"What zone am I in right now? ... What am I giving my attention to? ...What actions can I take right now?
The only way to get a new result is to take a new action ... (the questions above) can unlock new pathways when the territory gets unclear. Managing yourself starts with managing your nervous system, what you give your energy to, and what actions you can take. This is where you can begin to make a difference for your present and future."
- above quotes from "The Drucker Difference: Three Questions to Ask Yourself When Things Get Tough" with Jeremy Hunter, accessed on 9 April 2023 at https://www.cgu.edu/news/2023/01/the-drucker-difference-three-questions-to-ask-yourself-when-things-get-tough/


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"The top of one mountain is always the bottom of another." - Marianne Williamson

"In accepting his (Tony) award (after a 50 year career), (Andre) De Shields shared his three cardinal rules for longevity: One, surround yourself with people whose eyes light up when they see you coming. Two, slowly is the fastest way to get where you want to be. And three, the top of one mountain is the bottom of the next, so keep climbing, he said." quote from - https://www.latimes.com/entertainment/arts/la-et-cm-andre-de-shields-20190609-story.html 

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