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Schwartz R, Weimer-Elder B, Wilkins E, Deka D, Wong S, Dang BK, Brown R, Kline M, Kwan L. Developing a feedback-rich culture in academic medicine: the effect of coaching and 360-feedback on physician leadership. BMC Med Educ 2022; 22:733. [PMID: 36280819 PMCID: PMC9590387 DOI: 10.1186/s12909-022-03809-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Accepted: 10/12/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND This is a time of unprecedented change in healthcare. More physicians are being tasked with stepping into a variety of leadership roles without having received the training needed to be an effective leader. Previous data have demonstrated the effectiveness of both leadership coaching and 360-feedback tools to foster physician well-being and leadership growth. In this proof of concept study, we explore the combined effect of these two tools. The objective of this study was to examine the effect of a brief physician 360 leadership coaching intervention on perception of professional dynamics and acquired leadership skills. METHODS Participants completed a tailored 360-feedback tool to gather input on their leadership skills, then engaged in five bi-weekly leadership coaching sessions. We conducted a post-intervention semi-structured qualitative interview. Qualitative data were coded using an inductive thematic analysis approach. RESULTS Twenty-three primary care physicians at an academic medical center engaged in the 360 leadership coaching study. Participants reported that the intervention yielded valuable benefits in five coaching sessions. Two overarching themes emerged: a Shift in leadership awareness and Navigating their environment. Leadership awareness included increased clarity of purpose and role, and recognition that routine feedback is critical to leadership development. Navigating their environment included gaining relationship-building communication, organizational awareness and navigation strategies. CONCLUSIONS Combining a tailored 360-feedback tool with a five-session leadership coaching intervention provided physicians with valued support infrastructure for becoming more effective leaders. Physicians described a nuanced understanding of the leadership challenges physicians face, and identified the leadership tools needed to navigate the evolving healthcare delivery landscape. Curricula for physician leadership learning could consider this combination of a customized 360 plus targeted leadership coaching for training physician leaders.
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Affiliation(s)
- Rachel Schwartz
- Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA.
| | - Barbette Weimer-Elder
- Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA
| | - Elizabeth Wilkins
- Foresight Collaborative, Provo, UT, 84604, USA
- Management Department, Brigham Young University, Provo, UT, 84602, USA
| | - Dan Deka
- Flying Squirrel Experiences, LLC, Boise, ID, 83703, USA
| | - Stephanie Wong
- Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA
| | - Bryan K Dang
- Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA
- The Valley Foundation School of Nursing, San Jose State University, San Jose, CA, 95192, USA
- Design Impact Engineering Program, The Department of Mechanical Engineering at Stanford University, Stanford, CA, 94305, USA
| | - Ryan Brown
- Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA
| | - Merisa Kline
- Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA
| | - Lawrence Kwan
- Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, 94305, USA
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