The Impact of Professional Coaching on Early Career Academic Emergency Physicians

NCT ID: NCT03125330

Last Updated: 2021-01-06

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 46 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-06-01
• Study Completion Date: 2020-03-05

Brief Summary

This research study is designed to answer the question: How does professional coaching impact early career academic emergency medicine physician goal attainment, leadership strengths, well-being, and burnout?

Detailed Description

A recent systematic review and meta-analysis found coaching to have significant positive effects on goal attainment, well-being, coping skills, work attitudes, and goal-directed self-regulation. Randomized controlled studies of professional coaching have found significant positive effects in various settings including high school teachers and students, postgraduate students in a major university, and executives in the commercial, government, and education sectors.

Coaching provides the participant focused time with a trained professional who facilitates that participant's self-determined and self-directed problem-solving and change. Coaching helps the participant "get on the balcony" away from the action on the "dance floor" to see things from a different and broader perspective and, in doing so, enriches the participant's ability to generate options, challenge biases, understand the effects of emotions, and consider uncertainty.

This study also establishes the level of adult development of academic faculty and creates an initial qualitative dataset for further longitudinal study and theory generation for physician well-being, burnout, leadership strengths, and goal attainment.

Conditions

Development, Human; Well-Being; Professional Burnout; Goals; Leadership; Professional Role; Physician's Role; Stress; Anxiety

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

One-to-One Coaching

Participants randomized to One-to-One Coaching meet for an initial 2-hour coaching session, followed by seven 1-hour coaching sessions every 3-weeks. These eight sessions take place over the course of 6 months.

Additional requirements for One-to-One Coaching:

• Complete a 30-minute online assessment of goal attainment, well-being, burnout, and leadership strengths (a) at study enrollment, (b) at 6-months after study enrollment, and (c) 12-months following study enrollment.
• Complete a 15-minute VIA Character Strengths Test online prior to One-to-One Coaching.
• Following the completion of the final coaching session, participants are interviewed by a con-investigator by phone call to assess the experience of coaching.

Each coaching session will be recorded, transcribed, anonymized, and analyzed to identify common themes.

Group Type: EXPERIMENTAL

Professional coaching

Intervention Type: BEHAVIORAL

Professional coaching is provided by the Principal Investigator via video conference.

Group Coaching

Participants meet for 90-minutes each month for 6 months for facilitated professional coaching with a group of colleagues.

Additional requirements:

• Complete a 30-minute online assessment of goal attainment, well-being, burnout, and leadership strengths (a) at study enrollment, (b) at 6-months after study enrollment, and (c) 12-months following study enrollment.
• Complete a 15-minute VIA Character Strengths Test online prior to Group Coaching.
• Prior to your initial group coaching session, participate in a 75-minute private phone interview with the primary investigator to discuss the how you make decisions and make sense of the world.
• Following the completion of the final coaching session, participants are interviewed by a con-investigator by phone call to assess the experience of coaching.

Each coaching session will be recorded, transcribed, anonymized, and analyzed to identify common themes.

Group Type: ACTIVE_COMPARATOR

Professional coaching

Intervention Type: BEHAVIORAL

Professional coaching is provided by the Principal Investigator via video conference.

Group Coaching Waitlist

Participants are offered group coaching at the completion of the 12-month study period. Six 90-minute group coaching sessions will occur over the course of six months.

Additional requirements:

• Complete a 30-minute online assessment of goal attainment, well-being, burnout, and leadership strengths (a) at study enrollment (b) and at 6-months after study enrollment.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Professional coaching

Professional coaching is provided by the Principal Investigator via video conference.

Intervention Type: BEHAVIORAL

Other Intervention Names

Coaching

Eligibility Criteria

Inclusion Criteria

• Emergency physicians
• Academic appointment of Instructor or Assistant Professor
• Work greater than 80% of their time in a residency and fellowship program approved by the Accreditation Council of Graduate Medical Education (ACGME), the American Osteopathic Association (AOA), or the Royal College of Physicians and Surgeons of Canada (RCPSC) will be invited to participate in the study.

Exclusion:

• Mayo Clinic emergency physicians are not eligible for this study.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Mayo Clinic

OTHER

Sponsor Role: lead

Responsible Party

Richard C Winters

MD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Richard C Winters

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

Mayo Clinic in Rochester

Rochester, Minnesota, United States

Countries

United States

References

Theeboom, T., B. Beersma, and A.E.M. van Vianen, Does coaching work? A meta-analysis on the effects of coaching on individual level outcomes in an organizational context. The Journal of Positive Psychology, 2013. 9(1): p. 1-18.

Reference Type: BACKGROUND

Silva JAM, Mininel VA, Fernandes Agreli H, Peduzzi M, Harrison R, Xyrichis A. Collective leadership to improve professional practice, healthcare outcomes and staff well-being. Cochrane Database Syst Rev. 2022 Oct 10;10(10):CD013850. doi: 10.1002/14651858.CD013850.pub2.

Reference Type: DERIVED

PMID: 36214207 (View on PubMed)

Related Links

https://www.mayo.edu/research/clinical-trials

Mayo Clinic Clinical Trials

Other Identifiers

16-010192

Identifier Type: -

Identifier Source: org_study_id