A mixed methods pilot study of an internal coaching program within an academic emergency department

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Bibliografski detalji
Izdano u:BMC Medical Education vol. 25 (2025), p. 1-11
Glavni autor: Myers, Justin G
Daljnji autori: Markwalter, Daniel, Cyr, Julianne M, Binz, Nikki
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Springer Nature B.V.
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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-07357-7  |2 doi 
035 |a 3227642639 
045 2 |b d20250101  |b d20251231 
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100 1 |a Myers, Justin G 
245 1 |a A mixed methods pilot study of an internal coaching program within an academic emergency department 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundOver 60% of emergency medicine physicians experience burnout. Professional coaching of physicians may reduce emotional exhaustion and burnout, while improving quality of life and resilience; however, few studies have specifically investigated coaching’s impact on job satisfaction and burnout of emergency physicians. This study assesses the effects of a novel coaching program, which utilized internal professional coaches, on burnout and job satisfaction among emergency physicians in an academic emergency department.MethodsIn January 2022, an internal coaching program commenced for upper-level residents, fellows, and new faculty physicians. Participants engaged in individual coaching sessions, and group coaching sessions (n = 4) were offered to the entire department on a variety of topics (e.g., Leadership, Bedside Teaching). Quantitative data were collected to measure baseline and follow-up burnout and job satisfaction scores via the 2-Question Summative Score of Maslach Burnout Inventory [MBI] and Global Job Satisfaction [GJS] scales, respectively. Qualitative data gathered through surveys were inductively coded, leading to the identification of experiential themes.ResultsThirty-two participants enrolled in individual coaching. Eighty-nine individual coaching sessions were delivered, totaling 69.34 h. Participants received a median of 2 (range:1–6) sessions. Department-wide baseline and follow-up survey response rates were 33.7% and 32.7%, respectively. Among all respondents, burnout symptoms did not change significantly (MBI: t(55) = 2.00, p = 0.15), but job satisfaction declined significantly, with mean GJS scores decreasing from 3.73 (SD = 0.70, 95% CI: 3.49–3.98) to 3.15 (SD = 0.91, 95% CI: 2.82–3.47). When analyzed by coaching participation, no significant differences were found in MBI (t(12) = 2.18, p = 0.71) or GJS (t(10) = 2.23, p = 0.75) scores between participants and non-participants. Thematic analysis highlighted benefits and challenges of the internal coaching program. Identified themes reinforced coaching best practices (e.g., solutions-focused sessions), provided context for future efforts (e.g., maintaining diverse perspectives), and highlighted advantages and disadvantages of internal coaches (e.g., familiarity versus privacy).ConclusionOur pilot study did not demonstrate a reduction in burnout or an increase in job satisfaction. However, internal coaching offers valuable opportunities for academic emergency departments, including unique benefits and challenges. Future research should explore system-level impacts on burnout and job satisfaction during coaching program implementation as well as cost-effectiveness. 
653 |a Emergency medical care 
653 |a Polls & surveys 
653 |a Pilot projects 
653 |a Training 
653 |a Demographics 
653 |a Coaching 
653 |a Peer tutoring 
653 |a Job satisfaction 
653 |a Participation 
653 |a Confidentiality 
653 |a Meetings 
653 |a Burnout 
653 |a Moral injury 
653 |a Program Design 
653 |a Professional Training 
653 |a Supervision 
653 |a Departments 
653 |a Physicians 
653 |a Leadership 
653 |a Data Interpretation 
653 |a Program Descriptions 
653 |a Goal Orientation 
653 |a Program Implementation 
653 |a Coaching (Performance) 
653 |a Data Analysis 
653 |a Full Time Equivalency 
653 |a Program Improvement 
653 |a Wellness 
700 1 |a Markwalter, Daniel 
700 1 |a Cyr, Julianne M 
700 1 |a Binz, Nikki 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1-11 
786 0 |d ProQuest  |t Healthcare Administration Database 
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856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3227642639/fulltext/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
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