Strategies for Building Peer Surgical Coaching Relationships
Strategies for Building Peer Surgical Coaching Relationships
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DOI：
10.1001/jamasurg.2016.5540
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发表时间：
2017-04-01
期刊：
影响因子：
16.9
通讯作者：
Greenberg, Caprice C.
中科院分区：
文献类型：
--
作者：
Beasley, Heather L.;Ghousseini, Hala N.;Greenberg, Caprice C.
重要性同行手术指导是一个有前途的方法，为继续专业发展。然而，缺乏指导可用于外科医生寻求发展同行指导技能。高管教练研究表明，有效的教练首先建立一个积极的关系，他们的教练通过调整角色和过程的期望，建立融洽关系，并培养相互信任。一个由三部分组成的框架被开发来检查同行外科教练（n = 8）用于最初培养与他们的教练（n = 11）的关系的策略。11个介绍1小时的会议之间的教练对参加全州范围内的手术教练计划进行录音，转录，并编码的基础上，3关系建设的组成部分。一旦编码，专题分析被用来组织编码的战略到专题类别和子类别。数据收集时间为2014年10月10日至2015年3月20日。数据分析发生在2015年5月26日至2016年7月20日。主要结果和措施战略和潜在的适得其反的活动，为建立同行教练关系，在外科手术的背景下，通知未来的培训外科教练。结果教练使用具体的战略，以调整角色和过程的期望有关的教练过程，建立融洽，并在介绍性会议期间与他们的教练建立相互信任。潜在的教练陷阱被确定，可能会干扰每个3关系建设components.CONCLUSIONS和RELEVANCE同行提名的外科coacheswere提供了培训的抽象概念，在其他领域有效的教练实践的基础。通过确定同行手术教练使用的策略，以操作这些概念，经验为基础的战略，以告知其他手术教练计划。
IMPORTANCE Peer surgical coaching is a promising approach for continuing professional development. However, scant guidance is available for surgeons seeking to develop peer-coaching skills. Executive coaching research suggests that effective coaches first establish a positive relationship with their coachees by aligning role and process expectations, establishing rapport, and cultivating mutual trust.OBJECTIVE To identify the strategies used by peer surgical coaches to develop effective peer-coaching relationships with their coachees.DESIGN, SETTING, AND PARTICIPANTS Drawing on executive coaching literature, a 3-part framework was developed to examine the strategies peer surgical coaches (n = 8) used to initially cultivate a relationship with their coachees (n = 11). Eleven introductory 1-hour meetings between coaching pairs participating in a statewide surgical coaching program were audiorecorded, transcribed, and coded on the basis of 3 relationship-building components. Once coded, thematic analysis was used to organize coded strategies into thematic categories and subcategories. Data were collected from October 10, 2014, to March 20, 2015. Data analysis took place from May 26, 2015, to July 20, 2016.MAIN OUTCOMES AND MEASURES Strategies and potentially counterproductive activities for building peer-coaching relationships in the surgical context to inform the future training of surgical coaches.RESULTS Coaches used concrete strategies to align role and process expectations about the coaching process, to establish rapport, and to cultivate mutual trust with their coachees during introductory meetings. Potential coaching pitfalls are identified that could interfere with each of the 3 relationship-building components.CONCLUSIONS AND RELEVANCE Peer-nominated surgical coacheswere provided with training on abstract concepts that underlie effective coaching practices in other fields. By identifying the strategies used by peer surgical coaches to operationalize these concepts, empirically based strategies to inform other surgical coaching programs are provided.