Improvement of medical professionals’ engagement in team-based medical practice and physicians’ performance by using coaching

〇Hidetaka Yokoh [1], Shoichi Ito [1], Shunichiro Onishi [2], Mayumi Asahina [1]

[1] Chiba University School of Medicine, Chiba, Japan

[2] Asahi General Hospital, Chiba, Japan

Purpose:

To examine effects of coaching in team-based medical practice and physicians' performance.

Take Home Message:

Coaching is an effective tool that enhances self-efficacy and performance of various medical professionals including experienced physicians, and it can lead to the improvement of medical teamwork and patient outcome.

Background:

In Japanese medical site, physicians have strong authority and sometimes it is difficult to communicate among interprofessionals. In order to solve these problems, we focused on coaching.

Coaching is a communication skill that brings out one’s potentials and voluntary actions. It has been applied to patients with lifestyle diseases but limited numbers of studies have reported on team-based medical practice or physicians’ performance.

Summary of Work:

Two physicians who lead diabetes team consisted of multi-medical staff attended coach training programs and practiced coaching for their team members.

Meanwhile, certified coaches coached 4 physicians who have moderate clinical experience and specialty. Before and after taking coaching, self-evaluation questionnaires using 7-point Likert scale was performed.

Summary of Results:

Discussion:

Our results demonstrate that coaching increases self-efficacy and mutual communication of medical professionals in the medical team. Furthermore, coaching affects performance of relatively skilled physicians. Coaching may contribute to increase new viewpoints and choices of action in medical professional group.

Conclusion:

Coaching is useful in improving medical professionals’ engagement in team-based medical practice and physicians’ performance. It may have positive impact on patient outcome. Further studies are necessary for showing effect of coaching on reforming medical organizations, building good patient-doctor relationship and optimized treatment and education for patients.