Evidence map›Paper›PMID 36280819›Full record

ArticleBMC medical education2022

Developing a feedback-rich culture in academic medicine: the effect of coaching and 360-feedback on physician leadership.

Rachel Schwartz, Barbette Weimer-Elder, Elizabeth Wilkins, Dan Deka, Stephanie Wong, Bryan K Dang, Ryan Brown, Merisa Kline, Lawrence Kwan

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rachel Schwartz *Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA. raschwartz@stanford.edu.
Barbette Weimer-Elder *Physician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA.
Elizabeth WilkinsForesight Collaborative, Provo, UT, 84604, USA.
Dan DekaFlying Squirrel Experiences, LLC, Boise, ID, 83703, USA.
Stephanie WongPhysician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA.
Bryan K DangPhysician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA.
Ryan BrownPhysician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA.
Merisa KlinePhysician Partnership Program, Patient Experience, Stanford Health Care, 300 Pasteur Drive, MC 5603, Stanford, CA, 94305, USA.
Lawrence KwanDivision of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, 94305, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis 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.

methodsParticipants 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.

resultsTwenty-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.

conclusionsCombining 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.

Indexed as

MentoringPhysiciansCommunicationFeedbackHumansLeadershipInterprofessional team communicationLeadership Development; Faculty WellnessPrimary careProfessional fulfillment

Identifiers

PMID36280819
PMCPMC9590387

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.