Evidence map›Paper›PMID 38772887›Full record

ArticleBMJ open2024

Lifelong development in medicine: a thematic analysis of coaching goals throughout medical careers.

Ana Stojanović, Daan A H Fris, Lara Solms, Edwin A J van Hooft, Matthijs De Hoog, Anne P J de Pagter

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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

6 authors.

Ana StojanovićDepartment of Pediatrics, Erasmus Medical Center, Rotterdam, The Netherlands a.stojanovic@erasmusmc.nl.ORCID 0009-0007-6720-4330
Daan A H FrisDepartment of Pediatrics, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-0676-0495
Lara SolmsDepartment of Work and Organizational Psychology, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-1080-3064
Edwin A J van HooftDepartment of Work and Organizational Psychology, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0001-6625-5362
Matthijs De HoogDepartment of Neonatal & Pediatric Intensive Care/Division of Pediatric Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-1259-581X
Anne P J de PagterDepartment of Quality and Patient Safety, Erasmus Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-7051-1872

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHealthcare grapples with staff shortages and rising burnout rates for medical students, residents and specialists. To prioritise both their well-being and the delivery of high-quality patient care, it becomes imperative to deepen our understanding of physicians' developmental aims and needs. Our first aim is, therefore, to gain comprehensive insights into the specific developmental aims physicians prioritise by examining the coaching goals they set at the beginning of coaching. Since physicians face distinct roles as they advance in their careers, our second aim is to highlight similarities and differences in developmental aims and needs among individuals at various medical career stages.

designWe conducted a qualitative analysis of 2571 coaching goals. We performed an inductive thematic analysis to code one-half of coaching goals and a codebook thematic analysis for the other half. Our interpretation of the findings was grounded in a critical realist approach.

settingSixteen hospitals in the Netherlands.

participantsA total of 341 medical clerkship students, 336 medical residents, 122 early-career specialists, 82 mid-career specialists and 57 late-career specialists provided their coaching goals at the start of coaching.

resultsThe findings revealed that coachees commonly set goals about their career and future, current job and tasks, interpersonal work relations, self-insight and development, health and well-being, nonwork aspects and the coaching process. Furthermore, the findings illustrate how the diversity of coaching goals increases as physicians advance in their careers.

conclusionsOur findings underscore the significance of recognising distinct challenges at various career stages and the necessity for tailoring holistic support for physicians. This insight holds great relevance for healthcare organisations, enabling them to better align system interventions with physicians' needs and enhance support. Moreover, our classification of coaching goals serves as a valuable foundation for future research, facilitating a deeper exploration of how these goals influence coaching outcomes.

Indexed as

GoalsMentoringStudents, MedicalAdultBurnout, ProfessionalCareer ChoiceFemaleHumansInternship and ResidencyMaleNetherlandsPhysiciansQualitative ResearchSpecializationhealth & safetyhealth workforcehuman resource management

Identifiers

PMID38772887
PMCPMC11110559

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LicenceCC BY-NC
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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.