Clinical trial NCT03125330: The Impact of Professional Coaching on Early Career Academic Emergency Physicians
Official title: The Impact of Professional Coaching on Early Career Academic Emergency Physician Well-Being, Burnout, Leadership Strengths, and Goal Attainment: A Pilot Randomized, Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Development, Human
Well-Being
Professional Burnout
Goals
Leadership
Professional Role
Physician's Role
Stress
Anxiety
Keywords: Coaching
Professional coaching
Emergency physicians
Emergency medicine
Goal attainment
Leadership strengths
Well-being
Burnout
Adult level of development
Group coaching
Instructor
Assistant professor
Academic faculty
Subject-Object Interview
Lead sponsor: Mayo Clinic
Sponsor class: OTHER
First posted: 2017-04-24
Enrollment: 46
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: This research study is designed to answer the question: How does professional coaching impact early career academic emergency medicine physician goal attainment, leadership strengths, well-being, and burnout?

Detailed description: A recent systematic review and meta-analysis found coaching to have significant positive effects on goal attainment, well-being, coping skills, work attitudes, and goal-directed self-regulation. Randomized controlled studies of professional coaching have found significant positive effects in various settings including high school teachers and students, postgraduate students in a major university, and executives in the commercial, government, and education sectors.

Coaching provides the participant focused time with a trained professional who facilitates that participant's self-determined and self-directed problem-solving and change. Coaching helps the participant "get on the balcony" away from the action on the "dance floor" to see things from a different and broader perspective and, in doing so, enriches the participant's ability to generate options, challenge biases, understand the effects of emotions, and consider uncertainty.

This study also establishes the level of adult development of academic faculty and creates an initial qualitative dataset for further longitudinal study and theory generation for physician well-being, burnout, leadership strengths, and goal attainment.

Eligibility criteria: Inclusion:

* Emergency physicians
* Academic appointment of Instructor or Assistant Professor
* Work greater than 80% of their time in a residency and fellowship program approved by the Accreditation Council of Graduate Medical Education (ACGME), the American Osteopathic Association (AOA), or the Royal College of Physicians and Surgeons of Canada (RCPSC) will be invited to participate in the study.

Exclusion:

* Mayo Clinic emergency physicians are not eligible for this study.

Primary outcomes:
measure: Goal Setting and Attainment
timeFrame: 18 months (3 measurements at 6-month intervals)
Secondary outcomes:
measure: Psychological Well-Being Scale
timeFrame: 18 months (3 measurements at 6-month intervals)
measure: Empowerment at Work Scale
timeFrame: 18 months (3 measurements at 6-month intervals)
measure: Abbreviated Two-Item Maslach Burnout Inventory
timeFrame: 18 months (3 measurements at 6-month intervals)
measure: Depression, Anxiety, and Stress Scale (DASS 21)
timeFrame: 18 months (3 measurements at 6-month intervals)
measure: Leadership Self-Efficacy Scale
timeFrame: 18 months (3 measurements at 6-month intervals)
measure: Self-Insight Scale
timeFrame: 18 months (3 measurements at 6-month intervals)
measure: Solution-Focused Thinking Scale
timeFrame: 18 months (3 measurements at 6-month intervals)
measure: Tolerance for Ambiguity Scale
timeFrame: 18 months (3 measurements at 6-month intervals)
measure: Perspective Taking Scale
timeFrame: 18 months (3 measurements at 6-month intervals)
measure: Qualitative Summary of Coaching Program
timeFrame: After 6-month coaching intervention. 18 months
measure: Subject-Object Interview
timeFrame: 18 months
Other outcomes:
Locations:
city: Rochester
country: United States
facility: Mayo Clinic in Rochester
state: Minnesota
Study officials:
affiliation: Mayo Clinic
name: Richard C Winters
role: PRINCIPAL_INVESTIGATOR
References:
citation: Theeboom, T., B. Beersma, and A.E.M. van Vianen, Does coaching work? A meta-analysis on the effects of coaching on individual level outcomes in an organizational context. The Journal of Positive Psychology, 2013. 9(1): p. 1-18.
citation: Silva JAM, Mininel VA, Fernandes Agreli H, Peduzzi M, Harrison R, Xyrichis A. Collective leadership to improve professional practice, healthcare outcomes and staff well-being. Cochrane Database Syst Rev. 2022 Oct 10;10(10):CD013850. doi: 10.1002/14651858.CD013850.pub2.