Centre for Health Sciences Education, Faculty of Health, Aarhus University, Palle Juul-Jensens Boulevard 82, 8200, Aarhus N, Denmark.
Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Palle Juul-Jensens Boulevard 99, 8200, Aarhus N, Denmark.
BMC Med Educ. 2020 Jun 16;20(1):193. doi: 10.1186/s12909-020-02102-8.
Practising medicine at an expert level requires skills beyond medical expert knowledge. Research shows that newly appointed consultants feel less prepared to deal with leadership issues compared to issues regarding medical expertice. Newly graduated (NG) doctors and residents in particular struggle with leadership and organisational issues. The purpose of this study was to explore the impact of group coaching on NG doctors' approach to organisational and leadership challenges in daily practice during the transition period from medical school to clinical work.
Newly graduated doctors participated in a group coaching course comprising three full-day sessions and five two-hour sessions. The purpose was to support NG doctors' professional development regarding organisational issues in the first years after graduation. The coaches were health professionals with certified coaching training. Data from the intervention were collected from open-ended questionnaires and observational notes. A thematic analysis was performed.
Forty-five NG doctors participated in a total of six courses sharing experiences and problems reflected in their professional lives. The following themes emerged: Revelation of the hidden curriculum, importance of professional relations, inter-professional communication, conflict management and emerging leadership skills. Participants' communication skills improved due to an increased awareness of other peoples' perspectives and preferences. They realized the importance of good relations, saw how they could become active contributors in their departments and began to practice leadership skills through e.g. involvement of the team, delegation of work and negotiation of own obligations.
Newly graduated doctors seemed to develop a growing awareness of organisational issues and a deeper understanding of the complexity of health care organisations through participation in a group coaching course. The study indicates that participation in a group coaching course probably contributes to improve practice among NG doctors. Further studies are needed to consolidate the findings and explore possible organisational effects.
以专家水平行医需要超越医学专业知识的技能。研究表明，与医学专业知识相比，新任命的顾问感到准备不足，无法应对领导问题。应届毕业生 (NG) 医生和住院医师尤其在领导和组织问题上感到困难。本研究的目的是探讨小组辅导对 NG 医生在从医学院过渡到临床工作期间日常实践中组织和领导挑战的方法的影响。
应届毕业生参加了一个由三个全天课程和五个两小时课程组成的小组辅导课程。目的是支持 NG 医生在毕业后的头几年在组织问题上的专业发展。教练是具有认证教练培训的健康专业人员。干预措施的数据来自开放式问卷和观察记录。进行了主题分析。
共有 45 名应届毕业生参加了总共六门课程，分享了他们专业生活中反映的经验和问题。出现了以下主题：隐性课程的揭示、专业关系的重要性、跨专业沟通、冲突管理和新兴领导技能。由于对他人观点和偏好的认识提高，参与者的沟通技巧得到了提高。他们意识到良好关系的重要性，看到了自己如何在部门中成为积极的贡献者，并开始通过例如团队参与、工作委派和谈判自己的义务来实践领导技能。
通过参加小组辅导课程，应届毕业生似乎对组织问题有了越来越多的认识，并对医疗保健组织的复杂性有了更深入的了解。该研究表明，参加小组辅导课程可能有助于改善 NG 医生的实践。需要进一步研究来巩固这些发现并探索可能的组织影响。
