Department of Pediatrics, Erasmus Medical Center, Rotterdam, The Netherlands
Department of Work and Organizational Psychology, University of Amsterdam, Amsterdam, The Netherlands.
BMJ Open. 2024 May 21;14(5):e081139. doi: 10.1136/bmjopen-2023-081139.
Healthcare 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.
We 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.
Sixteen hospitals in the Netherlands.
A 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.
The 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.
Our 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.
医疗保健领域面临着医学生、住院医师和专科医生短缺和职业倦怠率上升的问题。为了优先考虑他们的福祉和提供高质量的患者护理，深入了解医生的发展目标和需求变得至关重要。因此，我们的首要目标是通过检查他们在开始指导时设定的指导目标，全面了解医生优先考虑的具体发展目标。由于医生在职业生涯中面临着不同的角色，我们的第二个目标是突出在不同医疗职业阶段的个体的发展目标和需求的相似性和差异性。
我们对 2571 个指导目标进行了定性分析。我们对半部分的指导目标进行了归纳主题分析，对另一半进行了代码手册主题分析。我们对研究结果的解释基于批判现实主义方法。
荷兰的 16 家医院。
341 名医学实习学生、336 名住院医师、122 名早期职业专家、82 名中期职业专家和 57 名晚期职业专家在指导开始时提供了他们的指导目标。
研究结果表明，被指导者通常会设定关于职业和未来、当前工作和任务、人际工作关系、自我洞察和发展、健康和福祉、非工作方面以及指导过程的目标。此外，研究结果还说明了随着医生在职业生涯中的进步，指导目标的多样性是如何增加的。
我们的研究结果强调了在不同职业阶段认识到不同挑战的重要性，以及为医生提供全面支持的必要性。这一见解对医疗保健组织具有重要意义，使它们能够更好地将系统干预与医生的需求相匹配，并加强支持。此外，我们的指导目标分类为未来的研究提供了有价值的基础，有助于更深入地探讨这些目标如何影响指导结果。
