Coaching the Physician

Barry Egener, MD

Outline

• Considerations for success

• The model

• Data

• Your institution

Contracti ng

• Who’s the client?• Framing the problem– Knowledge Deficit– Motivation Deficit– Personality Issue

• Framing the solution for success• Confidentiality

Diff erenti al Diagnosis

Psychiatric Illness

Physical Illness

Substance Use Disorder

Wellbeing

Personality

An Approach to Diffi cult Interacti ons

1) Elicit the Colleague/Patient Perspective2) Acknowledge that Perspective3) Present Your Own Perspective4) Agree on Common Goals5) Define Boundaries

The Process

• Meetings

• Reassessment

• Terminating

Outcomes

• Over 30 consultations; half primary care

• 1 on 1 coaching, 2-10 hours

• Results, on scale 1-7, satisfactionParticipant = 6.45 (N=25)Supervisor = 6.0 (N=17)

Egener, JGIM, 2008;23:1890-1895.

Future Explorati on

• Diagnostic – what about “personality”?

• Tailor intervention to individual

• Combining modalities

• Integrating ongoing system monitoring

W h a t A r e Y o u T h i n k i n g A b o u t ?