Barry egener friday coaching the physician
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Coaching the Physician
Barry Egener, MD
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Outline
• Considerations for success
• The model
• Data
• Your institution
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Contracti ng
• Who’s the client?• Framing the problem– Knowledge Deficit– Motivation Deficit– Personality Issue
• Framing the solution for success• Confidentiality
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Diff erenti al Diagnosis
Psychiatric Illness
Physical Illness
Substance Use Disorder
Wellbeing
Personality
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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
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The Process
• Meetings
• Reassessment
• Terminating
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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.
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Future Explorati on
• Diagnostic – what about “personality”?
• Tailor intervention to individual
• Combining modalities
• Integrating ongoing system monitoring
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W h a t A r e Y o u T h i n k i n g A b o u t ?