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Clinical Coaching Voluntary Faculty Development Conference. By the end of this session, you will be able to:. Analyze learner performance of a clinical skill Use coaching comments to guide th e next developmental step Facilitate learner goal setting and practice.
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Clinical Coaching Voluntary Faculty Development Conference
By the end of this session, you will be able to: • Analyze learner performance of a clinical skill • Use coaching comments to guide the next developmental step • Facilitate learner goal setting and practice
Learning objectives or milestones Performance Observation Summative Evaluation Facilitated Practice Coach’s Assessment Educational alliance and learning climate Formative Feedback The Clinical Coaching Cycle Set a goal
Our Case 2 learners… 18 year old woman with abdominal pain Go through the steps of the coaching cycle with a learner.
Gathering and organizing information in a hypothesis-driven way • Common to nearly all learners • Seeing patients, chart review, looking at slides/films • Skill taught in a common way • Learners progress along developmental milestones
Skill 1: Observe • What are you looking/listening for? • What are the common mis-steps made by novices? Are they making them?
Our Case Nick and Pam are both late in the year of clinical rotations. • Read the learner’s note and infer their skills in gathering and organizing information. • At your table, discuss your observations and assessment. Where is Nick on this skill development?
Compare and Contrast Novice Nick Proficient Pam
Skill 3: Give Feedback Panic Zone Learning Zone Comfort Zone
Growth occurs in layers Goal Gap Reinforce
A New Feedback Sandwich Ask Tell Ask
TELL: Coaching Comments Future focus: Next time, try… Swap it: Instead of _____, do ________. Share the struggle: When I get stuck, I try…
Practice: Coaching Comments Take 3 minutes to write out your ASK-TELL-ASK for Nick. Reflect: What could be challenging with this model?
Skill 4: Goal Setting Scope alert! Today we are focusing on a goal relevant to the skills you are working on right now. Not life goals or goals for their career…
Skill 4: Goal Setting • Using the case of our learner, help the learner set a goal for growth in this clinical skill. Examples: By the NCAA tournament, I will be able to shoot an 85% free throw percentage. By the end of this week, I will be able to select the appropriate anti-hypertensive for >80% of patients.
Skill 5: Facilitate Practice of the Skill Will the learner get enough practice with this in usual setting? Can I create enough real practice? NO YES NO YES Selective assignments Simulated practice “What if…” Prompt self-reflection, Give feedback, Maintain motivation
Practice Skills 4 & 5 Write and share a SMART goal for Nick. Develop a practice prescription for your learner.
The Clinical Coaching Cycle Milestones Performance Observation Observe with intent Summative Evaluation Facilitated Practice Real vs. simulate Coach’s Assessment Where on the developmental path? What to reinforce? What to correct? Relationship and Learning Climate Formative Feedback Goal Setting ASK-TELL-ASK “I noticed…” “Next time, try…” SMART goal for a specific skill
Commit Go back to your coaching self-assessment. What skills did you rate as hardest? List 2 specific changes you can make to improve that coaching skill next time you work with learners.
O Observe with intent Facilitate practice Educational Alliance Trust Credibility Assess development Set a goal Give feedback