'It's more like checking in with an old friend': A qualitative study of medical students' experiences with longitudinal coaches throughout medical school.

IF 3.3 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Medical Teacher Pub Date : 2024-06-01 Epub Date: 2023-12-04 DOI:10.1080/0142159X.2023.2284659
Leslie Bernal Charondo, Leslie Sheu, Brian M Bakke, Karen E Hauer
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Abstract

Purpose: Coaching in medical education facilitates learners' growth and development through feedback, goal-setting and support. This study explored how coaching relationships evolve throughout medical school and the impact of longitudinal coaching relationships on medical students' approach to feedback and goal setting in the clinical years.

Method: In this qualitative study using a constructivist paradigm, authors purposively sampled 15 senior medical students at University of California, San Francisco, to participate in individual semi-structured interviews (October-November 2021). The authors used an inductive approach to thematic analysis.

Results: The authors identified four themes: First, the student-coach relationship deepened over the course of medical school. Second, students identified factors that sustained and strengthened the student-coach relationship over time: a strong foundation to the relationship, the non-evaluative nature of the relationship, coach supportiveness and responsiveness, and coach knowledge of the institutional landscape. Third, coaches provided individualized advice, assessed trajectory, and guided feedback interpretation. Lastly, students applied skills of soliciting and responding to feedback and creating learning goals, originally learned through coaching experience.

Conclusions: Coaching relationships, grounded in trust, evolve to meet students' changing needs as they grow into physicians. Students apply feedback and goal-setting skills learned with the coach in clinical settings with other supervisors.

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“这更像是向一位老朋友问候”:一项针对医学院学生与纵向教练经历的定性研究。
目的:医学教育中的辅导通过反馈、目标设定和支持促进学习者的成长和发展。本研究旨在探讨医学生的辅导关系如何在整个医学院发展,以及纵向辅导关系对医学生在临床年的反馈方法和目标设定的影响。方法:在这项采用建构主义范式的定性研究中,作者有目的地抽样了加州大学旧金山分校的15名高年级医学生,参加了个人半结构化访谈(2021年10月至11月)。作者采用归纳法进行主题分析。结果:作者发现了四个主题:第一,学生与教练的关系在医学院的教学过程中不断加深。其次,学生们确定了随着时间的推移维持和加强学生与教练关系的因素:牢固的关系基础、这种关系的非评价性质、教练的支持和回应,以及教练对机构景观的了解。第三,教练提供个性化建议,评估轨迹,并指导反馈解释。最后,学生们运用了最初通过教练经验学到的征求和回应反馈以及制定学习目标的技能。结论:教练关系建立在信任的基础上,随着学生成长为医生而不断发展,以满足他们不断变化的需求。学生将从教练那里学到的反馈和目标设定技能应用到临床环境中与其他主管一起。
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来源期刊
Medical Teacher
Medical Teacher 医学-卫生保健
CiteScore
7.80
自引率
8.50%
发文量
396
审稿时长
3-6 weeks
期刊介绍: Medical Teacher provides accounts of new teaching methods, guidance on structuring courses and assessing achievement, and serves as a forum for communication between medical teachers and those involved in general education. In particular, the journal recognizes the problems teachers have in keeping up-to-date with the developments in educational methods that lead to more effective teaching and learning at a time when the content of the curriculum—from medical procedures to policy changes in health care provision—is also changing. The journal features reports of innovation and research in medical education, case studies, survey articles, practical guidelines, reviews of current literature and book reviews. All articles are peer reviewed.
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