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1.
Clin Sports Med ; 42(2): 195-208, 2023 Apr.
Article in English | MEDLINE | ID: mdl-36907618

ABSTRACT

Professional coaching can support individuals and organizations in four ways: (1) improving provider experience of working in health care, (2) supporting provider role and career development, (3) helping build team effectiveness, and (4) building an organizational coaching culture. There is evidence about effectiveness of coaching in business, and an increasing body of literature, including small randomized, controlled trials, supporting use of coaching in health care. This article summarizes the framework for professional coaching, describes ways professional coaching can support the four processes above, and provides case scenarios that contextualize understanding of how professional coaching can be of benefit.


Subject(s)
Mentoring , Humans , Leadership , Delivery of Health Care
2.
J Ambul Care Manage ; 41(1): 80-86, 2018.
Article in English | MEDLINE | ID: mdl-28350636

ABSTRACT

Primary care physicians (PCPs) experience differential postdischarge access to electronic health records, depending upon affiliation with the discharging hospital's health network. To better understand whether this affiliation impacts discharge communication preferences, we surveyed a convenience sample of PCPs in and out of our hospital's health network. We also surveyed hospitalists and compared PCPs' and hospitalists' responses. We found that PCP discharge communication preferences differed by hospital health network affiliation. In addition, PCPs and hospitalists reported different expectations of responsibility for pending laboratory test follow-up. More inclusive communication strategies and standardization of responsibility for pending laboratory results may improve discharge communication quality.


Subject(s)
Hospitalists , Interdisciplinary Communication , Multi-Institutional Systems , Patient Discharge/standards , Physicians, Primary Care , Electronic Health Records , Health Services Research , Humans , North Carolina
3.
Acad Med ; 87(4): 403-10, 2012 Apr.
Article in English | MEDLINE | ID: mdl-22361790

ABSTRACT

With changes in the Accreditation Council for Graduate Medical Education (ACGME) Common Program Requirements related to transitions in care effective July 1, 2011, sponsoring institutions and training programs must develop a common structure for transitions in care as well as comprehensive curricula to teach and evaluate patient handoffs. In response to these changes, within the Duke University Health System, the resident-led Graduate Medical Education Patient Safety and Quality Council performed a focused review of the handoffs literature and developed a plan for comprehensive handoff education and evaluation for residents and fellows at Duke. The authors present the results of their focused review, concentrating on the three areas of new ACGME expectations--structure, education, and evaluation--and describe how their findings informed the broader initiative to comprehensively address transitions in care managed by residents and fellows. The process of developing both institution-level and program-level initiatives is reviewed, including the development of an interdisciplinary minimal data set for handoff core content, training and education programs, and an evaluation strategy. The authors believe the final plan fully addresses both Duke's internal goals and the revised ACGME Common Program Requirements and may serve as a model for other institutions to comprehensively address transitions in care and to incorporate resident and fellow leadership into a broad, health-system-level quality improvement initiative.


Subject(s)
Accreditation , Clinical Competence , Education, Medical, Graduate/standards , Internship and Residency/standards , Patient Transfer/standards , Schools, Medical/standards , Communication , Continuity of Patient Care , Education, Medical, Graduate/methods , Humans , Internship and Residency/methods , North Carolina , Patient Safety , Patient Transfer/methods , Quality Improvement , Workload
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