SHM Converge Scientific Abstract ePoster Gallery-Assessing the Clinical Coaching Needs of Early-Career Hospitalists

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This study assessed the clinical coaching needs of first-year academic hospitalists as they transitioned out of residency and into independent practice. The authors implemented a new Clinical Coaching Program and surveyed new faculty (“coachees”) to measure self-perceived competency and confidence across ACGME core competencies and 18 specific clinical domains.<br /><br />Twenty-two hospitalists completed the survey, an 88% response rate. Overall, coachees reported the highest skill levels in professionalism and interpersonal/communication skills. They also felt most confident in communicating with interdisciplinary team members and consultants.<br /><br />However, compared with their general clinical skills, participants expressed lower confidence in several areas, especially self-directed learning, handling ethical dilemmas, and managing challenging patient or caregiver behaviors. These findings suggest that early-career hospitalists may need additional support in areas that are less directly reinforced during routine clinical work.<br /><br />A gender-stratified analysis found one significant difference: women reported lower confidence than men in deciding when to call a consultant, with a median score of 7 versus 8. No other comparisons by gender or years since residency were statistically significant.<br /><br />The results are being used to shape and evaluate the new coaching program and to guide ongoing assessment of the needs of early-career hospitalists. Overall, the study highlights a gap between perceived strengths in interpersonal professionalism and lower confidence in more complex, self-directed, or judgment-based aspects of clinical practice.

Asset Subtitle

Nicole Curatola

Meta Tag

Author List Bradley A. Sharpe, Faye Chan, Jonathan Duong, Kristen Kipps, Maggie Jones, Nancy Choi, Nicole Curatola, Sandra Oreper

Category Research

Concept Early-career academic hospitalists

Concept Self-Perceived Competency

Concept Confidence

Concept ACGME Competency

Concept Clinical Domain

Distinguished Non-Finalist

Presenter Organization University of California, San Franscisco

Presenting Author Nicole Curatola

Track Education

Keywords

clinical coaching

hospitalists

first-year faculty

residency transition

clinical competency

ACGME core competencies

self-perceived confidence

interdisciplinary communication

ethical dilemmas

gender differences

Early-career academic hospitalists

Self-Perceived Competency

Confidence

ACGME Competency

Clinical Domain