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Building Mastery as Teaching Hospitalists Through ...
Building Mastery as Teaching Hospitalists Through an Intensive Coaching Program
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The document describes the Master Educator Coaching Program (MECP), an intensive “edu-coaching” initiative launched in the 2023–2024 academic year to help early-career inpatient teaching attendings develop mastery in clinician-educator skills. The program was designed for junior hospitalists who must quickly balance patient care, supervision, autonomy, and teaching multiple learners.<br /><br />Six senior attending “edu-coaches” were paired with five “edu-coachees” (two chief residents and three hospital medicine fellows). Before each inpatient teaching block, the pairs met to review goals and preferences. The coaches also used a shared framework of seven best-practice domains for inpatient teaching. During a 9–10 day block, coaches observed clinical care, learner interactions, and teaching rounds, with daily debriefs to reflect, discuss progress, and provide feedback. The pairs had matched clinical schedules, and coaches met regularly with each other to share experiences. Pre- and post-program surveys measured goals, challenges, confidence, and perceived impact.<br /><br />Evaluation found that the program increased junior attendings’ confidence and reported skills, especially in providing feedback, adjusting autonomy and supervision, developing habits of reflection and deliberate practice, and clinical teaching. Reflections from senior attendings highlighted that the experience gave them fresh insight into junior attendings’ challenges, expanded their observation and feedback strategies, and prompted them to think more deeply about autonomy and relinquishing unnecessary feedback. They also emphasized the value of the longitudinal relationship, which allowed for stronger trust and deeper coaching.<br /><br />Overall, the program was viewed as highly impactful and transformative, with both junior and senior participants describing meaningful learning over a short period of time. The authors conclude that a structured, intensive coaching model grounded in best practices can quickly build confidence and teaching skill in new inpatient teaching attendings.
Asset Subtitle
Nancy Choi
Meta Tag
Author List
Andrew R. Lai, Bradley A. Sharpe, Bradley Monash, Lynnea Mills, Margaret C. Fang, Michelle Mourad, Nancy Choi
Category
Innovations
Concept
Co-Attending Coaching Program
Concept
Inpatient Teaching
Concept
Educational Coaching
Concept
Feedback
Concept
Confidence
Distinguished
Non-Finalist
Presenter Organization
Ucsf
Presenting Author
Nancy Choi
Track
Education
Keywords
Master Educator Coaching Program
MECP
edu-coaching
inpatient teaching
junior hospitalists
clinician-educator skills
feedback
autonomy and supervision
deliberate practice
teaching attendings
Co-Attending Coaching Program
Inpatient Teaching
Educational Coaching
Feedback
Confidence
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