In-the-Moment Feedback and Coaching: Improving R2C2 for a New Context: Improving R2C2 for a New Context

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Název: In-the-Moment Feedback and Coaching: Improving R2C2 for a New Context: Improving R2C2 for a New Context
Autoři: Lockyer, Jocelyn, Armson, Heather, Könings, Karen D., Lee-Krueger, Rachelle C. W., des Ordons, Amanda Roze, Ramani, Subha, Trier, Jessica, Zetkulic, Mary Grace, Sargeant, Joan
Zdroj: Journal of Graduate Medical Education. 12:27-35
Informace o vydavateli: Journal of Graduate Medical Education, 2020.
Rok vydání: 2020
Témata: Interviews as Topic, Internship and Residency/methods, Models, Educational, Formative Feedback, Models, Interprofessional Relations, Physicians, Preceptorship, Humans, Internship and Residency, Mentoring, Educational, Mentoring/methods
Popis: Background The R2C2, a 4-phase feedback and coaching model, builds relationships, explores reactions, determines content and coaches for change, and facilitates formal feedback conversations between clinical supervisors/preceptors and residents. Formal discussions about performance are typically based on collated information from daily encounter sheets, objective structured clinical examinations, multisource feedback, and other data. This model has not been studied in settings where brief feedback and coaching conversations occur immediately after a specific clinical experience. Objective We explored how supervisors adapt the R2C2 model for in-the-moment feedback and coaching and developed a guide for its use in this context. Methods Eleven purposefully selected supervisors were interviewed in 2018 to explore where they used the R2C2 model, how they adapted it for in-the-moment conversations, and phrases used corresponding to each phase that could guide design of a new R2C2 in-the-moment model. Results Participants readily adapted the model to varied feedback situations; each of the 4 phases were relevant for conversations. Phase-specific phrases that could enable effective coaching conversations in a limited amount of time were identified. Data facilitated a revision of the original R2C2 model for in-the-moment feedback and coaching conversations and design of an accompanying trifold brochure to enable its effective use. Conclusions The R2C2 in-the-moment model offers a systematic approach to feedback and coaching that builds on the original model, yet addresses time constraints and the need for an iterative conversation between the reaction and content phases. The model enables supervisors to coach and co-create an action plan with residents to improve performance.
Druh dokumentu: Article
Jazyk: English
ISSN: 1949-8357
1949-8349
DOI: 10.4300/jgme-d-19-00508.1
Přístupová URL adresa: https://meridian.allenpress.com/jgme/article-pdf/12/1/27/2426926/jgme-d-19-00508_1.pdf
https://pubmed.ncbi.nlm.nih.gov/32089791
https://cris.maastrichtuniversity.nl/en/publications/46e21fb4-58ff-4a2e-9f9e-78433ebf1208
https://doi.org/10.4300/JGME-D-19-00508.1
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7012514
https://www.jgme.org/doi/full/10.4300/JGME-D-19-00508.1
https://pubmed.ncbi.nlm.nih.gov/32089791/
https://europepmc.org/article/MED/32089791
https://www.ncbi.nlm.nih.gov/pubmed/32089791
http://meridian.allenpress.com/jgme/article/12/1/27/428723/In-the-Moment-Feedback-and-Coaching-Improving-R2C2
Přístupové číslo: edsair.doi.dedup.....1f56454374e02e2b9e72d91545aa247a
Databáze: OpenAIRE
Popis
Abstrakt:Background The R2C2, a 4-phase feedback and coaching model, builds relationships, explores reactions, determines content and coaches for change, and facilitates formal feedback conversations between clinical supervisors/preceptors and residents. Formal discussions about performance are typically based on collated information from daily encounter sheets, objective structured clinical examinations, multisource feedback, and other data. This model has not been studied in settings where brief feedback and coaching conversations occur immediately after a specific clinical experience. Objective We explored how supervisors adapt the R2C2 model for in-the-moment feedback and coaching and developed a guide for its use in this context. Methods Eleven purposefully selected supervisors were interviewed in 2018 to explore where they used the R2C2 model, how they adapted it for in-the-moment conversations, and phrases used corresponding to each phase that could guide design of a new R2C2 in-the-moment model. Results Participants readily adapted the model to varied feedback situations; each of the 4 phases were relevant for conversations. Phase-specific phrases that could enable effective coaching conversations in a limited amount of time were identified. Data facilitated a revision of the original R2C2 model for in-the-moment feedback and coaching conversations and design of an accompanying trifold brochure to enable its effective use. Conclusions The R2C2 in-the-moment model offers a systematic approach to feedback and coaching that builds on the original model, yet addresses time constraints and the need for an iterative conversation between the reaction and content phases. The model enables supervisors to coach and co-create an action plan with residents to improve performance.
ISSN:19498357
19498349
DOI:10.4300/jgme-d-19-00508.1