RT Journal Article
SR Electronic
T1 Peer-Coaching for Family Physicians to Close the Intention-to-Action Gap
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 996
OP 1008
DO 10.3122/jabfm.2023.230489R2
VO 37
IS 6
A1 Kiran, Tara
A1 Devotta, Kimberly
A1 Desveaux, Laura
A1 Ramji, Noor
A1 Weyman, Karen
A1 Lam Antoniades, Margarita
A1 DeRocher, MaryBeth
A1 Rackal, Julia
A1 Ivers, Noah
YR 2024
UL http://www.jabfm.org/content/37/6/996.abstract
AB Introduction: Peer coaching has the potential to enhance the effectiveness of clinical performance feedback reports to family physicians, but few peer-coaching quality improvement programs have been implemented and evaluated in primary care. Authors designed, implemented and evaluated a peer-coaching program for family physicians in a large, academic primary-care organization to explore its potential to enhance family physicians' use of clinical performance data for quality improvement.Methods: Coaches were nominated by their peers and were trained to follow an evidence-informed facilitated feedback model for coaching. Data were collected through surveys, a focus-group with coaches, and individual interviews with coached family physicians (“coachees”). Data were analyzed inductively using reflexive thematic analysis.Results: Authors trained 10 coaches who coached 25 family physicians over 3 months. Coachees who completed the survey (21/25) indicated a desire for additional coaching sessions in future; most (19/21) reported confidence in making practice change. Interview (n = 11) and focus-group participants (n = 8) findings validated acceptability of the coaching approach that emphasized empathy ahead of change-talk. Coaches helped coachees interpret care-quality measures, deal with negative emotional responses evoked, encouraged a sense of accountability for improvement, and sometimes offered new ways to manage common challenges. Coaching sessions led to a wide range of practice-improvement goals. However, effects on practice change were felt to be limited by the data available and the focus on individual physician factors when broader clinic issues acted as important barriers to improvement.Conclusions: Peer coaching is a feasible approach to supporting family physicians’ use of data for learning and practice improvement. More research is needed to understand the impact on practice outcomes and physician wellness.