1. The role of Coach in the Leadership Preventive Medicine Residency Dominic F. Geffken, MD, MPH ACPM February 24, 2006

2. The Setting

3. Concord Hospital –Community hospital –Approx. 240 beds NH-Dartmouth Family Practice Residency –Unopposed FP residency-8-8-8 –Combined Family Practice/ Leadership Preventive Medicine Residency Leadership Preventive Medicine Residency –Based at Dartmouth/CECS

4. The Setting The Capital Region Family Health Center –Approx 17,000 patients, safety net health center for the region –Concord and Hillsboro –FP/LPMR Residents continuity clinic –The local setting for quality improvement projects

6. Institutional Support Concord Hospital –The leaders and managers view the LPMR residents as adding value to the organization –The Concord Hospital Practicum Review Committee (PRC) reviews resident quality improvement initiatives

7. The Setting The LPMR Resident –LPMR Practicum: the resident meets with PRC to review quality improvement proposal Conceptual Approval Report on progress Final report

8. The Role of the Coach The Coach is a faculty member in the same department as the LPMR resident. Coaches model skills in –Patient care –Teaching/advising/professional development –Project development/management /publication –Leadership of improvement

9. The Role of the Coach Transformational Learning –Mentor and guide –Most significant learning comes from challenges –Need to let resident stumble sometimes, but then process what occurred and ways to move forward

10. The Role of the Coach Preparing for the Practicum –The LPMR residents: come with many ideas/high levels of energy –Coach: help focus the ideas/energy into quality improvement project that is achievable and relevant

11. The Role of the Coach Preparing for the PRC –Rehearse, rehearse, rehearse –Coach reminds resident of perspectives of different PRC members

12. The Role of the Coach After Initial Approval of Practicum –Maintain the timeline of the initiative –Regular meetings with resident to review successes and challenges –Coach through organization dynamic experiences (organization politics, group dynamics, diffusion of innovation)

13. The Role of the Coach Support for the coach –Regular meetings with local coaches and educators –Regular meetings with all coaches at Dartmouth

14. The Role of the Coach Lessons learned Transformational learning requires that the coach and learner have some struggle The coach may learn as much as the resident in the process Support and supervision is necessary for the coach as well as learner

15. The Role of the Coach Coaching does not end after LPMR. –The hope is that we are developing a lifelong coaching/mentoring relationship that will continue during the learner’s professional career

16. Thank you

17. Dominic F. Geffken, MD, MPH NH-Dartmouth Family Practice Residency Dgeffken@crhc.org