Thread by @TChanMD

Such a treat to be at @feminemtweets #Revive19 listening to @PEAKMD talk about coaching. Definitely an amazing female physician leader who is experienced and wisdom in this area. Check out this thread if you are interested in finding out more.

Coaching is different from mentorship.
Executive coaching comes from a place that empowers the person being coached - they have the answer. This is different from teaching (giving you more knowledge), mentor (a guide that nudges), and a coach (who helps you actualize things).

Teaching is more about pushing (being directive).

Mentoring is more about feedback, offering guidance.

Coaching provokes reflection, understanding, paraphrasing, summarizing. Pulls you towards the answers inside of you.

It's a spectrum.

Teachers will get you to competent.
Coaching aims to get you from competent to outstanding.

Music teachers teach you to play the notes.
A conductor/coach urges you to take your skills to outstanding.

Teachers - tell, advise, instruct, develop, weakness, problems, focuses on past/present, aims for competence.

Coaching - ask, listen, support, potential, strength, identifies opportunities, focuses on present/future, aims for exceptional.

Coaches help you consider strengths... and get you even better. They watch you, they help you see, they provide you with more information, and help you to transform.

hbr.org/2018/03/the-ne…

You can coach for different reasons...
coaches cannot always teach (i.e. teachers have subject content expertise).

IMO Great educators probably interweave between teaching, mentoring, coaching....

Remember: Traditional executive coaches DO NOT teach.
They are actually TRAINED NOT TO teach you.

Reminds me of @ChrisWatling3 & @Kori_LaDonna's recent paper about the cultural gaps as we translate coaching techniques into medicine....

onlinelibrary.wiley.com/doi/abs/10.111…

@ChrisWatling3 @Kori_LaDonna What is a "Coach Approach"?
1. Learning oriented.
2. Facilitates own solutions
3. Unlocks potential for MAX performance
4. Builds self-confidence
5. Strengthens capacity
6. Continuous org improvement

Coaching is not...
- counselling
- therapy
- giving advice
- consulting
- collaborating

When to coach?
- individual should be competent... (otherwise, maybe they need a teacher or a mentor)
- they should be able to influence this
- they have time.

The Right Coach can do the following:
- create a safe environment
- identify gaps
- ask for more intentionality/thought/action
- guide building of structure, accountability, support.

Physicians ask for coaching....
- leadership coaching
- burnout and stress reduction
- anger mgt & disruptive behavior
- marital/relationship issues
- malpractice support
- time mgt
- conflict resolution
- career change
- communication & interpersonal
- Emotional intelligence

IMO for a great read about EI - yes, read Dan Goleman's work... but also a recent great read is @BreneBrown's amazing book - Dare to Lead!

daretolead.brenebrown.com

@BreneBrown Great point here about implicit bias training for leaders.
#HeForShe type workshops are important for our leaders. It's easy to keep preaching to the choir... but how do we involve those in power?

These issues are very complex...
So, while there are skills that individuals an learn as physicians to be better at our jobs, or to combat implicit - this does not mean that we should NOT try to review/change the system/culture/etc.

There is a substantial ROI for coaching:
tandfonline.com/doi/abs/10.108…

The Coaching mindset is about being Curious... inquisitive....

As a coach, you should bring your beginner's mind (the 7 Whys, etc..)

Remember, you are NOT there to judge.
Hence the problem in medicine where clinicians are asked to coach, mentor, teach, and practice.

Don't judge... Just ask!
- what is the trigger here?
- what might others think? feel?
- how can you find out more?
- what assumptions am you making?
- what can you learn?
- what can you change?

Challenge:
Don't tell ppl what to do... Apply the GROW model.

G oal
R eality
O ptions / obstacles
W ay forward / Will

I feel like @DrShawnQI has done this to me more than once... #PeerMentorship

@DrShawnQI Check this out:
en.wikipedia.org/wiki/GROW_model

@DrShawnQI Remember - DO NOT TELL THE PERSON WHAT TO DO... just coach, nudge, ask, support them through the process.

@DrShawnQI How to capitalize on a coaching?
1. Secure a level of trust w/ your coach.
2. Be open-minded.
3. Get in the habit of recapping.
4. Stay consistent.
5. Make YOUR personal course TOP priority.
6. Set realistic goals.
7. Listen w/ intent.
8. Get real.
9. DO THE WORK.
10. Be patient.

@DrShawnQI I asked: "What if you don't have a goal?"
@PeakMD: "Sometimes your coach might just help you to GET A GOAL!"

So meta. I LOVE IT.