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www.londondeanery.ac.uk
Coaching and Mentoring
26 May 2011
ASME- Strengthening foundations in the early years
Dr Rebecca VineyCoaching and Mentoring Lead
What it is
"Coaching and mentoring are learning relationships which help people to take charge of their own development, to release their potential and to achieve results which they value." (Connor and Pokora, 2007)
“Someone who helps another person to become what that person aspires to be" (Montreal CEGEP, 1998)
What is involved?
• positive psychology
• emotional intelligence
• compassion
• reflection
• challenge
Principles
• Triage
• Confidentiality
• Voluntary
• Choice of mentor
• Trained and supported mentor
• Externality of mentor
What Doctors gained from having a Mentor
• Improved reflection skills
• Support for dealing with specific problems
• Developing strategies for dealing with and resolving:
1. major crises in professional life
1. major change in ways of thinking and acting
2. significant changes in direction • Confidence building in decision making
• Improved self-worth and job satisfaction.
‘Mentoring for Doctors,’ SCOPME (2004)
NHS papers recommending coaching and mentoring
Women Doctors: Making a Difference: CMO 2009
Time for Training: Temple Report 2010
Invisible Patients; Boorman 2010
Talent for tough times. NHSE
Leading the NHS workforce through to recovery. NHSE
BMA’s consultants committee 2010
Improving the quality of care in general practice. King’s Fund 2011
Realising Potential through Coaching and Mentoring
Encouraging reflective practice
Reducing burnout or embitterment
Increasing engagement
Encouraging innovation
Developing leadership
Mentoring and coaching provision
• Coaching and mentoring for doctors and dentists in transition
• Performance: GMC , RITA/ARCP, health
• SASGs
• Coaching for leadership
• embedding a coaching and mentoring culture• Faculty development
• Appraiser development
• Teams training
• Mentoring scheme development
• Coaching patients to health
London Deanery Coaching and Mentoring Service
• Launched in 2008
• Free to trainees, SASGs and new GPs or consultants
• 348 trained mentors
• over 900 doctors and dentists have applied to be mentored • From all grades, specialties and clinical settings
Top specialties for mentee applicants and trained, active mentors
0
50
100
150
200
250
Aca
dem
icD
enta
l
Ana
esth
etic
s
Den
tistr
y
Em
erge
ncy
Med
icin
e
Gen
eral
Pra
ctic
e
Psy
chia
try
Gen
eral
Sur
gery
Ger
iatr
icM
edic
ine
Obs
tetr
ics
and
Gyn
aeco
logy
Pae
diat
rics
Specialty
No. mentees
No. mentors
Career status of mentee applicants
Career status of mentee applicants
0
50
100
150
200
250
Training
(lev
el not
state
d)FY1 VT
FY2ST1
ST2ST3
ST4ST5
ST6ST7
FTSA
With
in 2
years
of C
CT
Mor
e than
2 ye
ars
post
CCT
Return
er
SASGOth
er
No. of mentee applicants
Mentee applicant ethnicity
Black British African
Black British Caribbean
Black British Other
Black British
Chinese Chinese
Chinese Other
Indian Indian
Indian Other
Mixed African
Mixed Asian
Mixed Caribbean
Mixed Other
Other
White British
White English
White Irish
White Other
White Scottish
White Welsh
Top five issues discussed
• Career progression
• Planning learning or development
• Work/life balance
• Decision-making
• Current work problems
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Evaluation by clients has been very positive
“ Mentoring has given me peace of mind since I now have a plan to tackle areas where I have less confidence in my abilities.”
“ Mentoring has helped me address issues in my personal life that have impacted my medical career and my personal well-being.”
“ This has been a very useful and creative reflective space. It has allowed me to reflect on what is happening in our practice, what could and should change, and how to facilitate this. It has also helped me decide on aspects of my own career development.”
“Mentoring sessions have helped to improve knowledge and skills,regain confidence and wellbeing, improve performance and productivity.”
Fitness to practice
I am pleased to report that the FTP Panel found that Dr X has significantly improved his understanding of the need for reflective practice in medicine……… I should like to thank the mentoring service, and M in particular, for all the help and support given to Dr X which was largely responsible for this turn around. He is immeasurably grateful for this and is already planning more patient-centered initiatives to put the learning into use.
What we learned
• Coaching and mentoring are for everyone, not just ‘docs in difficulty’
• May be particularly valuable for women, non-UK graduates, SASGs, academics, emerging leaders
• All about releasing potential, encouraging, motivating, getting the best out of people
• Coaches and mentors need to be trained, assessed and supported
• Mentors benefit as well as mentees
Following my experience as a mentor, when faced with a challenging situation I am more likely/able to...
0 10 20 30 40 50 60 70 80 90
Manage my own anxiety and appear confident
Be prepared to challenge the status quo in orderto achieve service improvement
Relish the challenge and feel able to succeed
Have confidence in my own capabilities
Draw on my own experiences and am optimisticthat I will achieve goals
Feel comfortable involving others in supporting me
Listen to the views of others
% respondents agreeing or strongly agreeing
N=49
Trainer feedback
‘It is amazing how many of the mentors are coming back and telling me that the training has revolutionised the way they themselves work with their patients!’