A Coaching-Centered Inpatient Rotation Fosters Growth Mindset and Deliberate Practice in Resident Physicians.

Journal of graduate medical education Pub Date : 2026-06-01 Epub Date: 2026-06-15 DOI:10.4300/JGME-D-25-00619.1

Alice J Tang, Shira Sachs, Neil Lim, Ozan Unlu, Stephanie J Tang, Deepa Rani Nandiwada, Anjile An, Arthur T Evans, Justin Choi

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引用次数: 0

Abstract

Background: Complex clinical environments create unique challenges for deliberate practice and growth mindset.

Objective: To evaluate a coaching-centered rotation called Mastering the Art and Nuance of Team Leadership and Education (MANTLE) designed to foster growth mindset and deliberate practice in residents.

Methods: From 2019 to 2024, 50 internal medicine residents and 25 attending coaches participated in MANTLE, a 2-week acting-attending inpatient medicine rotation with structured coaching. Using a pragmatic paradigm with an explanatory sequential mixed methods design, we administered 2 surveys consisting of Likert-style questions comparing residents': (1) frequency of deliberate practice compared to other rotations (4 questions), and (2) pre-/post-rotation confidence in coached leadership and teaching skills (7 questions). To contextualize survey findings and explore how coaching fostered deliberate practice and growth mindset, we interviewed 16 residents and 10 attendings and conducted thematic analysis on transcripts.

Results: Survey response rates were 52% (26 of 50) and 56% (28 of 50). Median (IQR) scores (5-point Likert) for deliberate practice were higher on MANTLE versus other rotations: goal setting 4 (4-5) vs 2 (2-3); feedback 5 (4-5) vs 3 (2-3); repetition/refinement 5 (5-5) vs 3 (3-4); motivation 5 (4-5) vs 3 (3-4); (all P<.001). Interviews yielded 6 themes: (1) Destigmatizing feedback by setting expectations; (2) Coaching guided by residents' goals; (3) Naming resident as team leader; (4) Attendings pivoting to role modeling; (5) Tensions while changing resident mindset; (6) Coaches carrying coaching philosophies forward.

Conclusions: A coaching-centered rotation can promote growth mindset, deliberate practice, and confidence in coached skills.

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以教练为中心的住院病人轮转培养住院医师的成长心态和刻意练习。

背景：复杂的临床环境为刻意练习和成长心态创造了独特的挑战。目的：评估一种以教练为中心的轮换，称为掌握团队领导和教育的艺术和细微差别（MANTLE），旨在培养住院医生的成长心态和刻意练习。方法：2019年至2024年，50名内科住院医师和25名主治教练参加了为期2周的MANTLE，这是一项结构化指导的代理-主治住院医学轮转项目。使用具有解释顺序混合方法设计的语用范式，我们进行了两项调查，包括比较住院医生的李克特式问题：(1)与其他轮转相比，故意练习的频率（4个问题），以及(2)轮转前后对教练领导和教学技能的信心（7个问题）。为了将调查结果背景化并探讨教练如何促进刻意练习和成长心态，我们采访了16名住院医生和10名主治医生，并对成绩单进行了专题分析。结果：调查回复率分别为52%（26 / 50）和56%（28 / 50）。刻意练习的中位数（IQR）分数（5分李克特）高于其他旋转：目标设定4 (4-5)vs 2 (2-3)；反馈5 (4-5)vs 3 (2-3)；重复/精炼5 (5-5)vs 3 (3-4)；动机5 (4-5)vs 3 (3-4)；结论：以教练为中心的轮换可以促进成长型思维，有意识的练习，以及对教练技能的信心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of graduate medical education Medicine-Medicine (all)

CiteScore

3.20

自引率

0.00%

发文量

248

期刊介绍： - Be the leading peer-reviewed journal in graduate medical education; - Promote scholarship and enhance the quality of research in the field; - Disseminate evidence-based approaches for teaching, assessment, and improving the learning environment; and - Generate new knowledge that enhances graduates'' ability to provide high-quality, cost-effective care.