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This document outlines best practices for implementing a successful coaching program within your institution, using the PULSE 360 Program as a foundational tool. Coaching is a valuable component of the PULSE 360 Pilot program that advances personal and professional growth, improves performance, and enhances workplace relationships.


Coaching Orient

 

PULSE Orientation and Initial Steps



Individuals participating in the PULSE 360 Pilot survey program will receive a debrief from a PULSE coach. For purposes of coaching, each feedback receiver is classified as either green, yellow, or red. Those with yellow or red behaviorally outlying scores will be provided coaching. When outlying behavior scores are indicated, coaching is a requirement for those participating in the PULSE 360 Pilot survey program.

Suggested practices to effectively educate and engage individuals being rated include:

Initial Orientation

  • Encourage individuals to attend the PULSE Orientation to understand the program.

  • Communicate the purpose, protocol, and benefits of the program.

  • Ensure that those receiving feedback understand the expectations to participate in coaching should it be recommended.

Modeling Behavior

  • The chief/chair ideally should actively participate in orientation by introducing the PULSE presenter and emphasizing the importance of feedback (“We can’t change what we don’t know” and/or “Feedback is how all providers get better”).

  • If the chief/chair has personal experience with 360-degree feedback and/or coaching, it is highly recommended that they share their experiences and how coaching impacted their professional development. Results show frontline physicians and providers appreciate hearing their leader role model the value of candid feedback. 

Coaching Debrief

 

Debriefing the PULSE 360 Feedback

Each participant will receive a copy of their own 360 feedback summary when they debrief with a PULSE Coach. During the debriefing, they will review their PULSE 360 feedback, identify strengths and any opportunities for improvement, use the feedback to identify “good-to-great” Excellence Goals and Action Steps, which will be copied to the chief/chair as well as emailed at least weekly to the participant as reminders and reinforcers.

Their chief/chair will also receive a copy of the feedback summary to preview any potentially inappropriate comments and to know if the participant has any outlying red or yellow behavioral scores that indicate that coaching is recommended.  The coach will work with outlying participants for 2–5 hours, depending on their score profile, to assign online educational modules to improve any outlying behaviors and coach them to improve and reach their professional developmental goals. The chief/chair will receive weekly updates from PULSE regarding those who are participating in coaching.


Coaching Concerns

Suggestions for Chiefs/Chairs to Address Questions and Concerns

Perception vs. Reality of Survey Results

  • Emphasize that survey results reflect how individuals are perceived, not necessarily who they really are.

  • Encourage participants to view coaching as a tool for addressing and improving these perceptions to improve professionalism, communication, teamwork and the overall culture of their department.

Address Concerns about Coaching

  • If a participant expresses apprehension with the process, the chief/chair should meet with the individual to understand their concerns.

  • Frame coaching positively, emphasizing that it is an opportunity for growth and development.

  • Mention that many chiefs and chairs themselves go through coaching in order to fine-tune their leadership skills.

  • Highlight specific positive behaviors that can be improved (e.g., enhancing collegiality or communication with team members) and emphasize that the PULSE coach will address perceived concerns identified by survey respondents.

  • Inform participants that the coaching process will be efficiently managed by a PULSE coach and includes coaching time depending on the PULSE profile of 2 to 5 hours.

Coaching Integrate

 

Integration with Existing Support

If a participant is already receiving coaching or therapy elsewhere, explain that PULSE coaching is targeted to address behavioral concerns identified in the survey and can complement other services.


Coaching Reflect

 

Review and Reflect

 

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Encourage participants to regularly review their progress and reflect on their development.

Participants should consider adjusting goals and strategies as needed based on feedback and changing circumstances.

Explain that PULSE will conduct a second survey about 4 to 6 months after their debriefings  to learn how their efforts to modify behavior have been received by others.


Conclusion

Effective education and coaching can drive professional growth, improve workplace dynamics, and foster a culture of continuous improvement. By following these best practices and utilizing all the tools the PULSE Program has to offer, organizations and departments can create a supportive and impactful coaching program to enhance their overall culture.


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