SubmissionId 43747

Acceptance Declaration
Accept

Additional Information
I declare I have no actual or potential conflict of interest in relation to this program.

MINI ABSTRACT DESCRIPTION
Starting an emergency medicine practice can be daunting for any physician. We investigated how participating in a formalized Peer Coaching program facilitated the transition to the rural ER for family physicians starting a generalist practice.

Accepted Type
Oral

Category
General Call (Workshop, Oral Presentation, Poster Presentation)

Type
Oral

Sub Type
Education Innovation

Considered for Poster
yes

Title
Customizing Support for New-to-Rural-Emergency Physicians through Peer Clinical Coaching

Background/Purpose
Starting an emergency medicine practice can be daunting for any physician. Rural emergency medicine can be particularly challenging, with the added complexities of navigating the transport system, acclimatizing International Medical Graduates (IMGs) to the Canadian healthcare system, and receiving feedback while working solo ER shifts without colleagues for comparison. This transition has historically been supported through informal mentoring within communities, but this can place an added strain on established physicians. Formalizing this process may be an effective strategy to support the recruitment and retention of full-scope physicians to rural communities.

Summary of the Innovation
The Emergency Medicine Peer Coaching pilot ran in one busy rural ER, pairing new physicians with trained peer coaches during paid shadow shifts. Coaches and coachees were interviewed following their participation, and program documents (e.g. shift notes) were also included in the analysis.

Conclusion
A major focus of the program for both coaches and coachees was working efficiently and developing the coachee's workflow over the shift. IMG coachees in particular appreciated having an experienced peer coach to help them acclimate to the Canadian healthcare system. Pairing coachees with their colleagues presented both opportunities and challenges due to pre-existing relationships. Future iterations of the program will foster early coaching relationships through a joint orientation session, improve communication with nursing staff, and provide additional administrative support to help participants make the most of the peer coaching opportunity.

Keyword 1
Coaching

Keyword 2
Rural

Keyword 3
Supportive Relationships

Level of Training
CPD (faculty development, CME)

Abstract Themes
Continuing Medical Education

Additional Theme (First choice)
Continuing Medical Education

Additional Theme (Second Choice)
Physician & Medical Student Health and Well-being

Additional Theme (Third Choice)
Professionalism

Authors

Term 1
Yes

Term 2
Yes

Term 3
Yes

Term 4
Yes

Term 5
Yes
x

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