[Collaborative narrative coaching in medicine: a case study with a resident physician and a practicing emergency physician]. / Le coaching narratif collaboratif en médecine : une étude de cas avec une médecin résidente et une médecin en pratique à l'urgence.

In recent years, many postgraduate medical institutions are transitioning to a competency based medical education (CBME). This paradigm shift offers many advantages but has also been criticized for its potentially reductionist approach of targeting competency as the end goal. In this context, coaching may be an interesting intervention as it has been employed with success in other professional settings to go beyond achieving competency with a focus on continuous development. Currently there is little published data on this intervention in the medical field. Our study aims to describe a coaching intervention between two dyads of a coach and physician as well as exploring the repercussions of the intervention on their professional practice by analyzing interviews conducted per the value creation framework. Results of our study show the unique learning journeys of both dyads as well as the creation of value in each cycle for both participants. In conclusion, coaching in medicine is an interesting intervention with the potential to complement the existing medical training programs in order to achieve optimal professional development.

Formação de treinadores(as) no contexto universitário: a complexidade da apropriação e do desenvolvimento do ensino centrado no(a) aprendiz / Formación de entrenadores(as) en la universidad: la complejidad de la apropiación y desarrollo de la enseñanza centrada en el(la) aprendiz / University-based coach education: the complexity of the appropriation and development of learner-centered teaching

Resumo O objetivo deste estudo foi investigar o desenvolvimento inicial do ensino centrado no(a) aprendiz (ECA) na disciplina "Treinador Desportivo", do curso de Ciências do Esporte da Universidade Estadual de Campinas (UNICAMP). Seguindo uma abordagem qualitativa e procedimentos da pesquisa-ação, apresentamos o planejamento, implementação e avaliação do ECA na disciplina por meio do programa e plano institucional, planos de aula e diário de bordo; a perspectiva das docentes por conversas crítico-reflexivas e registros em diário de bordo; as opiniões de estudantes-treinadores(as) por questionários e grupo focal. Utilizamos a técnica de análise temática. O ECA se mostrou complexo, especialmente pela apropriação dos princípios e desenvolvimento enquanto abordagem. Os(as) estudantes-treinadores(as) perceberam uma aproximação da disciplina à realidade prática do(a) treinador(a), contribuindo com a motivação e aprendizagem significativa. Enfatizamos a necessidade de formação de docentes acerca do ECA e aproximação com o papel de formadores(as) de treinadores(as) na formação inicial universitária.

Resumen El objetivo de este estudio fue investigar el desarrollo inicial de la enseñanza centrada en el alumno (ECA) en la disciplina "Entrenador Deportivo" de la carrera de Ciencias del Deporte de la Universidad Estatal de Campinas. Siguiendo un enfoque cualitativo y utilizando procedimientos de investigación-acción, presentamos la planificación, implementación y evaluación del ECA en la disciplina a través del programa y plan institucional, los planes de lecciones y la bitácora. Abordamos la perspectiva de los docentes mediante conversaciones crítico-reflexivas y apuntes en la bitácora, así como las opiniones de los estudiantes-entrenadores a través de cuestionarios y grupos focales. Empleamos la técnica de análisis temático. El ECA resultó ser un enfoque complejo, especialmente en cuanto a la apropiación de principios y desarrollo. Los estudiantes-entrenadores percibieron una aproximación de la disciplina a la realidad práctica del entrenador, lo que contribuyó a la motivación y al aprendizaje significativo. Destacamos la necesidad de capacitar a los docentes en ECA y de abordar el papel de los formadores de entrenadores en la educación universitaria inicial.

Abstract The aim of this study was to investigate the initial development of learner-centered teaching (LCT) in the "Sports Coach" course, from the Sports Science program at the University of Campinas. Following a qualitative approach and action research procedures, we present the planning, implementation, and evaluation of the LCT in the course by the program and institutional plan, lesson plans, and logbook; the professors' perspective through critical-reflective conversations and logbook entries; the opinions of the student-coaches by questionnaires and focus group. We used the thematic analysis technique. The LCT was shown to be complex, especially due to the appropriation of principles and development as an approach. The student-coaches perceived an approximation of the course to the practical reality of the coach, contributing to motivation and significant learning. We emphasize the need to train professors in LCT and the approximation of the role of coach developers in coach education at the university.

Becoming a Coach in Developmental Adaptive Sailing: A Lifelong Learning Perspective.

Life-story methodology and innovative methods were used to explore the process of becoming a developmental adaptive sailing coach. Jarvis's (2009) lifelong learning theory framed the thematic analysis. The findings revealed that the coach, Jenny, was exposed from a young age to collaborative environments. Social interactions with others such as mentors, colleagues, and athletes made major contributions to her coaching knowledge. As Jenny was exposed to a mixture of challenges and learning situations, she advanced from recreational para-swimming instructor to developmental adaptive sailing coach. The conclusions inform future research in disability sport coaching, coach education, and applied sport psychology.

Impact of integrating a physical activity counsellor into the primary health care team: physical activity and health outcomes of the Physical Activity Counselling randomized controlled trial.

The purpose of this paper was to report the physical activity and health outcomes results from the Physical Activity Counselling (PAC) trial. Patients (n = 120, mean age 47.3 ± 11.1 years, 69.2% female) who reported less than 150 min of physical activity per week were recruited from a large community-based Canadian primary care practice. After receiving brief physical activity counselling from their provider, they were randomized to receive 6 additional patient-centered counselling sessions over 3 months from a physical activity counsellor (intensive-counselling group; n = 61), or no further intervention (brief-counselling group; n = 59). Physical activity (self-reported and accelerometer) was measured every 6 weeks up to 25 weeks (12 weeks postintervention). Quality of life was also assessed, and physical and metabolic outcomes were evaluated in a randomly selected subset of patients (33%). In the intent-to-treat analyses of covariance, the intensive-counselling group self-reported significantly higher levels of physical activity at 6 weeks (p = 0.009) and 13 weeks (p = 0.01). There were no differences in self-reported physical activity between the groups after the intervention in the follow-up period, nor was there any increase in accelerometer-measured physical activity. Finally, the intensive-counselling patients showed greater decreases in percent body fat and total fat mass from 13 weeks to 25 weeks. Results for physical activity depended on the method used, with positive short-term results with self-report and no effects with the accelerometers. Between-group differences were found for body composition in that the intensive-counselling patients decreased more. A multisite randomized controlled trial with a longer intensive intervention and follow-up is warranted.

Interdisciplinary physical activity counseling in primary care: a qualitative inquiry of the patient experience.

The Physical Activity Counseling randomized controlled trial integrated a physical activity (PA) counselor into a primary care practice to provide intensive counseling to sedentary patients following brief counseling from their regular health care provider. This article presents the voices of 15 patients, who through a series of 3 interviews, described their experience with this 3-month combined provider PA counseling intervention. Patient satisfaction was a dominant emergent theme, and the patients were particularly positive about the quality of care and educational support for lifestyle change. They favored the tailored approach and felt the strategies for overcoming PA barriers were helpful.