1. University of Wisconsin
Life Coaching
A Relationship-centered Approach to Personal and Professional Development of Residents
Rae Schilling, Ph.D.
University of Wisconsin
March 1, 2007

2. UW Health Eau Claire Family Medicine Residency
Rural Mid-western town, Eau Claire, WI
Near Minneapolis/St.Paul
Chippewa Valley

3. UW Health Eau Claire Family Medicine Clinic
New building
15 residents
6.4 FTE physician faculty
Psychologist
Dietician

4. UW Health Eau Claire Family Medicine Faculty

5. Health Education Center
Partnership between
Chippewa Valley Technical College
UW Health Eau Claire Family Medicine Clinic
Marquette Dental School Clinic

6. High Tech/High Team Human Patient Simulators Virtual Hospital
Collaboration with other trainees in health care

7. Role of Life Coaching Life Coaching
Teaching about relationship through relationship
Tool to help attain the ACGME competencies.
Professionalism, Interpersonal and Communication Skills
Foster personal and professional development

8. Life Coaching and Family
Help residents become better spouses/ parents/healers, thus affecting their own families as well as patients and their families

9. What is life coaching?
“… a professional partnership between a qualified coach and an individual or team that supports the achievement of extraordinary results, based on goals set by the individual or team. Through the process of coaching, individuals focus on the skills and actions needed to successfully produce their personally relevant results.” (ICF)

10. Differences between therapy and coaching
According to Dr. Patrick Williams, Ed.D., MCC, in Coaching vs. Psychotherapy from Vol 2, Issue 1,
“…therapy is about uncovering and recovering, while coaching is about discovering…”

11. SIMILARITIES Both Therapy and Coaching entail:
a regularly scheduled meeting time.
a good interpersonal match between provider and client
a confidential relationship
a system of accountability, either by supervisory professionals or peers

12. DIFFERENCES
Focus
Moving Forward vs Healing
Development vs Pain Relief i.e., to obtain support while moving toward a difficult goal.
Wants versus Needs
Location by telephone or internet connection or in an alternate location acceptable to both coach and client, such as a restaurant, park, etc. versus in person in clinical setting

13. Coaching in Curriculum
Required for R1s, optional for R2s and R3s
Minimum of 12 half hour sessions
Weekly to biweekly as available
In-house coach

14. Dual Role Conflict
Residents object to having the coach be the same person who evaluates them on competencies.
Solutions:
Hire outside life coach
Trade coaching between programs, i.e., I coach your residents in exchange for you coaching our residents.

15. Life Coach Training Currently not licensed or certified by states
Trade associations offer certification programs

16. International Coach Federation
The ICF provides the only worldwide recognized Coaching Credential. The ICF Credential ensures the public that a coach has committed significant time and resources to achieving excellence.

17. Choice of Coaching Model
Chose co-active coaching model because:
Focus on co-creating
Quality of training program
Well-organized and responsive infra-structure

18. Co-active Coaching Model
Four Cornerstones
The client is naturally creative, resourceful, and whole.
Coactive Coaching addresses the client’s whole life
The agenda comes from the client
The coach dances in the moment with the client.

19. Co-active Coaching Model
Five Contexts
Listening
Curiosity
Intuition
Self-Management
Action/Learning
In the service of three principles
Fulfillment
Balance
Process
Listening –
Level 1 – self aware
Level 2 – attuned to the other
Level 3 – global awareness
Curiosity – full of wonder – “ I wonder …”
Intuition – listen at levels 2 and 3; notice intiuitive signals; speak from your intuition but don’t be attached to it – cance with the response.
Self-management – really believing that they have their own answers and keeping your answers to yourself; managing your own Saboteur
Action and Learning - forward the action by asking them to account for their actions or inaction – without judgement – because they learn from lack of action as well

20. Co-active Coaching Model
Promise
Confidentiality
Trust
Truth
Openness
Truth – don’t step over issues or play nice – tell the hard truth that they need to hear
Openness – create a safe and courageous space for client to do what they need to do and be who they need to be. – spacious acceptance for who they are where they are in their lives, wherever that is. Expect more than they expect of themselves and accept them completely even when they are failing - paradox

21. Co-active Coaching Model
Intake – 2-3 hours
Permission – “May I request …?”
Discovery – “What do you want?”
Designing the future – choose 4-5 issues
Logistics – scheduling, phone vs. live, etc.
Tools – requests, fieldwork, prep for slumps, Gremlin effect, etc.

22. Coaching Content Resident-centered Whole life
Little “a” agenda; big “A” Agenda
Day to day issues
Fulfillment, Balance, and Process

23. Five Powerful Questions
What do you truly want?
What about this is important to you
What will you do and when will you do it?
What else?
What’s next?

24. Recommended Reading Coactive Coaching
Whitworth, Kimsey-House, Sandahl
Brief Coaching for Lasting Solutions
Berg amd Szabo

25. Practice Exercise
Wheel of Life
Dyads for powerful questions

26. Summary
Life coaching may help under-prepared residents catch up developmentally
Life coaching differs from therapy
Life coaching is a relationship-centered way to address interpersonal skills and professionalism competencies.

27. Contact Information
Rae Schilling, Ph.D.
UW Health Eau Claire Family Medicine Clinic