Mentorship, Intraoperative Consultation, and Coaching for Resilience and Outcomes in Early-career Surgeons Through Collaborative Peer Environment (MICROSCOPE): a Prospective International Time-bound Project
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 340
- 试验地点
- 2
- 主要终点
- Burnout: Emotional Exhaustion
研究概览
简要总结
This multicenter observational prospective study aims to explore the impact of peri-operative support measures (mentorship or coaching or intraoperative consultation) on the mental well-being of early career surgeons. Furthermore sub-analyses will be conducted to explore the impact that surgeons mental wellbeing related to different support measures could have on patients' outcomes
详细描述
The MICROSCOPE study is a prospective, international, observational project evaluating the impact of structured perioperative support-mentorship, intraoperative consultation (IOC), and surgical coaching-on the well-being of early-career surgeons and their patients' outcomes.
Early-career surgeons (within 10 years post-training) face high stress, with limited structured support. This study investigates whether professional guidance improves surgeon resilience, reduces burnout, and enhances performance.
The project includes two components:
Surgeon-level study: Participants are observed over 12 months and grouped by support type received. Mental health outcomes are assessed using validated tools (Maslach Burnout Inventory, CD-RISC-10, QoL scale), alongside self- and assistant-rated performance metrics.
Patient-level study: Adult patients operated on by enrolled surgeons during the first 3 months are followed for 90 days. Outcomes include postoperative complications (CCI®, Clavien-Dindo), intraoperative events (Satava), reoperation, readmission, and mortality.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients (≥18 years) treated for abdominal general surgical conditions in the emergency or elective setting or for thoraco-abdominal traumatic diseases. The list of surgical procedures is reported in the Supplementary Material 1
- •Surgeries performed in elective, trauma, or emergency general surgery care
排除标准
- •Patients operated by surgeons who completed general surgery residency more than 10 years before the study start date
- •Pediatric patients < 18 years of age
- •Patients or surgeons not willing to give their consent to participate
研究组 & 干预措施
Early-career surgeons
Early career surgeons mental wellbeing status in terms of burnout, resilience and perceived quality of life will be observed exploring the relationship with the peri-operative support measure received (mentorship, intraoperative consultation, surgical coaching or standard practice). Also the outcomes of patients operated on by early career surgeons will be studied. Furthermore potential relationship between perio-operative supporto measures, mental status and outcomes will be explored.
干预措施: Peri-operative support measures [mentorship, intraoperative consult, surgical coaching, standard practice (no structured support)] (Behavioral)
结局指标
主要结局
Burnout: Emotional Exhaustion
时间窗: Baseline, Perioperative, 3 months, 6 months
Maximun score 48. High scores relate to higher Emotional Exhaustion, contributing to higher burnout
次要结局
- Perceived Surgical Performance(Perioperative)
- Perceived Surgical Performance by the assistant(Perioperative)
- Perceived Surgical Performance by the assistant(Perioperative)
- Burnout: Depersonalization(Baseline, Perioperative, 3 months, 6 months)
- Psychological resilience(Baseline, Perioperative, 3 months, and 6 months)
- Perceived Surgical Performance(Perioperative)