A Randomized Controlled Trial on The Impact of a Novel Coaching Program on Medical Errors, Clinical Reasoning, and Well-Being of Physicians, or the CARE (Coaching to Advance Resilience and Reduce Error) Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 332
- Locations
- 1
- Primary Endpoint
- Medical errors in trainees
Study Overview
Brief Summary
This is a randomized controlled trial with a mixed method design to determine the impact of coaching on self-perceived medical errors, burnout, and resilience. The study team developed a novel coaching curriculum based in principles of positive psychology and self-reflection with the hypothesis that the coaching intervention will lead to decreased medical errors, decreased burnout, and increased resilience in trainee and faculty participants. Resident and fellow trainees as well as faculty members were recruited across departments and randomized to coaching or control. Faculty in the coaching arm were trained in coaching techniques and paired with a trainee coachee. Survey results as well as focus groups will be used to analyze the impact of the coaching program as compared to standard mentorship (control).
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Residents and fellows in a training program at Beth Israel Deaconess Medical Center (BIDMC)
- •faculty members at BIDMC
Exclusion Criteria
- Not provided
Arms & Interventions
Trainees - treatment
Residents and fellows paired with a faculty coach from the "faculty - treatment" arm to participate in up to 4 coaching meetings
Intervention: Coaching (Behavioral)
Trainees - control
Residents and fellows randomized to the control arm. They are not paired with a faculty coach and instead continue to receive standard mentorship as part of their training program.
Faculty - treatment
Faculty members randomized to receive coaching training and are paired with a resident/fellow from the "trainees - treatment" arm to conduct up to 4 coaching sessions over the course of the academic year.
Intervention: Coaching (Behavioral)
Faculty - control
Faculty members randomized to control arm. They are not paired with a trainee from this study and instead continue to provide mentorship as they typically would, as part of their role at an academic medical center
Outcomes
Primary Outcomes
Medical errors in trainees
Time Frame: baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months
Self-perceived medical errors amongst trainees based on survey response.
Burnout
Time Frame: baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months
Burnout score amongst trainees and faculty based on Stanford Professional Fulfillment Index
Resilience
Time Frame: baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months
Burnout score amongst trainees and faculty based on Connor Davidson Resilience Scale 2
Secondary Outcomes
- Burnout(baseline (beginning of study, before intervention) compared to 6 months post coaching program)
- medical errors in faculty(baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months)
- Delayed Medical errors in trainees(up to 15 months)
- Delayed Resilience(baseline (beginning of study, before intervention) compared to 6 months post coaching program)
- delayed medical errors in faculty(baseline (beginning of study, before intervention) compared to 6 months post coaching program)
- Mechanism of change(assessed an average of 1 year after intervention initiation)
Investigators
Ritika S. Parris
Primary care physician, Director of Wellness for GME
Beth Israel Deaconess Medical Center