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Clinical Trials/NCT05557981
NCT05557981
Completed
Not Applicable

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

Beth Israel Deaconess Medical Center1 site in 1 country332 target enrollmentAugust 10, 2021
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ConditionsBurnoutAdverse EventMedical Education

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Burnout
Sponsor
Beth Israel Deaconess Medical Center
Enrollment
332
Locations
1
Primary Endpoint
Medical errors in trainees
Status
Completed
Last Updated
2 years ago
OverviewInvestigatorsEligibility CriteriaOutcomesSitesSimilar Trials

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).

Registry
clinicaltrials.gov
Start Date
August 10, 2021
End Date
December 31, 2023
Last Updated
2 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Ritika S. Parris

Primary care physician, Director of Wellness for GME

Beth Israel Deaconess Medical Center

Eligibility Criteria

Inclusion Criteria

  • •Residents and fellows in a training program at Beth Israel Deaconess Medical Center (BIDMC)
  • •faculty members at BIDMC

Exclusion Criteria

  • Not provided

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

  • 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)
  • Burnout(baseline (beginning of study, before intervention) compared to 6 months post coaching program)

Study Sites (1)

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