The Impact of a Novel Coaching Program on Medical Errors and Well-Being of Physicians

Not Applicable

Completed

• Conditions: Burnout; Medical Education; Adverse Event
• Interventions: Behavioral: Coaching

• Registration Number: NCT05557981
• Lead Sponsor: Beth Israel Deaconess Medical Center

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).

Detailed Description

Not available

Study Timeline

• Study Start: 2021-08-10
• Study First Submitted: 2022-09-22
• Study First Submitted QC: 2022-09-23
• Study First Posted: 2022-09-28
• Primary Completion: 2023-01-23
• Study Completion: 2023-12-31
• Status Verified: 2024-02
• Last Update Submitted: 2024-02-02
• Last Update Posted: 2024-02-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 332

Inclusion Criteria

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

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Trainees - treatment	Coaching	Residents and fellows paired with a faculty coach from the "faculty - treatment" arm to participate in up to 4 coaching meetings
Faculty - treatment	Coaching	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.

Primary Outcome Measures

Name	Time	Method
Medical errors in trainees	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	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	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 Outcome Measures

Name	Time	Method
medical errors in faculty	baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months	Self-perceived medical errors amongst faculty based on survey response. Specifically, faculty are asked "Do you think you may have made any medical error in the last 3 months? A medical error is the failure of a planned action to be completed as intended, or the failure of an unplanned action that should have been completed" with answer choices yes, no, and unsure.
Delayed Medical errors in trainees	up to 15 months	Self-perceived medical errors amongst trainees based on survey response
Delayed Resilience	baseline (beginning of study, before intervention) compared to 6 months post coaching program	Burnout score amongst trainees and faculty based on Connor-Davidson-RISC2
delayed medical errors in faculty	baseline (beginning of study, before intervention) compared to 6 months post coaching program	Self-perceived medical errors amongst faculty based on survey response
Mechanism of change	assessed an average of 1 year after intervention initiation	Mechanism of change in burnout, resilience and medical errors in both trainees and faculty as compared to standard mentorship
Burnout	baseline (beginning of study, before intervention) compared to 6 months post coaching program	Burnout score amongst trainees and faculty based on Stanford Professional Fulfillment Index

Trial Locations

Locations (1)

Beth Israel Deaconess Medical Center; 🇺🇸 Boston, Massachusetts, United States