Better Together Physician Coaching: Mitigating Burnout in Undergraduate Medical Education
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 490
- 试验地点
- 2
- 主要终点
- Burnout as defined by the Maslach Burnout Inventory (MBI): Change from pre to post test
研究概览
简要总结
Better Together Physician Coaching ("Better Together", or "BT"), a 4-month, web-based positive psychology multimodal coaching program was built to decrease burnout in medical trainees. Here, the investigators seek to understand it's efficacy in University of Colorado School of Medicine (CU SOM) clinicians
Aim 1: Implement Better Together in undergraduate medical education settings for medical students Aim 2: Assess outcomes: primary: reduce burnout as measured by the Maslach Burnout Index (goal: 10% relative improvement), and secondary: self-compassion, imposter syndrome, flourishing, loneliness, and moral injury.
Aim 3: Advance the field of coaching for clinicians through innovation and dissemination of evidence-based approaches to medical student wellbeing.
详细描述
Burnout refers to feelings of exhaustion, negativism, and reduced personal efficacy resulting from chronic workplace stress. In healthcare, burnout leads to increased medical errors, poorer patient care and negatively affects professional development and retention. Burnout is a growing problem that begins early in medical training. Professional coaching is a metacognition tool with a sustainable positive effect on physician well-being but typically relies on expensive consultants or time-consuming faculty development, often making it infeasible for medical training programs to offer. To overcome this barrier, the investigators created Better Together Physician Coaching (BT) a 4-month coaching program for at the University of Colorado (CU). BT includes regular online group-coaching, written coaching, and weekly self-study modules delivered by physician life coaches (Co-PIs). In 2021, the investigators studied BT in a group of female-identifying resident trainees at CU and found that the program significantly improved burnout, imposter syndrome, and self-compassion. This finding supports previous data that life coaching is effective for physicians and physicians in training. The investigators initially focused on women since burnout affects women to a greater degree than their male counterparts, and may have long-lasting consequences on their careers, contributing to a "leaky pipeline" effect. The pilot randomized controlled trial (RCT) of 101 BT women participants demonstrated a statistically significant improvement in burnout, self-compassion, and imposter syndrome in the intervention group.
The investigators now seek to understand if the coaching program is also effective in medical students of all gender identities.
The hypothesis is that Better Together Physician Coaching ("Better Together", or "BT"), a 4-month, web-based positive psychology multimodal coaching program will result in decreased burnout in medical students.
Aim 1: Implement Better Together in the undergraduate medical student population
Aim 2: Assess outcomes: primary: reduce burnout as measured by the Maslach Burnout Index (goal: 10% relative improvement), and secondary: self-compassion, imposter syndrome, flourishing, loneliness, and moral injury.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Sequential
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
盲法说明
Data will be de-identified prior to analysis
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •current medical students at one of the 5 US undergraduate medical education sites
排除标准
- •non-medical students
结局指标
主要结局
Burnout as defined by the Maslach Burnout Inventory (MBI): Change from pre to post test
时间窗: Time Frame: pretest will occur prior to the intervention and posttest will occur after the 4-month intervention.
The Maslach burnout inventory (MBI) is a 22-item measurement of worker burnout which assesses emotional exhaustion (EE), depersonalization (DP), and personal fulfillment (PF) domains. Possible scores range from 0-6 on a Likert scale for each item. Scores of EE ≥ 27 points, DP ≥ 10, and PF \<33 would indicate a high degree of burnout. Scores of EE≤18 points, DP≤5 points, and PF≥40 points would indicate a low degree of burnout.
次要结局
- Loneliness as defined by the UCLA 3-item Loneliness Scale: Change from pre to post test(pretest will occur prior to the intervention and posttest will occur after the 4-month intervention)
- Imposter Syndrome as defined by Young's Imposter Syndrome Symptoms Scale (YISS): Change from pre to post test(pretest will occur prior to the intervention and posttest will occur after the 4-month intervention)
- Self-Compassion as defined by Neff's Self Compassion Score Short Form (SCS-SF): Change from pre to post test(pretest will occur prior to the intervention and posttest will occur after the 4-month intervention)
- Moral Injury as defined by the Moral Injury Symptom Scale for Health Professions (MISS-HP) Change from pre to post test(Time Frame: pretest will occur prior to the intervention and posttest will occur after the 4-month intervention)
- Flourishing as defined by the Secure Flourish Index (SFI): Change from pre to post test(pretest will occur prior to the intervention and posttest will occur after the 4-month intervention)