跳至主要内容
临床试验/NCT05036993
NCT05036993已完成不适用

A Randomized Trial to Investigate the Impact of Professional Development Coaching for MGH Faculty

Massachusetts General Hospital1 个研究点 分布在 1 个国家目标入组 155 人开始时间: 2021年6月5日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
155
试验地点
1
主要终点
Work Relationships

研究概览

简要总结

Coaching is used in business and many other career paths to help the individual define and create their own goals and strategies for achieving those goals. In 2017 the investigators began to investigate the impact of coaching compared to non-coached peers in a randomized trial among non-internal medicine residency programs and internal medicine subspecialty fellowship to understand the impact of this program and its generalizability. Data from all these studies has suggested that coaching is effective in allowing trainees to understand their development over time, find meaning and purpose in their work, and identify their strengths and how to use these to overcome challenges and stressors. Additionally, there is a benefit to the coaches themselves, who can connect with other faculty coaches in a rewarding way, that provides faculty development in leadership development and positive psychology, and space to interact with a group of like-minded physicians.

From the work the investigators have done with housestaff through the MGH Professional Development Coaching Program we have seen a tremendous interest from faculty members for access to similar services. Prior studies show improvement in faculty burnout and engagement at work through small-group sessions focused on reducing distress and promoting well-being. The investigators have also seen that while the training of novice coaches in positive psychology is sufficient to begin crucial conversations about drivers of well-being, the need for more in-depth coaching with certified coaches exists. The goal of this project is to expand coaching to MGH faculty members and provide more in-depth training for coaches through the International Federation of Coaching, through the Wellcoaches Coach Training Program. This is a unique approach to professional development within the field of medicine that has not yet been employed or studied. There was a recent publication of professional coaches hired outside of the field for faculty development, but there has been no training of medical colleagues with professional coaching skills. This has the potential to provide new data for the field and become a sustainable intervention for MGH in addressing ongoing professional development for our faculty and the burnout epidemic. Finally, this can serve as model for implementation in other institutions.

详细描述

Objectives:

  1. Create space for periodic reflection and goal setting for MGPO faculty to visualize their career progress and trajectory.
  2. Provide an avenue for MGPO faculty to be trained as professional peer coaches.
  3. Maximize the potential for continued professional development for MGPO faculty.
  4. Improve burnout, professional fulfillment, resilience, and self-efficacy for MGPO faculty by re-inforcing coping skills and strengths.
  5. Evaluate whether professional development coaching by trained faculty peer coaches reduces burnout, improves emotional well-being and improves professional fulfillment in MGPO faculty coaches.

Hypothesis: MGPO Faculty will benefit from a Professional Development Coaching Program in the following ways:

  1. A Professional Development Coaching Program, will improve faculty well-being, compared to non-coached controls.
  2. A Professional Development Coaching Program will improve faculty workplace satisfaction, compared to non-coached controls.
  3. A Professional Development Coaching Program will decrease burnout for faculty participants and faculty coaches and improve their resiliency by allowing them to visualize their accomplish-ments, improve their response to stress of uncertainty, and decrease emotional exhaustion, com-pared to controls.
  4. A Professional Development Coaching Program will improve faculty coach well-being, com-pared to non-coach controls.

III. SUBJECT SELECTION

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Supportive Care
盲法
None

入排标准

性别
All
接受健康志愿者
是

入选标准

  • •current MGPO Faculty member

排除标准

  • 未提供

研究组 & 干预措施

Control

Experimental

Control, Coaching later

干预措施: Coaching (Behavioral)

Intervention

Experimental

Coaching

干预措施: Coaching (Behavioral)

结局指标

主要结局

Work Relationships

时间窗: 3 months

Negative Impact of Work on Relationships; 4 questions with Likert scale 0 to 4, responses summed, higher is worse

Burnout

时间窗: 3 months

Professional Fulfillment Index;Items are scored 0 to 4. Each dimension is treated as a continuous variable. Scale scores are calculated by averaging the item scores of all the items within the corresponding scale. Scale scores can then be multiplied by 25 to create a scale range from 0 to 100. Higher score on the professional fulfillment scale is more favorable. In contrast, higher scores on the work exhaustion or interpersonal disengagement scales are less favorable. Dichotomous burnout categories are determined from the average item score (range 0 to 4) of all 10 burnout items (work exhaustion and interpersonal disengagement), using a cut-point of 1.33. Dichotomous professional flfillment is recommended at an average item score cut-point of \>3.0.

Engagement

时间窗: 3 months

Ultrecht Engagement Scale; The UWES utilizes three scales to determine the level of work engagement: Vigor, dedication, and absorption. It is a test of how to measure work engagement both on an individual and on group level:Score ranges from 0 to 6 for each item; scores are summed. Higher is better.

Professional Fulfillment

时间窗: 3 months

Professional Fulfillment Index; Items are scored 0 to 4. Each dimension is treated as a continuous variable. Scale scores are calculated by averaging the item scores of all the items within the corresponding scale. Scale scores can then be multiplied by 25 to create a scale range from 0 to 100. Higher score on the professional fulfillment scale is more favorable. In contrast, higher scores on the work exhaustion or interpersonal disengagement scales are less favorable. Dichotomous burnout categories are determined from the average item score (range 0 to 4) of all 10 burnout items (work exhaustion and interpersonal disengagement), using a cut-point of 1.33. Dichotomous professional flfillment is recommended at an average item score cut-point of \>3.0.

次要结局

  • Likelihood to leave or reduce(3 months)
  • Quality of Life Rating(3 months)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Kerri Palamara McGrath, MD

Director, Center for Physician Well-being

Massachusetts General Hospital

研究点 (1)

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