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

Burnout Clinical Trial

— CARE  

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05557981
• Other study ID #: 2021P000482
• Status: Completed
• Phase: N/A
• Start date: August 10, 2021
• Est. completion date: December 31, 2023

Study information

• Verified date: February 2024
• Source: Beth Israel Deaconess Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 332
• Est. completion date: December 31, 2023
• Est. primary completion date: January 23, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

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

Related Conditions & MeSH terms

• Adverse Event
• Burnout
• Burnout, Psychological
• Medical Education

Intervention

Behavioral:
• Coaching
A novel coaching curriculum based in positive psychology with an emphasis on self-reflection, goal setting and adverse event processing.

Locations

Country	Name	City	State
United States	Beth Israel Deaconess Medical Center	Boston	Massachusetts

Sponsors (2)

Lead Sponsor	Collaborator
Beth Israel Deaconess Medical Center	Harvard Risk Management Foundation

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Medical errors in trainees	Self-perceived medical errors amongst trainees based on survey response.	baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months
Primary	Burnout	Burnout score amongst trainees and faculty based on Stanford Professional Fulfillment Index	baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months
Primary	Resilience	Burnout score amongst trainees and faculty based on Connor Davidson Resilience Scale 2	baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months
Secondary	medical errors in faculty	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.	baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months
Secondary	delayed medical errors in faculty	Self-perceived medical errors amongst faculty based on survey response	baseline (beginning of study, before intervention) compared to 6 months post coaching program
Secondary	Mechanism of change	Mechanism of change in burnout, resilience and medical errors in both trainees and faculty as compared to standard mentorship	assessed an average of 1 year after intervention initiation
Secondary	Delayed Medical errors in trainees	Self-perceived medical errors amongst trainees based on survey response	up to 15 months
Secondary	Burnout	Burnout score amongst trainees and faculty based on Stanford Professional Fulfillment Index	baseline (beginning of study, before intervention) compared to 6 months post coaching program
Secondary	Delayed Resilience	Burnout score amongst trainees and faculty based on Connor-Davidson-RISC2	baseline (beginning of study, before intervention) compared to 6 months post coaching program