Doctor-Parent Interactions With Medical Scribes

Burnout, Professional Clinical Trial

Official title:

Doctor-Parent Interactions With Medical Scribes

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03473353
• Other study ID #: STUDY00007664
• Status: Completed
• Phase: N/A
• Start date: September 30, 2017
• Est. completion date: December 31, 2022

Study information

• Verified date: January 2023
• Source: Milton S. Hershey Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of the study is to collect outcomes related to a quality improvement project assessing the feasibility and effectiveness of a medical scribe program in which medical scribes accompany clinicians during their visits with patients. The medical scribes involved in the project are professional scribes and medical students who will accompany clinicians during patient visits and takes notes, enabling the clinician to engage more directly with the patient.

Description:

The study has several specific objectives. This study aims to examine the impact of using medical scribes on (1) patient experience (e.g. patient satisfaction) (2) clinician experience (e.g. stress load, burnout, evaluation of the visit, amount of time spent after hours inputting notes), and (3) clinician-patient interaction (e.g. patient and clinician engagement during the visit).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 732
• Est. completion date: December 31, 2022
• Est. primary completion date: June 29, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Provider Participants

Inclusion Criteria:

1. Attending clinicians with privileges at Penn State Hershey Children's Hospital and/or the Penn State Hershey Internal Medicine. This may include attending MDs or DOs and Nurse Practitioners (NPs).

2. Voluntary participation in the medical scribe QI project.

3. Consents to participate in the study.

Exclusion Criteria:

1. Clinician is not participating in the scribe project.

2. Clinician does not consent to participate in the research portion of this project.

Patient Participants

Inclusion Criteria:

1. Patient (if 18 years or older) or parent/guardian (P/G) of patient being seen by a participating clinician.

2. Patient was not seen by a resident or medical student prior to meeting with clinician.

3. English speaking/reading.

4. Patient or P/G has capacity to consent.

Exclusion Criteria:

1. Patient is seeing a clinician who has not consented to participate in the research portion of the study.

2. Non-English speaking/reading.

3. Patient or P/G lacks capacity to consent.

Related Conditions & MeSH terms

• Burnout, Professional

Intervention

Other:
• Medical Scribe
Trained Medical Scribes will be present in the exam room to take notes on the the electronic medical record so that clinicians can focus all their attention to the interaction with the patient and parent.

Locations

Country	Name	City	State
United States	Hope Drive Pediatric Clinic	Hershey	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
Milton S. Hershey Medical Center

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Clinician Burnout	Survey questions will assess clinician burnout using validated measures.	1 year

External Links

•   Manuscript on impact of scribe intervention on documentation
•   Manuscript on impact of scribe intervention on relative value units (RVUs)