Resident Physician Burnout and Well-being

NCT04125615 | Completed

• 1 other identifier: 1612E02561
• Study Type: interventional
• Target: 19
• Locations: 1 country
• Sites: 1

Brief Summary

Pilot study shows that two hours of weekly protected non-clinical time is associated with decreased burnout and increased well-being in otolaryngology residents

Conditions

Stress

Outcome Measures

Primary Outcomes (6)

• Change in Maslach Burnout Inventory (MBI) Emotional Exhaustion (EE) Subscale

  The MBI is a 22-item questionnaire with three subscales: emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA). Lower EE and DP scores and higher PA are associated with decreased burnout. MBI subscale scores are calculated as the average of the component MBI items (9 items for MBI EE, 5 items for MBI DP, 8 items for MBI PA) with each scale resulting in MBI scale scores that ranged from 0 (Never) to 6 (Every day).

  baseline, end of intervention (32 weeks)

• Change in Maslach Burnout Inventory (MBI) Depersonalization (DP) Subscale

  The MBI is a 22-item questionnaire with three subscales: emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA). Lower EE and DP scores and higher PA are associated with decreased burnout. MBI subscale scores are calculated as the average of the component MBI items (9 items for MBI EE, 5 items for MBI DP, 8 items for MBI PA) with each scale resulting in MBI scale scores that ranged from 0 (Never) to 6 (Every day).

  baseline, end of intervention (32 weeks)

• Change in Maslach Burnout Inventory (MBI) Personal Achievement (PA) Subscale

  The MBI is a 22-item questionnaire with three subscales: emotional exhaustion (EE), depersonalization (DP), and personal achievement (PA). Lower EE and DP scores and higher PA are associated with decreased burnout. MBI subscale scores are calculated as the average of the component MBI items (9 items for MBI EE, 5 items for MBI DP, 8 items for MBI PA) with each scale resulting in MBI scale scores that ranged from 0 (Never) to 6 (Every day).

  baseline, end of intervention (32 weeks)

• Change in Mini-Z Questionnaire (Mini-Z) Question 3

  The Mini-Z is derived from the "Z" Clinician Questionnaire and has been validated with 10 stand-alone questions measuring feelings of burnout. For this study, only question 3 was used. This multiple-choice question assesses feelings of burnout using the participant's own definition. Answers range from A (I enjoy my work. I have no symptoms of burnout.) to E (I feel completely burned out. I am at the point where I may need to seek help.).

  baseline, end of intervention (32 weeks)

• Change in Resident and Fellow Well-Being Index (WBI)

  The WBI is a 7-item validated screening tool designed specifically for resident physicians to evaluate fatigue, depression, burnout, anxiety/stress, and mental/physical QOL. The WBI scale score is the total number of negative conditions that were experienced in the past month resulting in a scale score ranging from 0 - 7 with lower scores indicating higher well-being.

  baseline, end of intervention (32 weeks)

• Change in Quality-of-Life (QOL) Single-Item Self-Assessment (SA)

  The QOL SA has 5 response options to the question "Which of the following best describes your overall quality of life?" 0: As bad as it can be, 1: Somewhat bad, 2: Neutral, 3: Somewhat good, 4: As good as it can be, with higher QOL scores indicating higher quality of life.

  baseline, end of intervention (32 weeks)

Study Arms (2)

Protected Non-Clinical Time

EXPERIMENTAL

Protected non-clinical time

Behavioral: Protected Time Intervention

Control Period

NO INTERVENTION

No protected non-clinical time

Interventions

Protected Time Intervention BEHAVIORAL

Participants were assigned two hours of protected, non-clinical time by the chief resident of the service. Chief residents were instructed to assign this time when clinical learning opportunities were lowest. Each participant acted as their own control and was on the intervention phase of the study for the first or last 6 weeks of a quarterly rotation. Residents were concurrently assigned to the same phase of the study (intervention versus control). Participants were not specifically limited in what they could do during their non-clinical time, but they were encouraged to use this time in a way they felt would decrease their own personal burnout and increase their well-being, whether this be performing work-related administrative duties previously done on personal time or fulfilling obligations that are integral to personal health and well-being that can only be completed during normal business hours.

Protected Non-Clinical Time

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \- all resident physicians (PGY1 - PGY5) in the Department of Otolaryngology that were willing to complete the study protocol

You may not qualify if:

• \- principal investigator(s) were excluded from participation

Sponsors & Collaborators

• University of Minnesota: lead

Study Sites (1)

University of Minnesota

Minneapolis, Minnesota, 55455, United States

Location

Study Officials

• Kristin Stevens, MD

  University of Minenesota

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 10, 2019
• First Posted: October 14, 2019
• Study Start: September 1, 2017
• Primary Completion: June 30, 2018
• Study Completion: June 30, 2018
• Last Updated: October 14, 2019

Record last verified: 2019-10

Locations

US (1)