NCT05557981

Brief 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).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
332

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2021

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 10, 2021

Completed
1.1 years until next milestone

First Submitted

Initial submission to the registry

September 22, 2022

Completed
6 days until next milestone

First Posted

Study publicly available on registry

September 28, 2022

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 23, 2023

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2023

Completed
Last Updated

February 6, 2024

Status Verified

February 1, 2024

Enrollment Period

1.5 years

First QC Date

September 22, 2022

Last Update Submit

February 2, 2024

Conditions

BurnoutAdverse EventMedical Education

Keywords

Coachingburnoutwellnessmedical errors

Outcome Measures

Primary Outcomes (3)

  • 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

  • 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

  • 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 Outcomes (6)

  • medical errors in faculty

    baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months

  • delayed medical errors in faculty

    baseline (beginning of study, before intervention) compared to 6 months post coaching program

  • Mechanism of change

    assessed an average of 1 year after intervention initiation

  • Delayed Medical errors in trainees

    up to 15 months

  • Burnout

    baseline (beginning of study, before intervention) compared to 6 months post coaching program

  • +1 more secondary outcomes

Study Arms (4)

Trainees - treatment

EXPERIMENTAL

Residents and fellows paired with a faculty coach from the "faculty - treatment" arm to participate in up to 4 coaching meetings

Behavioral: Coaching

Trainees - control

NO INTERVENTION

Residents and fellows randomized to the control arm. They are not paired with a faculty coach and instead continue to receive standard mentorship as part of their training program.

Faculty - treatment

EXPERIMENTAL

Faculty members randomized to receive coaching training and are paired with a resident/fellow from the "trainees - treatment" arm to conduct up to 4 coaching sessions over the course of the academic year.

Behavioral: Coaching

Faculty - control

NO INTERVENTION

Faculty members randomized to control arm. They are not paired with a trainee from this study and instead continue to provide mentorship as they typically would, as part of their role at an academic medical center

Interventions

CoachingBEHAVIORAL

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

Faculty - treatmentTrainees - treatment

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

Location

MeSH Terms

Conditions

Burnout, Psychological

Condition Hierarchy (Ancestors)

Stress, PsychologicalBehavioral SymptomsBehavior

Study Officials

  • Ritika Parris, MD

    Beth Israel Deaconess Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Primary care physician, Director of Wellness for GME

Study Record Dates

First Submitted

September 22, 2022

First Posted

September 28, 2022

Study Start

August 10, 2021

Primary Completion

January 23, 2023

Study Completion

December 31, 2023

Last Updated

February 6, 2024

Record last verified: 2024-02

Locations

US(1)