CARE: The Impact of a Novel Coaching Program on Medical Errors and Well-Being of Physicians
Study Details
Study Description
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).
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Trainees - treatment Residents and fellows paired with a faculty coach from the "faculty - treatment" arm to participate in up to 4 coaching meetings |
Behavioral: Coaching
A novel coaching curriculum based in positive psychology with an emphasis on self-reflection, goal setting and adverse event processing.
|
| No Intervention: Trainees - control 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. |
|
| Experimental: Faculty - treatment 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
A novel coaching curriculum based in positive psychology with an emphasis on self-reflection, goal setting and adverse event processing.
|
| No Intervention: Faculty - control 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 |
Outcome Measures
Primary Outcome Measures
- Medical errors in trainees [baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months]
Self-perceived medical errors amongst trainees based on survey response.
- Burnout [baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months]
Burnout score amongst trainees and faculty based on Stanford Professional Fulfillment Index
- Resilience [baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months]
Burnout score amongst trainees and faculty based on Connor Davidson Resilience Scale 2
Secondary Outcome Measures
- medical errors in faculty [baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months]
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.
- delayed medical errors in faculty [baseline (beginning of study, before intervention) compared to 6 months post coaching program]
Self-perceived medical errors amongst faculty based on survey response
- Mechanism of change [assessed an average of 1 year after intervention initiation]
Mechanism of change in burnout, resilience and medical errors in both trainees and faculty as compared to standard mentorship
- Delayed Medical errors in trainees [up to 15 months]
Self-perceived medical errors amongst trainees based on survey response
- Burnout [baseline (beginning of study, before intervention) compared to 6 months post coaching program]
Burnout score amongst trainees and faculty based on Stanford Professional Fulfillment Index
- Delayed Resilience [baseline (beginning of study, before intervention) compared to 6 months post coaching program]
Burnout score amongst trainees and faculty based on Connor-Davidson-RISC2
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Residents and fellows in a training program at Beth Israel Deaconess Medical Center (BIDMC)
-
faculty members at BIDMC
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Beth Israel Deaconess Medical Center | Boston | Massachusetts | United States | 02215 |
Sponsors and Collaborators
- Beth Israel Deaconess Medical Center
- Harvard Risk Management Foundation
Investigators
- Principal Investigator: Ritika Parris, MD, Beth Israel Deaconess Medical Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2021P000482