Impact of Resident Participation in Post-ICU Follow Up Clinic

• Sponsor: University of Michigan (Other)
• Overall Status: Not yet recruiting
• CT.gov ID: NCT05713669
• Collaborator: (none)
• Enrollment: 30
• Location: 1
• Arms: 2
• Anticipated Duration (Months): 12
• Patients Per Site Per Month: 2.5

Study Details

Study Description

Brief Summary

This study is being conducted to describe the impact of a meeting between patients that were admitted to the intensive care unit (ICU) and a provider that cared for the patients during the period of critical illness. The study team is aiming to describe the effect this meeting has on the physician that previously cared for the patient.

The study team hypothesizes that facilitating involvement in post-ICU clinic and creating longitudinal relationships between providers of critical care and survivors of critical illness will have positive effects on trainees, both in professional fulfillment and burnout scores and in perceptions of critical care.

Condition or Disease	Intervention/Treatment	Phase
Professional Burnout	Behavioral: Encounter visit with Patients; Behavioral: Non-encounter surveys	N/A

Detailed Description

Physicians and patients that had been cared for in the ICU will be enrolled in this project. Residents that are recruited will be randomized to the encounter group or the control group.

Study Design

• Study Type: Interventional
• Anticipated Enrollment: 30 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Intervention Model Description: A Total of 20 residents will be recruited (10 residents in the intervention arm; 10 residents in the control arm). One resident in each pair will be randomized to participate in a follow up encounter in the post-ICU clinic with the patient that residents have cared for (intervention) and one will have no follow up encounter (control). There will be 10 patients enrolled for the study and will not be randomized into any arm. Outcomes are based on the residents only.A Total of 20 residents will be recruited (10 residents in the intervention arm; 10 residents in the control arm). One resident in each pair will be randomized to participate in a follow up encounter in the post-ICU clinic with the patient that residents have cared for (intervention) and one will have no follow up encounter (control). There will be 10 patients enrolled for the study and will not be randomized into any arm. Outcomes are based on the residents only.
• Masking: None (Open Label)
• Primary Purpose: Health Services Research
• Official Title: Impact of Resident Participation in Post-ICU Follow Up Clinic
• Anticipated Study Start Date: Feb 1, 2023
• Anticipated Primary Completion Date: Feb 1, 2024
• Anticipated Study Completion Date: Feb 1, 2024

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Residents meet ICU patients during follow-up visit (encounter) Residents will be paired according to the patient that were cared.	Behavioral: Encounter visit with Patients; Participants in this encounter group will be asked to complete a pre and post-intervention survey, participate in a meeting with a former ICU patient at a post-ICU clinic, and undergo an in-person interview within fourteen days following the encounter.
Other: Residents in the non-encounter group Residents will not meet with patients that were in the ICU.	Behavioral: Non-encounter surveys; Surveys will be completed pre and post patient follow-up.

Outcome Measures

Primary Outcome Measures

1. Changes in the Professional Fulfillment Scale [Baseline (pre-post ICU follow-up visit), approximately 14 days post patient's follow-up visit]

   The survey consists of 6 questions that are measured on a 5 point Likert scale (scored 0 to 4, with 4 representing higher fulfillment).

2. Changes in the Burnout Scale [Baseline (pre-post ICU follow-up visit), approximately 14 days post patient's follow-up visit]

   This scale has 4 questions that will indicate the level of burnout with scores from not at all =0 - extremely =4. A higher score indicates a higher sense of burnout.

Eligibility Criteria

Criteria

• Ages Eligible for Study: 18 Years and Older
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Inclusion Criteria for Patients:

• Must be eligible for Post ICU Longitudinal Survivor Experience (PULSE) clinic follow up and/or have received referral to clinic

Inclusion criteria for Residents:

• Must have completed at least one 2-week rotation in the medical ICU at the University of Michigan

• Must have cared for an enrolled patient in the study

Exclusion Criteria for Patients:

• Died during ICU stay

Exclusion Criteria for Residents:

• Provided only "cross-cover" for the patient.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	University of Michigan	Ann Arbor	Michigan	United States	48109

Sponsors and Collaborators

• University of Michigan

Investigators

• Principal Investigator: Jakob McSparron, MD, University of Michigan

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

• Responsible Party: Jakob McSparron, Associate Professor of Internal Medicine, University of Michigan
• ClinicalTrials.gov Identifier: NCT05713669
• Other Study ID Numbers: HUM00225631
• First Posted: Feb 6, 2023
• Last Update Posted: Feb 6, 2023
• Last Verified: Jan 1, 2023

• Individual Participant Data (IPD) Sharing Statement: No
• Plan to Share IPD: No
• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Keywords provided by Jakob McSparron, Associate Professor of Internal Medicine, University of Michigan: Perceptions of critical care; Professional fulfillment.
• Additional relevant MeSH terms: Burnout, Professional

Study Results

No Results Posted as of Feb 6, 2023