Doctor-Parent Interactions With Medical Scribes

Study Overview
=================
Brief 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.

Detailed 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).

Official Title
-----------------
Doctor-Parent Interactions With Medical Scribes

Conditions
-----------------
Burnout, Professional

Intervention / Treatment
-----------------
* Other: Medical Scribe


Participation Criteria
=================
Eligibility Criteria
-----------------
Provider Participants Inclusion Criteria: 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). Voluntary participation in the medical scribe QI project. Consents to participate in the study. Exclusion Criteria: Clinician is not participating in the scribe project. Clinician does not consent to participate in the research portion of this project. Patient Participants Inclusion Criteria: Patient (if 18 years or older) or parent/guardian (P/G) of patient being seen by a participating clinician. Patient was not seen by a resident or medical student prior to meeting with clinician. English speaking/reading. Patient or P/G has capacity to consent. Exclusion Criteria: Patient is seeing a clinician who has not consented to participate in the research portion of the study. Non-English speaking/reading. Patient or P/G lacks capacity to consent.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Other
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Pediatric Clinicians<br>Survey data will be gathered from pediatric clinicians and also parents of pediatric patients at two time periods. At baseline, no Medical Scribes will be working with the clinicians, and then several months later, data will be gathered when Medical scribes ARE working with clinicians. | Other: Medical Scribe<br>* 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.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Clinician Burnout | Survey questions will assess clinician burnout using validated measures. | 1 year | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Medical Scribe, Outpatient, EHR