Impact of a Curriculum About Professionalism on Stress Response During a Critical Situation

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the impact of a curriculum about professionalism on stress response during a critical situation in anesthesiology residents. Residents in anesthesiology will complete a training program on professionalism during their first postgraduate year. They will go through a standardized simulated scenario where they have to manage an intra-hospital cardiorespiratory arrest and then meet the patient's family. Stress response will be assessed and compared to a control group that did not receive the training program.

Official Title
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Impact of a Curriculum About Professionalism on Stress Response During a Critical Situation

Conditions
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Professional Burnout, Professional Stress, Anesthesia, Medical Education, High Fidelity Simulation, Anxiety State

Intervention / Treatment
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* Other: Professionalism curriculum


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Residents in anesthesiology (Postgraduate year 1) Voluntary Exclusion Criteria: /
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Traditional teaching<br>No specific curriculum about professionalism | |
| Experimental: Professionalism curriculum<br>Traditional teaching + professionalism curriculum | Other: Professionalism curriculum<br>* One year training program including ten two-hours sessions about Knowing yourself Interaction with patients and their families Teamwork and organization with colleagues<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Psychological stress response : State Trait Anxiety Inventory (STAI) | STAI -State (State-Trait Anxiety Inventory), from 20 to 80, psychological stress response is higher when score is higher | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Clinical performance on cardiopulmonary arrest | All simulations will be videotaped and the clinical performance of each participant will be assessed by an independent evaluator using a specific pre-established checklist | 1 year | 
| Physiological stress response : Standard Deviation | Heart rate variability evaluated by Standard Deviation Normal to Normal, in milliseconds. Physiological stress response is higher when Standard Deviation Normal to Normal, is lower. | 1 year | 
| Family meeting quality : Gather-Resources-Identify-Educate-Verify-Inquire-Nuts and bolts-Give | All simulations will be videotaped and the family meeting quality will be assessed by an independent. Score GRIEV-ING from 0 to 27 evaluator, using the Gather, Resources, Identify, Educate, Verify, Inquire, Nuts and bolts, Give), from 0 to 27, family meeting is better when score is higher | 1 year | 
| Non technical skills (NTS) : Crisis resource management ( CRM). Score Ottawa | Score Ottawa from 5 to 35 | 1 year | 
| Burnout Scale | Maslach Burnout Inventory, from 0 to 132 points, exploring three dimensions of professional burnout | 1 year | 
| Quality Of Life : WHOQoL | WHOQoL-8 (World Health Organization Quality of Life), from 12 to 60 points, quality of life is higher when the score is lower | 1 year | 
| Psychological stress response | Stress Visual Analogical Scale, from 0 to 100, psychological stress response is higher when score is higher | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cardiopulmonary arrest, Family patient meeting