Impact of Resident Participation in Post-ICU Follow Up Clinic

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Impact of Resident Participation in Post-ICU Follow Up Clinic

Conditions
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Professional Burnout

Intervention / Treatment
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* Behavioral: Encounter visit with Patients
* Behavioral: Non-encounter surveys


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional 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.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Residents meet ICU patients during follow-up visit (encounter)<br>Residents will be paired according to the patient that were cared. | Behavioral: Encounter visit with Patients<br>* 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.<br>|
| Other: Residents in the non-encounter group<br>Residents will not meet with patients that were in the ICU. | Behavioral: Non-encounter surveys<br>* Surveys will be completed pre and post patient follow-up.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in the Professional Fulfillment Scale | The survey consists of 6 questions that are measured on a 5 point Likert scale (scored 0 to 4, with 4 representing higher fulfillment). | Baseline (pre-post ICU follow-up visit), approximately 14 days post patient's follow-up visit | 
| Changes in the Burnout Scale | 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. | Baseline (pre-post ICU follow-up visit), approximately 14 days post patient's follow-up visit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Perceptions of critical care, Professional fulfillment.