Clinical trial NCT05557981: The Impact of a Novel Coaching Program on Medical Errors and Well-Being of Physicians
Official title: A Randomized Controlled Trial on The Impact of a Novel Coaching Program on Medical Errors, Clinical Reasoning, and Well-Being of Physicians, or the CARE (Coaching to Advance Resilience and Reduce Error) Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Burnout
Adverse Event
Medical Education
Keywords: Coaching
burnout
wellness
medical errors
Lead sponsor: Beth Israel Deaconess Medical Center
Sponsor class: OTHER
Collaborators: name: Harvard Risk Management Foundation
First posted: 2022-09-28
Enrollment: 332
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

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).


Eligibility criteria: Inclusion Criteria:

* Residents and fellows in a training program at Beth Israel Deaconess Medical Center (BIDMC)
* faculty members at BIDMC

Primary outcomes:
measure: Medical errors in trainees
timeFrame: baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months
measure: Burnout
timeFrame: baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months
measure: Resilience
timeFrame: baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months
Secondary outcomes:
measure: medical errors in faculty
timeFrame: baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months
measure: delayed medical errors in faculty
timeFrame: baseline (beginning of study, before intervention) compared to 6 months post coaching program
measure: Mechanism of change
timeFrame: assessed an average of 1 year after intervention initiation
measure: Delayed Medical errors in trainees
timeFrame: up to 15 months
measure: Burnout
timeFrame: baseline (beginning of study, before intervention) compared to 6 months post coaching program
measure: Delayed Resilience
timeFrame: baseline (beginning of study, before intervention) compared to 6 months post coaching program
Other outcomes:
Locations:
city: Boston
country: United States
facility: Beth Israel Deaconess Medical Center
state: Massachusetts
Study officials:
affiliation: Beth Israel Deaconess Medical Center
name: Ritika Parris, MD
role: PRINCIPAL_INVESTIGATOR
References: