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Completed

NCT Number: NCT05557981

The Impact of a Novel Coaching Program on Medical Errors and Well-Being of Physicians

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).

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Key information

Conditions

Burnout Adverse Event Behavior Behavioral Symptoms Burnout, Psychological Medical Education Stress, Psychological

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Treatment and study plan

coaching

Behavioral

A novel coaching curriculum based in positive psychology with an emphasis on self-reflection, goal setting and adverse event processing.

Primary outcomes

  1. Medical errors in trainees

    Time frame: baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months

    Self-perceived medical errors amongst trainees based on survey response.

  2. Burnout

    Time frame: baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months

    Burnout score amongst trainees and faculty based on Stanford Professional Fulfillment Index

  3. Resilience

    Time frame: baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months

    Burnout score amongst trainees and faculty based on Connor Davidson Resilience Scale 2

Secondary outcomes

  1. medical errors in faculty

    Time frame: baseline (pre) compared to results at the end (post) of the coaching intervention, an average of 9 months

    Self-perceived medical errors amongst faculty based on survey response. Specifically, faculty are asked "Do you think you may have made any medical error in the last 3 months? A medical error is the failure of a planned action to be completed as intended, or the failure of an unplanned action that should have been completed" with answer choices yes, no, and unsure.

  2. delayed medical errors in faculty

    Time frame: baseline (beginning of study, before intervention) compared to 6 months post coaching program

    Self-perceived medical errors amongst faculty based on survey response

  3. Mechanism of change

    Time frame: assessed an average of 1 year after intervention initiation

    Mechanism of change in burnout, resilience and medical errors in both trainees and faculty as compared to standard mentorship

  4. Delayed Medical errors in trainees

    Time frame: up to 15 months

    Self-perceived medical errors amongst trainees based on survey response

  5. Burnout

    Time frame: baseline (beginning of study, before intervention) compared to 6 months post coaching program

    Burnout score amongst trainees and faculty based on Stanford Professional Fulfillment Index

  6. Delayed Resilience

    Time frame: baseline (beginning of study, before intervention) compared to 6 months post coaching program

    Burnout score amongst trainees and faculty based on Connor-Davidson-RISC2

Sponsors and collaborators

Lead sponsor

Beth Israel Deaconess Medical Center

Other

Collaborators

  • Harvard Risk Management Foundation

Registry information

Official study 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

Acronym: CARE

Important dates

Study start
2021
Primary completion
2023
Study completion
2023
First posted
Sep 28, 2022
Registry last updated
Feb 6, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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