Adverse Event, Burnout, Medical Education
Conditions
Keywords
Coaching, burnout, wellness, medical errors
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).
Interventions
BEHAVIORALCoaching
A novel coaching curriculum based in positive psychology with an emphasis on self-reflection, goal setting and adverse event processing.
Sponsors
Harvard Risk Management Foundation
Beth Israel Deaconess Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Residents and fellows in a training program at Beth Israel Deaconess Medical Center (BIDMC) * faculty members at BIDMC
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Medical errors in trainees | 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. |
| Burnout | 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 |
| Resilience | 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
| Measure | Time frame | Description |
|---|---|---|
| Delayed Medical errors in trainees | up to 15 months | Self-perceived medical errors amongst trainees based on survey response |
| medical errors in faculty | 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. |
| Delayed Resilience | baseline (beginning of study, before intervention) compared to 6 months post coaching program | Burnout score amongst trainees and faculty based on Connor-Davidson-RISC2 |
| Burnout | 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 |
| delayed medical errors in faculty | baseline (beginning of study, before intervention) compared to 6 months post coaching program | Self-perceived medical errors amongst faculty based on survey response |
| Mechanism of change | 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 |
Countries
United States
Outcome results
None listed