Doctor-Parent Interactions With Medical Scribes

Penn State Health

Status: Completed

Conditions: Burnout, Professional

Treatments: Other: Medical Scribe

Study type: Interventional

Funder types: Other

Identifiers

NCT03473353

STUDY00007664

Details and patient eligibility

About

The purpose of the study is to collect outcomes related to a quality improvement project assessing the feasibility and effectiveness of a medical scribe program in which medical scribes accompany clinicians during their visits with patients. The medical scribes involved in the project are professional scribes and medical students who will accompany clinicians during patient visits and takes notes, enabling the clinician to engage more directly with the patient.

Full description

The study has several specific objectives. This study aims to examine the impact of using medical scribes on (1) patient experience (e.g. patient satisfaction) (2) clinician experience (e.g. stress load, burnout, evaluation of the visit, amount of time spent after hours inputting notes), and (3) clinician-patient interaction (e.g. patient and clinician engagement during the visit).

Enrollment: 732 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Provider Participants

Inclusion Criteria:

1. Attending clinicians with privileges at Penn State Hershey Children's Hospital and/or the Penn State Hershey Internal Medicine. This may include attending MDs or DOs and Nurse Practitioners (NPs).
2. Voluntary participation in the medical scribe QI project.
3. Consents to participate in the study.

Exclusion Criteria:

1. Clinician is not participating in the scribe project.
2. Clinician does not consent to participate in the research portion of this project.

Patient Participants

Inclusion Criteria:

1. Patient (if 18 years or older) or parent/guardian (P/G) of patient being seen by a participating clinician.
2. Patient was not seen by a resident or medical student prior to meeting with clinician.
3. English speaking/reading.
4. Patient or P/G has capacity to consent.

Exclusion Criteria:

1. Patient is seeing a clinician who has not consented to participate in the research portion of the study.
2. Non-English speaking/reading.
3. Patient or P/G lacks capacity to consent.

Trial design

Primary purpose: Other

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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732 participants in 1 patient group

Pediatric Clinicians

Other group

Description:

Survey data will be gathered from pediatric clinicians and also parents of pediatric patients at two time periods. At baseline, no Medical Scribes will be working with the clinicians, and then several months later, data will be gathered when Medical scribes ARE working with clinicians.

Treatment:

Other: Medical Scribe