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

Beth Israel Lahey Health

Status: Completed

Conditions: Adverse Event; Burnout; Medical Education

Treatments: Behavioral: Coaching

Study type: Interventional

Funder types: Other

Identifiers

NCT05557981

2021P000482

Details and patient eligibility

About

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).

Enrollment: 332 patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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332 participants in 4 patient groups

Trainees - treatment

Experimental group

Description:

Residents and fellows paired with a faculty coach from the "faculty - treatment" arm to participate in up to 4 coaching meetings

Treatment:

Behavioral: Coaching

Trainees - control

No Intervention group

Description:

Residents and fellows randomized to the control arm. They are not paired with a faculty coach and instead continue to receive standard mentorship as part of their training program.

Faculty - treatment

Experimental group

Description:

Faculty members randomized to receive coaching training and are paired with a resident/fellow from the "trainees - treatment" arm to conduct up to 4 coaching sessions over the course of the academic year.

Treatment:

Behavioral: Coaching

Faculty - control

No Intervention group

Description:

Faculty members randomized to control arm. They are not paired with a trainee from this study and instead continue to provide mentorship as they typically would, as part of their role at an academic medical center