Inpatient Attending Physician Rotation Duration Study
This study is enrolling participants by invitation only.
Sponsor:
John H. Stroger Hospital
Information provided by:
John H. Stroger Hospital
ClinicalTrials.gov Identifier:
NCT00930111
First received: June 29, 2009
Last updated: NA
Last verified: June 2009
History: No changes posted
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Purpose
The investigators are testing the effects of a change in teaching attending physicians' rotations (from 4- to 2-week blocks) on patient outcomes (unplanned urgent visits to the health care system, inpatient mortality, and length-of-stay), the educational experiences of residents and medical students and on the quality of the professional lives of the attending physicians.
| Condition | Intervention |
|---|---|
|
Inpatient Attending Physician Staffing Model |
Other: 2-week rotation Other: 4-week rotation |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Single Blind (Subject) Primary Purpose: Health Services Research |
| Official Title: | Inpatient Attending Physician Rotation Duration Study |
Further study details as provided by John H. Stroger Hospital:
Primary Outcome Measures:
- Patients' unplanned urgent visits to the health care system. [ Time Frame: 30 days after discharge ] [ Designated as safety issue: Yes ]
Secondary Outcome Measures:
- Resident physicians' evaluation of attending physicians' performance. [ Time Frame: During 14 or 28 day rotations ] [ Designated as safety issue: No ]
- Medical students' evaluations of attending physicians' performance. [ Time Frame: During 14 or 28 day rotations ] [ Designated as safety issue: No ]
- Urgent visits to health care system among attending physicians' outpatient panel (if attending physician has an outpatient panel) [ Time Frame: During and 14 to 28 days after provider's rotation ] [ Designated as safety issue: Yes ]
- Attending physicians' work-life balance, perceived stress, and perceived burn-out. [ Time Frame: During 14 to 28 day rotations ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 55 |
| Study Start Date: | June 2009 |
| Estimated Study Completion Date: | June 2010 |
| Estimated Primary Completion Date: | June 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: 2 weeks
Attending physicians are physician-of-records for traditional inpatient ward team (housestaff and medical students) for 2 weeks.
|
Other: 2-week rotation
Attending physician is assigned to a 2-week rotation.
|
|
Placebo Comparator: 4 weeks
Attending physicians are physician-of-records for traditional inpatient ward team (housestaff and medical students) for 4 weeks.
|
Other: 4-week rotation
Attending physician is assigned to a 4-week rotation.
|
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Attending physician on inpatient general medicine wards of Stroger Hospital, Chicago, IL
Exclusion Criteria:
- Scheduled for less than 6 weeks during the 2009 academic year
Contacts and Locations More Information
No publications provided by John H. Stroger Hospital
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Brian P Lucas, Division of Hospital Medicine, Department of Medicine, Stroger Hospital of Cook County |
| ClinicalTrials.gov Identifier: | NCT00930111 History of Changes |
| Other Study ID Numbers: | Cooker 533 |
| Study First Received: | June 29, 2009 |
| Last Updated: | June 29, 2009 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by John H. Stroger Hospital:
|
inpatient hospitalists residency job satisfaction |
burnout, professional professional practice medical education |
ClinicalTrials.gov processed this record on June 18, 2013