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Inpatient Attending Physician Rotation Duration Study

This study is enrolling participants by invitation only.
Sponsor:
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

June 29, 2009
June 29, 2009
June 2009
June 2010   (final data collection date for primary outcome measure)
Patients' unplanned urgent visits to the health care system. [ Time Frame: 30 days after discharge ] [ Designated as safety issue: Yes ]
Same as current
No Changes Posted
  • 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 ]
Same as current
Not Provided
Not Provided
 
Inpatient Attending Physician Rotation Duration Study
Inpatient Attending Physician Rotation Duration Study

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.

Not Provided
Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Crossover Assignment
Masking: Single Blind (Subject)
Primary Purpose: Health Services Research
Inpatient Attending Physician Staffing Model
  • Other: 2-week rotation
    Attending physician is assigned to a 2-week rotation.
  • Other: 4-week rotation
    Attending physician is assigned to a 4-week rotation.
  • Active Comparator: 2 weeks
    Attending physicians are physician-of-records for traditional inpatient ward team (housestaff and medical students) for 2 weeks.
    Intervention: Other: 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.
    Intervention: Other: 4-week rotation
Lucas BP, Trick WE, Evans AT, Mba B, Smith J, Das K, Clarke P, Varkey A, Mathew S, Weinstein RA. Effects of 2- vs 4-week attending physician inpatient rotations on unplanned patient revisits, evaluations by trainees, and attending physician burnout: a randomized trial. JAMA. 2012 Dec 5;308(21):2199-207. doi: 10.1001/jama.2012.36522.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Enrolling by invitation
55
June 2010
June 2010   (final data collection date for primary outcome measure)

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
Both
Not Provided
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00930111
Cooker 533
No
Brian P Lucas, Division of Hospital Medicine, Department of Medicine, Stroger Hospital of Cook County
John H. Stroger Hospital
Not Provided
Not Provided
John H. Stroger Hospital
June 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP