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
  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
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00930111

Locations
United States, Illinois
Stroger Hospital of Cook County
Chicago, Illinois, United States, 60612
Sponsors and Collaborators
John H. Stroger Hospital
  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 July 31, 2014