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Master Preceptor Fellowship Program: A Pilot Study

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ClinicalTrials.gov Identifier: NCT03918122
Recruitment Status : Recruiting
First Posted : April 17, 2019
Last Update Posted : April 17, 2019
Sponsor:
Collaborator:
Health Resources and Services Administration (HRSA)
Information provided by (Responsible Party):
Marc Cote, DO, Pacific Northwest University of Health Sciences

Brief Summary:
The Master Preceptor Fellowship Pilot Study is a prospective cohort study that is being conducted to measure changes in participant knowledge, teaching efficacy, leadership skills, job satisfaction and quality of life.

Condition or disease Intervention/treatment
Self-Assessment Knowledge, Attitudes, Practice Other: Self-Assessment via pre and post survey

Detailed Description:
The Master Preceptor Fellows are physicians or physician assistants who have worked in primary care setting for a minimum of one year. The participants agree to participate in a 52-week (1-year) program designed to enhance the primary care physician's knowledge and skills via self-directed and didactic coursework along with a transformational community-based project. The culmination of the mentorship, leadership, and educational experiences gained in the Master Preceptor Fellowship (MPF) will allow the primary care physician champion to apply his or her innovative response to an identified need in their community.

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Study Type : Observational
Estimated Enrollment : 25 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Master Preceptor Fellowship Program: A Pilot Study
Actual Study Start Date : January 9, 2019
Estimated Primary Completion Date : August 30, 2024
Estimated Study Completion Date : December 1, 2024

Intervention Details:
  • Other: Self-Assessment via pre and post survey
    Master Preceptor Fellows will assess and evaluation professional development, knowledge, clinical practices and master preceptor knowledge before the Master Preceptor Fellowship and After completion of the Master Preceptor Fellowship


Primary Outcome Measures :
  1. Changes in Knowledge of Physician Teaching Self Efficacy (PTSQ) [ Time Frame: Baseline to fellowship completion [approximately 52 weeks] ]
    The PTSQ survey measures a physician's belief to provide high quality clinical teaching when facing regularly occurring critical teaching situations. This is a 16 item survey with a rating scale of 0=Not applicable, 1=Somewhat does not apply, 2=Neutral, 3=Somewhat applies, 4=Applies completely. A higher score indicating a higher belief in one's ability to provide high quality clinical teaching in critical teaching situations.

  2. Changes in Knowledge Physician Teaching Self Efficacy (PTSQ) [ Time Frame: Fellowship completion [approximately 52 weeks] to 6 months post completion [approximately 77 weeks] ]
    The PTSQ survey measures a physician's belief to provide high quality clinical teaching when facing regularly occurring critical teaching situations. This is a 16 item survey with a rating scale of 0=Not applicable, 1=Somewhat does not apply, 2=Neutral, 3=Somewhat applies, 4=Applies completely. A higher score indicating a higher belief in one's ability to provide high quality clinical teaching in critical teaching situations.

  3. Changes in Quality of Life (PROMIS Global Health Survey) [ Time Frame: Baseline to fellowship completion [approximately 52 weeks] ]
    Quality of Life as measured by PROMIS Global Health Questionnaire. Total Physical Health Score of 7 to 17 with lower numbers indicating better physical health outcome and Total Mental Health Score of 8 to 16 with lower numbers indicating better mental health outcome.

  4. Changes in Quality of Life (PROMIS Global Health Survey) [ Time Frame: Fellowship completion [approximately 52 weeks] to 6 months post completion [approximately 77 weeks] ]
    Quality of Life as measured by PROMIS Global Health Questionnaire. Total Physical Health Score of 7 to 17 with lower numbers indicating better physical health outcome and Total Mental Health Score of 8 to 16 with lower numbers indicating better mental health outcome.

  5. Changes in Self Reported Leadership Skills [ Time Frame: Baseline to fellowship completion [approximately 52 weeks] ]
    The Leadership Skills Survey is designed to measure leadership skills. The survey includes 18 questions in three board types of leadership skills; administrative, interpersonal and conceptual skills. Scores will range from 6 to 30 with higher scores indicating a higher level of leaderships skills and a lower score indicating areas of leadership weakness.

  6. Changes in Self Reported Leadership skills [ Time Frame: Fellowship completion [approximately 52 weeks] to 6 months post fellowship completion [approximately 77 weeks] ]
    The Leadership Skills Survey is designed to measure leadership skills. The survey includes 18 questions in three board types of leadership skills; administrative, interpersonal and conceptual skills. Scores will range from 6 to 30 with higher scores indicating a higher level of leaderships skills and a lower score indicating areas of leadership weakness.

  7. Changes in Burnout and Job Satisfaction [ Time Frame: Baseline to six month post fellowship completion [approximately 77 weeks] ]

    The Mini Z Burnout survey is comprised of 10 items and on open ended questions. The 10 items assess satisfaction, stress, burnout, work control, chaos, values alignment, teamwork, documentation time pressure, excess electronic medical record (EMR) use at home, and EMR proficiency.

    This survey uses a 5-point likert-type scale ranging from strongly disagree (1) to strongly agree (5). Scoring for questions 1 through 10 will range from 10 to 45 with higher scores indicating a more joyful workplace and a lower score indicating burnout. The sum score for questions 1 through 4 will range from 4 to 20 with a higher score indicating a more supportive workplace and a lower score indicating a less supportive workplace. The sum of questions 5 though 8 will range from 4 to 20 with a higher score indicating an office with a good pace and manageable electronic medical record (EMR) stress and a lower score indicating a less manageable pace and more EMR stress.




Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Physicians (MD or DO) or Physician Assistants (PA) that have been in practice for at least one year. Physicians must be board certified or board eligible in family medicine, general internal medicine or general pediatrics. Physician assistants must be certified as a physician assistant.
Criteria

Inclusion Criteria:

  • Have a medicine or physician assistant degree (MD/DO or PA)
  • Be board certified or board eligible in family medicine, general internal medicine, or general -pediatrics; or be certified as a physician assistant
  • Have a position in a community-based primary care site
  • Have a record of practice in a primary care discipline field for at least two years
  • Be at least 18 years of age

Exclusion Criteria:

  • Unable to adequately speak and comprehend English
  • Less than 18 years of age

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03918122


Contacts
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Contact: Marc Cote, DO 509-249-7703 mcote@pnwu.edu
Contact: Carla Case 509-249-7852 ccase@pnwu.edu

Locations
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United States, Washington
Pacific northwest university of health sciences Recruiting
Yakima, Washington, United States, 98901
Contact: Marc Cote, DO    509-249-7703    mcote@pnwu.edu   
Contact: Carla Case    509-249-7852    ccase@pnwu.edu   
Principal Investigator: Marc Cote, DO         
Sponsors and Collaborators
Pacific Northwest University of Health Sciences
Health Resources and Services Administration (HRSA)

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Responsible Party: Marc Cote, DO, Principal Investigator, Pacific Northwest University of Health Sciences
ClinicalTrials.gov Identifier: NCT03918122     History of Changes
Other Study ID Numbers: 2018-025
First Posted: April 17, 2019    Key Record Dates
Last Update Posted: April 17, 2019
Last Verified: April 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Marc Cote, DO, Pacific Northwest University of Health Sciences:
Preceptor
Physician Leadership
Medical Education