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Inpatient Attending Physician Rotation Duration Study

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ClinicalTrials.gov Identifier: NCT00930111
Recruitment Status : Completed
First Posted : June 30, 2009
Last Update Posted : September 1, 2015
Sponsor:
Information provided by (Responsible Party):

Study Description
Brief Summary:
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 or disease Intervention/treatment
Inpatient Attending Physician Staffing Model Other: 2-week rotation Other: 4-week rotation

Study Design

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 62 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single (Participant)
Primary Purpose: Health Services Research
Official Title: Inpatient Attending Physician Rotation Duration Study
Study Start Date : June 2009
Primary Completion Date : July 2010
Study Completion Date : December 2010
Arms and Interventions

Arm Intervention/treatment
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.


Outcome Measures

Primary Outcome Measures :
  1. Patients' unplanned urgent visits to the health care system. [ Time Frame: 30 days after discharge ]

Secondary Outcome Measures :
  1. Resident physicians' evaluation of attending physicians' performance. [ Time Frame: During 14 or 28 day rotations ]
  2. Medical students' evaluations of attending physicians' performance. [ Time Frame: During 14 or 28 day rotations ]
  3. 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 ]
  4. Attending physicians' work-life balance, perceived stress, and perceived burn-out. [ Time Frame: During 14 to 28 day rotations ]

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
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

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): NCT00930111


Locations
United States, Illinois
Stroger Hospital of Cook County
Chicago, Illinois, United States, 60612
Sponsors and Collaborators
John H. Stroger Hospital
More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Brian P Lucas, Chief, Division of Hospital Medicine (at the time of the study), John H. Stroger Hospital
ClinicalTrials.gov Identifier: NCT00930111     History of Changes
Other Study ID Numbers: Cooker 533
First Posted: June 30, 2009    Key Record Dates
Last Update Posted: September 1, 2015
Last Verified: August 2015

Keywords provided by Brian P Lucas, John H. Stroger Hospital:
inpatient
hospitalists
residency
job satisfaction
burnout, professional
professional practice
medical education