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

Tracking Information
First Received Date ^ICMJE	June 29, 2009
Last Updated Date	June 29, 2009
Start Date ^ICMJE	June 2009
Estimated Primary Completion Date	June 2010 (final data collection date for primary outcome measure)
Current Primary Outcome Measures ^ICMJE (submitted: June 29, 2009)	Patients' unplanned urgent visits to the health care system. [ Time Frame: 30 days after discharge ] [ Designated as safety issue: Yes ]
Original Primary Outcome Measures ^ICMJE	Same as current
Change History	No Changes Posted
Current Secondary Outcome Measures ^ICMJE (submitted: June 29, 2009)	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 ]
Original Secondary Outcome Measures ^ICMJE	Same as current
Current Other Outcome Measures ^ICMJE	Not Provided
Original Other Outcome Measures ^ICMJE	Not Provided

Descriptive Information
Brief Title ^ICMJE	Inpatient Attending Physician Rotation Duration Study
Official Title ^ICMJE	Inpatient Attending Physician Rotation Duration Study
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.
Detailed Description	Not Provided
Study Type ^ICMJE	Interventional
Study Phase	Not Provided
Study Design ^ICMJE	Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Crossover Assignment Masking: Single Blind (Subject) Primary Purpose: Health Services Research
Condition ^ICMJE	Inpatient Attending Physician Staffing Model
Intervention ^ICMJE	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.
Study Arm (s)	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
Publications *	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.

Recruitment Information
Recruitment Status ^ICMJE	Enrolling by invitation
Estimated Enrollment ^ICMJE	55
Estimated Completion Date	June 2010
Estimated Primary Completion Date	June 2010 (final data collection date for primary outcome measure)
Eligibility Criteria ^ICMJE	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
Gender	Both
Ages	Not Provided
Accepts Healthy Volunteers	No
Contacts ^ICMJE	Contact information is only displayed when the study is recruiting subjects
Location Countries ^ICMJE	United States

Administrative Information
NCT Number ^ICMJE	NCT00930111
Other Study ID Numbers ^ICMJE	Cooker 533
Has Data Monitoring Committee	No
Responsible Party	Brian P Lucas, Division of Hospital Medicine, Department of Medicine, Stroger Hospital of Cook County
Study Sponsor ^ICMJE	John H. Stroger Hospital
Collaborators ^ICMJE	Not Provided
Investigators ^ICMJE	Not Provided
Information Provided By	John H. Stroger Hospital
Verification Date	June 2009
^ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP

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