Back to resultsDoctor-Parent Interactions With Medical Scribes
Primary Purpose
Burnout, Professional
Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Medical Scribe
Sponsored by
About this trial
This is an interventional other trial for Burnout, Professional focused on measuring Medical Scribe, Outpatient, EHR
Eligibility Criteria
Provider Participants
Inclusion Criteria:
- Attending clinicians with privileges at Penn State Hershey Children's Hospital and/or the Penn State Hershey Internal Medicine. This may include attending MDs or DOs and Nurse Practitioners (NPs).
- Voluntary participation in the medical scribe QI project.
- Consents to participate in the study.
Exclusion Criteria:
- Clinician is not participating in the scribe project.
- Clinician does not consent to participate in the research portion of this project.
Patient Participants
Inclusion Criteria:
- Patient (if 18 years or older) or parent/guardian (P/G) of patient being seen by a participating clinician.
- Patient was not seen by a resident or medical student prior to meeting with clinician.
- English speaking/reading.
- Patient or P/G has capacity to consent.
Exclusion Criteria:
- Patient is seeing a clinician who has not consented to participate in the research portion of the study.
- Non-English speaking/reading.
- Patient or P/G lacks capacity to consent.
Sites / Locations
- Hope Drive Pediatric Clinic
Arms of the Study
Arm 1
Arm Type
Other
Arm Label
Pediatric Clinicians
Arm Description
Survey data will be gathered from pediatric clinicians and also parents of pediatric patients at two time periods. At baseline, no Medical Scribes will be working with the clinicians, and then several months later, data will be gathered when Medical scribes ARE working with clinicians.
Outcomes
Primary Outcome Measures
Clinician Burnout
Survey questions will assess clinician burnout using validated measures.
Secondary Outcome Measures
Full Information
NCT ID
NCT03473353
First Posted
March 15, 2018
Last Updated
January 9, 2023
Sponsor
Milton S. Hershey Medical Center
1. Study Identification
Unique Protocol Identification Number
NCT03473353
Brief Title
Doctor-Parent Interactions With Medical Scribes
Official Title
Doctor-Parent Interactions With Medical Scribes
Study Type
Interventional
2. Study Status
Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
September 30, 2017 (Actual)
Primary Completion Date
June 29, 2018 (Actual)
Study Completion Date
December 31, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Milton S. Hershey Medical Center
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of the study is to collect outcomes related to a quality improvement project assessing the feasibility and effectiveness of a medical scribe program in which medical scribes accompany clinicians during their visits with patients. The medical scribes involved in the project are professional scribes and medical students who will accompany clinicians during patient visits and takes notes, enabling the clinician to engage more directly with the patient.
Detailed Description
The study has several specific objectives. This study aims to examine the impact of using medical scribes on (1) patient experience (e.g. patient satisfaction) (2) clinician experience (e.g. stress load, burnout, evaluation of the visit, amount of time spent after hours inputting notes), and (3) clinician-patient interaction (e.g. patient and clinician engagement during the visit).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Burnout, Professional
Keywords
Medical Scribe, Outpatient, EHR
7. Study Design
Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
732 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Pediatric Clinicians
Arm Type
Other
Arm Description
Survey data will be gathered from pediatric clinicians and also parents of pediatric patients at two time periods. At baseline, no Medical Scribes will be working with the clinicians, and then several months later, data will be gathered when Medical scribes ARE working with clinicians.
Intervention Type
Other
Intervention Name(s)
Medical Scribe
Intervention Description
Trained Medical Scribes will be present in the exam room to take notes on the the electronic medical record so that clinicians can focus all their attention to the interaction with the patient and parent.
Primary Outcome Measure Information:
Title
Clinician Burnout
Description
Survey questions will assess clinician burnout using validated measures.
Time Frame
1 year
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Provider Participants
Inclusion Criteria:
Attending clinicians with privileges at Penn State Hershey Children's Hospital and/or the Penn State Hershey Internal Medicine. This may include attending MDs or DOs and Nurse Practitioners (NPs).
Voluntary participation in the medical scribe QI project.
Consents to participate in the study.
Exclusion Criteria:
Clinician is not participating in the scribe project.
Clinician does not consent to participate in the research portion of this project.
Patient Participants
Inclusion Criteria:
Patient (if 18 years or older) or parent/guardian (P/G) of patient being seen by a participating clinician.
Patient was not seen by a resident or medical student prior to meeting with clinician.
English speaking/reading.
Patient or P/G has capacity to consent.
Exclusion Criteria:
Patient is seeing a clinician who has not consented to participate in the research portion of the study.
Non-English speaking/reading.
Patient or P/G lacks capacity to consent.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Benjamin Levi, M.D., Ph.D.
Organizational Affiliation
Departments of Humanities & Pediatrics
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hope Drive Pediatric Clinic
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
The study PI will share our study protocol, instruments, and published papers (which include our analytic approach).
IPD Sharing Time Frame
Study information will be shared upon request to the study PI (Levi), and will be available through 6-30-26.
IPD Sharing Access Criteria
Any interested researcher should contact the PI at: BHLevi@psu.edu.
Links:
URL
https://doi.org/10.1016/j.acap.2021.05.004
Description
Manuscript on impact of scribe intervention on documentation
URL
https://doi.org/10.1016/j.acap.2020.05.009
Description
Manuscript on impact of scribe intervention on relative value units (RVUs)
Learn more about this trial
Doctor-Parent Interactions With Medical Scribes
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