Trial Outcomes & Findings for Resident Supervision Index: Assessing Feasibility and Validity (NCT NCT00680368)

NCT ID: NCT00680368

Last Updated: 2015-04-28

Results Overview

Describes agreement between physician resident and attending physician assessment of total resident supervision time for a given patient and patient care clinical encounter.

• Recruitment status: COMPLETED
• Target enrollment: 97 participants
• Primary outcome timeframe: 24-hours
• Results posted on: 2015-04-28

Participant Flow

Participant milestones

Measure	Group 1 The study began with 112 responders: 75 physician residents and 37 attending physicians. Only 60 of the 75 residents had been supervised by one of the 37 participating attending physicians. Thus, 15 residents were dropped from study. Both resident and their attending physician were surveyed to report total supervision time for each of 148 clinical encounters with 143 patients. There were more clinical encounters than patients because some patients had more than one encounter. There were more physician residents than attending physicians because attending physicians may have supervised more than one resident. There were more clinical encounters than residents because a resident may be involved in more than one clinical encounter with a patient.
Overall Study STARTED	112
Overall Study COMPLETED	97
Overall Study NOT COMPLETED	15

Reasons for withdrawal

Measure

Group 1 The study began with 112 responders: 75 physician residents and 37 attending physicians. Only 60 of the 75 residents had been supervised by one of the 37 participating attending physicians. Thus, 15 residents were dropped from study. Both resident and their attending physician were surveyed to report total supervision time for each of 148 clinical encounters with 143 patients. There were more clinical encounters than patients because some patients had more than one encounter. There were more physician residents than attending physicians because attending physicians may have supervised more than one resident. There were more clinical encounters than residents because a resident may be involved in more than one clinical encounter with a patient.

Overall Study not supervised, not eligible

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Baseline Characteristics

Resident Supervision Index: Assessing Feasibility and Validity

Baseline characteristics by cohort

Measure	Physician Residents and Attending Physicians n=112 Participants includes physician residents and attending physicians who were asked to sit through a face to face interview with a research assistant following a clinical encounter with a patient
Age, Categorical <=18 years	0 Participants n=5 Participants
Age, Categorical Between 18 and 65 years	112 Participants n=5 Participants
Age, Categorical >=65 years	0 Participants n=5 Participants
Sex: Female, Male Female	40 Participants n=5 Participants
Sex: Female, Male Male	72 Participants n=5 Participants

PRIMARY outcome

Timeframe: 24-hours

Describes agreement between physician resident and attending physician assessment of total resident supervision time for a given patient and patient care clinical encounter.

Outcome measures

Measure	Physician Residents and Attending Physicians n=97 Participants Sample included 112, including 60 physician residents and 37 attending physicians
Intraclass Correlation Coefficient Between Physician Resident and Attending Physician.	.69 Intraclass Correlation Coefficient Interval 0.57 to 0.78

SECONDARY outcome

Timeframe: 24 hours

Assesses the test-retest reliability of repeated responses for resident physicians only to report the total time spent during resident supervision.

Outcome measures

Measure	Physician Residents and Attending Physicians n=60 Participants Sample included 112, including 60 physician residents and 37 attending physicians
Intraclass Correlation Coefficient Assessing Test-retest Reliability for Resident Physicians	.93 Intraclass Correlation Coefficient Interval 0.91 to 0.95

SECONDARY outcome

Timeframe: 24 hours

Assesses the test-retest reliability among repeated responses to surveys administered to attending physicians only.

Outcome measures

Measure	Physician Residents and Attending Physicians n=37 Participants Sample included 112, including 60 physician residents and 37 attending physicians
Intraclass Correlation Coefficient for Test-retest Reliability for Attending Physicians	.88 Intraclass Correlation Coefficient Interval 0.82 to 0.91

Adverse Events

Group 1

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Measure	Group 1 n=75 participants at risk Sample included 75 resident physicians. No adverse events noted.
General disorders quality of care	0.00% 0/75 • Collected during the 3-months when subjects were interviewed only.
Psychiatric disorders Mental breakdown	0.00% 0/75 • Collected during the 3-months when subjects were interviewed only.

Other adverse events

Measure	Group 1 n=75 participants at risk Sample included 75 resident physicians. No adverse events noted.
General disorders dissatisfaction with education experience	0.00% 0/75 • Collected during the 3-months when subjects were interviewed only.
Eye disorders Eye strain	0.00% 0/75 • Collected during the 3-months when subjects were interviewed only.

Additional Information

T. Michael Kashner, PhD, PI

Loma Linda VA Healthcare System

Phone: 909 825-7084

Email: michael.kashner@va.gov

Results disclosure agreements

• Principal investigator is a sponsor employee
• Publication restrictions are in place