Doctor-Parent Interactions With Medical Scribes

NCT ID: NCT03473353

Last Updated: 2023-01-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

732 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-30

Study Completion Date

2022-12-31

Brief Summary

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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

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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).

Conditions

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Burnout, Professional

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Pediatric Clinicians

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.

Group Type OTHER

Medical Scribe

Intervention Type OTHER

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.

Interventions

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Medical Scribe

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.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. 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).
2. Voluntary participation in the medical scribe QI project.
3. Consents to participate in the study.


1. Patient (if 18 years or older) or parent/guardian (P/G) of patient being seen by a participating clinician.
2. Patient was not seen by a resident or medical student prior to meeting with clinician.
3. English speaking/reading.
4. Patient or P/G has capacity to consent.

Exclusion Criteria

1. Clinician is not participating in the scribe project.
2. Clinician does not consent to participate in the research portion of this project.

Patient Participants


1. Patient is seeing a clinician who has not consented to participate in the research portion of the study.
2. Non-English speaking/reading.
3. Patient or P/G lacks capacity to consent.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Milton S. Hershey Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Benjamin H. Levi

Professor, Departments of Humanities & Pediatrics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Benjamin Levi, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Departments of Humanities & Pediatrics

Locations

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Hope Drive Pediatric Clinic

Hershey, Pennsylvania, United States

Site Status

Countries

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United States

Related Links

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https://doi.org/10.1016/j.acap.2021.05.004

Manuscript on impact of scribe intervention on documentation

https://doi.org/10.1016/j.acap.2020.05.009

Manuscript on impact of scribe intervention on relative value units (RVUs)

Other Identifiers

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STUDY00007664

Identifier Type: -

Identifier Source: org_study_id

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