Impact of a Curriculum About Professionalism on Stress Response During a Critical Situation

The purpose of this study is to evaluate the impact of a curriculum about professionalism on stress response during a critical situation in anesthesiology residents. Residents in anesthesiology will complete a training program on professionalism during their first postgraduate year. They will go through a standardized simulated scenario where they have to manage an intra-hospital cardiorespiratory arrest and then meet the patient's family. Stress response will be assessed and compared to a control group that did not receive the training program.

Study Overview

• Status: Completed
• Conditions: Medical Education; Anesthesia; Anxiety State; Professional Burnout; High Fidelity Simulation; Professional Stress
• Intervention / Treatment: Other: Professionalism curriculum

• Study Type: Interventional
• Enrollment (Actual): 20
• Phase: Not Applicable

Contacts and Locations

Study Locations

• France
  • La Tronche, France, 38700
    • University hospital Grenoble Alps

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Residents in anesthesiology (Postgraduate year 1)
• Voluntary

Exclusion Criteria:

• /

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Traditional teaching; No specific curriculum about professionalism
Experimental: Professionalism curriculum; Traditional teaching + professionalism curriculum	Other: Professionalism curriculum; One year training program including ten two-hours sessions about; Knowing yourself; Interaction with patients and their families; Teamwork and organization with colleagues

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Psychological stress response : State Trait Anxiety Inventory (STAI)	STAI -State (State-Trait Anxiety Inventory), from 20 to 80, psychological stress response is higher when score is higher	1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Clinical performance on cardiopulmonary arrest	All simulations will be videotaped and the clinical performance of each participant will be assessed by an independent evaluator using a specific pre-established checklist	1 year
Physiological stress response : Standard Deviation	Heart rate variability evaluated by Standard Deviation Normal to Normal, in milliseconds. Physiological stress response is higher when Standard Deviation Normal to Normal, is lower.	1 year
Family meeting quality : Gather-Resources-Identify-Educate-Verify-Inquire-"Nuts and bolts"-Give	All simulations will be videotaped and the family meeting quality will be assessed by an independent. Score GRIEV-ING from 0 to 27 evaluator, using the Gather, Resources, Identify, Educate, Verify, Inquire, Nuts and bolts, Give), from 0 to 27, family meeting is better when score is higher	1 year
Non technical skills (NTS) : Crisis resource management ( CRM). Score Ottawa	Score Ottawa from 5 to 35	1 year
Burnout Scale	Maslach Burnout Inventory, from 0 to 132 points, exploring three dimensions of professional burnout	1 year
Quality Of Life : WHOQoL	WHOQoL-8 (World Health Organization Quality of Life), from 12 to 60 points, quality of life is higher when the score is lower	1 year
Psychological stress response	Stress Visual Analogical Scale, from 0 to 100, psychological stress response is higher when score is higher	1 year

Collaborators and Investigators

• Sponsor: University Grenoble Alps

Study record dates

Study Major Dates

• Study Start (Actual): December 15, 2019
• Primary Completion (Actual): January 15, 2021
• Study Completion (Actual): March 1, 2021

Study Registration Dates

• First Submitted: December 5, 2019
• First Submitted That Met QC Criteria: December 5, 2019
• First Posted (Actual): December 10, 2019

Study Record Updates

• Last Update Posted (Estimated): December 5, 2023
• Last Update Submitted That Met QC Criteria: November 28, 2023
• Last Verified: November 1, 2023

More Information

Terms related to this study

• Keywords: Cardiopulmonary arrest; Family patient meeting
• Additional Relevant MeSH Terms: Behavioral Symptoms; Stress, Psychological; Occupational Diseases; Burnout, Psychological; Burnout, Professional; Occupational Stress
• Other Study ID Numbers: CESAR003

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No