Impact of Resident Participation in Post-ICU Follow Up Clinic

This study is being conducted to describe the impact of a meeting between patients that were admitted to the intensive care unit (ICU) and a provider that cared for the patients during the period of critical illness. The study team is aiming to describe the effect this meeting has on the physician that previously cared for the patient.

The study team hypothesizes that facilitating involvement in post-ICU clinic and creating longitudinal relationships between providers of critical care and survivors of critical illness will have positive effects on trainees, both in professional fulfillment and burnout scores and in perceptions of critical care.

Study Overview

• Status: Recruiting
• Conditions: Professional Burnout
• Intervention / Treatment: Behavioral: Encounter visit with Patients; Behavioral: Non-encounter surveys

Detailed Description

Physicians and patients that had been cared for in the ICU will be enrolled in this project. Residents that are recruited will be randomized to the encounter group or the control group.

• Study Type: Interventional
• Enrollment (Estimated): 30
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Maddie Lagina, MD; Phone Number: 734-763-9077; Email: laginam@med.umich.edu
• Study Contact Backup: Name: Jakob McSparron, MD; Phone Number: 734-763-9077; Email: jmcsparr@med.umich.edu

Study Locations

• United States
  • Michigan
    • Ann Arbor, Michigan, United States, 48109
      • Recruiting
      • University of Michigan
      • Contact: Maddie Lagina, MD; Phone Number: 734-763-9077; Email: laginam@med.umich.edu
      • Sub-Investigator: Maddie Lagina, MD
      • Principal Investigator: Jakob McSparron, MD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria for Patients:

- Must be eligible for Post ICU Longitudinal Survivor Experience (PULSE) clinic follow up and/or have received referral to clinic

Inclusion criteria for Residents:

• Must have completed at least one 2-week rotation in the medical ICU at the University of Michigan
• Must have cared for an enrolled patient in the study

Exclusion Criteria for Patients:

- Died during ICU stay

Exclusion Criteria for Residents:

- Provided only "cross-cover" for the patient.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Residents meet ICU patients during follow-up visit (encounter); Residents will be paired according to the patient that were cared.	Behavioral: Encounter visit with Patients; Participants in this encounter group will be asked to complete a pre and post-intervention survey, participate in a meeting with a former ICU patient at a post-ICU clinic, and undergo an in-person interview within fourteen days following the encounter.
Other: Residents in the non-encounter group; Residents will not meet with patients that were in the ICU.	Behavioral: Non-encounter surveys; Surveys will be completed pre and post patient follow-up.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Changes in the Professional Fulfillment Scale	The survey consists of 6 questions that are measured on a 5 point Likert scale (scored 0 to 4, with 4 representing higher fulfillment).	Baseline (pre-post ICU follow-up visit), approximately 14 days post patient's follow-up visit
Changes in the Burnout Scale	This scale has 4 questions that will indicate the level of burnout with scores from not at all =0 - extremely =4. A higher score indicates a higher sense of burnout.	Baseline (pre-post ICU follow-up visit), approximately 14 days post patient's follow-up visit

Collaborators and Investigators

• Sponsor: University of Michigan
• Investigators: Principal Investigator: Jakob McSparron, MD, University of Michigan

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2023
• Primary Completion (Estimated): April 1, 2027
• Study Completion (Estimated): April 1, 2027

Study Registration Dates

• First Submitted: January 27, 2023
• First Submitted That Met QC Criteria: January 27, 2023
• First Posted (Actual): February 6, 2023

Study Record Updates

• Last Update Posted (Actual): April 14, 2026
• Last Update Submitted That Met QC Criteria: April 10, 2026
• Last Verified: April 1, 2026

More Information

Terms related to this study

• Keywords: Perceptions of critical care; Professional fulfillment.
• Additional Relevant MeSH Terms: Occupational Stress; Burnout, Psychological; Behavioral Symptoms; Stress, Psychological; Occupational Diseases; Behavior; Burnout, Professional
• Other Study ID Numbers: HUM00225631

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No