This study aims to compare different methods of supervision used in the outpatient psychiatry setting, including cases that use telehealth, which has become more of the “new normal” during the COVID-19 pandemic.
This study will be carried out in the outpatient clinic in MAHEC's Department of Psychiatry. The same patients will undergo both encounter types (direct/indirect) and afterwards will complete a short survey.
The purpose of this study is to improve resident training and collectively implement more focus on which type of supervision is being practiced, all while researching the patient’s perspective of care.
Protocol Title: Comparison of Direct and Indirect Supervision of Psychiatry Residents impact on patient experienced quality of care
Researcher Name and Contact Information: Nicholas Ladd, 125 Hendersonville Rd, Asheville, NC 28806
Phone: 828-398-3601 | Fax: 828-333-5465
This research is looking at the impact that supervising physicians have on your experience of quality during your visit. This research will help to guide residency training programs in the role supervising physicians should have in clinics to ensure quality care.
To participate you would be asked to complete a quick 10 question survey after two sessions. One session would have an attending present for some portion of the visit, and the other session would not. No other part of your care would change
The information obtained from this study may not help you. However, it may help others by providing residency training programs information on how to use supervision to improve the quality of care provided. If you decide to participate, and complete both surveys, you would be entered into a drawing where two participants will win a $250 cash card.
There is a small risk of a breach of confidentiality, but all efforts will be made to keep your survey results in the strictest confidentiality. You will use a study ID when answering your survey with your resident physician not having access to your individual survey response. There are no other expected risks of participation.
The information that you provide will be kept confidential on secure electronic servers. You will be assigned a study ID number that will be used for all documentation of study results. Only the researcher will have access to your survey results and these will be blinded so they are not aware of any one individual's response.
Any established adult patient that is legally able to consent to treatment and able to understand English. If you are a new patient of the practice you can participate after the first appointment as long as the study has NOT concluded.
Your decision to participate in this study is voluntary. If at any time during this study you wish not to participate, you may do so without any consequence.
If you have questions or for a copy of the completed study, please contact Dr. Nicholas Ladd at (828) 398-3601. If you have concerns about the study, please contact the Institutional Review Board at Mission Hospitals at (828) 213-1105.
Direct: “As a resident in training I have a supervising attending. I am going to discuss your case with my supervisor, and then return with them for us to discuss our recommendations. Additionally, after the appointment we will send you the short survey to fill out online about your appointment today.”
Indirect: “As a resident in training I have a supervising attending. I am going to discuss your case with my supervisor, and then return by myself to discuss our recommendations. Additionally, after the appointment we will send you the short survey to fill out online about your appointment today.”
Staff according to residents direction as indicated by patient flag.
If patients have any questions throughout the study, they can contact the clinic where the front desk staff will notify Dr. Ladd. If an informed consent form is sent in the mail, place the form in Dr. Ladd's mailbox.
Dr. Nicholas Ladd: Nick.Ladd@mahec.net
Dr. Audrey Martinez: Audrey.Martinez@mahec.net