- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01051050
Use of Wikis and Evidence-Based Medicine in Surgical Practice
October 14, 2011 updated by: The University of Texas Health Science Center, Houston
Using Wikis to Improve the Dissemination, Evaluation, and Application of Evidence-Based Medicine in Surgical Practice
The goal of this study is to improve surgical residents' skills in critically appraising the literature and to promote the dissemination and application of the best available evidence to surgical practice.
The hypothesis is that mandatory participation, with faculty oversight, in a journal club wiki will improve the dissemination, evaluation, and application of evidence-based medicine (EBM) in a surgical residency program at University of Texas Health Science Center at Houston (UT-Houston).
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The translation of evidence-based medicine (EBM) to clinical practice requires training in literature searching and critical appraisal, which is particularly lacking in surgery.
The demands of surgical residency coupled with the 80-hour work week make attendance at journal clubs suboptimal.
Internet technology such as wikis, which are free user-friendly collaborative websites, may be a solution to improving resident participation in journal club-related activities, but their utility is highly dependent upon resident contributions and usage.
We propose a pilot randomized trial of mandatory versus voluntary participation in a general surgery journal club wiki to verify its feasibility, sustainability, and impact on resident EBM skills as measured with a validated questionnaire.
Secondary outcomes will include resident self-assessment of wiki usage and comfort with EBM skills and faculty-assessed resident application of these skills in weekly morbidity and mortality conferences.
If the wiki is feasible and sustainable, then the project will be expanded to include other surgical disciplines and cohorts (i.e.
students, fellows, other institutions, other medical disciplines) to ensure generalizability.
If beneficial, wikis could not only improve resident EBM skills, but also have a halo effect on students and faculty, and ultimately wikis could improve patient care.
The assembled multi-disciplinary and multi-institutional team has significant collective expertise in evidence-based medicine, medical education, library skills, and clinical trial design and analysis which are necessary for this project.
Study Type
Interventional
Enrollment (Anticipated)
45
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Texas
-
Houston, Texas, United States, 77030
- University of Texas Health Science Center-Houston
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- General surgery residents at UT Health Science Center at Houston
Exclusion Criteria:
- Not a general surgery resident at UT Health Science Center at Houston
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Mandatory use of surgery wiki
Mandatory participation in journal club wiki which will include adding to and reviewing the information posted on the wiki.
Contribution to the wiki will be required at least once during the study period.
|
Mandatory participation in the surgery wiki.
This will include adding to and reviewing information posted on the wiki.
Contribution of an evidence-based review will be required at least once during the study period.
|
Other: Voluntary use of surgery wiki
Voluntary participation in the journal club wiki
|
Voluntary participation in the surgery wiki.
Participants can choose to use the information in the wiki as well as contribute to the wiki.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Change in performance on a questionnaire
Time Frame: 1 year
|
1 year
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
self-assessment of wiki usage
Time Frame: 1 year
|
1 year
|
use of EBM in daily practice before and after the trial
Time Frame: 1 year
|
1 year
|
comfort with critical appraisal of the literature using a 5-point Likert scale
Time Frame: 1 year
|
1 year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
January 1, 2010
Primary Completion (Actual)
September 1, 2011
Study Completion (Actual)
September 1, 2011
Study Registration Dates
First Submitted
January 14, 2010
First Submitted That Met QC Criteria
January 15, 2010
First Posted (Estimate)
January 18, 2010
Study Record Updates
Last Update Posted (Estimate)
October 17, 2011
Last Update Submitted That Met QC Criteria
October 14, 2011
Last Verified
October 1, 2011
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- HSC-MS-09-0573
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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