- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06533488
Evaluation of a Perceptual Learning Module on Spinal Ultrasound Among Residents. (MAP-Rachis)
July 29, 2024 updated by: Issam TANOUBI, Maisonneuve-Rosemont Hospital
Evaluation of the Impact of a Perceptual Learning Module (PLM) on the Sonographic Identification of Spinal Structures by Novice Anesthesiology Residents. A Randomized Controlled Study
This medical education research project aims to evaluate the impact of a directed perceptual learning module (PLM) on spinal sonoanatomy.
Following a demographic questionnaire, participants will be exposed to a tutorial explaining the necessary theoretical foundations for the PLM as well as the functioning of the PLM interface.
A pre-test involving selecting the best image from a video sequence depicting spinal sonoanatomy will be administered to all participants.
Participants will then be randomized into two groups and exposed to video sequences in the same manner as during the pre-test, with immediate feedback in the intervention group and no feedback in the control group.
The video sequences presented will be the same between the two groups.
Finally, a post-test will be administered immediately and remotely after exposure to the PLM.
The time window corresponding to the best image will be predefined by an expert and compared to the resident's value.
The difference in feedback exposure between the two groups will not be revealed to limit biases.
Study Overview
Status
Recruiting
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
20
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 Contact
- Name: Issam Tanoubi, MD
- Phone Number: 514-252-3400
- Email: i.tanoubi@umontreal.ca
Study Locations
-
-
Quebec
-
Montreal, Quebec, Canada, H1T 2M4
- Recruiting
- Maisonneuve-Rosemont Hospital
-
Contact:
- Issam Tanoubi, MD
- Phone Number: 514-252-3400
- Email: i.tanoubi@umontreal.ca
-
Principal Investigator:
- Tanoubi
-
-
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
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria (participants) :
- To be a first, second, third, or fourth-year resident in the anesthesiology program at the Université de Montréal.
- Not having experience in spinal ultrasound (defined as not having performed more than 5 spinal ultrasounds, whether accompanied or not).
- To be familiar with ultrasound.
- Consenting to participate in the study.
Inclusion Criteria (experts) :
- Having used spinal ultrasound in clinical practice or taught it within the last year.
Exclusion Criteria (participants) :
- Refusal to consent
- Not meeting the inclusion criteria.
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
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Feedback group
This group will receive feedback upon completion of the task.
|
Perceptual learning module providing feedback on the most relevant image for clinical practice in a spinal ultrasound video.
|
|
Placebo Comparator: Control group
This group will not receive any feedback
|
Participants in the control group will view the same videos as participants in the intervention group without feedback on the best image.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Improvement in the concordance of identifying the best image on the video within the interval specified by the expert in seconds, between the pre-test and the post-test.
Time Frame: Between the pre-test and the immediate post-test, as well as the post-test at 1 month.
|
Between the pre-test and the immediate post-test, as well as the post-test at 1 month.
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Improvement over time in the concordance of identifying the best image on the video within the interval specified by the expert in seconds
Time Frame: During the intervention phase
|
During the intervention phase
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Guegan S, Steichen O, Soria A. Literature review of perceptual learning modules in medical education: What can we conclude regarding dermatology? Ann Dermatol Venereol. 2021 Mar;148(1):16-22. doi: 10.1016/j.annder.2020.01.023. Epub 2020 Jul 9.
- Kellman PJ, Krasne S. Accelerating expertise: Perceptual and adaptive learning technology in medical learning. Med Teach. 2018 Aug;40(8):797-802. doi: 10.1080/0142159X.2018.1484897. Epub 2018 Aug 9.
- VanderWielen BA, Harris R, Galgon RE, VanderWielen LM, Schroeder KM. Teaching sonoanatomy to anesthesia faculty and residents: utility of hands-on gel phantom and instructional video training models. J Clin Anesth. 2015 May;27(3):188-94. doi: 10.1016/j.jclinane.2014.07.007. Epub 2014 Nov 27.
- Deacon AJ, Melhuishi NS, Terblanche NC. CUSUM method for construction of trainee spinal ultrasound learning curves following standardised teaching. Anaesth Intensive Care. 2014 Jul;42(4):480-6. doi: 10.1177/0310057X1404200409.
- Watson MJ, Evans S, Thorp JM. Could ultrasonography be used by an anaesthetist to identify a specified lumbar interspace before spinal anaesthesia? Br J Anaesth. 2003 Apr;90(4):509-11. doi: 10.1093/bja/aeg096.
- Ramlogan R, Niazi AU, Jin R, Johnson J, Chan VW, Perlas A. A Virtual Reality Simulation Model of Spinal Ultrasound: Role in Teaching Spinal Sonoanatomy. Reg Anesth Pain Med. 2017 Mar/Apr;42(2):217-222. doi: 10.1097/AAP.0000000000000537.
- Chin KJ, Perlas A. Ultrasonography of the lumbar spine for neuraxial and lumbar plexus blocks. Curr Opin Anaesthesiol. 2011 Oct;24(5):567-72. doi: 10.1097/ACO.0b013e32834aa234.
- Margarido CB, Arzola C, Balki M, Carvalho JC. Anesthesiologists' learning curves for ultrasound assessment of the lumbar spine. Can J Anaesth. 2010 Feb;57(2):120-6. doi: 10.1007/s12630-009-9219-2. Epub 2009 Dec 30.
- Sidiropoulou T, Christodoulaki K, Siristatidis C. Pre-Procedural Lumbar Neuraxial Ultrasound-A Systematic Review of Randomized Controlled Trials and Meta-Analysis. Healthcare (Basel). 2021 Apr 17;9(4):479. doi: 10.3390/healthcare9040479.
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 (Actual)
March 26, 2024
Primary Completion (Estimated)
December 1, 2024
Study Completion (Estimated)
April 1, 2025
Study Registration Dates
First Submitted
April 2, 2024
First Submitted That Met QC Criteria
July 29, 2024
First Posted (Actual)
August 1, 2024
Study Record Updates
Last Update Posted (Actual)
August 1, 2024
Last Update Submitted That Met QC Criteria
July 29, 2024
Last Verified
July 1, 2024
More Information
Terms related to this study
Other Study ID Numbers
- 2024-3447
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
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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