- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT01088438
Measuring Quality of Medical Student Performance at Contextualizing Care
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
Clinical decision making requires two distinct skills: the ability to classify patients' conditions into diagnostic and management categories that permit the application of "best evidence" guidelines, and the ability to individualize or - more precisely - to contextualize care for patients whose circumstances and needs require variation from the standard approach to care. Most assessment in medical education places heavy emphasis on biomedical decision-making with little emphasis on how to incorporate contextual factors that may be essential to planning patients' care.
The goal of this project is to demonstrate and provide validity evidence for an innovative standardized patient (SP) method of assessing medical students in the clinical years on their ability to detect and respond to individual contextual factors in a patient encounter that overcomes the aforementioned challenges.
During the project, fourth-year medical students participating in a Medicine sub-internship will be randomized to an intervention group or a control group; the intervention group will receive additional training in the application of qualitative methodology to elicit and incorporate contextual factors in the clinical encounter. All students will participate in an SP assessment consisting of four SPs, blinded to trial arm, presenting cases with and without important biomedical and contextual factors in a counterbalanced factorial design. Performance will be compared between trial arms. In addition, performance will be compared with United States Medical Licensing Exam (USMLE) Step 2 clinical knowledge scores to determine whether contextualizing ability is independent of clinical knowledge, and consistency of performance across individual SP cases will be studied to determine the number of cases necessary to achieve sufficient reliability for the assessment to be used.
Studientyp
Einschreibung (Tatsächlich)
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
-
-
Illinois
-
Chicago, Illinois, Vereinigte Staaten, 60612
- University of Illinois at Chicago
-
-
Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- Fourth-year medical students at University of Illinois at Chicago
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
---|---|
Kein Eingriff: Kontrolle
Kein Eingriff
|
|
Experimental: Contextualization workshop
A four-hour course on contextualization.
|
A four-hour course on contextualization.
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
---|---|---|
Developing an Appropriate Treatment Plan (for Contextual Variant of Encounters)
Zeitfenster: 1 month
|
Probability that the learner writes a correct treatment plan for the standardized patient encounters undertaken at assessment at end of subinternship that include contextual red flags.
All learners are scheduled to see 4 encounters, based on combinations of four cases and four potential variants (baseline, biomedical, contextual, biocontextual) with counterbalancing by study month; each has a single contextual variant encounter.
Treatment plans are assessed by an investigator blinded to the learner's assignment to intervention or control group.
|
1 month
|
Probing for Contextual Issues
Zeitfenster: 1 month
|
Probability that the learner probes contextual red flags raised in standardized patient encounters undertaken at assessment at end of subinternship.
Each learner undertakes four encounters, each of which presents a contextual red flag that may or may not be probed; in a small number of cases, the standardized patient was ill and the learner undertook fewer than four encounters as a result.
Assessment of probing is made by an investigator blinded to learner's assignment to group.
|
1 month
|
Probing for Biomedical Issues
Zeitfenster: 1 month
|
Probability that the learner probes biomedical red flags raised in standardized patient encounters undertaken at assessment at end of subinternship.
Each learner undertakes four encounters, each of which presents a biomedical red flag that may or may not be probed; in a small number of cases, the standardized patient was ill and the learner undertook fewer than four encounters as a result.
Assessment of probing is made by an investigator blinded to learner's assignment to group.
|
1 month
|
Mitarbeiter und Ermittler
Mitarbeiter
Ermittler
- Hauptermittler: Alan Schwartz, PhD, University of Illinois at Chicago
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Schätzen)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- NBME0708-12
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .
Klinische Studien zur Contextualization workshop
-
University of WaterlooAktiv, nicht rekrutierend
-
University of ChicagoAbgeschlossen
-
Hamilton Health Sciences CorporationAbgeschlossenBeckenbodenerkrankungen | Schwäche der Beckenbodenmuskulatur | Beckenboden; Inkompetenz | Perineum; VerletzungKanada
-
International Agency for Research on CancerAnmeldung auf EinladungHumane Papillomavirus-ImpfungFrankreich
-
LiquidGoldConceptJohns Hopkins University; University of Michigan; Michigan State UniversityAbgeschlossen
-
TriHealth Inc.AbgeschlossenGeburtstraumaVereinigte Staaten
-
Shiraz University of Medical SciencesShiraz education development centerAbgeschlossen
-
Baqiyatallah Medical Sciences UniversityTehran University of Medical Sciences; Hamadan University of Medical Science; Tabriz...Noch keine RekrutierungHautgeschwür | Druckgeschwür | Druckverletzung | Dekubitus | Druckstellen | Wundliegen | Dekubitus wund
-
University of Wisconsin, MadisonRekrutierungDepression | Burnout, Student | AngstVereinigte Staaten
-
McMaster UniversitySocial Sciences and Humanities Research Council of CanadaAbgeschlossen