- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT02000180
Colonoscopic Skill Acquisition and Transfer Via Simulated Curriculum of Progressive Training
Do Progressive Levels of Simulation Fidelity Enhance Colonoscopic Skill Acquisition and Transfer in Novice Endoscopic Trainees?
연구 개요
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Ontario
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Toronto, Ontario, 캐나다, M5B 1W8
- St. Michael's Hospital
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참여기준
자격 기준
공부할 수 있는 나이
- 어린이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- novice endoscopists from Adult Gastroenterology, Pediatric Gastroenterology, General Surgery training programs at University of Toronto
Exclusion Criteria:
- Trainees who have performed greater than 25 colonoscopies will be excluded to ensure all participants are novices.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 건강 서비스 연구
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 더블
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: Progressive Group
The progressive learning group will undertake 6 hours of interactive small-group didactic sessions, interlaced with up to 6 hours of self-directed instruction initially on the low-fidelity box simulator, with feedback provided one-on-one by an expert academic endoscopist.
Participants in the progressive learning group can switch to the high-fidelity simulator at their discretion, but cannot return to the low-fidelity simulator.
On the high fidelity VR simulator they can progress through six modules each in colonoscopy and endoscopic polypectomy in a self-directed fashion, with one-on-one feedback by an expert academic endoscopist.
The endoscopy instructor will demonstrate techniques, answer questions and provide feedback.
The entirety of this will be delivered over two days.
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간섭 없음: High-Fidelity Group
The high-fidelity group will undertake 6 hours of interactive small-group didactic and hands-on sessions on the theory of colonoscopy, led by an expert academic gastroenterologist.
The sessions will be interlaced with up to six hours of self-directed instruction on the high-fidelity VR simulator.
Six task-specific modules of increasing difficulty in colonoscopy and colonoscopic polypectomy will be taught solely on the VR simulator with one-on-one feedback from an expert academic endoscopist.
The endoscopy instructor will demonstrate techniques, answer questions and provide feedback as necessary.
The entirety of this will be delivered over two days.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
---|---|---|
Difference Between Progressive and High-Fidelity Groups on Clinical Colonoscopy Peformance (JAG/DOPS)
기간: 4-6 weeks post-intervention
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The Joint Advisory Group (JAG) Direct Observation of Procedural Skills (DOPS) tool is a tool to assess colonoscopic competency and includes ratings of the following domains: (i) assessment, consent and communication; (ii) safety and sedation; (iii) endoscopic skills during insertion and withdrawal; and, (iv) diagnostic and therapeutic ability.
Scores range from 0-100, with higher scores representing higher colonoscopic competency.
The tool will be used to assess participants before and after the intervention at a time of one week.
A change in these ratings before and after intervention is the primary outcome.
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4-6 weeks post-intervention
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
---|---|---|
Cognitive Knowledge of Endoscopy
기간: Pre-training, immediate post-training
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Assessed via a multiple-choice question test on the theory and practice of endoscopy.
Scores range from 0-100 with higher scores representing a more knowledge of the theory and practice of endoscopy.
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Pre-training, immediate post-training
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Colonoscopy Specific-performance.
기간: Pre-training, immediate post-training, and 4-6 weeks after training (delayed post-training)
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The Joint Advisory Group (JAG) Direct Observation of Procedural Skills (DOPS) tool is a tool to assess colonoscopic competency and includes ratings of the following domains: (i) assessment, consent and communication; (ii) safety and sedation; (iii) endoscopic skills during insertion and withdrawal; and, (iv) diagnostic and therapeutic ability.
Scores range from 0-100, with higher scores representing higher colonoscopic competency.
The tool will be used to assess participants on virtual reality colonoscopy cases.
A change in these ratings before and after intervention is a secondary outcome.
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Pre-training, immediate post-training, and 4-6 weeks after training (delayed post-training)
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Colonoscopy Specific Performance, Communication Skills, and Global Performance on an Integrated Scenario
기간: Immediate post-training and 4-6 weeks after training (delayed post-training)
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Technical skills, communication skills, and global performance assessed during an integrated scenario through the JAG DOPS tool, integrated scenario communication rating form (ISCRF), and integrated scenario global rating form (ISGRF) respectively. The JAG DOPS tool, as previously described, will be used to assess participants on integrated scenario colonoscopy cases. A change in these ratings before and after intervention is a secondary outcome. The ISCRF and ISGRF are tools which measure communication skills and global performance with a standardized nurse and standardized patient during a simulated colonoscopy. These tools can have scores from 0-100, with higher scores representing better performance. |
Immediate post-training and 4-6 weeks after training (delayed post-training)
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공동 작업자 및 조사자
수사관
- 수석 연구원: Samir C Grover, MD/MEd, Unity Health Toronto
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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