A Randomized Control Trial of a Simulation-based Curriculum to Enhance Skills in Colonoscopy
2018年2月19日 更新者：Samir Grover、Unity Health Toronto
A Comprehensive Simulation-based Curriculum as a Means to Enhance Technical and Non-technical Skills in Colonoscopy: a Randomized Control Trial
Colonoscopy is a commonly used medical procedure.
Medical and surgical residents learning colonoscopy typically learn the procedure experientially but simulation based teaching is increasingly being integrated into training programs.
The optimal manner to teach colonoscopy on virtual-reality simulators is uncertain.
We aim to test a curriculum in simulation-based colonoscopy with self-directed learning on simulators.
研究概览
研究类型
介入性
注册 (实际的)
33
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
-
Ontario
-
Toronto、Ontario、加拿大、M5B1W8
- St. Michael's Hospital
-
-
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- Trainee endoscopists from the gastroenterology and general surgery programs at the University of Toronto
Exclusion Criteria:
- Greater than 20 colonoscopies performed
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：诊断
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：双倍的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：Curriculum Group
The curriculum group will undergo a comprehensive curriculum in colonoscopy utilizing a virtual reality (VR) colonoscopic simulator.
This curriculum involves 6 hours of interactive, small-group didactic teaching on colonoscopy interlaced with 8 hours of supervised one-on-one endoscopy VR simulation training with experienced endoscopists.
|
|
|
有源比较器：Self-directed learning group
The self-directed group will receive 8 hours of colonoscopic virtual reality (VR) simulation practice with an experienced endoscopist present, but without structured training.
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Transfer of Skills to Clinical Colonoscopy
大体时间：less than 2 weeks
|
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.
These were measured across two endoscopic procedures, performed consecutively within two weeks of completion of the course.
Data from two procedures were used to limit the influence of spurious findings from single procedures.
|
less than 2 weeks
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Retention of Clinical Skills
大体时间：4-6 weeks after intervention
|
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 during an integrated scenario.
A change in these ratings before and after intervention is the secondary outcome.
|
4-6 weeks after intervention
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Samir C Grover, MD、Unity Health Toronto
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2011年6月1日
初级完成 (实际的)
2012年7月1日
研究完成 (实际的)
2012年7月1日
研究注册日期
首次提交
2013年11月18日
首先提交符合 QC 标准的
2013年11月18日
首次发布 (估计)
2013年11月25日
研究记录更新
最后更新发布 (实际的)
2018年11月5日
上次提交的符合 QC 标准的更新
2018年2月19日
最后验证
2018年2月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
Curriculum Group的临床试验
-
Centro Hospitalar do PortoUniversity of Trás-os-Montes and Alto Douro; Foundation for Science and Technology, Portugal; Institute...招聘中
-
Amsterdam UMC, location VUmcRed Cross Hospital Beverwijk完全的
-
Case Western Reserve UniversityNational Institutes of Health (NIH); American Heart Association完全的
-
Northern Illinois UniversityUniversity Autonoma de Santo Domingo终止