E-learning on the Trainees' Ability to Diagnose and Treat Acute Otitis Media Among Children
Impact of E-learning on the Trainees' Ability to Diagnose and Treat Acute Otitis Media Among Children; A Randomized Educational Trial
研究概览
详细说明
Background and aims: Acute Otitis Media (AOM) is one of the most common infections of childhood and a leading cause for antibiotics prescription. In a previous study performed at a tertiary care pediatric emergency department, residents were found to have as low as a 52% sensitivity and 74% specificity for the diagnosis of AOM. Seeing this as an opportunity for substantial improvement, an e-learning module on AOM intended for medical students was designed. The primary objective of this study is to measure the impact of this e-learning module on the trainees' ability to appropriately diagnose AOM. The secondary objectives are to assess the preferred learning modality, to evaluate if our e-learning module is associated with improved knowledge on AOM and with better retention at 3 weeks.
Methods: This will be a randomized trial performed at a single tertiary care pediatric emergency department. The participants will be third- and fourth-year medical students doing a general pediatrics rotation. The participants will be randomized to completing the e-learning module at the beginning of their rotation or to receive a 2-hour lecture on the topic of AOM. The primary outcome will be ear examination accuracy measured during their shifts at the emergency department. To measure this, participants will be asked to examine a minimum of five children at risk for AOM, defined as 12-60 months old of age with fever or respiratory symptoms. They will be questioned about the presence or absence of AOM in each examined ear. Attending physicians will control all exams and write down their diagnosis. The primary analysis will be the difference in diagnostic accuracies between the trainees who completed the E-learning module and those who received the lecture. A sample size of 80 medical students each examining a minimum of five children would provide a power of 90% and an alpha-value of 0,05 to demonstrate a difference of 15% in the AOM diagnostic accuracies of medical students who have completed an E-learning module on AOM compared with those receiving a standard lecture on the same topic.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Quebec
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Montreal、Quebec、加拿大、H3T1C5
- Sainte-Justine Hospital
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参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Third or fourth-year medical students
- Doing their 6-week rotation in general pediatrics at Sainte-Justine Hospital
- Participation at the introductory meeting on the first day of the rotation
Exclusion Criteria:
- No shifts scheduled at the emergency department during general pediatrics rotation
- Student already recruited in a previous rotation
- Student who evaluated less than 10 ears for the study will not be included in the primary analysis
学习计划
研究是如何设计的?
设计细节
- 主要用途:其他
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:e-learning
The intervention for this study will be the completion of an original E-learning module on AOM designed by a team of pediatric residents, pediatricians, a pediatric otolaryngologist, a pediatric emergency physician and a pediatric infectious diseases specialist.
The module includes interactive sections on anatomy, epidemiology, pathophysiology, microbiology, diagnostic criteria, treatment options and prognosis.
A 5 minute video demonstrating appropriate pediatric ear examination techniques is also included in the module.
Throughout the module, many examples of ear pathologies captured on video during a previous study.
The E-learning module should take 0.5 hr to complete.
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As described
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其他:Standard teaching
The control group will receive a 2h lecture on AOM, which is the "standard" teaching method.
Given by a pediatrician or a senior pediatric resident, this lecture, using a PowerPoint© presentation support, encompasses clinical cases, notions of anatomy, epidemiology, pathophysiology, diagnostic criteria, treatment options, and prognosis, describes different ear examination techniques, and shows examples of different pathologies.
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As described
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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 |
---|---|---|
Ear exam accuracy
大体时间:1 month
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accuracy of diagnosis of acute otitis media in comparison to the diagnosis made by a staff working at the pediatric emergency
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1 month
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
---|---|---|
Favorite teaching method
大体时间:1 month
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preferred learning modality according to the learners
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1 month
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Immediate theoretical knowledge
大体时间:1 hour post training
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Total score in a local knowledge evaluation test composed of the interpretation of 15 ear videos and 5 multiple questions on AOM immediately following training
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1 hour post training
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remote theoretical knowledge
大体时间:1 month
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Total score in a local knowledge evaluation test composed of the evaluation of 15 ear videos and 5 multiple questions on AOM immediately following training
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1 month
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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e-learning teaching module的临床试验
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Heidelberg Engineering GmbH完全的没有糖尿病的受试者的正常眼睛 | 没有共存 DPN 的 2 型糖尿病受试者 | 伴有早期至中度 DPN 的 2 型糖尿病受试者