Add-on Video-based Training: Effect on Mental Status Examination Skills in 5th Year Medical Students - an Educational RCT
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 290
- 试验地点
- 4
- 主要终点
- Mental status exam skills test
研究概览
简要总结
The goal of this clinical triall is to investigate the training effect of access to authentic patient video on mental status examination performance among 5th year Danish medical students.
Aim:
To investigate if
- Students with add-on access to an authentic patient video e-library have improved Mental Status Examination precision compared to students that only have an add-on e-library with simulated patient videos.
- Number of videos watched correlate to mental status examination test scores.
详细描述
The main study is a a two-armed, pragmatic cluster-randomised, superiority, partial-blinded, randomized controlled trial where the interventions are e-learning courses that serves as add-on learning material during the psychiatric clerkship.
Two student groups are compared. The experimental intervention(V) is a larger e-learning module, where the students have access to 23 authentic patient video vignettes and an e-module on mental status exam including demonstration videos with simulated patients (actor videos). The comparator students (N-V) only have access to the e-module on mental status exam including demonstration videos with simulated patients. All students participate in the regular Psychiatry curriculum i.e. 16 lectures in one week and psychiatric clerkship in three weeks.
As students have their clerkship in 10 different facilities across the Island of Zealand, we carry out cluster-randomization based on clerkship location.
Communication, recruitment and data management is carried out within the university teaching platform (CANVAS), by manual extraction, and by questionnaires distributed by SurveyXact.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Double (Investigator, Outcomes Assessor)
盲法说明
As mentioned, it will not be possible to mask students or local lecturers to allocation group. PI receives the clerkship student enrolment list from the faculty, randomize at clerkship location level and merge it with the consent lists collected digitally in SurveyXact. The students that have consented to participation receives individual invitation to the designated e-module. The instructor carrying out the digital mental status examination test, has no information of arm allocation. Statistical analysis will be performed by researcher blind to arm allocation, and masking will only be broken when the primary outcomes have been analyzed and a conclusion has been formulated based on the masked allocations.
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •5th year medical student at the University of Copenhagen on the psychiatric clinical rotation
排除标准
- •Previous acess to the video library.
结局指标
主要结局
Mental status exam skills test
时间窗: A week after the intervention
The test consists of three subtests each consisting of a video vignette, not accessible in the library (i.e. none of the students had seen it previously) with a forced choice test (FCT). This results in a scoring range of -15 to + 15 points per FCT. The MSE-skills test score consists of the student's average score of the three FCTs.
次要结局
- MSE skill test score stratification(Baseline)
- General evaluation of the clinical rotation(Immediately after the intervention)
- Questions concerning use of the video e-library(Immediately after the intervention)