NCT07305077招募中不适用
One-Minute Preceptor to Improve Bedside Teaching: a Cluster Randomized Trial in Residents
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 450
- 试验地点
- 2
- 主要终点
- Mini-Clinical Evaluation Exercise (mini-CEX) Total Score
研究概览
简要总结
Intervention Model: Parallel Assignment
Model Description: Cluster-randomized by preceptor (30 clusters; 15 OMP/15 control). Outcomes at student level; 15 students per cluster.
Adequate OMP exposure is defined a priori as ≥2 structured OMP feedback encounters (≥5 minutes each) delivered across ≥2 separate weeks of the rotation.
Masking: Outcomes Assessor
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •A. Student participants (outcome level):
- •Aged ≥18 years at enrollment.
- •Enrolled Year 4-medical students assigned to one of the participating preceptor-led bedside teaching groups during the study period.
- •Expected to attend the rotation for 8-12 weeks (or the site's standard rotation length).
- •Able to provide informed consent (and agree to be observed/assessed via mini-CEX).
- •- B. Preceptor clusters (randomized units):
- •Resident physicians serving as bedside teaching preceptors in participating departments.
- •Will supervise approximately 15 students during the study period.
- •Agree not to cross over to teach students in the opposite trial arm during the trial period.
- •Able to attend OMP training and permit fidelity observation (checklist) if allocated to the intervention.
排除标准
- •A. Student participants:
- •Prior exposure to formal OMP-based teaching within the past 6 months in the same department.
- •Not expected to remain on the rotation long enough to be assessed (e.g., planned absence >2 weeks or early withdrawal).
- •Declines or withdraws informed consent.
- •Severe communication barrier that precludes valid assessment (e.g., language barrier without support).
- •- B. Preceptor clusters:
- •Formal OMP training within the past 12 months (to avoid contamination), or role as an OMP trainer for other faculty during the study period.
- •Planned cross-coverage that would result in teaching students from both arms during the trial period.
- •Anticipated extended leave making fidelity and outcome assessments infeasible.
结局指标
主要结局
Mini-Clinical Evaluation Exercise (mini-CEX) Total Score
时间窗: 8 - 12 weeks
Total score on the mini-CEX, ranging from 1 to 5. Higher scores indicate better bedside teaching performance as rated by student participants. Measure Type: Continuous.
次要结局
- Student Satisfaction Score(8-12 weeks)
研究者
研究点 (2)
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