Effect of the Training Toolbox in the Emergency Medecine on Medical Students' Performance in the Objective Structured Clinical Examination in France : a Cluster Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 310
- 试验地点
- 1
- 主要终点
- evaluate the value of the ECOX tool in improving the final grade for service ECOS compared with standard learning during the training course.
研究概览
简要总结
This is a pragmatic, randomized, controlled study carried out in the emergency department of Angers University Hospital.
All students on placement over a 10-week period will be able to take part in the study. After a clear explanation to the students during the welcome meeting, followed by the collection of free and informed non-opposition, the students will be assigned according to the "ECOX" or "traditional" approach, depending on the randomization status of the internship period. The inclusion arm will be the same for all students over the placement period.
For the traditional approach (control group), students will participate in the OSCEs of the services scheduled at the end of the internship. Students will use the various revision methods usually offered to them by the faculty or in the emergency department, apart from the "ECOX tool". Revision methods are left to their own discretion. Students will complete the internship without any knowledge of the ECOX tool.
For the ECOX approach, students included in the intervention arm will be invited to use the ECOX tool. They will have the various ECOX grids and a stopwatch at their disposal in the 2 units of the emergency department. They will have around thirty evaluation grids at their disposal. The students will choose the ECOX grid corresponding to their initial situation, based on the nurse's triage of the patient. They must ask the patient's permission to practice with them. They must not look at the ECOX grid. As with the on-duty ECOS, they will have 7 minutes to complete the interview and clinical examination. Once this time has elapsed, they will have to compare their answers with the expectations of the grid. They may also be observed by a co-external study participant, a department intern or a senior staff member who is not involved in the OSCE evaluation. They will act as observers and complete the grid. The students will then be able to propose modifications to the grids. Each completed grid will be returned to a drawer in the cubicle, to assess adherence to the tool and suggestions for grid modifications, as well as any comments.
Students will be able to use them as many times as they like during the course and before the service ECOS.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •18 years of age or older
- •Medical student in a non-ERASMUS emergency department
- •Participating in the service ECOS planned at the end of the internship
- •No free and informed consent from the student.
排除标准
- •Refusal to participate in the study.
- •Student returning to the emergency department and having already participated in the study.
研究组 & 干预措施
Control Group
Students will take part in the ECOS of the departments scheduled at the end of their internship. Students will use the various revision methods usually offered to them by the faculty or in the emergency department, apart from the ECOX tool. Revision methods are left to their own discretion.
ECOX Interventional Group
Students will take part in the ECOS of the departments scheduled at the end of their internship. Students will use the ECOX tool available in the emergency department to practice before taking the on-duty OSCEs.
干预措施: ECOX box (Other)
结局指标
主要结局
evaluate the value of the ECOX tool in improving the final grade for service ECOS compared with standard learning during the training course.
时间窗: 10 weeks
the students' average score on the end-of-course OSCEs. This criterion will correspond to the average of all students per arm, who passed the same OSCE stations from one course to the next.
evaluate the value of the ECOX tool in improving the final grade for service OSCE compared with standard learning during the training course.
时间窗: 10 weeks
the students' average score on the end-of-course OSCEs. This criterion will correspond to the average of all students per arm, who passed the same OSCE stations from one course to the next.
次要结局
- Evaluate the ECOX tool versus control of student know-how(10 weeks)
- Describing the ECOX tool versus control of psychological status prior to ECOS(10 weeks)
- Describing the OSCE tool versus control of psychological status prior to OSCE(10 weeks)
- Evaluate the OSCE tool versus control of student know-how(10 weeks)
研究者
Nicolas RIFFET-VIDAL
Responsable DRCI
University Hospital, Angers