Advertisement

Topics

Measuring Quality of Medical Student Performance at Contextualizing Care

2014-08-27 03:15:10 | BioPortfolio

Summary

During the project, fourth-year medical students participating in a Medicine sub-internship will be randomized to an intervention group or a control group; the intervention group will receive additional training in the application of qualitative methodology to elicit and incorporate contextual factors in the clinical encounter. All students will participate in an SP assessment consisting of four SPs, blinded to trial arm, presenting cases with and without important biomedical and contextual factors in a counterbalanced factorial design. Performance will be compared between trial arms; the investigators hypothesize better performance in the intervention arm. In addition, performance will be compared with USMLE Step 2 clinical knowledge scores to determine whether contextualizing ability is independent of clinical knowledge, and consistency of performance across individual SP cases will be studied to determine the number of cases necessary to achieve sufficient reliability for the assessment to be used.

Description

Clinical decision making requires two distinct skills: the ability to classify patients' conditions into diagnostic and management categories that permit the application of "best evidence" guidelines, and the ability to individualize or - more precisely - to contextualize care for patients whose circumstances and needs require variation from the standard approach to care. Most assessment in medical education places heavy emphasis on biomedical decision-making with little emphasis on how to incorporate contextual factors that may be essential to planning patients' care.

The goal of this project is to demonstrate and provide validity evidence for an innovative standardized patient (SP) method of assessing medical students in the clinical years on their ability to detect and respond to individual contextual factors in a patient encounter that overcomes the aforementioned challenges.

During the project, fourth-year medical students participating in a Medicine sub-internship will be randomized to an intervention group or a control group; the intervention group will receive additional training in the application of qualitative methodology to elicit and incorporate contextual factors in the clinical encounter. All students will participate in an SP assessment consisting of four SPs, blinded to trial arm, presenting cases with and without important biomedical and contextual factors in a counterbalanced factorial design. Performance will be compared between trial arms. In addition, performance will be compared with USMLE Step 2 clinical knowledge scores to determine whether contextualizing ability is independent of clinical knowledge, and consistency of performance across individual SP cases will be studied to determine the number of cases necessary to achieve sufficient reliability for the assessment to be used.

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor)

Conditions

Education, Medical, Undergraduate

Intervention

Contextualization workshop

Location

University of Illinois at Chicago
Chicago
Illinois
United States
60612

Status

Active, not recruiting

Source

University of Illinois

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-08-27T03:15:10-0400

Clinical Trials [870 Associated Clinical Trials listed on BioPortfolio]

Procedural Simulation for Difficult Airway Training in Anesthesiology Resident Education Program

Difficult airway management is a crucial point that may influence outcomes of patient in this critical situation. Education for this topic is of main importance for resident of anesthesiol...

Training Concepts in Emergency Ultrasonography

Emergency ultrasound examinations are increasingly important diagnostic tools in emergency and critical care medicine. This study wants to analyze different types of education for undergra...

Internet Diabetes Self-Management Workshop

The purpose of this study is to determine of the effectiveness of an Internet based Diabetes Self-Management workshop for people with type II diabetes. Half of the people who complete the...

Improvement of Care for Outpatients With Type 2 Diabetes Through Self-Care Multidisciplinary Workshop for Diabetes

Ninety-six patients with diabetes will be randomly assigned to maintain standard treatment or participate in the Self-Care Multidisciplinary Workshop for Diabetes. The workshop consists of...

Text4Peds: Short Message Service Evaluating Medical Student Education

In this study, third year medical students on the pediatric clerkship will be randomized to receive either only written educational material (review journal articles) or written educationa...

PubMed Articles [10378 Associated PubMed Articles listed on BioPortfolio]

Contemporary global perspectives of medical students on research during undergraduate medical education: a systematic literature review.

The need for increased expertise in evidence-based medicine and concerns about the decreasing numbers of physician-scientists have underscored the need for promoting and encouraging research in medica...

The Educational Environment of the Indian Undergraduate Medical Students: Is it Good Enough?

The educational environment (EE) is a crucial determinant of successful outcomes in an undergraduate (UG) medical education programme. The present study utilized the Dundee Ready Education Environment...

Implementation of a Flipped Classroom for Nuclear Medicine Physician CME.

Increasingly, emerging technologies are expanding instructional possibilities, with new methods being adopted to improve knowledge acquisition and retention. Within medical education, many new techniq...

Shared decision making embedded in the undergraduate medical curriculum: A scoping review.

Shared decision making (SDM) training is shown to be effective and is increasingly embedded in continuing medical education. There is little evidence, however, about undergraduate medical education fo...

Depressive symptoms, burnout, and declining medical career interest among undergraduate pre-medical students.

To investigate the relationship between mental health issues and medical career interest among undergraduate premedical students, and to explore whether this association varies by gender.

Medical and Biotech [MESH] Definitions

The period of medical education in a medical school. In the United States it follows the baccalaureate degree and precedes the granting of the M.D.

Undergraduate medical education programs for second- , third- , and fourth-year students in which the students receive clinical training and experience in teaching hospitals or affiliated health centers.

Use for general articles concerning medical education.

Preparatory education meeting the requirements for admission to medical school.

Educational programs for medical graduates entering a specialty. They include formal specialty training as well as academic work in the clinical and basic medical sciences, and may lead to board certification or an advanced medical degree.

More From BioPortfolio on "Measuring Quality of Medical Student Performance at Contextualizing Care"

Advertisement
Quick Search
Advertisement
Advertisement

 

Searches Linking to this Trial