N/A
N=189
Measuring Quality of Medical Student Performance at Contextualizing Care
Education, Medical, Undergraduate · Medical History Taking · Diagnosis
Bottom Line
View on ClinicalTrials.gov: NCT01088438 ↗Enrolled (actual)
189
Serious AEs
0.0%
Results posted
May 2011
Primary outcome: Primary: Developing an Appropriate Treatment Plan (for Contextual Variant of Encounters) — 0.67; 0.24 proportion of contextual encounters — p=<0.001
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Contextualization workshop (Behavioral)
- Age
- Adult, Older Adult · 21+ yrs
- Sex
- All
- Sponsor
- University of Illinois at Chicago
- Primary completion
- Mar 2010
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Developing an Appropriate Treatment Plan (for Contextual Variant of Encounters) |
0.67; 0.24 | <0.001 sig |
| PRIMARY Probing for Contextual Issues |
0.86; 0.61 | <.001 sig |
| PRIMARY Probing for Biomedical Issues |
0.77; 0.77 | 0.85 |
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 standardized patients (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 United States Medical Licensing Exam (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.
Eligibility Criteria
Inclusion Criteria
- Fourth-year medical students at University of Illinois at Chicago
Data sourced from ClinicalTrials.gov (NCT01088438). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.