Ear Infection Clinical Trial
Official title:
Impact of E-learning on the Trainees' Ability to Diagnose and Treat Acute Otitis Media Among Children; A Randomized Educational Trial
An e-learning module to teach how to evaluate ears in children was recently designed. The aim of this study is to measure the impact of this e-learning module on the trainees' ability to appropriately diagnose ear infection in clinical setting.
Background and aims: Acute Otitis Media (AOM) is one of the most common infections of
childhood and a leading cause for antibiotics prescription. In a previous study performed at
a tertiary care pediatric emergency department, residents were found to have as low as a 52%
sensitivity and 74% specificity for the diagnosis of AOM. Seeing this as an opportunity for
substantial improvement, an e-learning module on AOM intended for medical students was
designed. The primary objective of this study is to measure the impact of this e-learning
module on the trainees' ability to appropriately diagnose AOM. The secondary objectives are
to assess the preferred learning modality, to evaluate if our e-learning module is associated
with improved knowledge on AOM and with better retention at 3 weeks.
Methods: This will be a randomized trial performed at a single tertiary care pediatric
emergency department. The participants will be third- and fourth-year medical students doing
a general pediatrics rotation. The participants will be randomized to completing the
e-learning module at the beginning of their rotation or to receive a 2-hour lecture on the
topic of AOM. The primary outcome will be ear examination accuracy measured during their
shifts at the emergency department. To measure this, participants will be asked to examine a
minimum of five children at risk for AOM, defined as 12-60 months old of age with fever or
respiratory symptoms. They will be questioned about the presence or absence of AOM in each
examined ear. Attending physicians will control all exams and write down their diagnosis. The
primary analysis will be the difference in diagnostic accuracies between the trainees who
completed the E-learning module and those who received the lecture. A sample size of 80
medical students each examining a minimum of five children would provide a power of 90% and
an alpha-value of 0,05 to demonstrate a difference of 15% in the AOM diagnostic accuracies of
medical students who have completed an E-learning module on AOM compared with those receiving
a standard lecture on the same topic.
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT00765635 -
Chlorobutanol, Potassium Carbonate, and Irrigation in Cerumen Removal
|
Phase 4 | |
Recruiting |
NCT03722160 -
Clinical Study of the Solo Tympanostomy Tube Device
|
N/A | |
Recruiting |
NCT06429709 -
Utility of Advanced Ultrasound Otoscope In The Diagnosis of AOM
|
||
Completed |
NCT04296448 -
Evaluation of Cellphone Based Otoscopy in Pediatric Patients
|
N/A | |
Recruiting |
NCT05741333 -
In-Office Clinical Study of the Solo+ TTD
|
N/A | |
Completed |
NCT00189462 -
A Pilot Study to Evaluate the Efficacy of Montelukast in the Treatment of Acute Otitis Media (AOM) in Children
|
Phase 4 | |
Completed |
NCT03544138 -
In-Office Study of the Hummingbird® in Children 6 Months-21 Years Old
|
N/A | |
Completed |
NCT02723890 -
The Efficacy and Safety of Using the Novel Tyto Device
|
N/A | |
Active, not recruiting |
NCT04148417 -
Clinical Study of the Solo+ Tympanostomy Tube Device
|
N/A | |
Active, not recruiting |
NCT05641285 -
Diagnostic Utility of Otosight Middle Ear Scope
|
||
Not yet recruiting |
NCT06034080 -
Interventions to De-implement Unnecessary Antibiotic Prescribing for Children With Ear Infections
|
N/A | |
Not yet recruiting |
NCT05608993 -
RELAX: Reducing Length of Antibiotics for Children With Ear Infections
|
N/A |