Education, Medical Clinical Trial
Official title:
Gaming for Medical Education Research Program: An Investigator-blinded, Randomised Controlled Trial on Serious Games for Doctors, Nurses and Students.
The "G4MER" Program aims to investigate whether serious games add value to medical education in comparison to an online learning package or clinical practice guidelines. The investigators will perform a series of investigator-blinded randomised control trials on doctors, nurses, and medical students at Sydney Children's Hospital. Participants will be given access to their randomly allocated intervention for 8 weeks or 5 days, and will be assessed using multiple choice questions (MCQ) and two observed structure clinical examination (OSCE) stations. Participant attitudes will also be assessed through a mixed-methods questionnaire.
The "G4MER" Program aims to perform a series of randomised control trials on different groups
at Sydney Children's Hospital:
1. Study 1A (Formerly titled "Serious Games in Medical Education - a Randomised Control
Trial") is already underway and involves Phase 3 medical students at UNSW having 8 weeks
access to the game, an Online Package (OP) or NSW State Guidelines on Asthma and Seizure
management. Students are then assessed using multiple choice questions (MCQ) and two
observed structure clinical examination (OSCE) stations (detailed below).
2. Study 1B is also a randomised control trial similar in design to Study 1A, however it
will involve doctors and nurses employed at Sydney Children's Hospital. PlayMed will be
compared against the HETI Learning Path Paediatric Clinical Practice Guidelines (Online
Package for staff).
3. Studies 2A and 2B are identical to Studies 1A and 1B respectively except participants
will have 2 hours access to their educational tool. Participants will then immediately
undergo the same assessment using multiple choice questions (MCQ) and two observed
structure clinical examination (OSCE) stations The proposed study designs are all
blinded randomised control trials. Participants may only be involved in Study 1 or Study
2, not both.
Administration
Studies 1A and 1B Participants allocated to the game and to the OP will be given the
appropriate access for 8 weeks (instructions provided in the study envelope). Participants
allocated to the guidelines will receive a print-out of the guidelines. Participants will be
encouraged to engage with their additional educational tool as often as they wish during
their eight weeks. In the 8th last week participants will have their knowledge and clinical
performance assessed as outlined below.
Studies 2A and 2B Participants allocated to the game, OP and guidelines will be given 2 hours
to utilise their assigned teaching tool. Two hours was selected as an appropriate time-frame
in which participants would be able complete all cases of the game or online package, or read
through the guidelines. Furthermore, it was chosen as it is more pragmatic and better at
assessing short-term retention. Computers will be provided for participants to access the
game and OP. The guidelines will be printed for participants to read. Participants will then
immediately have their knowledge and clinical performance assess as outlined below.
Assessment
Studies 1A, 1B, 2A and 2B Participants will be assessed for knowledge acquisition and
clinical performance. Participant knowledge will be assessed using 10 multiple choice
questions (MCQ). Participant clinical skills will be assessed via an observed structured
clinical examination (OSCE) administered in the simulation laboratory (immediately after the
knowledge test); participants will be tested across two clinical scenarios. Strict marking
criteria will be used to ensure standardisation.
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