Educational Problems Clinical Trial
Official title:
Test-enhanced Learning Using Causal Connections to Prepare for Future Learning in Endocrinology: a Randomized Clinical Trial
The use of test-enhanced learning with causal connection and in preparation for future
learning has been used in health educational setting with positive results. However, most
studies were performed in a controlled lab scenario and not in the "real world" of medicine
classes, decreasing the external applicability of such experiments. Therefore, the aim of
present study is to evaluate if a session of test-enhanced learning at the beginning of
endocrinology course, using basic-clinical sciences connections of key concepts, would
prepare for future learning of endocrinology on a theory-practical 4-week endocrinology
course.
Methods Study design, participants and description of undergraduate endocrinology course This
is a prospective, single center, non-blinded, RCT. Participants are students of medicine from
Universidade Federal do Rio Grande do Sul (UFRGS), Brazil, in their third year of Medical
School, recruited at the beginning of endocrinology undergraduate clinical placement. This
clinical trial follows the Consolidated Standards of Reporting Trials (CONSORT) statement,
which includes the completing the CONSORT checklist.
Sample size Based in a previous study, to find a difference in the percentage of correct
answers in a cognitive test to evaluate retention of 12%, considering a SD of 26%, alpha
error of 5%, beta error of 20%, and repeated assessments (baseline, 3 weeks and 6 months), 35
students will be necessary in each group. To account for possible losses of follow-up, 84
students will be included.
Study intervention All students will receive, in advance, a text with basic sciences
information relevant to the learning of Endocrinology (supplementary material), with
instructions to study the text before intervention day.
Students will be randomized to one of the interventions: TEL with questions about diabetes
and adrenal (Block A, 6 questions) or thyroid and hypophysis (Block B, 6 questions).
Important endocrinology concepts, such as fuel metabolism and circadian rhythm will be
included in Block A, and feedback loops and hormone synthesis in Block B. Specific hormone
functions will be part of both TEL Blocks.
Assessments At the same day of intervention, students will answer all questions 12 of the TEL
session (questions from blocks A and B) with best answer multiple choice questions (immediate
retention test). After 3 weeks and 6 months, the transfer of knowledge will be assessed with
a 24 multiple choice questions test, based in clinical cases.
Status | Not yet recruiting |
Enrollment | 84 |
Est. completion date | July 2021 |
Est. primary completion date | December 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Students will be consecutively invited to participated in the study before starting their Endocrinology placement and will be included after agreeing to participate and signing an informed consent Exclusion Criteria: - Students absent on the day of study intervention or on the four-week assessment will be excluded from analysis. |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Hospital de Clinicas de Porto Alegre |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | 24 multiple choice questions test at 3 weeks | Scores in 24 multiple choice questions test to assess learning transfer from basic sciences to Endocrinology, in 3 weeks. This is an special designed test. It is not a scale. The score will be zero to 24. The highest score indicates the best performance. | 3 weeks | |
Secondary | Immediate retention test | Scores in immediate retention test (12 questions, in the same day as the TEL session) | immediately after test | |
Secondary | 24 multiple choice questions test at 6 months | Scores in 24 multiple choice questions test at 6 months | 6 months | |
Secondary | Metacognition questionnaires - professors | Results of metacognition questionnaires (not a scale) | 4 weeks | |
Secondary | Metacognition questionnaires - students | Results of metacognition questionnaires (not a scale) | 4 weeks |
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