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NCT03472001 Clinical Trial

Reflection and Feedback in Clinical Reasoning

Educational Problems Clinical Trial

Official title:
Effects of Structured Reflection and Immediate Feedback in Improving of Medical Students' Evaluation of Skin Lesions

Clinical Trial Details — Status: Completed

Administrative data
NCT number NCT03472001
Other study ID # SMG-180105
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date April 2, 2018
Est. completion date June 15, 2018

Study information
Verified date September 2018
Source Seoul National University Hospital
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Medical students' abilities to diagnose skin lesions after dermatology electives often remain unsatisfactory despite a dermatology elective being one of the most effective ways to improve their clinical reasoning. Feedback and reflection are two basic teaching methods used in clinical settings. This study aimed to investigate the effectiveness of structured reflection and immediate feedback in improving of medical students' evaluation of skin lesions.

Recruitment information / eligibility
Status Completed
Enrollment 87
Est. completion date June 15, 2018
Est. primary completion date June 15, 2018
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group N/A and older
Eligibility Inclusion Criteria:

- Fourth-year medical students at Seoul National University College of Medicine

- Students taking 2-week dermatology elective courses

Exclusion Criteria:

- Students who do not complete the whole course

Study Design

Related Conditions & MeSH terms

Intervention

Other:
• Reflection and feedback
2-hour training involving 10 written clinical cases to encourage students to practice thinking like a dermatologist in their clinical reasoning, and to help students build adequate illness scripts of skin diseases
• Lecture
Traditional didactic lecture which uses the same clinical cases

Locations
Country Name City State
Korea, Republic of Department of Dermatology, Seoul National University Boramae Hospital Seoul

Sponsors (2)
Lead Sponsor Collaborator
Seoul National University Hospital SMG-SNU Boramae Medical Center

Country where clinical trial is conducted

Korea, Republic of, 

References & Publications (2)

Bowen JL. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med. 2006 Nov 23;355(21):2217-25. Review. — View Citation

Rourke L, Oberholtzer S, Chatterley T, Brassard A. Learning to detect, categorize, and identify skin lesions: a meta-analysis. JAMA Dermatol. 2015 Mar;151(3):293-301. doi: 10.1001/jamadermatol.2014.3300. Review. — View Citation

Outcome
Type Measure Description Time frame Safety issue
Primary Diagnostic accuracy in the training set Mean score of the training set (number of correct answers) At the end of a 2-week dermatology elective
Secondary Diagnostic accuracy in the control set Mean score of the control set (number of correct answers) At the end of a 2-week dermatology elective
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