Prostate Cancer Clinical Trial
Official title:
Validation of the DiRECT Proficiency Tool
A digital rectal exam proficiency tool, titled the 'DiRECT' was developed based on the consensus of 10 experts. The purpose of this study is to validate this tool for use in both undergraduate and graduate medical education .
First, it will be validated on 120 anesthetized patients undergoing prostate surgery,
comparing responses on the digital rectal exam clinical tool (DiRECT) from both expert and
novice clinicians, with surgical pathology reports. The second phase of validation will
involve the participation of standardized patients, medical students and MUTA (medical
urology teaching associate). During a standardized patient exercise focusing on digital
rectal exam in the University of Virginia School of Medicine curriculum, 160 second-year
medical students will be given the DiRECT to document their examination. An attending
physician will also attend the standardized patient exercise and document their examination
for comparison with the medical students.
The third phase includes 8 residents and up to10 attendings in the Urology clinic, who will
independently complete the DiRECT documenting their DRE in the course of usual care.
Comparison of faculty and student/trainee responses in all phases will be used for
validation of the clinical tool for further use in medical education.
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