Terminal Illness Clinical Trial
Official title:
Online Randomised Controlled Trial to Improve Clinical Estimates of Survival (ORaClES)
This study evaluates whether an online training resource can improve the performance of medical students in recognising imminently dying palliative care patients.
Clinicians are routinely asked to provide survival estimates for palliative care patients,
but recognition of imminent death (last 72 hours of life) is often inaccurate. We developed
an online training resource, based on a previous study that identified the symptoms or signs
that were most influential in forming expert palliative care doctors' prognostic decisions
about imminent death.
This double-blind randomised controlled trial will evaluate the effectiveness of this online
training resource in improving the performance of medical students in recognising imminently
dying palliative care patients.
Participants are asked to visit the study website and review three series of vignettes
describing patients referred to palliative care. For each vignette, participants are asked to
provide an estimate (0-100%) about the probability that the patient will die in the next 72
hours. After the first series of vignettes, students randomised to the intervention arm are
given access to an online training resource showing how experts weighted the relative
importance of symptoms and signs. All participants are asked to complete a second series of
vignettes. After two weeks, all participants are asked to return to the website and complete
a third series of vignettes to assess if any effect has been maintained.
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