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Education, Medical clinical trials

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NCT ID: NCT03663296 Completed - Education, Medical Clinical Trials

Assessing Usefulness of Virtual Reality Mobile Application in Flexible Videoscope Airway Training

AURA
Start date: July 24, 2018
Phase: N/A
Study type: Interventional

Flexible videoscope orotracheal intubation (FOI) technique is considered an important option in the management of predicted difficult airways. However, it is rarely performed in daily practice. Yet emergency physicians are expected to be able to perform this skill expertly during a crisis scenario. If it is not completed in a timely and proper fashion, the patient will deteriorate rapidly, resulting in morbidity or fatality. There is a significant learning curve to master this complex psychomotor skill. Providing sufficient training in FOI, particularly hands-on experience in real patients is difficult. Patients with known difficult airway requiring FOI present infrequently to the emergency room. Using patients with normal airway purely for teaching of FOI is ethically controversial. To avoid technical and ethical concerns of training involving real patients, conventional teaching methods incorporate the use of a low-fidelity manikin in replacement. However, the manikin anatomy often lacks the realism of a live human. The addition of virtual reality technology, in the form of a low-cost mobile application (Airway Ex) into the conventional simulation, may optimize learning by providing an ethical, cost-effective and more realistic modality to acquire the basic skills of FOI. If it is proven to be effective, efforts to integrate virtual reality technology into routine training of such procedures in the ED should be promoted. We hypothesize that the addition of virtual reality mobile application to conventional training will improve procedural skill dexterity and proficiency and hence, improve learner's satisfaction and confidence in performing FOI.

NCT ID: NCT03650959 Completed - Education, Medical Clinical Trials

Optimizing Resource Utilization During Proficiency-based Training of Suturing Skills to Medical Students

Start date: June 4, 2018
Phase: Phase 3
Study type: Interventional

Evidence favours teaching procedural skills to medical students using a proficiency-based rather than time-based approach. Basic suturing skills can be taught through faculty-led, peer tutor-led, and computer augmented approaches. One method has yet to be identified as superior in terms of educational outcomes, resource utilization, and participant perspectives. Pre-clerkship medical students were randomized to: faculty, peer tutor, or computer augmented learning. Participants practiced suturing through their randomized method until they reached targeted proficiency defined using hand motion analysis (HMA). Proficiency was defined as a score of the average plus a standard deviation of five surgeons' HMA for two of three consecutive sutures using appropriate technique. The primary outcome was the number of stitches placed to achieve proficiency. The secondary outcomes were the number of sutures used, time, and costs incurred. Learning curves were constructed. Participants' perceptions were assessed using a follow-up survey.

NCT ID: NCT03248453 Completed - Simulation Training Clinical Trials

Feedback Given by an Automatic and Objective System in Simulated Colonoscopy Increase Learning and Time Spent Practicing

Start date: December 2016
Phase: N/A
Study type: Interventional

The aim is to investigate if feedback given by an automatic and objective system in simulated colonoscopy (the investigation of the large intestine) increase learning and time spent practicing.

NCT ID: NCT03186274 Completed - Education, Medical Clinical Trials

Discussing Death and Dying: An End of Life Curriculum to Empower Residents

Start date: June 26, 2017
Phase: N/A
Study type: Interventional

This study will evaluate how the educational intervention utilized affects pediatric resident comfort level with EOL discussions.

NCT ID: NCT03165799 Completed - Mindfulness Clinical Trials

Mindfulness to the Clinical Setting: The Mind Hand Connection Study

MHC
Start date: January 31, 2017
Phase: N/A
Study type: Interventional

This is a single center, randomized study that assessed the effects of mindfulness training on physician teaching teams at a VA hospital.

NCT ID: NCT03143699 Recruiting - Blood Pressure Clinical Trials

The Effect of Immediate Feedback on Long-term Blood Pressure Measurement Skills: a Randomized Controlled Trial

Start date: March 28, 2017
Phase: N/A
Study type: Interventional

The present study aims to investigate the effect of immediate feedback on long-term blood pressure measurement skills. This is a randomized controlled trial including first year students from a Brazilian medical school, which will be randomized in two groups: an intervention group (submitted to a training on blood pressure measurement skills and an immediate feedback) and a control group (submitted to a training on blood pressure measurement skills, but with no immediate feedback). Then, students will be assessed 3 months after the feedback in order to see whether there will be a difference between groups. Our hypothesis is that students submitted to immediate feedback would have better scores in the blood-pressure measurement skills after 3 months. A knowledge questionnaire as well as a standardized patient scenario will be used to assess students' knowledge and skills.

NCT ID: NCT03035175 Completed - Education, Medical Clinical Trials

Using Video Laryngoscopy for Neonatal Intubation

Start date: May 2014
Phase: N/A
Study type: Interventional

This study examines the effectiveness of utilizing video laryngoscopy to give real-time guidance during neonatal intubations to improve residents' success at performing intubations.

NCT ID: NCT02754310 Completed - Education, Medical Clinical Trials

Repeated Versus Varied Simulation Scenarios to Teach Medical Students the Management of a Pediatric Asthma Exacerbation

REVAR
Start date: May 2016
Phase: N/A
Study type: Interventional

Repeated exposure to simulated cases has been shown to improve performance, but repeating the same scenario may impair the ability of learners to transfer their knowledge and skills to slightly different situations. The objective of this study is to compare the use of repeated versus varied simulation cases for teaching the management of pediatric asthma exacerbation to 3rd year medical students.

NCT ID: NCT02723136 Not yet recruiting - Education, Medical Clinical Trials

Implementation of a Smartphone Application in Medical Education: A Randomised Trial

iSTART
Start date: April 2016
Phase: N/A
Study type: Interventional

This study addresses the effectiveness of a smartphone application to improve academic performance among medical students. Participants will be randomised to receive an application developed by a team of physicians and engineers, designed to review key concepts in internal medicine and its subspecialties. The primary outcome will be the number of correct answers in a multiple choice test 4 weeks after randomisation.

NCT ID: NCT02274818 Completed - Sleep Clinical Trials

Individualized Comparative Effectiveness of Models Optimizing Patient Safety and Resident Education.

iCOMPARE
Start date: July 2015
Phase: N/A
Study type: Interventional

The investigators are conducting a cluster randomized trial in a sample of 63 internal medicine (IM) training programs that are randomly assigned to either the current duty hour standards or less restricted flexible duty hour standards. The trial includes a main protocol in which all randomized IM programs participate and two substudies. "Time and Motion" and "Sleep and Alertness", each conducted at a subset of IM programs and focusing on more detailed data collection at the intern level. The main protocol will examine patient safety and costs as well as quality of education. The "Time and Motion" substudy examines additional educational outcomes. The "Sleep and Alertness" substudy examines intern sleep time and alertness.