Hybrid Simulation in Teaching Clinical Breast Examination

NCT02125487 | Completed

• 1 other identifier: PED.RS1.03
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine whether the use of hybrid simulation of the breast are more effective in teaching CBE technique and culturally sensitive doctor-patient communication skills to medical students than the traditional method.

Conditions

Medical Education; Clinical Breast Examination; Medical Simulation; Standardized Patient

Keywords

Clinical Breast Examination; Breast Cancer detection; Breast Simulator; Hybrid Simulation; Patient Simulation; Standardized Patient; Medical student education; Health Communication; Communication Barriers; Cultural competency; Cultural; Middle East; Lebanon

Outcome Measures

Primary Outcomes (1)

• CBE completeness (in OSCE)

  SPs will be objectively grading the students on a scoring sheet

  Each participant will be assessed once, after an average of 2-3 weeks following the intervention (teaching activity)

Secondary Outcomes (3)

• Student's attitude about the teaching activity

  Each participant will be assessed once, after an average of 2-3 weeks following the intervention (teaching activity)

• Cultural communication skills (in OSCE)

  Each participant will be assessed once, after an average of 2-3 weeks following the intervention (teaching activity)

• Student's attitude about the assessment activity (OSCE)

  On the day of the assessment activity, after an average of 2-3 weeks following the intervention (teaching activity)

Study Arms (2)

Low-Fidelity Simulation

ACTIVE COMPARATOR

Teaching using traditional method

Behavioral: Teaching using traditional method

Hybrid Simulation

EXPERIMENTAL

Teaching using Hybrid Simulation of breast examination

Behavioral: Teaching using Hybrid Simulation of breast examination

Interventions

Teaching using Hybrid Simulation of breast examination BEHAVIORAL

Students in the "intervention/experimental" group will receive the regular lecture given at the American University of Beirut and will attend a screening of an educational video on the technique of CBE, in addition to the hybrid simulation teaching activities in the simulation lab (standardized patient wearing breast examination simulator jackets)

Also known as: Standardized Patient wearing breast jacket

Hybrid Simulation

Teaching using traditional method BEHAVIORAL

Students in the "control" group will receive the regular lecture given at the American University of Beirut and will attend the usual simulation lab teaching activities (single breast silicone model without any actors). The only new introduction to the curriculum is an educational video on the technique of CBE.

Also known as: Lecture with low-fidelity breast model

Low-Fidelity Simulation

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Third year medical students (Med III) at the American University of Beirut
• Rotating in the Obstetrics and Gynecology department at the American University of Beirut Medical Center

You may not qualify if:

• None

Sponsors & Collaborators

• American University of Beirut Medical Center: lead

Study Sites (1)

American University of Beirut Medical Center

Beirut, Lebanon

Location

Related Publications (6)

• Coleman EA, Stewart CB, Wilson S, Cantrell MJ, O'Sullivan P, Carthron DO, Wood LC. An evaluation of standardized patients in improving clinical breast examinations for military women. Cancer Nurs. 2004 Nov-Dec;27(6):474-82. doi: 10.1097/00002820-200411000-00007.

  PMID: 15640625 BACKGROUND

• Costanza ME, Luckmann R, Quirk ME, Clemow L, White MJ, Stoddard AM. The effectiveness of using standardized patients to improve community physician skills in mammography counseling and clinical breast exam. Prev Med. 1999 Oct;29(4):241-8. doi: 10.1006/pmed.1999.0544.

  PMID: 10547049 BACKGROUND

• Facione NC, Katapodi M. Culture as an influence on breast cancer screening and early detection. Semin Oncol Nurs. 2000 Aug;16(3):238-47. doi: 10.1053/sonc.2000.8118.

  PMID: 10967796 BACKGROUND

• Pugh CM, Salud LH; Association for Surgical Education. Fear of missing a lesion: use of simulated breast models to decrease student anxiety when learning clinical breast examinations. Am J Surg. 2007 Jun;193(6):766-70. doi: 10.1016/j.amjsurg.2006.12.033.

  PMID: 17512293 BACKGROUND

• Schubart JR, Erdahl L, Smith JS Jr, Purichia H, Kauffman GL, Kass RB. Use of breast simulators compared with standardized patients in teaching the clinical breast examination to medical students. J Surg Educ. 2012 May-Jun;69(3):416-22. doi: 10.1016/j.jsurg.2011.10.005. Epub 2011 Nov 25.

  PMID: 22483147 BACKGROUND

• Nassif J, Sleiman AK, Nassar AH, Naamani S, Sharara-Chami R. Hybrid Simulation in Teaching Clinical Breast Examination to Medical Students. J Cancer Educ. 2019 Feb;34(1):194-200. doi: 10.1007/s13187-017-1287-3.

  PMID: 29019167 DERIVED

Study Officials

• Abdul Karim Sleiman, MD

  American University of Beirut Medical Center

  STUDY DIRECTOR

• Rana Sharara-Chami, MD

  American University of Beirut Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Simulation Program Director

Study Record Dates

• First Submitted: March 18, 2014
• First Posted: April 29, 2014
• Study Start: December 1, 2013
• Primary Completion: February 1, 2015
• Study Completion: February 1, 2015
• Last Updated: June 24, 2015

Record last verified: 2015-06

Locations

LE (1)