Use of the Modified Beef Tongue Model for Teaching Repair of Obstetrical Fourth-Degree Laceration to Residents

NCT03341351 | Completed

• 1 other identifier: IRB-300000074
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

This is a study evaluating the use of the modified beef tongue model for teaching repair of obstetrical fourth-degree laceration to residents. Participants will be randomized to either an instructional video using the modified beef tongue model or to an instructional workshop using the modified beef tongue model. Primary outcome will be measured as change in technical skills score as measured by change from baseline on a validated objective structured assessment of technical skills (OSTATS) for repair of fourth-degree laceration.

Conditions

Fourth Degree Perineal Laceration Involving Anal Mucosa; Obstetric; Injury; Obstetric Labor Complications

Keywords

Fourth-degree laceration; Beef tongue model

Outcome Measures

Primary Outcomes (1)

• Technical skills score

  The primary outcome will be change in technical skills score measured as change from baseline in a validated objective structured assessment of technical skills (OSATS) for repair of fourth degree obstetric laceration. This OSATS was described by Siddiqui et al and is based on a task-specific checklist for fourth-degree lacerations and has a maximum score of 20 and minimum score of 0. The higher the score the better the performance.

  up to 24 weeks

Secondary Outcomes (8)

• Participant preference

  up to 24 weeks

• Knowledge assessment

  up to 24 weeks

• Participant confidence

  up to 24 weeks

• Time of repair

  up to 24 weeks

• Ease of use of model

  up to 24 weeks

Study Arms (2)

Instructional video

ACTIVE COMPARATOR

The modified beef tongue video group will be given an instructional video created using the modified beef tongue model to show anatomy and proper repair of the laceration.

Other: Instructional video

Instructional workshop

ACTIVE COMPARATOR

The group randomized to the modified beef tongue instructional workshop will undergo an interactive workshop using the modified beef tongue model to show anatomy and proper repair of the laceration.

Other: Instructional workshop

Interventions

Instructional video OTHER

Instructional video using the modified beef tongue model

Instructional video

Instructional workshop OTHER

Instructional workshop using the modified beef tongue model.

Instructional workshop

Eligibility Criteria

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

You may qualify if:

• Residents currently in training program at University of Alabama at Birmingham

You may not qualify if:

• None

Sponsors & Collaborators

• University of Alabama at Birmingham: lead

Study Sites (1)

University of Alabama Birmingham Hospital

Birmingham, Alabama, 35233, United States

Location

Related Publications (3)

• Siddiqui NY, Stepp KJ, Lasch SJ, Mangel JM, Wu JM. Objective structured assessment of technical skills for repair of fourth-degree perineal lacerations. Am J Obstet Gynecol. 2008 Dec;199(6):676.e1-6. doi: 10.1016/j.ajog.2008.07.054.

  PMID: 19084100 BACKGROUND

• Patel M, LaSala C, Tulikangas P, O'Sullivan DM, Steinberg AC. Use of a beef tongue model and instructional video for teaching residents fourth-degree laceration repair. Int Urogynecol J. 2010 Mar;21(3):353-8. doi: 10.1007/s00192-009-1042-3.

  PMID: 19924368 BACKGROUND

• Illston JD, Ballard AC, Ellington DR, Richter HE. Modified Beef Tongue Model for Fourth-Degree Laceration Repair Simulation. Obstet Gynecol. 2017 Mar;129(3):491-496. doi: 10.1097/AOG.0000000000001908.

  PMID: 28178060 BACKGROUND

MeSH Terms

Conditions

Wounds and Injuries; Obstetric Labor Complications

Condition Hierarchy (Ancestors)

Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases

Study Officials

• Joseph Malek, MD

  University of Alabama at Birmingham

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Outcome assessor performing the objective structured assessment of technical skills will be masked to the intervention of the participant.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Instructor/Fellow

Study Record Dates

• First Submitted: October 26, 2017
• First Posted: November 14, 2017
• Study Start: November 14, 2017
• Primary Completion: March 29, 2018
• Study Completion: March 29, 2018
• Last Updated: April 18, 2018

Record last verified: 2018-04

Locations

US (1)