Paediatric Resident Complex Care Curriculum RCT

NCT03349541 | Completed

• 1 other identifier: 1000056104
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 2

Brief Summary

Medical and technological advances have resulted in a growing cohort of children with medical complexity (CMC), many of whom would not have survived previously and are living and thriving within the community. These families have unique needs that have previously not been taught in the typical training programs for paediatricians. The goal of this project is to develop an evaluation of a national complex care curriculum and to identify whether dedicated educational modules have an impact on improving clinical performance and resident self-efficacy.

Conditions

Complex Care; Medical Education; Pediatric Residents; Children With Medical Complexity

Outcome Measures

Primary Outcomes (1)

• Acquisition of clinical skills in Complex Care

  This outcome will be measured by the score obtained on a standardized checklist for a complex care scenario in the Spring 2017 national paediatric in-training objective structured clinical examination (OSCE). The OSCE global score is out of 50, with a higher score representing a better performance. OSCE sub-scores related to specific components of the curriculum (tracheostomy care, common issues in complex medical care, and diagnosis and management) will be compared between groups.

  Within 1-3 months from complex care educational training (day of the scheduled OSCE examination)

Secondary Outcomes (1)

• Resident self-efficacy in the care of Children with Medical Complexity

  Within 4 months from the complex care educational training

Study Arms (2)

Complex Care Curriculum Intervention

EXPERIMENTAL

Paediatric residents who are randomized to the intervention group will participate in the complex care curriculum during an academic half-day prior to the Objective Structured Clinical Examination (OSCE).

Other: Complex Care Curriculum

No intervention

NO INTERVENTION

Paediatric residents who are randomized to the control group will attend the regular academic half-day unrelated to complex care prior to the Objective Structured Clinical Examination (OSCE).

Interventions

Complex Care Curriculum OTHER

A well-established approach to curriculum development was utilized to develop competency-based objectives aligned with the Canadian "CanMEDS" Physician Competency Framework, identify appropriate educational strategies and design relevant evaluations.

Complex Care Curriculum Intervention

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Residents in their 1st to 4th postgraduate year of training in paediatrics (general paediatric stream and paediatric neurology stream who have regular attendance at the academic half-days), enrolled at the University of Toronto or the University of Ottawa.

You may not qualify if:

• Residents who are enrolled in a subspecialty residency training

Sponsors & Collaborators

• The Hospital for Sick Children: lead
• Children's Hospital of Eastern Ontario: collaborator
• Montreal Children's Hospital of the MUHC: collaborator

Study Sites (2)

Children's Hospital of Eastern Ontario

Ottawa, Ontario, K1H 8L1, Canada

Location

The Hospital for Sick Children

Toronto, Ontario, M5G 1X8, Canada

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Staff Physician, Medical Director of the Complex Care Program, Project Investigator, SickKids Research Institute, Assistant Professor, Department of Pediatrics, University of Toronto

Study Record Dates

• First Submitted: November 17, 2017
• First Posted: November 21, 2017
• Study Start: February 1, 2017
• Primary Completion: April 3, 2018
• Study Completion: April 3, 2018
• Last Updated: April 17, 2018

Record last verified: 2018-04

Data Sharing

• IPD Sharing: Will not share

Locations

CA (2)