Reflection and Feedback in Clinical Reasoning

NCT03472001 | Completed

• 1 other identifier: SMG-180105
• Study Type: interventional
• Target: 87
• Locations: 1 country
• Sites: 1

Brief Summary

Medical students' abilities to diagnose skin lesions after dermatology electives often remain unsatisfactory despite a dermatology elective being one of the most effective ways to improve their clinical reasoning. Feedback and reflection are two basic teaching methods used in clinical settings. This study aimed to investigate the effectiveness of structured reflection and immediate feedback in improving of medical students' evaluation of skin lesions.

Conditions

Educational Problems

Outcome Measures

Primary Outcomes (1)

• Diagnostic accuracy in the training set

  Mean score of the training set (number of correct answers)

  At the end of a 2-week dermatology elective

Secondary Outcomes (1)

• Diagnostic accuracy in the control set

  At the end of a 2-week dermatology elective

Study Arms (3)

Training group

EXPERIMENTAL

2-hour training based on reflection and feedback

Other: Reflection and feedback

Lecture group

ACTIVE COMPARATOR

1-hour lecture

Other: Lecture

Control group

NO INTERVENTION

The remaining students only attending dermatology electives

Interventions

Reflection and feedback OTHER

2-hour training involving 10 written clinical cases to encourage students to practice thinking like a dermatologist in their clinical reasoning, and to help students build adequate illness scripts of skin diseases

Training group

Lecture OTHER

Traditional didactic lecture which uses the same clinical cases

Lecture group

Eligibility Criteria

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

You may qualify if:

• Fourth-year medical students at Seoul National University College of Medicine
• Students taking 2-week dermatology elective courses

You may not qualify if:

• Students who do not complete the whole course

Sponsors & Collaborators

• Seoul National University Hospital: lead
• SMG-SNU Boramae Medical Center: collaborator

Study Sites (1)

Department of Dermatology, Seoul National University Boramae Hospital

Seoul, 156-707, South Korea

Location

Related Publications (3)

• Bowen JL. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med. 2006 Nov 23;355(21):2217-25. doi: 10.1056/NEJMra054782. No abstract available.

  PMID: 17124019 BACKGROUND

• Rourke L, Oberholtzer S, Chatterley T, Brassard A. Learning to detect, categorize, and identify skin lesions: a meta-analysis. JAMA Dermatol. 2015 Mar;151(3):293-301. doi: 10.1001/jamadermatol.2014.3300.

  PMID: 25565125 BACKGROUND

• Choi S, Oh S, Lee DH, Yoon HS. Effects of reflection and immediate feedback to improve clinical reasoning of medical students in the assessment of dermatologic conditions: a randomised controlled trial. BMC Med Educ. 2020 May 8;20(1):146. doi: 10.1186/s12909-020-02063-y.

  PMID: 32384885 DERIVED

Study Officials

• Hyun-Sun Yoon, MD, PhD

  SMG-SNU Boramae Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical professor

Study Record Dates

• First Submitted: March 14, 2018
• First Posted: March 21, 2018
• Study Start: April 2, 2018
• Primary Completion: June 15, 2018
• Study Completion: June 15, 2018
• Last Updated: September 11, 2018

Record last verified: 2018-09

Data Sharing

• IPD Sharing: Will not share

Locations

KR (1)