Optimizing Resource Utilization During Proficiency-based Training of Suturing Skills to Medical Students
1 other identifier
interventional
44
1 country
1
Brief Summary
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jun 2018
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 4, 2018
CompletedFirst Submitted
Initial submission to the registry
August 27, 2018
CompletedFirst Posted
Study publicly available on registry
August 29, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 16, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
June 16, 2019
CompletedSeptember 27, 2024
August 1, 2018
1 year
August 27, 2018
September 26, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Number of stitched laid to reach proficiency
Five days
Secondary Outcomes (3)
Number of sutures used to reach proficiency
Five days
Minutes to reach proficiency
Five days
Individual costs to reach proficiency
Five days
Other Outcomes (2)
Learning curves
Five days
Student preferences
Five days
Study Arms (3)
Faculty-led
EXPERIMENTALPeer tutor-led
EXPERIMENTALComputer augmented self-directed learning
EXPERIMENTALInterventions
Students will train to proficiency (defined by hand motion analysis) on simple interrupted sutures with an instrument tie via one of three different methods: faculty-led, peer tutor-led, or computer augmented self-directed learning.
Eligibility Criteria
You may qualify if:
- Second year, pre-clerkship medical students
You may not qualify if:
- None
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Queen's Unviersity
Kingston, Ontario, K7L 3N6, Canada
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
- Assistant Professor & Medical Education Scholar
Study Record Dates
First Submitted
August 27, 2018
First Posted
August 29, 2018
Study Start
June 4, 2018
Primary Completion
June 16, 2019
Study Completion
June 16, 2019
Last Updated
September 27, 2024
Record last verified: 2018-08
Data Sharing
- IPD Sharing
- Will not share