Imparting of Practical Skills by Digital Methods

NCT04842357 | Completed

• 1 other identifier: UM-Nr. 21-00483
• Study Type: interventional
• Target: 78
• Locations: 1 country
• Sites: 1

Brief Summary

Due to the corona pandemia and the consecutive reduction of teaching students face to face the imparting of medical skills is limited. Video sequences may be an adequate alternative to educate selected practical skills. So, the investigators intend to explore this aspect as a first concerning two basic medical skills: Donati suture and intraosseous venous access.

Conditions

Clinical Skills; Intra-osseous; Sutures; Education

Keywords

clinical skills; intraosseous access; Donati suture; imparting skills; education; undergraduate education

Outcome Measures

Primary Outcomes (2)

• Donati suture: "Task-Specific Score"

  Score to quantify the particular skill: Minimum / worst performance 8, Max / best performance: 40

  1 week

• Intraosseous venous access: "Intraosseous Access Performance Assessment Scale"

  Score to quantify the particular skill: Minimum / worst performance 0, Max / best performance: 17

  1 week

Study Arms (2)

video - then self-study

OTHER

Group A will be video recorded during the performance of the two skills on simulators (i.e. Donati suture and intraosseous venous access) (timepoint: T0). Then group A will watch a standardised video about the skills, then will be again video recorded during the performance of the two skills on simulators (timepoint: T1). After 1 to 2 weeks group A will do self-study, then will be again video recorded during the performance of the two skills on simulators (timepoint: T2).

Other: standardised video concerning clinical skill

self-study, then video

OTHER

Group B will be video recorded during the performance of the two skills on simulators (i.e. Donati suture and intraosseous venous access) (timepoint: T0). Then group B will do self-study, then will be again video recorded during the performance of the two skills on simulators (timepoint: T1). After 1 to 2 weeks group B will watch the standardised video about the skills, then will be again video recorded during the performance of the two skills on simulators (timepoint: T2).

Other: standardised video concerning clinical skill

Interventions

standardised video concerning clinical skill OTHER

watching a video concerning clinical skills.

self-study, then video; video - then self-study

Eligibility Criteria

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

You may qualify if:

• medical student in the last year of the curriculum

You may not qualify if:

• no medical student in the last year of the curriculum

Sponsors & Collaborators

• Johannes Gutenberg University Mainz: lead

Study Sites (1)

University Hospital Centre Mainz

Mainz, RLP, 55131, Germany

Location

Related Publications (6)

• Levitan RM, Bortle CD, Snyder TA, Nitsch DA, Pisaturo JT, Butler KH. Use of a battery-operated needle driver for intraosseous access by novice users: skill acquisition with cadavers. Ann Emerg Med. 2009 Nov;54(5):692-4. doi: 10.1016/j.annemergmed.2009.06.012. Epub 2009 Jul 29.

  PMID: 19643511 BACKGROUND

• Lee JC, Boyd R, Stuart P. Randomized controlled trial of an instructional DVD for clinical skills teaching. Emerg Med Australas. 2007 Jun;19(3):241-5. doi: 10.1111/j.1742-6723.2007.00976.x.

  PMID: 17564692 BACKGROUND

• Shippey S, Handa VL, Chen TL, Chou B, Bowen CW. Validation of an instrument for evaluation of subcuticular suturing using a plastic tissue model. J Surg Educ. 2009 Jan-Feb;66(1):31-4. doi: 10.1016/j.jsurg.2008.09.001.

  PMID: 19215895 RESULT

• Shippey SH, Chen TL, Chou B, Knoepp LR, Bowen CW, Handa VL. Teaching subcuticular suturing to medical students: video versus expert instructor feedback. J Surg Educ. 2011 Sep-Oct;68(5):397-402. doi: 10.1016/j.jsurg.2011.04.006. Epub 2011 Jun 25.

  PMID: 21821220 RESULT

• Oriot D, Darrieux E, Boureau-Voultoury A, Ragot S, Scepi M. Validation of a performance assessment scale for simulated intraosseous access. Simul Healthc. 2012 Jun;7(3):171-5. doi: 10.1097/SIH.0b013e31824a5c20.

  PMID: 22511182 RESULT

• Ott T, Demare T, Mohrke J, Silber S, Schwab J, Reuter L, Westhphal R, Schmidtmann I, Dietz SO, Pirlich N, Ziebart A, Engelhard K. Does an instructional video as a stand-alone tool promote the acquisition of practical clinical skills? A randomised simulation research trial of skills acquisition and short-term retention. BMC Med Educ. 2024 Jul 2;24(1):714. doi: 10.1186/s12909-024-05714-6.

  PMID: 38956562 DERIVED

Study Officials

• Sven-Oliver O. Dietz, M.D., Ph.D.

  Trauma Surgery / Zentrum für Orthopädie und Unfallchirurgie, Langebeckstr. 1, 55131 Mainz, Germany

  STUDY DIRECTOR

• Thomas Ott, M.D.

  Department of Anaesthesiology / Klinik für Anästhesiologie, Langenbeckstr. 1, 55131 Mainz, Germany

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: The participant cannot be masked because they realise if they are in group A or B
• Purpose: OTHER
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Thomas Ott, M.D., DESA, Scientific consultant of the simulation center, Department of Anesthesiology, University Hospital Center

Model Details: The investigators will recruit last year medical students and randomise them into two groups: Group A and Group B. Both groups will be video recorded during the performance of the two skills on simulators (i.s. Donati suture and intraosseous venous access) (timepoint: T0). Then group A will watch a standardised video about the skills, and group B will do self-study. Then, both groups will be again video recorded during the performance of the two skills on simulators (timepoint: T1). After 1 week group B will watch the same standardised video about the skills, and group A will do self-study. Then both groups will be again video recorded during the performance of the two skills on simulators (timepoint: T2).

Study Record Dates

• First Submitted: April 6, 2021
• First Posted: April 13, 2021
• Study Start: May 25, 2021
• Primary Completion: June 11, 2021
• Study Completion: July 30, 2021
• Last Updated: August 27, 2021

Record last verified: 2021-08

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: expected 2022
• Access Criteria: via journal access policies

Locations

DE (1)