Wadey RCT MSK Short Case Simulations With FMED

NCT05914922 | Recruiting

• 1 other identifier: 5777
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

Study Agent/ Intervention/ Procedure The educational tool consisted of 20 short (MSK) case simulations of 15 minutes duration reflecting conditions of the upper extremity; lower extremity; spine; trauma and MSK infections were developed, reviewed and integrated into links that also contained demographic questionnaires; pre and post simulation knowledge questions and learner satisfaction surveys. Outcome Measures

1. 1.Demographic questionnaire for the Learner;
2. 2.100 MCQ (multiple-choice questionnaire) reflecting the same questions contained in the 20 MSK Short Case Simulations
3. 3.Pre/Post multiple choice question knowledge questionnaire
4. 4.Learner satisfaction questionnaire
5. 5.Patient experience and satisfaction questionnaire - QR Code
6. 6.Educator evaluation questionnaire - QR Code
7. 7.Focus group questionnaire
8. 8.To determine if learners working through the 20 MSK Short Case Simulations delivered through on-line links would improve their knowledge, skills and satisfaction in learning how to identify and initially manage patients with various MSK conditions when compared to learners not exposed to the same educational tool.
9. 9.To determine patients' experience undergoing one of the 20 MSK assessments and initial management of their various MSK conditions by the learners and their satisfaction in receiving their initial care management in both groups
10. 10.To determine if the assessment and initial management of the 20 MSK conditions by the learners on the patients was deemed to be competent by the educators in both groups

Conditions

Musculoskeletal Diseases or Conditions

Outcome Measures

Primary Outcomes (6)

• Participant demographics

  Questionnaire (Qualitative analyses)

  up to 7 months

• Pre and Post-test questionnaires for each of the 20 MSK short case simulations - paired T-tests

  Knowledge questions

  up to 7 months

• Satisfaction questionnaire for EXP group on the educational experience of the MSK case simulations- qualitative analyses

  The participants completing the 20 MSK short case simulations will complete a satisfaction questionnaire of the case simulations

  up to 7 months

• Patient experience of their individual clinical encounter with the FMRL

  the patients will complete a link to a QR code (5 minutes) and indicate their level of satisfaction of their clinical encounter with the FMRL

  up to 7 months

• Educator evaluation of a FMRL

  An educator who would normally supervisor the FMRL with patients would complete a link to a QR code (2 minutes) and indicate the competency of the FMRL

  up to 7 months

• Focus group

  All participants will meet at the end of the study/academic year to review the process and their participation in the study

  up to 7 months

Study Arms (2)

FMRL CTL-PGY1 (Post Graduate Year 1) and FMRL CTL - PGY2 (Post Graduate Year 2)

NO INTERVENTION

This arm of participants reflects family medicine resident learners (FMRLs) who will not be exposed to the 1-20 MSK case simulations.

FMRL EXP - PGY1 and FMRL EXP - PGY2

EXPERIMENTAL

This arm of participants reflects family medicine resident learners (FMRLs) who will be exposed to the 1-20 MSK case simulations.

Other: Educational Tool

Interventions

Educational Tool OTHER

20 MSK short case simulations were developed based on authentic patient experiences. Strategies to optimize learning of MSK conditions to prepare learners for real-world clinical encounters would be important for family medicine resident learners. To address this need, 20 case simulations of 15 minute duration were developed. This study will determine if an online educational tool may be impactful for determining competency of family medicine resident learners in developing skills and knowledge of 20 MSK conditions while also determining if the tool impacts patient care and satisfaction.

FMRL EXP - PGY1 and FMRL EXP - PGY2

Eligibility Criteria

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

You may qualify if:

• Patients with an MSK condition included in the education tool of MSK Short Case Simulations 1-20 (Upper extremity; lower extremity; axial skeleton; trauma and MSK infections Patients) seen either in a family medicine clinic; emergency department; clinical ward in the hospital setting or sporting event at which FMRL were covering from a learners perspective
• Patients assessed by FMRLs between the months of July 2023 through to March 2024
• Patient must be free of cognitive impairment and be able to complete an English survey or have a translator present to assist with the translation
• Electronic devices to accommodate QR codes

You may not qualify if:

• non-English speaking participants
• an inability to complete QR codes

Sponsors & Collaborators

• Sunnybrook Health Sciences Centre: lead

Study Sites (1)

Sunnybrook Health Sciences Center

Toronto, Ontario, ON M4N 3M5, Canada

RECRUITING

Related Publications (12)

• Wu V, Goto K, Carek S, Petrizzi M, Deck JW, Sulapas I, DeStefano S, DeCastro AO, Rooks BJ, Mainous AG 3rd, Kulshreshtha A. Family Medicine Musculoskeletal Medicine Education: A CERA Study. Fam Med. 2022 May;54(5):369-375. doi: 10.22454/FamMed.2022.975755.

  PMID: 35536622 BACKGROUND

• Sabesan VJ, Schrotenboer A, Habeck J, Lombardo D, Stine S, Jildeh TR, Meiyappan A. Musculoskeletal Education in Medical Schools: A Survey of Allopathic and Osteopathic Medical Students. J Am Acad Orthop Surg Glob Res Rev. 2018 Jun 28;2(6):e019. doi: 10.5435/JAAOSGlobal-D-18-00019. eCollection 2018 Jun.

  PMID: 30211396 BACKGROUND

• De Inocencio J. Epidemiology of musculoskeletal pain in primary care. Arch Dis Child. 2004 May;89(5):431-4. doi: 10.1136/adc.2003.028860.

  PMID: 15102634 BACKGROUND

• Matheny JM, Brinker MR, Elliott MN, Blake R, Rowane MP. Confidence of graduating family practice residents in their management of musculoskeletal conditions. Am J Orthop (Belle Mead NJ). 2000 Dec;29(12):945-52.

  PMID: 11140349 BACKGROUND

• Glazier RH, Dalby DM, Badley EM, Hawker GA, Bell MJ, Buchbinder R. Determinants of physician confidence in the primary care management of musculoskeletal disorders. J Rheumatol. 1996 Feb;23(2):351-6.

  PMID: 8882045 BACKGROUND

• Freedman KB, Bernstein J. Educational deficiencies in musculoskeletal medicine. J Bone Joint Surg Am. 2002 Apr;84(4):604-8. doi: 10.2106/00004623-200204000-00015.

  PMID: 11940622 BACKGROUND

• Watts SA, Zhang Z. Competency in musculoskeletal and sports medicine: evaluating a PGY-1 curriculum. Fam Med. 2011 Oct;43(9):659-63.

  PMID: 22002779 BACKGROUND

• Day CS, Yeh AC. Evidence of educational inadequacies in region-specific musculoskeletal medicine. Clin Orthop Relat Res. 2008 Oct;466(10):2542-7. doi: 10.1007/s11999-008-0379-0. Epub 2008 Jul 18.

  PMID: 18636305 BACKGROUND

• Connolly N, Abdalla ME. Impact of COVID-19 on medical education in different income countries: a scoping review of the literature. Med Educ Online. 2022 Dec;27(1):2040192. doi: 10.1080/10872981.2022.2040192.

  PMID: 35317712 BACKGROUND

• Wadey VM, Tang ET, Abelseth G, Dev P, Olshen RA, Walker D. Canadian multidisciplinary core curriculum for musculoskeletal health. J Rheumatol. 2007 Mar;34(3):567-80. Epub 2006 Dec 15.

  PMID: 17183615 BACKGROUND

• Rules of Thumb, Gerald van Belle, 2002, Wiley

  BACKGROUND

• Visit-Specific Satisfaction Instrument (VSQ-9) | RAND

  BACKGROUND

MeSH Terms

Conditions

Musculoskeletal Diseases

Study Officials

• Veronica M Wadey, MD,MA

  Sunnybrook Health Sciences Centre

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Himani Anand, PG

CONTACT

416-967-8500; himani.anand@sri.utoronto.ca

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: Principal Investigator

Model Details: Phase I pertained to the development of authentic MSK case presentations. These cases were formulated into case presentations and a full content review was completed for each of the 20 MSK conditions. Phase II will now assess the impact of the case simulations on learning and patient care.

Study Record Dates

• First Submitted: May 5, 2023
• First Posted: June 22, 2023
• Study Start: July 2, 2023
• Primary Completion: June 1, 2024
• Study Completion: June 30, 2024
• Last Updated: May 13, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)