Evaluating in Person Curriculum for Educating Obstetrical Residents on Better Caring for 2 Spirit Metis Patients Using and AI Assisted OSCE.

NCT07760675 | Not Yet Recruiting

• 1 other identifier: UM:0278574
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 3

Brief Summary

Two-Spirit (2S) Métis individuals often encounter significant barriers and discrimination in healthcare settings. This multisite randomized controlled feasibility trial evaluates a novel artificial intelligence (AI)-assisted Objective Structured Clinical Examination (OSCE) designed to assess and improve Obstetrics and Gynecology (Ob/Gyn) residents' competencies in delivering culturally safe, trauma-informed, and identity-affirming care to 2S Métis patients. Up to 90 Ob/Gyn residents across three Canadian academic sites (University of Alberta, University of Manitoba, and University of Saskatchewan) will be randomized 1:1 to complete either a 2S Métis Academic Half Day paired with AI-assisted OSCE evaluation or standard institutional anti-racism training with AI-assisted OSCE evaluation. The primary focus is to evaluate study feasibility (recruitment, retention, and delivery fidelity) and resident performance on clinical communication, trauma-informed care, and cultural humility evaluated using a 2S Métis co-developed scoring rubric.

Conditions

Cultural Safety; Medical Education; Cultural Competency

Keywords

Two-Spirit; Métis; AI; OSCE; Indigenous Health; Obstetrics and Gynecology

Outcome Measures

Primary Outcomes (2)

• Study Feasibility Metrics

  Feasibility evaluated by participant recruitment rate (target of 90 Ob/Gyn residents across 3 sites), study retention/completion rate, and intervention delivery fidelity across all participating institutions.

  Up to 12 months

• Resident Clinical Communication and Cultural Safety Performance Score

  Objective Structured Clinical Examination (OSCE) performance score assessing clinical communication, trauma-informed care, and cultural humility evaluated using the co-developed 2S Métis scoring rubric (scored by blinded raters).

  Immediately post-intervention

Study Arms (2)

2S Metis Cultural Safety Training +AI OSCE

EXPERIMENTAL

Participant complete a 2S Metis Academic Half Day focused on trauma -informed care and cultural humility, followed by AI -assisted OSCE evaluation

Behavioral: 2S Métis Cultural Safety Academic Half Day &AI-OSCE

Standard Anti-Racism Training+AI OSCE

ACTIVE COMPARATOR

Participants complete standard institutional Indigenous cultural safety/anti-racism training, followed by AI-assisted OSCE evaluation

Behavioral: Standard Institutional Cultural Safety Training&AI-OSCE

Interventions

2S Métis Cultural Safety Academic Half Day &AI-OSCE BEHAVIORAL

Ob/GYN residents participate in a dedicated 2S Métis Academic Half Day covering trauma-informed care and cultural humility, followed by a simulated OSCE encounter using an AI-assisted standardized patient and co-developed scoring rubric.

2S Metis Cultural Safety Training +AI OSCE

Standard Institutional Cultural Safety Training&AI-OSCE BEHAVIORAL

Ob/Gyn residents undergo standard institutional anti-racism/Indigenous cultural safety training, followed by the same AI-assisted 2S Métis OSCE evaluation.

Standard Anti-Racism Training+AI OSCE

Eligibility Criteria

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

You may qualify if:

• Current enrollment in an accredited Obstetrics and Gynecology residency program at one of the participating institutions (University of Alberta, University of Manitoba, or University of Saskatchewan). \* Postgraduate Year 1 through 5 (PGY1-PGY5). \* Fluency in English to ensure comprehension of AI-based encounters. \* Willingness and ability to participate fully in both the Academic Half Day and AI-assisted OSCE assessments. \* Provision of informed consent.

You may not qualify if:

• Prior participation (within 12 months) in Two-Spirit (2S) Métis-specific or similar cultural safety OSCEs or workshops. \* Residents not enrolled in participating Ob/Gyn residency programs.

Sponsors & Collaborators

• University of Manitoba: lead
• University of Alberta: collaborator
• University of Saskatchewan: collaborator
• University Health Network, Toronto: collaborator
• McMaster University: collaborator
• Canadian Institutes of Health Research (CIHR): collaborator

Study Sites (3)

University of Alberta

Edmonton, Alberta, T6G 2C8, Canada

Location

University of Manitoba

Winnipeg, Manitoba, R3E 3P5, Canada

Location

University of Saskatchewan

Saskatoon, SA, S7N 0W8, Canada

Location

Central Study Contacts

Melanie Morris, MD

CONTACT

2047872682; mmorris@hsc.mb.ca

Tibetha Kemble, PhD

CONTACT

kemble@ualberta.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Assessors (including 2S Métis raters) scoring the AI-assisted OSCE encounters are blinded to group allocation. Data analysts are also blinded to participant allocation during statistical analysis. Participants cannot be blinded due to the educational nature of the intervention.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Surgery

Model Details: 1:1 prospective randomization to either 2S Metis Academic Half Day + AI assigned OSCE or standard institutional training +AI assigned OSCE

Study Record Dates

• First Submitted: August 7, 2026
• First Posted: August 12, 2026
• Study Start (Estimated): September 23, 2026
• Primary Completion (Estimated): November 30, 2026
• Study Completion (Estimated): January 30, 2027
• Last Updated: August 12, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

CA (3)