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Measuring Quality of Medical Student Performance at Contextualizing Care

This study has been completed.
Sponsor:
Collaborator:
The National Board of Medical Examiners
Information provided by:
University of Illinois
ClinicalTrials.gov Identifier:
NCT01088438
First received: March 12, 2010
Last updated: April 11, 2011
Last verified: March 2011
History of Changes
Results First Received: March 14, 2011  
Study Type: Interventional
Study Design: Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Single Blind (Outcomes Assessor)
Conditions: Education, Medical, Undergraduate
Medical History Taking
Diagnosis
Intervention: Behavioral: Contextualization workshop

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
All fourth-year medical students at the University of Illinois at Chicago (UIC) College of Medicine who were enrolled in internal medicine subinternships at one of 2 sites (UIC or Jesse Brown Veterans Administration Medical Center) July 2008 - April 2009 or August 2009 - April 2010 were eligible.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
  Description
Contextualization Workshop A four-hour course on contextualization.
Control No intervention

Participant Flow:   Overall Study
    Contextualization Workshop     Control  
STARTED     94     95  
COMPLETED     65     59  
NOT COMPLETED     29     36  
Withdrawal by Subject                 11                 6  
Lost to Follow-up                 18                 30  



  Baseline Characteristics
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Reporting Groups
  Description
Contextualization Workshop A four-hour course on contextualization.
Control No intervention
Total Total of all reporting groups

Baseline Measures
    Contextualization Workshop     Control     Total  
Number of Participants  
[units: participants]
 		  94     95     189  
Age  
[units: years]
Mean ± Standard Deviation 		  28.8  ± 3.6     28.8  ± 3.6     28.8  ± 3.6  
Gender  
[units: participants]
 		     
Female     49     41     90  
Male     45     54     99  
Race/Ethnicity, Customized [1]
[units: participants]
 		     
White     30     34     64  
Non-White     64     61     125  
[1] Number of participants identifying as "White" race.



  Outcome Measures
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1.  Primary:   Developing an Appropriate Treatment Plan (for Contextual Variant of Encounters)   [ Time Frame: 1 month ]
  Show Outcome Measure 1

2.  Primary:   Probing for Contextual Issues   [ Time Frame: 1 month ]
  Show Outcome Measure 2

3.  Primary:   Probing for Biomedical Issues   [ Time Frame: 1 month ]
  Show Outcome Measure 3


  Serious Adverse Events
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  Other Adverse Events
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  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
Small number of cases and variants. Alternating assignment of site to intervention/control. Substantial drop-out (sensitivity analysis finds results robust to conservative imputation for drop-outs).  


Results Point of Contact:  
Name/Title: Dr. Alan Schwartz
Organization: University of Illinois at Chicago
phone: 312-996-2070
e-mail: alansz@uic.edu


Publications of Results:


Responsible Party: Alan Schwartz, University of Illinois at Chicago
ClinicalTrials.gov Identifier: NCT01088438     History of Changes
Other Study ID Numbers: NBME0708-12
Study First Received: March 12, 2010
Results First Received: March 14, 2011
Last Updated: April 11, 2011
Health Authority: United States: Institutional Review Board