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Educational Study of Multimedia in Surgical Skills Training in Colorectal Surgery

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01866436
Recruitment Status : Completed
First Posted : May 31, 2013
Last Update Posted : June 3, 2013
Ethicon Endo-Surgery
HCA International Limited
Information provided by (Responsible Party):
Umar Shariff, University of Sheffield

Brief Summary:

To practice independently surgeons require competency in surgical skills, encompassing a combination of technical and non-technical skills. Cognitive skills, aspects of non-technical skills, represent an integral component of surgical competency. Cognitive skills comprise factual knowledge and decision-making.

Changing work patterns in the United Kingdom, as specified by the European Working Time Directive (EWTD), have had a profound impact on the delivery of surgical skills training. Surgical trainees are now increasingly removed from normal working hours in which the majority of traditional operative training and experience is gained, leading to a net reduction in trainees' operative exposure. This reduction in operative experience means that surgical competence can no longer be assured on the basis of experience alone.

Although there is no educational technology that can replace the craft apprenticeship required to train a competent surgeon, reduction in training hours has led to rapid development of educational tools to augment surgical skills training outside the operating room environment. These tools tend to concentrate on technical skills performance without emphasis on cognitive skills.

Trainees in today's era have grown up in a multimedia environment; multimedia is media that uses a combination of text, voiceover, animation and video. Multimedia is an underdeveloped educational resource that can supplement cognitive skills training in operative surgery.

The purpose of this study was to design and develop an online multimedia educational tool in a common colorectal surgery procedure ("Anterior Resection") and determine the effectiveness of this tool in teaching and assessment of cognitive skills.

Study hypothesis: Multimedia learning is equivalent to conventional teaching "Study Day" in improving scores in cognitive surgical skills.

Condition or disease Intervention/treatment Phase
Focus of Study: Cognitive Surgical Skill Acquisition Other: Multimedia group Other: Study Day Group Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 59 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Official Title: The Role of Multimedia in Cognitive Surgical Skill Acquisition in Open and Laparoscopic Colorectal Surgery
Study Start Date : October 2011
Actual Primary Completion Date : December 2011
Actual Study Completion Date : January 2012

Arm Intervention/treatment
Experimental: Multimedia group
The multimedia group is the interventional arm of the study
Other: Multimedia group
Participants are provided with unrestricted access to the online multimedia educational tools for self-directed study (during the study period)
Other Names:
  • Anterior Resection Multimedia Educational Tools

Experimental: Study Day Group
The study day group are the control arm of the study
Other: Study Day Group
Participants in the control arm of the study attend a conventional teaching "Study Day" involving a series of lectures on Open and Laparoscopic Anterior Resection

Primary Outcome Measures :
  1. Improvement in assessment scores following implementation of the teaching modality (Multimedia and Study day). [ Time Frame: Participants will be followed for the duration of the educational study, a period of 11 weeks ]
    All participants were assessed using a timed 30 minute online tool (sent via a hyperlink) to test cognitive skills both before and after the teaching modality. The assessment tool comprised a random assortment of 30 multiple choice and short answer questions. A similar test had been previously validated. A large bank of two hundred questions was designed to comprehensively cover cognitive skills relevant to all the procedural steps in open and laparoscopic 'anterior resection' surgery. The question content was germane to the information delivered in the multimedia tools and study day. Completed forms were stored securely on Smart Survey software. The purpose of the on-line pre-assessment test score was to establish the baseline level knowledge of all participants, prior to randomisation.

Secondary Outcome Measures :
  1. The association between change in scores and level of training and acceptability of multimedia as an educational resource. [ Time Frame: Participants will be followed for the duration of the educational study, a period of 11 weeks ]

Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Postgraduate specialist general surgical trainees at Speciality Training Year 3 (ST3) level/ Specialist Registrar (SpR) Year 1 or above

Exclusion Criteria:

  • Postgraduate general surgical trainees below ST3 level/ SPR Year 1
  • ALL non general surgical postgraduate trainees
  • Medical students

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01866436

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United Kingdom
Academic Surgical Oncology Unit, University of Sheffield
Sheffield, South Yorkshire, United Kingdom, S10 2RX
Sponsors and Collaborators
University of Sheffield
Ethicon Endo-Surgery
HCA International Limited
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Principal Investigator: Umar Shariff, MBChB, MRCS University of Sheffield
Principal Investigator: Saba Balasubramanian, PhD, FRCS University of Sheffield
Additional Information:
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Umar Shariff, Specialist Registrar in General Surgery, University of Sheffield Identifier: NCT01866436    
Other Study ID Numbers: SMBRER186
First Posted: May 31, 2013    Key Record Dates
Last Update Posted: June 3, 2013
Last Verified: May 2013
Keywords provided by Umar Shariff, University of Sheffield:
Cognitive skills
Colorectal surgery