Use of Wikis and Evidence-Based Medicine in Surgical Practice

This study has been completed.
Sponsor:
Collaborator:
University of Texas
Information provided by (Responsible Party):
The University of Texas Health Science Center, Houston
ClinicalTrials.gov Identifier:
NCT01051050
First received: January 14, 2010
Last updated: October 14, 2011
Last verified: October 2011
  Purpose

The goal of this study is to improve surgical residents' skills in critically appraising the literature and to promote the dissemination and application of the best available evidence to surgical practice. The hypothesis is that mandatory participation, with faculty oversight, in a journal club wiki will improve the dissemination, evaluation, and application of evidence-based medicine (EBM) in a surgical residency program at University of Texas Health Science Center at Houston (UT-Houston).


Condition Intervention
Evidence Based Medicine
Behavioral: Mandatory use of surgery wiki
Behavioral: Voluntary use of the surgery wiki

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Official Title: Using Wikis to Improve the Dissemination, Evaluation, and Application of Evidence-Based Medicine in Surgical Practice

Further study details as provided by The University of Texas Health Science Center, Houston:

Primary Outcome Measures:
  • Change in performance on a questionnaire [ Time Frame: 1 year ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • self-assessment of wiki usage [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • use of EBM in daily practice before and after the trial [ Time Frame: 1 year ] [ Designated as safety issue: No ]
  • comfort with critical appraisal of the literature using a 5-point Likert scale [ Time Frame: 1 year ] [ Designated as safety issue: No ]

Estimated Enrollment: 45
Study Start Date: January 2010
Study Completion Date: September 2011
Primary Completion Date: September 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Mandatory use of surgery wiki
Mandatory participation in journal club wiki which will include adding to and reviewing the information posted on the wiki. Contribution to the wiki will be required at least once during the study period.
Behavioral: Mandatory use of surgery wiki
Mandatory participation in the surgery wiki. This will include adding to and reviewing information posted on the wiki. Contribution of an evidence-based review will be required at least once during the study period.
Voluntary use of surgery wiki
Voluntary participation in the journal club wiki
Behavioral: Voluntary use of the surgery wiki
Voluntary participation in the surgery wiki. Participants can choose to use the information in the wiki as well as contribute to the wiki.

Detailed Description:

The translation of evidence-based medicine (EBM) to clinical practice requires training in literature searching and critical appraisal, which is particularly lacking in surgery. The demands of surgical residency coupled with the 80-hour work week make attendance at journal clubs suboptimal. Internet technology such as wikis, which are free user-friendly collaborative websites, may be a solution to improving resident participation in journal club-related activities, but their utility is highly dependent upon resident contributions and usage. We propose a pilot randomized trial of mandatory versus voluntary participation in a general surgery journal club wiki to verify its feasibility, sustainability, and impact on resident EBM skills as measured with a validated questionnaire. Secondary outcomes will include resident self-assessment of wiki usage and comfort with EBM skills and faculty-assessed resident application of these skills in weekly morbidity and mortality conferences. If the wiki is feasible and sustainable, then the project will be expanded to include other surgical disciplines and cohorts (i.e. students, fellows, other institutions, other medical disciplines) to ensure generalizability. If beneficial, wikis could not only improve resident EBM skills, but also have a halo effect on students and faculty, and ultimately wikis could improve patient care. The assembled multi-disciplinary and multi-institutional team has significant collective expertise in evidence-based medicine, medical education, library skills, and clinical trial design and analysis which are necessary for this project.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • General surgery residents at UT Health Science Center at Houston

Exclusion Criteria:

  • Not a general surgery resident at UT Health Science Center at Houston
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01051050

Locations
United States, Texas
University of Texas Health Science Center-Houston
Houston, Texas, United States, 77030
Sponsors and Collaborators
The University of Texas Health Science Center, Houston
University of Texas
Investigators
Principal Investigator: Lillian S Kao, MD, MS The University of Texas Health Science Center, Houston
  More Information

No publications provided

Responsible Party: The University of Texas Health Science Center, Houston
ClinicalTrials.gov Identifier: NCT01051050     History of Changes
Other Study ID Numbers: HSC-MS-09-0573
Study First Received: January 14, 2010
Last Updated: October 14, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by The University of Texas Health Science Center, Houston:
Evidence based medicine
Improving surgical residents skills and application of EBM in surgical practice

ClinicalTrials.gov processed this record on October 23, 2014