A Study to Test a New Pelvic Examination Assessment Tool (PEAT)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Thomas Justin Clark, Birmingham Women's NHS Foundation Trust
ClinicalTrials.gov Identifier:
NCT01725581
First received: November 7, 2012
Last updated: April 2, 2014
Last verified: June 2013
  Purpose

The purpose of this study is to show that a new assessment tool for pelvic examination is valid and reliable.


Condition Intervention
Female Pelvic Examination
Procedure: Observed Structured Assessment Tool in Pelvic Examination

Study Type: Observational
Study Design: Time Perspective: Prospective
Official Title: A Study to Test the Validity and Reliability of an Objective Structured Assessment of Technical Skills in Pelvic Examination

Further study details as provided by Birmingham Women's NHS Foundation Trust:

Primary Outcome Measures:
  • Validity of assessment tool [ Time Frame: Day 1 ] [ Designated as safety issue: No ]
    Both validity and reliability are of equal importance so there will be two primary outcomes. Validity will be tested using the proxy measure of construct validity. This will be demonstrated if the results of the OSATS reflect the participant experience.

  • Reliability of assessment tool [ Time Frame: Day 1 ] [ Designated as safety issue: No ]
    Reliability will be measured using inter-rater reliability between 3 assessors who will be blinded to the other assessors' marks.


Secondary Outcome Measures:
  • Factors other than the stage in training that may influence proficiency in pelvic examination [ Time Frame: Day 1 ] [ Designated as safety issue: No ]
    We aim to identify other factors that may influence the participants' score in OSATS in pelvic examination. We will identify potential areas in a questionnaire administered to participant's prior the examination. This information will be collated before the examination in a participant information form. Information regarding gender, age, ethnicity, confidence in examination, interest in future career in obstetrics and gynaecology will be collected as secondary outcome measures.


Enrollment: 60
Study Start Date: June 2013
Study Completion Date: September 2013
Primary Completion Date: September 2013 (Final data collection date for primary outcome measure)
Groups/Cohorts Assigned Interventions
Inexperienced students
Final year medical students at the end of the Obstetrics and Gynaecology placement
Procedure: Observed Structured Assessment Tool in Pelvic Examination
Participants will be asked to perform a pelvic examination including a speculum and bimanual examination on a pelvic model. They will be asked to approach the pelvic model as if it were a real patient.
Experienced students
Final year medical students at the end of the Obstetrics and Gynaecology placement
Procedure: Observed Structured Assessment Tool in Pelvic Examination
Participants will be asked to perform a pelvic examination including a speculum and bimanual examination on a pelvic model. They will be asked to approach the pelvic model as if it were a real patient.
Junior Doctors
Pre Royal College of Obstetric and Gynaecology registered junior doctors with experience in Obstetrics and Gynaecology
Procedure: Observed Structured Assessment Tool in Pelvic Examination
Participants will be asked to perform a pelvic examination including a speculum and bimanual examination on a pelvic model. They will be asked to approach the pelvic model as if it were a real patient.

Detailed Description:

Physical examination of the pelvis is an important core skill that medical students need to acquire. However, due to its intimate nature some students are graduating unable to perform competent pelvic examinations. At present, evaluation of the medical students competence at pelvic examination is done by subjective faculty assessment. This assessment is typically performed at the end of the teaching block and is based on the assessors' recollection of the students' performance. This kind of assessment has been shown to have poor validity and reliability. This is in contrast to objective structured assessments of technical skill (OSATS), which use task specific and global rating scales and have been used to evaluate a wide range of clinical and surgical skills. However, no studies to date have evaluated an assessment tool for pelvic examination. In this study the investigators aim to determine the validity and reliability of an OSATS for pelvic examination. In addition, the investigators aim to identify factors that influence the scores in OSATS.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Medical students and junior doctors will be approached by the clinical sub dean for O&G at Birmingham Women's Hospital (Justin Clark - chief investigator) during the beginning of their O&G placement. They will be made aware that outcome and assessment as part of the trial will not be incorporated into their final academic grade.

Criteria

Inclusion Criteria:

  • Final year medical students starting their Obstetrics and Gynaecology placement
  • Final year medical students finishing their Obstetrics and Gynaecology placement
  • Pre Royal College of Obstetrics and Gynaecology registered junior doctors doing a Obstetrics and Gynaecology placement.
  • Signed Consent Form

Exclusion Criteria:

• None

  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: NCT01725581

Locations
United Kingdom
Birmingham Womens Hospital
Birmingham, West Midlands, United Kingdom, B15 2TG
Sponsors and Collaborators
Birmingham Women's NHS Foundation Trust
Investigators
Principal Investigator: Thomas J Clark, MBChB MD Birmingham Women's Hospital
  More Information

No publications provided

Responsible Party: Thomas Justin Clark, Consultant, Birmingham Women's NHS Foundation Trust
ClinicalTrials.gov Identifier: NCT01725581     History of Changes
Other Study ID Numbers: PEAT
Study First Received: November 7, 2012
Last Updated: April 2, 2014
Health Authority: United Kingdom: National Health Service

Keywords provided by Birmingham Women's NHS Foundation Trust:
OSAT
Pelvic Examination
Validation
Reliability

ClinicalTrials.gov processed this record on September 16, 2014