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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

January 14, 2010
October 14, 2011
January 2010
September 2011   (final data collection date for primary outcome measure)
Change in performance on a questionnaire [ Time Frame: 1 year ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT01051050 on ClinicalTrials.gov Archive Site
  • 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 ]
Same as current
Not Provided
Not Provided
 
Use of Wikis and Evidence-Based Medicine in Surgical Practice
Using Wikis to Improve the Dissemination, Evaluation, and Application of Evidence-Based Medicine in Surgical Practice

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).

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.

Interventional
Not Provided
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Evidence Based Medicine
  • 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.
  • 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.
  • 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.
    Intervention: Behavioral: Mandatory use of surgery wiki
  • Voluntary use of surgery wiki
    Voluntary participation in the journal club wiki
    Intervention: Behavioral: Voluntary use of the surgery wiki
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
45
September 2011
September 2011   (final data collection date for primary outcome measure)

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
Both
18 Years and older
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01051050
HSC-MS-09-0573
No
The University of Texas Health Science Center, Houston
The University of Texas Health Science Center, Houston
University of Texas
Principal Investigator: Lillian S Kao, MD, MS The University of Texas Health Science Center, Houston
The University of Texas Health Science Center, Houston
October 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP