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Do Script Concordance Tests Correlate With Family Medicine Standardized Tests and Failing Rotation Grades?

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ClinicalTrials.gov Identifier: NCT03938610
Recruitment Status : Recruiting
First Posted : May 6, 2019
Last Update Posted : July 23, 2020
Sponsor:
Information provided by (Responsible Party):
Pamela Hughes, Mike O'Callaghan Military Hospital

Tracking Information
First Submitted Date May 1, 2019
First Posted Date May 6, 2019
Last Update Posted Date July 23, 2020
Actual Study Start Date June 1, 2019
Estimated Primary Completion Date June 2024   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: May 2, 2019)
  • SCT scores compared to ITE scores [ Time Frame: year 1 ]
    SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
  • SCT scores compared to ITE scores [ Time Frame: year 2 ]
    SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
  • SCT scores compared to ITE scores [ Time Frame: year 3 ]
    SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
  • SCT scores compared to ABFM scores [ Time Frame: year 1 ]
    SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
  • SCT scores compared to ABFM scores [ Time Frame: year 2 ]
    SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
  • SCT scores compared to ABFM scores [ Time Frame: year 3 ]
    SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
  • SCT scores compared to family medicine rotation grades [ Time Frame: year 1 ]
    SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
  • SCT scores compared to family medicine rotation grades [ Time Frame: year 2 ]
    SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
  • SCT scores compared to family medicine rotation grades [ Time Frame: year 3 ]
    SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
  • SCT scores compared to ACGME milestones. [ Time Frame: year 1 ]
    SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
  • SCT scores compared to ACGME milestones. [ Time Frame: year 2 ]
    SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
  • SCT scores compared to ACGME milestones. [ Time Frame: year 3 ]
    SCT scores, ranging from 0 to 100 percent, are longitudinal and will be recorded for all PGY1, 2, and 3 subjects enrolled in the study each year of their residency in June or July.
  • Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones. [ Time Frame: year 1 ]
    A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
  • Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones. [ Time Frame: year 2 ]
    A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
  • Binomial SCT classification derived from each interval SCT scores compared to ACGME milestones. [ Time Frame: year 3 ]
    A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
  • Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades. [ Time Frame: year 1 ]
    A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
  • Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades. [ Time Frame: year 2 ]
    A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
  • Binomial SCT classification derived from each interval SCT scores compared to family medicine rotation grades. [ Time Frame: year 3 ]
    A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
  • Binomial SCT classification derived from each interval SCT scores compared to ITE [ Time Frame: year 1 ]
    A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
  • Binomial SCT classification derived from each interval SCT scores compared to ITE [ Time Frame: year 2 ]
    A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
  • Binomial SCT classification derived from each interval SCT scores compared to ITE [ Time Frame: year 3 ]
    A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
  • Binomial SCT classification derived from each interval SCT scores compared to ABFM [ Time Frame: year 1 ]
    A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
  • Binomial SCT classification derived from each interval SCT scores compared to ABFM [ Time Frame: year 2 ]
    A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
  • Binomial SCT classification derived from each interval SCT scores compared to ABFM [ Time Frame: year 3 ]
    A "fail" classification is defined as an SCT score 1 SD below the respective PGY mean. All other SCT scores will be classified as "pass".
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Do Script Concordance Tests Correlate With Family Medicine Standardized Tests and Failing Rotation Grades?
Official Title Do Script Concordance Tests Correlate With Family Medicine Standardized Tests and Failing Rotation Grades?
Brief Summary Delayed or poor identification and remediation of clinical reasoning difficulties can lead to clinician underperformance and can ultimately compromise patient care. To date, no research has been done to see if SCTs correlate with current grading standards (ITE, ABFM certification exam score, ACGME milestones, or failing clinical rotation grades) in Family Medicine Residents. If investigators can identify that an SCT correlates with current standardized testing of Family medicine residents, it could be possible to identify struggling learners prior to poor scores on the ITE, ACGME milestones, or clinical rotations. If a learner does poorly on an SCT early in the academic year the learner can begin a remediation plan to improve their deficits before receiving a failing grade, poor ITE or ACGME milestone scores.
Detailed Description

This study is a longitudinal observation study. A panel of experts (numbering 15-20) consisting of Family Medicine attendings who have been out of residency greater than 3 years will complete the SCT. They will be provided an Informational Consent. Their willingness to be a panel member is their implied consent to be part of the research study.

The basic idea behind SCT is to compare residents' performance with a group of persons who are representatives of the profession (or the specialty) to which they wish to belong. Therefore, panels are made up of physicians with good overall clinical experience in the field rather than experts from narrow parts of the field. Panel composition also depends on the assessment goal.

This study will determine if a Script Concordance Test (SCT) correlates with Family Medicine In Training Exam (ITE) scores, American Board of Family Medicine (ABFM) certification exam scores, Accreditation Council for Graduate Medical Education (ACGME) medical knowledge and patient care milestones, and failing family medicine inpatient clinical rotation grades.

The SCT will be given to PGY1, 2, and 3 residents each year during the Residents three year residency, in June or July.

Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Family medicine residents at 99MDG
Condition Knowledge, Attitudes, Practice
Intervention Not Provided
Study Groups/Cohorts Not Provided
Publications *

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: May 2, 2019)
130
Original Estimated Enrollment Same as current
Estimated Study Completion Date June 2024
Estimated Primary Completion Date June 2024   (Final data collection date for primary outcome measure)
Eligibility Criteria

**Patients must be able to get care at Nellis Air Force Base (a military installation) in order to participate in this study**

Inclusion Criteria:

--Family Medicine resident at 99MDG

Exclusion Criteria:

-- N/A

Sex/Gender
Sexes Eligible for Study: All
Ages Child, Adult, Older Adult
Accepts Healthy Volunteers No
Contacts
Contact: Jill M Clark, MBA 7026533298 Jill.M.Clark15.ctr@mail.mil
Listed Location Countries United States
Removed Location Countries  
 
Administrative Information
NCT Number NCT03938610
Other Study ID Numbers FWH20190010H
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Plan Description: We do not plan on sharing data
Responsible Party Pamela Hughes, Mike O'Callaghan Military Hospital
Study Sponsor Pamela Hughes
Collaborators Not Provided
Investigators
Study Director: Paul F Crawford, MD US Air Force
PRS Account Mike O'Callaghan Military Hospital
Verification Date July 2020