Measuring Quality of Medical Student Performance at Contextualizing Care

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: NCT01088438
Recruitment Status : Completed
First Posted : March 17, 2010
Results First Posted : May 6, 2011
Last Update Posted : May 6, 2011
The National Board of Medical Examiners
Information provided by:
University of Illinois at Chicago

Study Type: Interventional
Study Design: Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Single (Outcomes Assessor)
Conditions: Education, Medical, Undergraduate
Medical History Taking
Intervention: Behavioral: Contextualization workshop

  Participant Flow

Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
All fourth-year medical students at the University of Illinois at Chicago (UIC) College of Medicine who were enrolled in internal medicine subinternships at one of 2 sites (UIC or Jesse Brown Veterans Administration Medical Center) July 2008 - April 2009 or August 2009 - April 2010 were eligible.

Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
Contextualization Workshop A four-hour course on contextualization.
Control No intervention

Participant Flow:   Overall Study
    Contextualization Workshop   Control
STARTED   94   95 
COMPLETED   65   59 
NOT COMPLETED   29   36 
Withdrawal by Subject                11                6 
Lost to Follow-up                18                30 

  Baseline Characteristics

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
No text entered.

Reporting Groups
Contextualization Workshop A four-hour course on contextualization.
Control No intervention
Total Total of all reporting groups

Baseline Measures
   Contextualization Workshop   Control   Total 
Overall Participants Analyzed 
[Units: Participants]
 94   95   189 
[Units: Years]
Mean (Standard Deviation)
 28.8  (3.6)   28.8  (3.6)   28.8  (3.6) 
[Units: Participants]
Female   49   41   90 
Male   45   54   99 
Race/Ethnicity, Customized [1] 
[Units: Participants]
White   30   34   64 
Non-White   64   61   125 
[1] Number of participants identifying as "White" race.

  Outcome Measures

1.  Primary:   Developing an Appropriate Treatment Plan (for Contextual Variant of Encounters)   [ Time Frame: 1 month ]

2.  Primary:   Probing for Contextual Issues   [ Time Frame: 1 month ]

3.  Primary:   Probing for Biomedical Issues   [ Time Frame: 1 month ]

  Serious Adverse Events

  Other Adverse Events

  Limitations and Caveats

Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
Small number of cases and variants. Alternating assignment of site to intervention/control. Substantial drop-out (sensitivity analysis finds results robust to conservative imputation for drop-outs).

  More Information

Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

Results Point of Contact:  
Name/Title: Dr. Alan Schwartz
Organization: University of Illinois at Chicago
phone: 312-996-2070

Publications of Results:

Responsible Party: Alan Schwartz, University of Illinois at Chicago Identifier: NCT01088438     History of Changes
Other Study ID Numbers: NBME0708-12
First Submitted: March 12, 2010
First Posted: March 17, 2010
Results First Submitted: March 14, 2011
Results First Posted: May 6, 2011
Last Update Posted: May 6, 2011