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Measuring Quality of Medical Student Performance at Contextualizing Care

This study has been completed.
Sponsor:
Collaborator:
The National Board of Medical Examiners
Information provided by:
University of Illinois at Chicago
ClinicalTrials.gov Identifier:
NCT01088438
First received: March 12, 2010
Last updated: April 11, 2011
Last verified: March 2011
Results First Received: March 14, 2011  
Study Type: Interventional
Study Design: Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Single Blind (Outcomes Assessor)
Conditions: Education, Medical, Undergraduate
Medical History Taking
Diagnosis
Intervention: Behavioral: Contextualization workshop

  Participant Flow
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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
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Reporting Groups
  Description
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
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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
  Description
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 
Age 
[Units: Years]
Mean (Standard Deviation)
 28.8  (3.6)   28.8  (3.6)   28.8  (3.6) 
Gender 
[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
  Show All 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
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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
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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
e-mail: alansz@uic.edu


Publications of Results:

Responsible Party: Alan Schwartz, University of Illinois at Chicago
ClinicalTrials.gov Identifier: NCT01088438     History of Changes
Other Study ID Numbers: NBME0708-12
Study First Received: March 12, 2010
Results First Received: March 14, 2011
Last Updated: April 11, 2011