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Trial record 33 of 562 for:    Recruiting, Not yet recruiting, Available Studies | Teaching

Crisis Resource Management Improvement Through Intellectual Questioning of Authority (CRITIQue)

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ClinicalTrials.gov Identifier: NCT03707964
Recruitment Status : Recruiting
First Posted : October 16, 2018
Last Update Posted : October 16, 2018
Sponsor:
Information provided by (Responsible Party):
National University Hospital, Singapore

Brief Summary:
This is a randomized controlled trial examining the effectiveness of a teaching intervention on residents' and medical students' ability to challenge clearly wrong decisions by a superior during a simulated life-threatening crisis. Participants will be randomly allocated into the control or intervention arm. The intervention arm will receive education on crisis resource management (CRM) and teaching targeting the cognitive skills required to monitor and challenge a superior's decision, and conflict resolution tools. Participants will then take part in a simulation scenario 2 to 4 weeks later and will be assessed based on 6 challenge points, followed by a debrief session.

Condition or disease Intervention/treatment Phase
Medical Education, Simulation, Crisis Resource Management Other: Crisis Resource Management Skill Training Other: Standard ACLS Training Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 140 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple (Participant, Care Provider, Outcomes Assessor)
Masking Description:

Deliberate deception (by not informing of the aim of assessing for ability to challenge authority) will be used to blind the participants. However, open disclosure and explanation of the rationale for deception will be conducted during the debriefing sessions and participants will be extensively counselled.

The confederate specialist will also be blinded to the allocation of the control or intervention arm of participants.

All sessions will be video recorded and assessed in random order by two independent raters blinded to group allocation, using the modified Advocacy-Inquiry Score (mAIS).

Primary Purpose: Other
Official Title: Crisis Resource Management Improvement Through Intellectual Questioning of Authority
Estimated Study Start Date : October 15, 2018
Estimated Primary Completion Date : December 20, 2020
Estimated Study Completion Date : December 20, 2020

Arm Intervention/treatment
Placebo Comparator: Control
Subjects allocated to the control arm will receive standard didactic interactive session on Advanced Cardiac Life Support (ACLS) principles, as part of their regular teaching schedule.
Other: Standard ACLS Training
Standard didactic interactive session on Advanced Cardiac Life Support (ACLS) principles.

Experimental: Intervention
Subjects allocated to the intervention arm will receive education on crisis resource management (CRM) and teaching targeting the cognitive skills required to monitor and challenge a superior's decision, and conflict resolution tools, in addition to standard didactic interactive session on Advanced Cardiac Life Support (ACLS) principles.
Other: Crisis Resource Management Skill Training
Focused crisis resource management training which targets at the cognitive skills needed to monitor and challenge a superior's decision.




Primary Outcome Measures :
  1. Effect of a teaching intervention on participants' ability to challenge clearly wrong decisions by a superior during a simulated life-threatening crisis [ Time Frame: 20 minutes ]
    Comparison of the best modified Advocacy-Inquiry Score (mAIS) responses of the 6 challenge opportunities between the intervention and control groups. The mAIS is a modification of the Advocacy-Inquiry method which includes five scoring levels with the addition of a sixth level when a trainee attempts to take over management of the case.


Secondary Outcome Measures :
  1. Influence of the confederate's gender on participant's ability to challenge incorrect decisions [ Time Frame: 20 minutes ]
    Comparison of the median modified Advocacy-Inquiry Score (mAIS) responses between the subjects exposed to male versus female confederate specialist. The mAIS is a modification of the Advocacy-Inquiry method which includes five scoring levels with the addition of a sixth level when a trainee attempts to take over management of the case.


Other Outcome Measures:
  1. Qualitative analysis of themes surrounding hierarchy and challenging authority [ Time Frame: 10 minutes ]
    Themes elicited during open disclosure and discussion during debrief session with participants



Information from the National Library of Medicine

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Ages Eligible for Study:   21 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Medical officers or Internal medicine, surgical and emergency medicine residents who are in their 2nd post-graduate year of training, or
  • Phase V medical students from Yong Loo Lin School of Medicine, National University of Singapore

Exclusion Criteria:

  • Refusal for informed consent, or
  • Refusal for video recording during simulation sessions

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03707964


Contacts
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Contact: Ying Wei Yau, MBBS 6772 5000 ying_wei_yau@nuhs.edu.sg

Locations
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Singapore
National University Hospital, Singapore Recruiting
Singapore, Singapore, 119085
Contact: Ying Wei Yau, MBBS    6772 5000    ying_wei_yau@nuhs.edu.sg   
Sponsors and Collaborators
National University Hospital, Singapore
Investigators
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Principal Investigator: Gene Chan, MBBS National University Hospital, Singapore

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Responsible Party: National University Hospital, Singapore
ClinicalTrials.gov Identifier: NCT03707964     History of Changes
Other Study ID Numbers: CRITIQue
First Posted: October 16, 2018    Key Record Dates
Last Update Posted: October 16, 2018
Last Verified: October 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by National University Hospital, Singapore:
Medical Education
Simulation
Crisis Resource Management