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Effectiveness of Medicorp HO Preparatory Course

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ClinicalTrials.gov Identifier: NCT03510195
Recruitment Status : Recruiting
First Posted : April 27, 2018
Last Update Posted : May 3, 2018
Sponsor:
Information provided by (Responsible Party):
Aneesa Abdul Rashid, Universiti Putra Malaysia

Brief Summary:

After completion of 5 years of medical school training, the next step of becoming a House Officer is said to be associated with high levels of stress. It has been associated with mental health problems amongst HOs and sometimes quitting the medical line altogether. In Malaysia, the number of HOs not completing housemanship training within the allocated time is slowly declining from 86.4% (2009) to 58.8% (2012). The dropout rate is said to be increasing yearly.

This causes a lot of constraints on the HO, their family, sponsors, patients and also the country. Amongst the reason for stress is the feeling of incompetency or "fear of making mistakes". Other work-related issues include workload, time management, financial, colleague and superior related issues.

Medicorp is a company that specializes in training for junior doctors and has come up with a module to help medical graduates cope with these issues. The module is a 3-day-course named the HO Preparatory Course. It was initially the brainchild of the Islamic Medical Association of Malaysia (IMAM) but was later privatized to accommodate the demand and the running of the module and courses. The module has been re-evaluated through feedback of participants and trainers to cater to the needs and wants of the newly graduate; be it local or overseas.

Therefore, the investigators would like to assess whether this intervention module is effective in addressing HO stress, therefore consequently reduce the risk of drop out and extension in HO training.


Condition or disease Intervention/treatment Phase
Psychological Stress Depressive Symptoms Anxiety State Motivation Other: MEDICORP HO PREPARATORY MODULE Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 286 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Other
Official Title: The Effectiveness of the Medicorp House Officer (HO) Preparatory Course for Medical Graduates on Confidence, Readiness, and Psychological Well-Being: A Quasi-Experimental Study
Actual Study Start Date : April 27, 2018
Estimated Primary Completion Date : March 2019
Estimated Study Completion Date : March 2019

Arm Intervention/treatment
Experimental: MEDICORP HO PREPARATORY MODULE
The participants that will have intervention which is the module
Other: MEDICORP HO PREPARATORY MODULE
3 DAY course module to prepare medical graduates to become house officers




Primary Outcome Measures :
  1. Change in Confidence Level [ Time Frame: pre intervention, immediately after intervention and 1 month after working as a House Officer ( an average of 6 months after intervention) ]
    This will be adapted from the IMU Student Competency Survey (Appendix 2) as there are no published studies on the confidence level of medical graduates before beginning HO-ship. The questionnaire comprises of 5 sections. The first 4 sections asses on generic skills, practical tasks, soft skills and their confidence as a whole, using a Likert scale assessment. Scoring is a mean score of 1-5 and the higher the score, the higher the confidence. The last section asks on the one daunting aspect of being a HO out of a list of 7 things, this section is descriptive.


Secondary Outcome Measures :
  1. Change in Readiness Level [ Time Frame: pre intervention, immediately after intervention and 1 month after working as a House Officer ( an average of 6 months after intervention) ]
    This is also adapted from the IMU competency survey and is asked on a likert scale of 1 to 5 for their level of readiness. It is assessed after the confidence section. The higher the score, the higher the level of readiness

  2. Change in Psychological Well being - depression [ Time Frame: pre intervention and 1 month after working as a House Officer ( an average of 6 months after intervention) ]

    This is using the Depression Anxiety Stress Scale (DASS): This questionnaire is used to asses Depression, Anxiety and Stress. It uses a likert scale. The scores indicate normal, mild, moderate, severe and extremely severe for each of the domains. The higher the scores, indicates the more severe the conditions.

    Each of the three DASS-21 scales contains 7 items, divided into subscales with similar content. The depression scale assesses dysphoria, hopelessness, devaluation of life, self-deprecation, lack of interest / involvement, anhedonia and inertia.


  3. Change in Psychological Well being - anxiety [ Time Frame: pre intervention and 1 month after working as a House Officer ( an average of 6 months after intervention) ]

    This is using the Depression Anxiety Stress Scale (DASS): This questionnaire is used to asses Depression, Anxiety and Stress. It uses a likert scale. The scores indicate normal, mild, moderate, severe and extremely severe for each of the domains. The higher the scores, indicates the more severe the conditions.

    Each of the three DASS-21 scales contains 7 items, divided into subscales with similar content The anxiety scale assesses autonomic arousal, skeletal muscle effects, situational anxiety, and subjective experience of anxious affect.


  4. Change in Psychological Well being - stress [ Time Frame: pre intervention and 1 month after working as a House Officer ( an average of 6 months after intervention) ]

    This is using the Depression Anxiety Stress Scale (DASS): This questionnaire is used to asses Depression, Anxiety and Stress. It uses a likert scale. The scores indicate normal, mild, moderate, severe and extremely severe for each of the domains. The higher the scores, indicates the more severe the conditions.

    Each of the three DASS-21 scales contains 7 items, divided into subscales with similar content The stress scale is sensitive to levels of chronic non-specific arousal. It assesses difficulty relaxing, nervous arousal, and being easily upset / agitated, irritable / over-reactive and impatient. Scores for depression, anxiety and stress are calculated by summing the scores for the relevant items.




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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

1. Participants that have registered to attend the Medicorp HO Preparatory Course

Exclusion Criteria:

  1. Participants declared to have psychiatric illness
  2. Participants who have not completed a medical degree (medical students)
  3. Participants already working as a H

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): NCT03510195


Contacts
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Contact: Aneesa Abdul Rashid, MBBCh BAO 60173293060 aneesa@upm.edu.my

Locations
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Malaysia
FRIM Recruiting
Kepong, Selangor, Malaysia, 52109
Contact: Siti Iliana Mohamad, MBBS    +60167117780    medicorp14@gmail.com   
Sponsors and Collaborators
Universiti Putra Malaysia
Investigators
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Principal Investigator: Aneesa Abdul Rashid, MBBCh BAO UPM
  Study Documents (Full-Text)

Documents provided by Aneesa Abdul Rashid, Universiti Putra Malaysia:

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Aneesa Abdul Rashid, Principal Investigator, Universiti Putra Malaysia
ClinicalTrials.gov Identifier: NCT03510195     History of Changes
Other Study ID Numbers: upm/uctc/900/3/2/ktgs0518012
First Posted: April 27, 2018    Key Record Dates
Last Update Posted: May 3, 2018
Last Verified: May 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:
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Depression
Stress, Psychological
Behavioral Symptoms