Reflection and Feedback in Clinical Reasoning

NCT ID: NCT03472001

Last Updated: 2018-09-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

87 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-02

Study Completion Date

2018-06-15

Brief Summary

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Medical students' abilities to diagnose skin lesions after dermatology electives often remain unsatisfactory despite a dermatology elective being one of the most effective ways to improve their clinical reasoning. Feedback and reflection are two basic teaching methods used in clinical settings. This study aimed to investigate the effectiveness of structured reflection and immediate feedback in improving of medical students' evaluation of skin lesions.

Detailed Description

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Conditions

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Educational Problems

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Training group

2-hour training based on reflection and feedback

Group Type EXPERIMENTAL

Reflection and feedback

Intervention Type OTHER

2-hour training involving 10 written clinical cases to encourage students to practice thinking like a dermatologist in their clinical reasoning, and to help students build adequate illness scripts of skin diseases

Lecture group

1-hour lecture

Group Type ACTIVE_COMPARATOR

Lecture

Intervention Type OTHER

Traditional didactic lecture which uses the same clinical cases

Control group

The remaining students only attending dermatology electives

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Reflection and feedback

2-hour training involving 10 written clinical cases to encourage students to practice thinking like a dermatologist in their clinical reasoning, and to help students build adequate illness scripts of skin diseases

Intervention Type OTHER

Lecture

Traditional didactic lecture which uses the same clinical cases

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Fourth-year medical students at Seoul National University College of Medicine
* Students taking 2-week dermatology elective courses

Exclusion Criteria

* Students who do not complete the whole course
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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SMG-SNU Boramae Medical Center

OTHER

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Hyun-Sun Yoon

Clinical professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hyun-Sun Yoon, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

SMG-SNU Boramae Medical Center

Locations

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Department of Dermatology, Seoul National University Boramae Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Bowen JL. Educational strategies to promote clinical diagnostic reasoning. N Engl J Med. 2006 Nov 23;355(21):2217-25. doi: 10.1056/NEJMra054782. No abstract available.

Reference Type BACKGROUND
PMID: 17124019 (View on PubMed)

Rourke L, Oberholtzer S, Chatterley T, Brassard A. Learning to detect, categorize, and identify skin lesions: a meta-analysis. JAMA Dermatol. 2015 Mar;151(3):293-301. doi: 10.1001/jamadermatol.2014.3300.

Reference Type BACKGROUND
PMID: 25565125 (View on PubMed)

Choi S, Oh S, Lee DH, Yoon HS. Effects of reflection and immediate feedback to improve clinical reasoning of medical students in the assessment of dermatologic conditions: a randomised controlled trial. BMC Med Educ. 2020 May 8;20(1):146. doi: 10.1186/s12909-020-02063-y.

Reference Type DERIVED
PMID: 32384885 (View on PubMed)

Other Identifiers

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SMG-180105

Identifier Type: -

Identifier Source: org_study_id

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