Trial Outcomes & Findings for Effectiveness of Medicorp HO Preparatory Course (NCT NCT03510195)

NCT ID: NCT03510195

Last Updated: 2020-06-16

Results Overview

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.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

267 participants

Primary outcome timeframe

pre intervention, immediately after intervention and 1 month after working as a House Officer ( an average of 6 months after intervention)

Results posted on

2020-06-16

Participant Flow

Participant milestones

Participant milestones
Measure
Participants in Medicorp HO Preparatory Module
A total of 267 participants registered for the course and were invited to participate within the timeframe of this study period of recruitment. Only 239 returned their baseline questionnaires. At the time-point immediately after the intervention, 224 participants returned their completed questionnaires. At the subsequent follow up of the study, which was one-month post working as a HO, 101 answered the questionnaire.
Overall Study
STARTED
267
Overall Study
COMPLETED
101
Overall Study
NOT COMPLETED
166

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effectiveness of Medicorp HO Preparatory Course

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sociodemographic Factors of Participants
n=239 Participants
Data and results obtained from pre-intervention, post intervention and 1 month after work post intervention
Age, Continuous
25.66 years
STANDARD_DEVIATION 1.54 • n=5 Participants
Sex: Female, Male
Female
186 Participants
n=5 Participants
Sex: Female, Male
Male
53 Participants
n=5 Participants
Race/Ethnicity, Customized
Malay
189 Participants
n=5 Participants
Race/Ethnicity, Customized
Chinese
19 Participants
n=5 Participants
Race/Ethnicity, Customized
Indian
19 Participants
n=5 Participants
Race/Ethnicity, Customized
Others
12 Participants
n=5 Participants
Religion
Islam
194 Participants
n=5 Participants
Religion
Christian
18 Participants
n=5 Participants
Religion
Hindu
16 Participants
n=5 Participants
Religion
Buddha
7 Participants
n=5 Participants
Religion
Others
4 Participants
n=5 Participants
Year of Graduation
2016
2 Participants
n=5 Participants
Year of Graduation
2017
81 Participants
n=5 Participants
Year of Graduation
2018
156 Participants
n=5 Participants
Place of Graduation
Local
63 Participants
n=5 Participants
Place of Graduation
Overseas
176 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 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.

Outcome measures

Outcome measures
Measure
Pre-intervention
n=239 Participants
The participants assessed before the preparatory course started.
Post-intervention
n=224 Participants
The participant assessed after the preparatory course ended.
Post 1 Month Working
n=101 Participants
The participant assessed after 1 month working.
Change in Confidence Level
2.18 score on a scale
Standard Deviation 1.00
3.50 score on a scale
Standard Deviation 0.75
3.79 score on a scale
Standard Deviation 0.92

SECONDARY outcome

Timeframe: pre intervention, immediately post intervention (after 3 days of 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

Outcome measures

Outcome measures
Measure
Pre-intervention
n=239 Participants
The participants assessed before the preparatory course started.
Post-intervention
n=224 Participants
The participant assessed after the preparatory course ended.
Post 1 Month Working
The participant assessed after 1 month working.
Change in Readiness Level
2.36 score on a scale
Standard Deviation 1.03
3.46 score on a scale
Standard Deviation 0.78

SECONDARY outcome

Timeframe: 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. Minimum score: 0 Maximum score: 42 Normal: 0-9 Mild: 10-13 Moderate: 14-20 Severe: 21-27 Exteremely severe: 28+

Outcome measures

Outcome measures
Measure
Pre-intervention
n=239 Participants
The participants assessed before the preparatory course started.
Post-intervention
n=101 Participants
The participant assessed after the preparatory course ended.
Post 1 Month Working
The participant assessed after 1 month working.
Change in Psychological Well Being - Depression
8.67 score on a scale
Standard Deviation 7.93
7.80 score on a scale
Standard Deviation 8.95

SECONDARY outcome

Timeframe: 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. Minimum score: 0 Maximum score: 48 Normal: 0-7 Mild: 8-9 Moderate: 10-14 Severe: 15-19 Extremely severe: 20+

Outcome measures

Outcome measures
Measure
Pre-intervention
n=239 Participants
The participants assessed before the preparatory course started.
Post-intervention
n=101 Participants
The participant assessed after the preparatory course ended.
Post 1 Month Working
The participant assessed after 1 month working.
Change in Psychological Well Being - Anxiety
9.75 score on a scale
Standard Deviation 7.24
7.43 score on a scale
Standard Deviation 9.54

SECONDARY outcome

Timeframe: 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. Minimum score: 0 Maximum score: 48 Normal: 0-14 Mild: 15-18 Moderate: 19-25 Severe: 26-33 Extremely severe: 34+

Outcome measures

Outcome measures
Measure
Pre-intervention
n=239 Participants
The participants assessed before the preparatory course started.
Post-intervention
n=101 Participants
The participant assessed after the preparatory course ended.
Post 1 Month Working
The participant assessed after 1 month working.
Change in Psychological Well Being - Stress
11.78 score on a scale
Standard Deviation 8.05
8.58 score on a scale
Standard Deviation 10.33

Adverse Events

Participants in Medicorp HO Preparatory Module

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Aneesa Abdul Rashid

Universiti Putra Malaysia

Phone: 03-86092956

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place