Evaluation of a Perceptual Learning Module on Spinal Ultrasound Among Residents.

NCT ID: NCT06533488

Last Updated: 2024-08-01

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

RECRUITING

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-26

Study Completion Date

2025-04-30

Brief Summary

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This medical education research project aims to evaluate the impact of a directed perceptual learning module (PLM) on spinal sonoanatomy. Following a demographic questionnaire, participants will be exposed to a tutorial explaining the necessary theoretical foundations for the PLM as well as the functioning of the PLM interface. A pre-test involving selecting the best image from a video sequence depicting spinal sonoanatomy will be administered to all participants. Participants will then be randomized into two groups and exposed to video sequences in the same manner as during the pre-test, with immediate feedback in the intervention group and no feedback in the control group. The video sequences presented will be the same between the two groups. Finally, a post-test will be administered immediately and remotely after exposure to the PLM. The time window corresponding to the best image will be predefined by an expert and compared to the resident\'s value. The difference in feedback exposure between the two groups will not be revealed to limit biases.

Detailed Description

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Conditions

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Spinal Anesthesia Skill Ultrasound Imaging of Anatomical Structures Medical Education

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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Feedback group

This group will receive feedback upon completion of the task.

Group Type EXPERIMENTAL

Perceptual learning module

Intervention Type OTHER

Perceptual learning module providing feedback on the most relevant image for clinical practice in a spinal ultrasound video.

Control group

This group will not receive any feedback

Group Type PLACEBO_COMPARATOR

Control

Intervention Type OTHER

Participants in the control group will view the same videos as participants in the intervention group without feedback on the best image.

Interventions

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Perceptual learning module

Perceptual learning module providing feedback on the most relevant image for clinical practice in a spinal ultrasound video.

Intervention Type OTHER

Control

Participants in the control group will view the same videos as participants in the intervention group without feedback on the best image.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* To be a first, second, third, or fourth-year resident in the anesthesiology program at the Université de Montréal.
* Not having experience in spinal ultrasound (defined as not having performed more than 5 spinal ultrasounds, whether accompanied or not).
* To be familiar with ultrasound.
* Consenting to participate in the study.


\- Having used spinal ultrasound in clinical practice or taught it within the last year.

Exclusion Criteria

* Refusal to consent
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Maisonneuve-Rosemont Hospital

OTHER

Sponsor Role lead

Responsible Party

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Issam TANOUBI

MD, MA (Ed), DESAR

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Maisonneuve-Rosemont Hospital

Montreal, Quebec, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Issam Tanoubi, MD

Role: CONTACT

514-252-3400

Facility Contacts

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Issam Tanoubi, MD

Role: primary

514-252-3400

References

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Guegan S, Steichen O, Soria A. Literature review of perceptual learning modules in medical education: What can we conclude regarding dermatology? Ann Dermatol Venereol. 2021 Mar;148(1):16-22. doi: 10.1016/j.annder.2020.01.023. Epub 2020 Jul 9.

Reference Type RESULT
PMID: 32654795 (View on PubMed)

Kellman PJ, Krasne S. Accelerating expertise: Perceptual and adaptive learning technology in medical learning. Med Teach. 2018 Aug;40(8):797-802. doi: 10.1080/0142159X.2018.1484897. Epub 2018 Aug 9.

Reference Type RESULT
PMID: 30091650 (View on PubMed)

VanderWielen BA, Harris R, Galgon RE, VanderWielen LM, Schroeder KM. Teaching sonoanatomy to anesthesia faculty and residents: utility of hands-on gel phantom and instructional video training models. J Clin Anesth. 2015 May;27(3):188-94. doi: 10.1016/j.jclinane.2014.07.007. Epub 2014 Nov 27.

Reference Type RESULT
PMID: 25433727 (View on PubMed)

Deacon AJ, Melhuishi NS, Terblanche NC. CUSUM method for construction of trainee spinal ultrasound learning curves following standardised teaching. Anaesth Intensive Care. 2014 Jul;42(4):480-6. doi: 10.1177/0310057X1404200409.

Reference Type RESULT
PMID: 24967763 (View on PubMed)

Watson MJ, Evans S, Thorp JM. Could ultrasonography be used by an anaesthetist to identify a specified lumbar interspace before spinal anaesthesia? Br J Anaesth. 2003 Apr;90(4):509-11. doi: 10.1093/bja/aeg096.

Reference Type RESULT
PMID: 12644427 (View on PubMed)

Ramlogan R, Niazi AU, Jin R, Johnson J, Chan VW, Perlas A. A Virtual Reality Simulation Model of Spinal Ultrasound: Role in Teaching Spinal Sonoanatomy. Reg Anesth Pain Med. 2017 Mar/Apr;42(2):217-222. doi: 10.1097/AAP.0000000000000537.

Reference Type RESULT
PMID: 28045758 (View on PubMed)

Chin KJ, Perlas A. Ultrasonography of the lumbar spine for neuraxial and lumbar plexus blocks. Curr Opin Anaesthesiol. 2011 Oct;24(5):567-72. doi: 10.1097/ACO.0b013e32834aa234.

Reference Type RESULT
PMID: 21822134 (View on PubMed)

Margarido CB, Arzola C, Balki M, Carvalho JC. Anesthesiologists' learning curves for ultrasound assessment of the lumbar spine. Can J Anaesth. 2010 Feb;57(2):120-6. doi: 10.1007/s12630-009-9219-2. Epub 2009 Dec 30.

Reference Type RESULT
PMID: 20041358 (View on PubMed)

Sidiropoulou T, Christodoulaki K, Siristatidis C. Pre-Procedural Lumbar Neuraxial Ultrasound-A Systematic Review of Randomized Controlled Trials and Meta-Analysis. Healthcare (Basel). 2021 Apr 17;9(4):479. doi: 10.3390/healthcare9040479.

Reference Type RESULT
PMID: 33920621 (View on PubMed)

Other Identifiers

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2024-3447

Identifier Type: -

Identifier Source: org_study_id

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