Clinical Research Directory

Effect of Visual Deprivation of the Team Leader on Team Performance During Simulated Medical Emergencies

This multicenter randomized controlled study aims to evaluate the impact of temporary visual deprivation of the medical team leader on non-technical skills and team performance during high-fidelity simulated medical emergencies. The intervention is based on principles of crisis resource management and cognitive load theory. Team performance will be assessed using validated scoring tools immediately after the intervention and at three months follow-up.

Virtual Reality: a Teaching-learning Strategy for Cognitive Mastery in Airway Trauma Management

Airway injury in patients is a high risk and complex medical crisis. Unfortunately, training for airway management in injured patients is challenging. The most effective way of practicing airway management is using mannequins. However, mannequin training is expensive and only occasionally available to medical trainees. The purpose of this study is to determine if Virtual Reality (VR) can be used to educate medical students on airway injury management. VR training will involve managing the care of a patient with an airway injury in an immersive, interactive VR hospital trauma bay. The investigators will compare the knowledge gained from VR training vs. mannequin training. The investigators will also investigate whether VR training teaches students faster than mannequin training. In addition, the investigators will identify factors which might affect learning from VR. Medical students who choose to participate will be randomized (i.e. participant will have a 50% chance to be placed in either group) to be trained with VR or a mannequin. Participants then will be trained on airway injury management using their assigned training approach. One week later, all participants will be assessed on their airway injury management skills using a mannequin. Before and after their sessions, participants will also be asked to complete a questionnaire on their clinical decision-making. Participants who received VR training will also complete a questionnaire about their experience with the VR training. This study will help develop a new approach to airway management training which is cheaper and more easily available to medical trainees than mannequin training. This educational tool could lead to better treatment of airway trauma in future patients.

Film-Based Medical Education and Social Justice Course: Effects on Alexithymia and Empathy in Medical Students

This study will examine whether a 14-week elective course that uses films and guided discussion on social justice in health care can improve medical students' empathy skills and reduce alexithymia (difficulty recognizing and describing emotions). Approximately 50 volunteer medical students will participate. Students who choose the elective course will form the intervention group, and students who do not take the course will form a comparison group. All participants will complete the same questionnaires/assessments at the beginning and at the end of the semester. The main goal is to compare changes in empathy and alexithymia scores between the two groups.

Gamified Neurology Grand Rounds

The goal of this research study is to learn if a new, game-based way of teaching neurology grand rounds (called "gamified teaching") works better than the traditional lecture-based format for neurology residents. It will also test whether using wristbands that measure stress and attention can help teachers adjust their pace in real time, and whether earning digital achievement badges motivates residents to keep learning. The main questions it aims to answer are: Does gamified teaching help residents remember key information longer (up to 3 months) compared to traditional teaching? Does it improve how efficiently residents make clinical decisions (for example, ordering the right tests without unnecessary extras)? Do teachers who receive real-time feedback from the wristbands deliver sessions that feel less tiring and more engaging to residents? Do residents find the digital badges useful, and do they encourage more self-study? Researchers will compare the gamified teaching method to the traditional lecture method. Each resident will experience both formats at different times (a "crossover" design). An additional small group will only receive the traditional format to help rule out other factors. Participants will: Take part in eight neurology grand rounds sessions over two 4-week periods (four sessions per period) Wear a research wristband during each session to measure their physiological responses (skin activity and heart rate) Complete short quizzes right after each session and again three months later Fill out brief questionnaires about their learning experience and motivation Use a custom interactive platform during the gamified sessions to work in teams, make clinical decisions, and earn digital badges All information collected will be kept confidential, and participants may leave the study at any time without any impact on their residency evaluations.

RA Anatomy - VRvST Study

Primary Objective: Score out of 44 on a validated test of anatomy and sono-anatomy Secondary Objective: Before training * Handedness (Edinburgh Handedness Inventory) * Subjective sleepiness (Karolinska scale) * Motor reaction time (Psychomotor Vigilance test) * Attention control (Anti-Saccade test) * Mental rotation (Mental Rotation Task) * Depression Anxiety, Stress (DASS score) * Visual Search Task (Divided Attention) * Knowledge pretraining After training and testing * Knowledge after training session * Acceptability: Client Satisfaction Questionnaire (CSQ-8) * Usability: CyberSickness in Virtual Reality Questionnaire (CSQ-VR) * Immersion: Witmer and Singer Presence Questionnaire * Subjective workload (NASA - TLX scale) * Cognitive Demand Battery (CBD) * Resource use: Calculation of cost differences between learning Modalities Study population: Resident anaesthetists Recruitment Target: 102 Methodology: This is a non-clinical randomised controlled trial of resident anaesthetists undergoing training in regional anaesthesia. Residents will be randomised to one of two groups for each training session day: * Standard anatomical training (Group A) * Virtual reality based anatomical training. (Group B) Then followed by another training day session and participants will enter either standard or VR teaching depending on the previous allocation: * Standard anatomical training (Group B) * Virtual reality based anatomical training. (Group A) Anatomical knowledge will be tested in both groups using an on-line questionnaire developed by the Chief Investigator. Eligibility criteria: Inclusion criteria: 1. Anaesthetists that are residents in a recognised Royal College of Anaesthetists (RCoA) training program 2. Anaesthetic training grades (Stage 1 - 3). Exclusion criteria: 1. Visual impairment (this does not include wearing glasses/contact lenses) 2. History of severe diseases affecting physical motion or balance 3. History of any drugs that may affect physical motion or balance within 12 hours of the intervention 4. Pregnancy 5. Individuals who had consumed alcohol within 24 h of the intervention. 6. Resident doctors not in a recognised RCOA training program e.g. Staff grade anaesthetists. Study treatment: Standard teaching - control Virtual reality teaching - intervention

Medical Students' Acceptance and Learning Efficacy With Physical and Virtual Standardized Patients

This study will focus on exploring the experiential differences between virtual standardized patients and physical standardized patients, gathering feedback through questionnaires and brief interviews. Standardized patients have been widely used in medical education and physician licensing exams in Taiwan for over 15 years. With the rise of technology-enhanced medical education, it is necessary to reexamine the professional attributes and identification of standardized patients and explore the implementation of virtual standardized patient systems. The research aims to reshape the professional identity of standardized patients, identify necessary attributes and competencies, and establish a virtual standardized patient system to assess medical students' acceptance and learning outcomes.

Implementation of Anal Cancer Screening and Treatment in Nigeria

The study is a feasibility pilot trial testing 2 types of training protocols on a single physician. The first training protocol is the current standard and was developed in high-income settings. The second training protocol will be developed so tailored to the Nigerian setting. Investigators will test if the physician performs differently in their ability to conduct anal cancer screening and treatment between the 2 training protocols.

3D Eye Movement Simulator for Medical Education

The goal of this clinical trial is to evaluate whether a new 3D-printed eyeball movement simulator improves medical education compared to traditional teaching methods. The main questions it aims to answer are: Does using the 3D simulator help medical students better understand eye anatomy and muscle function compared to standard lectures and textbooks? How do students rate the usability and effectiveness of this new teaching tool? Researchers will compare two groups of medical students: One group will learn using the 3D simulator The other group will receive standard teaching methods Participants will: 1. Complete a pre-test to assess their baseline knowledge 2. Attend training sessions using either the 3D simulator or standard methods 3. Take a post-test to measure learning improvement 4. Provide feedback about their learning experience 5. Take a post-intervention exam and satisfaction survey 6. Participate in focus groups about their learning experience The study will help determine if interactive 3D models can enhance medical education about eye movements.

Construction and Educational Impact of Plastination Models of the Limbic System, Basal Nuclei, Cerebellum, and Human Spinal Cord

Purpose: This educational trial aims to assess whether plastination models for neuroanatomy training (limbic system, basal ganglia, cerebellum, spinal cord)" improve medical students' understanding of central nervous system anatomy compared to traditional educational methods. It will also evaluate student satisfaction with this teaching tool. Key Questions: 1. Do plastination models for neuroanatomy training (limbic system, basal ganglia, cerebellum, spinal cord) enhance test scores in neuroanatomy examinations? 2. How do students perceive the educational value of these models? Study Design: Researchers will compare two teaching methods: * Intervention group: Learns using plastination models for neuroanatomy training (limbic system, basal ganglia, cerebellum, spinal cord) * Control group: Learns using standard 2D atlases, power point and plastic models Participants will: 1. Complete a pre-intervention anatomy knowledge test 2. Attend 4 weekly neuroanatomy sessions using their assigned method 3. Take a post-intervention exam and satisfaction survey 4. Participate in focus groups about their learning experience

Artificial Intelligence for Learning Point-of-Care Ultrasound

Point-of care-ultrasonography has the potential to transform healthcare delivery through its diagnostic and therapeutic utility. Its use has become more widespread across a variety of clinical settings as more investigations have demonstrated its impact on patient care. This includes the use of point-of-care ultrasound by trainees, who are now utilizing this technology as part of their diagnostic assessments of patients. However, there are few studies that examine how efficiently trainees can learn point-of-care ultrasound and which training methods are more effective. The primary objective of this study is to assess whether artificial intelligence systems improve internal medicine interns' knowledge and image interpretation skills with point-of-care ultrasound. Participants shall be randomized to receive personal access to handheld ultrasound devices to be used for learning with artificial intelligence vs devices with no artificial intelligence. The primary outcome will assess their interpretive ability with ultrasound images/videos. Secondary outcomes will include rates of device usage and performance on quizzes.

An Educational Intervention to Improve the Success of Intubation in Newborns Using a Video Laryngoscope by Reducing the Time the Procedure Takes.

This research focuses on one of the most common problems in newborn medicine: breathing difficulties. Breathing problems are the most common reason for admission to our neonatal unit at the National Maternity Hospital. When a baby has serious breathing difficulty, inserting a breathing tube to place them on a ventilator can be lifesaving. A breathing tube must be placed through the vocal cords into the windpipe (trachea). A device called a laryngoscope is placed in a patients mouth to allow the doctor to see the vocal cords and insert the tube correctly. The skill of placing this breathing tube (intubation) is important for doctors and specialists to learn so that they can confidently perform it in an emergency. In the past, doctors had more opportunities during their training to learn and practice this with supervision from seniors. In recent years, babies, thankfully, need to be intubated less frequently and doctors working hours are better regulated. As a result, junior doctors have less chances to perform this skill. There is a need to improve how we teach the procedure of intubating babies to doctors in training to meet the needs of trainees today. The investigators want to perform a study to help teach doctors in training how to perform intubation of a newborn using a video laryngoscope. The team are looking to assess if showing a short educational video to the doctor and team just before performing an intubation using a video laryngoscope will reduce the time the procedure takes. This is called a "Just-in-Time" video. The investigators aim to demonstrate a benefit by performing a randomised control trial. This means that when a baby requires intubation as decided by their treating doctors, the team will be randomly allocated to view a "Just-in-Time" video before performing the intubation or not. The investigators will then compare the two groups to see if there is a difference in the total time the procedure takes.

Evaluation of Educational Interventions Targeting Beliefs About Human Papillomavirus (HPV)

The goal of this clinical trial is to compare the effects of two different educational training programs on beliefs about Human Papillomavirus (HPV) in a group of female hospital employees. The main questions it aims to answer are: • Within the scope of the study, are the training programs provided to reduce misconceptions about HPV effective? • Which educational program is more effective in reducing misconceptions about HPV? Participants will • Complete a pre-test online the day before the first training date to determine the level of their misconceptions about HPV. • Receive informative messages via Whatsapp once a day for three days according to the training program they are assigned to. • Repeat the pre-test at the end of the training programs and one month later. • Receive the more effective training program after one month after the test repetition for the control group. Researchers will compare "Misbeliefs about HPV" and "Current Knowledge about HPV" titled training programs on reducing misconceptions about HPV.

Hybrid Course Assessment and Evaluation

The academic training of French postgraduate students in general practice (E3CMG) is facing a challenge due to the increasing gap between the number of students and the available teaching hours. To accommodate the growing number of students, asynchronous acquisition of knowledge prior to a reduced face-to-face teaching would maintain the capacity to provide socio-constructivist teaching useful for developing problem-solving skills (i.e. thesis design and feasibility assessment). The main objective of this randomized controlled trial is to evaluate the effect of hybrid versus face-to-face socio-constructivist teaching on French E3CMG course assessment and evaluation.