Educational ProblemsNCT03472001
Reflection and Feedback in Clinical Reasoning
A study testing Reflection and feedback and Lecture in people with Educational Problems, run by Seoul National University Hospital at 1 site in South Korea.
Trial summary
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. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Educational Problems
- What is being tested?
- Reflection and feedback and Lecture
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 87 participants
- Where
- 1 siteSouth Korea
- Study dates
- 2 Apr 2018to 15 Jun 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Fourth-year medical students at Seoul National University College of Medicine
- Students taking 2-week dermatology elective courses
Who cannot join
- Students who do not complete the whole course
Trial locations and contacts
1 site in 1 country.
South Korea1 site
Department of Dermatology, Seoul National University Boramae Hospital
Seoul, 156-707
About this study
Official title: Effects of Structured Reflection and Immediate Feedback in Improving of Medical Students' Evaluation of Skin Lesions
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.
- Conditions
- Educational Problems
- Being tested
- Reflection and feedback, Lecture
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Reflection and feedbackOther
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
LectureOther
Traditional didactic lecture which uses the same clinical cases
| Study group | Role | What they receive |
|---|---|---|
| Training group | Experimental | 2-hour training based on reflection and feedback Receives: Other: Reflection and feedback |
| Lecture group | Active comparator | 1-hour lecture Receives: Other: Lecture |
| Control group | No intervention | The remaining students only attending dermatology electives |
What is being measured
The primary outcome is the main question the study is designed to answer.
Diagnostic accuracy in the training set
Mean score of the training set (number of correct answers)
Measured: At the end of a 2-week dermatology elective
Secondary outcomes (1)
Diagnostic accuracy in the control set
Mean score of the control set (number of correct answers)
Measured: At the end of a 2-week dermatology elective
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Mar 2018
- Study start2 Apr 2018
- Primary completion15 Jun 2018
- Study completion15 Jun 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Educational ProblemsStudies of the same condition, open and under way.
- More trials run by Seoul National University HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 87 participants (actual)
Sponsor and investigators
- Lead sponsor
- Seoul National University Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- SMG-SNU Boramae Medical Center
- Responsible party
- Principal investigator, Hyun-Sun Yoon, SMG-SNU Boramae Medical Center
- Investigators
- Hyun-Sun Yoon, MD, PhD, Principal investigator, SMG-SNU Boramae Medical Center
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03472001
- Sponsor's protocol ID
- SMG-180105
- Status last verified
- Sep 2018
- First submitted
- 14 Mar 2018
- Last updated
- 11 Sep 2018
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
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.
PubMed 17124019Rourke 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.
PubMed 25565125Choi 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.
PubMed 32384885
Study at a glance
From the registry record, last updated by the sponsor on 11 Sep 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Structured Reflection and Immediate Feedback in Improving of Medical Students' Evaluation of Skin Lesions
- ClinicalTrials.gov ID
- NCT03472001
- Acronym / sponsor ID
- SMG-180105
- Conditions
- Educational Problems
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 87 participants (actual)
- Lead sponsor
- Seoul National University HospitalUniversity, hospital or other
- Collaborators
- SMG-SNU Boramae Medical Center
- Study start
- 2 Apr 2018 (actual)
- Primary completion
- 15 Jun 2018 (actual)
- Study completion
- 15 Jun 2018 (actual)
- First posted
- 21 Mar 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Training group | Experimental | Other: Reflection and feedback2-hour training based on reflection and feedback |
| Lecture group | Active comparator | Other: Lecture1-hour lecture |
| Control group | No intervention | –The remaining students only attending dermatology electives |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (2 listed)
- Fourth-year medical students at Seoul National University College of Medicine
- Students taking 2-week dermatology elective courses
Key exclusion criteria (1 listed)
- Students who do not complete the whole course
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Reflection and feedback2-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 | Other | Training group |
| LectureTraditional didactic lecture which uses the same clinical cases | Other | Lecture group |
Primary outcome
Diagnostic accuracy in the training set
Time frame: At the end of a 2-week dermatology elective
Mean score of the training set (number of correct answers)
1 secondary outcome
Diagnostic accuracy in the control set
Time frame: At the end of a 2-week dermatology elective
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Sep 2018.
- Background: PubMed 17124019Bowen 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.
- Background: PubMed 25565125Rourke 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.
- Derived from this study: PubMed 32384885Choi 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.
- Individual participant dataSharing planned: No
Related trials for Educational Problems
Not yet recruiting
Standardized Educational Videos of Laparoscopic Gynecological Surgeries
Educational Problems, Surgery
Active, not recruiting
Impact of Surgical Coaching on Resident ObGyn Laparoscopic Skills
Educational Problems
Not yet recruiting
Evaluation of a Couple-based Psycho-socio-educational Intervention Using WeChat/WhatsApp on Dyadic Psychological and Sleep Outcomes
Sleep Problems, Psychological
Active, not recruiting
Fostering Healthy Futures for Teens: An RCT
Child Abuse, Child Neglect
Recruiting
Health Equity and Rural Education (HERE!) Clinical Trial
Behavioral Symptoms, Community Health Workers
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Hyun-Sun Yoon, MD, PhD principal investigator
SMG-SNU Boramae Medical Center
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Reflection and feedback and Lecture in people with Educational Problems, run by Seoul National University Hospital at 1 site in South Korea.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Diagnostic accuracy in the training set (time frame: At the end of a 2-week dermatology elective). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03472001, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Sep 2018.