A Comparison of the Effectiveness Between Three Different Endoscopic Surgical Skill Training Programs for Medical Students Using the Infant Laparoscopic Fundoplication Simulator: A Randomized Controlled Trial

2019 ◽  
Vol 29 (10) ◽  
pp. 1252-1258
Author(s):  
Shun Onishi ◽  
Takamasa Ikee ◽  
Masakazu Murakami ◽  
Keisuke Yano ◽  
Toshio Harumatsu ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Medical Students ◽  
Laparoscopic Fundoplication ◽  
Training Programs ◽  
Controlled Trial ◽  
Skill Training ◽  
Surgical Skill ◽  
Randomized Controlled ◽  
Surgical Skill Training

scholarly journals Teaching Medical Students to Help Patients Manage Their Weight: Outcomes of an Eight-School Randomized Controlled Trial

2021 ◽  
Author(s):  
Judith K. Ockene ◽  
Lori Pbert ◽  
Sybil Crawford ◽  
Christine F. Frisard ◽  
Jyothi A. Pendharkar ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Medical Students ◽  
Weight Management ◽  
Management Education ◽  
Controlled Trial ◽  
Health Behavior Change ◽  
Medical Schools ◽  
Randomized Controlled ◽  
Weight Management Counseling ◽  
Overweight Or Obesity

ABSTRACT BACKGROUND Given the rising rates of obesity there is a pressing need for medical schools to better prepare students for intervening with patients who have overweight or obesity and for prevention efforts. OBJECTIVE To assess the effect of a multi-modal weight management curriculum on counseling skills for health behavior change. DESIGN A pair-matched, group-randomized controlled trial (2015-2020) included students enrolled in eight U.S. medical schools randomized to receive either multi-modal weight management education (MME) or traditional weight management education (TE). SETTING/PARTICIPANTS Students from the class of 2020 (N=1305) were asked to participate in an objective structured clinical examination (OSCE) focused on weight management counseling and complete pre and post surveys. A total of 70.1% of eligible students (N=915) completed the OSCE and 69.3% (N=904) completed both surveys. INTERVENTIONS: The MME implemented over three years included a web-based course, a role-play classroom exercise, a web-patient encounter with feedback, and an enhanced clerkship experience with preceptors trained in weight management counseling (WMC). Counseling focused on the 5As (Ask, Advise, Assess, Assist, Arrange) and patient-centeredness. MEASUREMENTS The outcome was student 5As WMC skills assessed using an objective measure, an OSCE, scored using a behavior checklist, and a subjective measure, student self-reported skills for performing the 5As. RESULTS Among MME students who completed two of three WMC components compared to those who completed none, exposure was significantly associated with higher OSCE scores and self-reported 5A skills. LIMITATIONS Variability in medical schools requiring participation in the WMC curriculum. CONCLUSIONS This trial revealed that medical students struggle with delivering weight management counseling to their patients who have overweight or obesity. Medical schools, though restrained in adding curricula, should incorporate should incorporate multiple WMC curricula components early in medical student education to provide knowledge and build confidence for supporting patients in developing individualized plans for weight management. NIH Trial Registry Number R01-194787

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