App-based serious gaming is an effective training method in teaching emergency procedures (chest tube insertion) to medical students: a randomized controlled trial

2018 ◽  
Author(s):  
Patrick Haubruck ◽  
Felix Nickel ◽  
Julian Ober ◽  
Tilman Walker ◽  
Christian Bergdolt ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Medical Students ◽  
Chest Tube ◽  
Controlled Trial ◽  
Training Method ◽  
Tube Insertion ◽  
Serious Gaming ◽  
Emergency Procedures ◽  
Randomized Controlled ◽  
Effective Training

scholarly journals App-based serious gaming for training of chest tube insertion: study protocol for a randomized controlled trial

Trials ◽  
2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Mirco Friedrich ◽  
Christian Bergdolt ◽  
Patrick Haubruck ◽  
Thomas Bruckner ◽  
Karl-Friedrich Kowalewski ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Study Protocol ◽  
Chest Tube ◽  
Controlled Trial ◽  
Tube Insertion ◽  
Serious Gaming ◽  
Randomized Controlled ◽  
Chest Tube Insertion

Comparison of pain and efficacy between large-bore and small-bore chest tube drainage for malignant pleural effusion in Songklanagarind Hospital: A randomized controlled trial.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e19608-e19608
Author(s):  
Apirudee Porntepkasemson ◽  
Sarayut Lucien Geater
Keyword(s):  
Randomized Controlled Trial ◽  
Pleural Effusion ◽  
Chest Tube ◽  
Malignant Pleural Effusion ◽  
Controlled Trial ◽  
Chest Tubes ◽  
Tube Insertion ◽  
Randomized Controlled ◽  
Lung Expansion ◽  
Tube Removal

e19608 Background: Malignant pleural effusion is one of the most common presenting symptoms in lung cancer. There has been no large RCT comparing large-bore and small-bore chest tubes in terms of pain and efficacy of management. Methods: A randomized controlled trial was conducted in 2011. Patients with malignant pleural effusion were randomly allocated to receive either a large-bore or small-bore chest tube. The primary objective was to compare pain using the Numeric Rating Scale. Other objectives included the efficacy of the drainage and pleurodesis and any complications were recorded. Results: Each arm comprised 21 patients. Median age was 61.2 years. Thirty-eight patients (90.5%) had adenocarcinoma; 14(33.3%) had received systemic chemotherapy. Pain score did not differ significantly between the groups from the time of tube insertion to removal. However, pain rose from day 4 until day 9 in the small-bore group. The proportion of patients requiring a second chest tube was higher in the small-bore group (small-bore = 7, 33.3 %; large-bore = 1, 4.8%; p 0.052). Complications were higher in the small-bore group. Five patients were complicated by tube occlusion which occurred only in the small-bore group (23.8 %, p 0.048). Times from tube insertion to lung expansion, to pleurodesis and to chest tube removal did not differ significantly between groups. Pleurodesis was effective in 70-80 % in both groups at the 28-day follow-up. Conclusions: No differences between large-bore and small-bore chest tubes were seen in pain, efficacy of drainage or success of pleurodesis. However, small-bore chest tubes had a higher rate of occlusion and more frequently required additional tube insertion.

scholarly journals A Novel Device for Accurate Chest Tube Insertion: A Randomized Controlled Trial

2016 ◽  
Vol 101 (2) ◽  
pp. 527-532
Author(s):  
Niels Katballe ◽  
Lars B. Moeller ◽  
Winnie H. Olesen ◽  
Marina M. Litzer ◽  
Gratien Andersen ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Chest Tube ◽  
Controlled Trial ◽  
Tube Insertion ◽  
Novel Device ◽  
Randomized Controlled ◽  
Chest Tube Insertion

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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