Trial of Educational Outcomes of WISE-MD

Overview

The purpose of this study is to compare the educational efficacy of instructional design enhancements in on-line learning modules in the context of clinical medical education.

Full Title of Study: “Randomized Trial of Educational Outcomes of WISE-MD”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Factorial Assignment
    • Masking: Single (Participant)
  • Study Primary Completion Date: September 2011

Detailed Description

This study involved medical students from seven US medical schools participating in a trial of two WISE-MD computer-based learning modules. Students were randomized to 1 of 4 study arms. The 4 content-equivalent conditions were: screen shots with voiceover and no interactivity; learner control of pacing through multi-media content; social networking features; and social networking features plus user interface enhancements.

Interventions

  • Other: Control
    • Multimedia Control
  • Other: WISEMD Original
    • Current WISEMD
  • Other: Social Networking
    • Social networking feature
  • Other: Social Networking plus Emotional Design
    • social networking features plus user interface enhancements

Arms, Groups and Cohorts

  • Experimental: Control
    • Screen shots with voiceover and no interactivity
  • Experimental: WISEMD Original
    • Learner control of pacing through multi-media content
  • Experimental: Social Networking
    • social networking features (Forum and Social Presence)
  • Experimental: Social Networking plus Emotional Design
    • Social networking features plus user interface enhancements

Clinical Trial Outcome Measures

Primary Measures

  • Immediate Post Knowledge Test
    • Time Frame: Week 2
    • An 8 week-long Surgery Clerkship (Jefferson University is 12 weeks) occurs 6 times (JU 4 times) per year. Students enroll on day 1, complete the baseline surveys in week 1, access the intervention modules by week 2. Learning outcomes (knowledge test) are measured immediately after the modules, at week 4 they complete online multiple-choice tests and a clinical reasoning measure, week 8, week 12 at JU, students complete a clinical reasoning measure.
  • Mid-clerkship Knowledge Test
    • Time Frame: Week 4
    • An 8 week-long Surgery Clerkship (Jefferson University is 12 weeks) occurs 6 times (JU 4 times) per year. Students enroll on day 1, complete the baseline surveys in week 1, access the intervention modules by week 2. Learning outcomes (knowledge test) are measured immediately after the modules, at week 4 they complete online multiple-choice tests and a clinical reasoning measure, week 8, week 12 at JU, students complete a clinical reasoning measure.
  • Mid-clerkship Clinical Reasoning Test
    • Time Frame: Week 4
    • An 8 week-long Surgery Clerkship (Jefferson University is 12 weeks) occurs 6 times (JU 4 times) per year. Students enroll on day 1, complete the baseline surveys in week 1, access the intervention modules by week 2. Learning outcomes (knowledge test) are measured immediately after the modules, at week 4 they complete online multiple-choice tests and a clinical reasoning measure, week 8, week 12 at JU, students complete a clinical reasoning measure.
  • End-clerkship Clinical Reasoning Test
    • Time Frame: Week 8
    • An 8 week-long Surgery Clerkship (Jefferson University is 12 weeks) occurs 6 times (JU 4 times) per year. Students enroll on day 1, complete the baseline surveys in week 1, access the intervention modules by week 2. Learning outcomes (knowledge test) are measured immediately after the modules, at week 4 they complete online multiple-choice tests and a clinical reasoning measure, week 8, week 12 at JU, students complete a clinical reasoning measure.

Secondary Measures

  • Students Baseline Characteristics
    • Time Frame: Immediately after consenting to participate – Day 1
    • The baseline characteristics measure include measures of self-regulation, surgery specific self-efficacy, surgery specific task values, and goal orientation.

Participating in This Clinical Trial

Inclusion Criteria

  • All third-year medical students at all of the 7 collaborating schools (N= 2308) rotating through the surgery clerkship from July 2009 and September 2011. Exclusion Criteria:

  • Students who do not consent to participate and who decide to withdraw from participation.

Gender Eligibility: All

Minimum Age: N/A

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • NYU Langone Health
  • Collaborator
    • Augusta University
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Adina Kalet, M.D., M.P.H., Principal Investigator, NYU Langone Health

References

Kalet AL, Coady SH, Hopkins MA, Hochberg MS, Riles TS. Preliminary evaluation of the Web Initiative for Surgical Education (WISE-MD). Am J Surg. 2007 Jul;194(1):89-93. doi: 10.1016/j.amjsurg.2006.12.035.

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