Trial of Educational Outcomes of WISE-MD

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Randomized Trial of Educational Outcomes of WISE-MD

Conditions
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Surgery

Intervention / Treatment
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* Other: Control
* Other: WISEMD Original
* Other: Social Networking
* Other: Social Networking plus Emotional Design


Participation Criteria
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Eligibility Criteria
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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.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Control<br>Screen shots with voiceover and no interactivity | Other: Control<br>* Multimedia Control<br>* Other names: Multimedia Control;|
| Experimental: WISEMD Original<br>Learner control of pacing through multi-media content | Other: WISEMD Original<br>* Current WISEMD<br>|
| Experimental: Social Networking<br>social networking features (Forum and Social Presence) | Other: Social Networking<br>* Social networking feature<br>|
| Experimental: Social Networking plus Emotional Design<br>Social networking features plus user interface enhancements | Other: Social Networking plus Emotional Design<br>* social networking features plus user interface enhancements<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Immediate Post Knowledge Test | 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. | Week 2 | 
| Mid-clerkship Knowledge Test | 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. | Week 4 | 
| Mid-clerkship Clinical Reasoning Test | 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. | Week 4 | 
| End-clerkship Clinical Reasoning Test | 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. | Week 8 | 

Secondary Outcome Measures

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

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Instructional Design, Online learning module, Surgical education