Clinical trial NCT06124430: Emergency Structured Clinical Examination Training bOX
Official title: Effect of Using the ECOX Teaching Tool in the Emergency Department on OSCEs for Medical Students: Randomized Controlled Trial
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Emergencies
Lead sponsor: University Hospital, Angers
Sponsor class: OTHER_GOV
First posted: 2023-11-09
Enrollment: 260
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Students present during their internship in the emergency department will be offered the opportunity to take part in a study of educational research in the emergency department.

Brief summary: This is a pragmatic, randomized, controlled study carried out in the emergency department of Angers University Hospital.

All students on placement over a 10-week period will be able to take part in the study. After a clear explanation to the students during the welcome meeting, followed by the collection of free and informed non-opposition, the students will be assigned according to the "ECOX" or "traditional" approach, depending on the randomization status of the internship period. The inclusion arm will be the same for all students over the placement period.

For the traditional approach (control group), students will participate in the OSCEs of the services scheduled at the end of the internship. Students will use the various revision methods usually offered to them by the faculty or in the emergency department, apart from the "ECOX tool". Revision methods are left to their own discretion. Students will complete the internship without any knowledge of the ECOX tool.

For the ECOX approach, students included in the intervention arm will be invited to use the ECOX tool. They will have the various ECOX grids and a stopwatch at their disposal in the 2 units of the emergency department. They will have around thirty evaluation grids at their disposal. The students will choose the ECOX grid corresponding to their initial situation, based on the nurse's triage of the patient. They must ask the patient's permission to practice with them. They must not look at the ECOX grid. As with the on-duty ECOS, they will have 7 minutes to complete the interview and clinical examination. Once this time has elapsed, they will have to compare their answers with the expectations of the grid. They may also be observed by a co-external study participant, a department intern or a senior staff member who is not involved in the OSCE evaluation. They will act as observers and complete the grid. The students will then be able to propose modifications to the grids. Each completed grid will be returned to a drawer in the cubicle, to assess adherence to the tool and suggestions for grid modifications, as well as any comments.

Students will be able to use them as many times as they like during the course and before the service ECOS.


Eligibility criteria: Inclusion Criteria:

* 18 years of age or older
* Medical student in a non-ERASMUS emergency department
* Participating in the service ECOS planned at the end of the internship
* No free and informed consent from the student.

Exclusion Criteria:

* Refusal to participate in the study.
* Student returning to the emergency department and having already participated in the study.

Primary outcomes:
measure: evaluate the value of the ECOX tool in improving the final grade for service ECOS compared with standard learning during the training course.
timeFrame: 10 weeks
Secondary outcomes:
measure: Describing the ECOX tool versus control of psychological status prior to ECOS
timeFrame: 10 weeks
measure: Evaluate the ECOX tool versus control of student know-how
timeFrame: 10 weeks
Other outcomes:
Locations:
Study officials:
References: