PEAT: A Study to Test a New Pelvic Examination Assessment Tool
Study Details
Study Description
Brief Summary
The purpose of this study is to show that a new assessment tool for pelvic examination is valid and reliable.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
Physical examination of the pelvis is an important core skill that medical students need to acquire. However, due to its intimate nature some students are graduating unable to perform competent pelvic examinations. At present, evaluation of the medical students competence at pelvic examination is done by subjective faculty assessment. This assessment is typically performed at the end of the teaching block and is based on the assessors' recollection of the students' performance. This kind of assessment has been shown to have poor validity and reliability. This is in contrast to objective structured assessments of technical skill (OSATS), which use task specific and global rating scales and have been used to evaluate a wide range of clinical and surgical skills. However, no studies to date have evaluated an assessment tool for pelvic examination. In this study the investigators aim to determine the validity and reliability of an OSATS for pelvic examination. In addition, the investigators aim to identify factors that influence the scores in OSATS.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Inexperienced students Final year medical students at the end of the Obstetrics and Gynaecology placement |
Procedure: Observed Structured Assessment Tool in Pelvic Examination
Participants will be asked to perform a pelvic examination including a speculum and bimanual examination on a pelvic model. They will be asked to approach the pelvic model as if it were a real patient.
|
| Experienced students Final year medical students at the end of the Obstetrics and Gynaecology placement |
Procedure: Observed Structured Assessment Tool in Pelvic Examination
Participants will be asked to perform a pelvic examination including a speculum and bimanual examination on a pelvic model. They will be asked to approach the pelvic model as if it were a real patient.
|
| Junior Doctors Pre Royal College of Obstetric and Gynaecology registered junior doctors with experience in Obstetrics and Gynaecology |
Procedure: Observed Structured Assessment Tool in Pelvic Examination
Participants will be asked to perform a pelvic examination including a speculum and bimanual examination on a pelvic model. They will be asked to approach the pelvic model as if it were a real patient.
|
Outcome Measures
Primary Outcome Measures
- Validity of assessment tool [Day 1]
Both validity and reliability are of equal importance so there will be two primary outcomes. Validity will be tested using the proxy measure of construct validity. This will be demonstrated if the results of the OSATS reflect the participant experience.
- Reliability of assessment tool [Day 1]
Reliability will be measured using inter-rater reliability between 3 assessors who will be blinded to the other assessors' marks.
Secondary Outcome Measures
- Factors other than the stage in training that may influence proficiency in pelvic examination [Day 1]
We aim to identify other factors that may influence the participants' score in OSATS in pelvic examination. We will identify potential areas in a questionnaire administered to participant's prior the examination. This information will be collated before the examination in a participant information form. Information regarding gender, age, ethnicity, confidence in examination, interest in future career in obstetrics and gynaecology will be collected as secondary outcome measures.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Final year medical students starting their Obstetrics and Gynaecology placement
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Final year medical students finishing their Obstetrics and Gynaecology placement
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Pre Royal College of Obstetrics and Gynaecology registered junior doctors doing a Obstetrics and Gynaecology placement.
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Signed Consent Form
Exclusion Criteria:
• None
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Birmingham Womens Hospital | Birmingham | West Midlands | United Kingdom | B15 2TG |
Sponsors and Collaborators
- Birmingham Women's NHS Foundation Trust
Investigators
- Principal Investigator: Thomas J Clark, MBChB MD, Birmingham Women's NHS Foundation Trust
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PEAT