Health TrialsbyHealthPanel

Off-script Diagnosis & Differential Diagnosis (D&D) Training and Residents' Stroke Knowledge

ConditionsStroke, AcuteEducational ProblemsClinical Course
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorPeking Union Medical College Hospital

About this trial

This study is a single-center, randomized, open-label, controlled, endpoint-blinded study to assess the effect of off-script diagnosis \& differential diagnosis (D\&D) training in improving the residents' knowledge of acute ischemic stroke in China. The investigators will enroll 22 residents and assess the score of mASMaQ 30 days after randomization.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Residents (physicians in postgraduate training).

Currently in neurology wards

Managing acute ischemic stroke (AIS) patients, defined as: 1)Time from onset to randomization ≤ 2 weeks; 2) If onset time is unknown, the last known well time is considered the onset time.

Signed informed consent

Disqualifiers

Managing asymptomatic ischemic stroke patients.

Residents who are currently participating or have participated in another interventional ischemic stroke training program within the past 3 months.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Off-script diagnosis & differential diagnosis (D&D) training

    Other intervention

    1. Training Timeline: Must be completed within 72 hours post-randomization; Requires standardized structured off-script D\&D analysis. 2. Structured Analysis Framework: 1)Epidemiology: Incidence, mortality, and disability rates; 2) Etiologic Classification: TOAST classification system; 3) Vascular Mechanisms: Culprit vessel, vascular territory, pathophysiology; 4) Differential Diagnosis: Stroke mimics and stroke subtype differentiation; 5) Acute Management: Hyperacute interventions (thrombolysis/EVT), secondary prevention strategies, and evidence-based case analysis; 6) Patient Education: Stroke prevention education for patients/public; 7) Research Gaps: Current limitations and future directions. 3. Presentation Requirements: 1)Mandatory off-script delivery (no prepared text); 2) Time limit: 15+3 minutes for complete analysis.

Treatment groups

22 Participants
are divided into 2 treatment groups
Group A: Off-script D&D training groupExperimental treatment 1 intervention
Group B: No-Intervention Control GroupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

mASMaQ

Modified Acute Stroke Management Questionnaire (mASMaQ), with a range of 33-165 scores. Higher scores indicate superior acute ischemic stroke management knowledge. Blinded Assessment Protocol:1) Participant Requirements: Strict 10-minute time limit for independent completion; External references are prohibited; 2) Assessment Supervision: certified neurologists as proctors, who are blinded to group assignment throughout the trial. 3) Centralized Adjudication: based on participants' questionnaire responses. Note: Details of the modified ASMaQ has been on file with the ethics committee and cannot be changed. To prevent disclosure of the measures and bias in resident measurement, we do not disclose the scales until the trial is completed. Details of mASMaQ will be made public with the publication of the article.

Time frame
30 days

Secondary outcomes

1

General stroke knowledge

Part of mASMaQ, with a range of 10-50. Higher scores indicate superior general stroke knowledge.

Time frame
30 days
2

Hyperacute stroke management

Part of mASMaQ, with a range of 9-45. Higher scores indicate superior hyperacute stroke management knowledge.

Time frame
30 days
3

Advanced stroke management

Part of mASMaQ, with a range of 14-70. Higher scores indicate superior advanced stroke management knowledge.

Time frame
30 days

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Peking Union Medical College Hospital

Lead sponsor

Source ClinicalTrials.gov
Apply now