PubMed:23398452 JSONTXT

{"project":"Allie","denotations":[{"id":"SS1_23398452_2_0","span":{"begin":304,"end":332},"obj":"expanded"},{"id":"SS2_23398452_2_0","span":{"begin":334,"end":338},"obj":"abbr"}],"relations":[{"id":"AE1_23398452_2_0","pred":"abbreviatedTo","subj":"SS1_23398452_2_0","obj":"SS2_23398452_2_0"}],"text":"Improving assessment of paediatric acute breathing difficulties in medical education: a cluster randomized controlled trial.\nAIM: Impact assessment of an adjunct to standard teaching on knowledge gain and self-assessed confidence for students undertaking their paediatric attachment and evaluation of an acute breathing difficulties (ABDs) learning package.\nMETHODS: Pragmatic cluster randomized controlled trial involving 248 UK medical undergraduates within six paediatric clinical rotations. Intervention groups received an online ABD learning package consisting of symptom-based decision-making pathways underpinned by a ratified ABD evidence-based guideline. Control groups received an online dummy package. Outcome measures were a pre- and post-intervention multiple choice question assessment and confidence questionnaire utilising 5-point Likert scales.\nRESULTS: Significant knowledge gain in the intervention group (mean 6.84, 95% CI 5.56-8.12) versus no such difference in the control group, significant improvement in self-assessed confidence in intervention group versus no such difference in control group and significant confidence differences in ABD-specific statements were noted. In the satisfaction questionnaire, the learning content was noted to be new to only 16% participants.\nCONCLUSION: Supplementation of standard teaching with an interactive delivery method resulted in cognitive gain and self-assessed confidence improvement in interaction with children with ABDs. This indicates that a well-designed tool can help prepare students for direct interaction with sick children as a junior clinician.\nTRIAL REGISTRATION: ISRCTN27499282."}