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Trial registered on ANZCTR
Registration number
ACTRN12612001247864
Ethics application status
Approved
Date submitted
20/11/2012
Date registered
26/11/2012
Date last updated
26/11/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Learning from Consumers: Can Gynaecology Teaching Associates Deliver Effective Training for Medical Students?
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Scientific title
A Single-Blinded Randomised Controlled Trial Evaluating the Role of Gynaecology Teaching Associates in Pelvic Examination Training of Medical Students - The GTA Trial.
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Secondary ID [1]
281551
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N/A
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Universal Trial Number (UTN)
U1111-1137-1509
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Trial acronym
The GTA Trial
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pelvic Examination Training
287830
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Condition category
Condition code
Reproductive Health and Childbirth
288177
288177
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0
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Other reproductive health and childbirth disorders
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Public Health
288226
288226
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0
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Health promotion/education
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Gynaecology Teaching Associate Pelvic Examination Training
Single two and half hour session with two fully qualified and trained gynaecological teaching associates teaching pelvic examination. One gynaecological teaching associate as instructor and the second gynaecological teaching associate acting as a patient.
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Intervention code [1]
286070
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Other interventions
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Comparator / control treatment
Routine pelvic examination training - lecture (1 hour faclitated by clinician) / access to pelvic examiniation models (self directed learning) / training within clinical settings (4 weeks)
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Control group
Active
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Outcomes
Primary outcome [1]
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Technical Competence
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Assessment method [1]
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Timepoint [1]
288377
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End of year examination
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Secondary outcome [1]
300001
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Communication and interpersonal skills
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Assessment method [1]
300001
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Timepoint [1]
300001
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End of year examination
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Secondary outcome [2]
300103
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Knowledge of pelvic examination technique
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Assessment method [2]
300103
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Timepoint [2]
300103
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End of obstetrics and gynaecology placement
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Secondary outcome [3]
300104
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Student anxiety
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Assessment method [3]
300104
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Timepoint [3]
300104
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End of obstetrics and gynaecology placement
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Secondary outcome [4]
300105
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Reflective logbook of pelvic examination procedures
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Assessment method [4]
300105
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Timepoint [4]
300105
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End of obstetrics and gynaecology placement
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Eligibility
Key inclusion criteria
Undergraduate medical student
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Minimum age
No limit
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Declining participation within the trial
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation Concealment
Randomisation communicated within sequential, sealed, opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Design
Single centre, individually randomised controlled trial.
Intervention and routine undergraduate’s education
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Routine undergraduate education
Truly randomised, computer generated. Simple randomisation by using a randomisation table created by computer software (i.e., computerised sequence generation).
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
5/12/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
101
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4683
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United Kingdom
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State/province [1]
4683
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London
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Funding & Sponsors
Funding source category [1]
286350
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Charities/Societies/Foundations
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Name [1]
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Barts and The London Charity
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Address [1]
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Ground Floor
12 Cock Lane
London
EC1A 9BU
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Country [1]
286350
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United Kingdom
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Primary sponsor type
University
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Name
Queen Mary, University of London
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Address
Mile End Rd
London Borough of Tower Hamlets
London
E1 4NS
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Country
United Kingdom
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Secondary sponsor category [1]
285138
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None
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Name [1]
285138
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Address [1]
285138
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Country [1]
285138
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288433
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Queen Mary, University of London Research Ethics Comittee
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Ethics committee address [1]
288433
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Mile End Rd London Borough of Tower Hamlets London E1 4NS
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Ethics committee country [1]
288433
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United Kingdom
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Date submitted for ethics approval [1]
288433
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Approval date [1]
288433
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17/10/2012
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Ethics approval number [1]
288433
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QMREC2012/67
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Summary
Brief summary
There are considerable challenges in training undergraduate medical students to perform the pelvic examination. These difficulties are due to several factors including the potential embarrassment to patients, discomfort of medical students and limited opportunities to train in clinical settings because of time constraints and unwilling patients. Traditional training methods have included manikins, videos and patients within clinical settings including anaesthetised patients. Medical students who have learnt by these methods achieve poor training outcomes. As a qualified doctor this lack of confidence results in increased discomfort for women and reduced reliability of the results obtained which ultimately affects patient care. Training utilising manikins only develops technical skills with no emphasis on communication or interpersonal skill development. Training involving ‘real patients’ in clinical settings is associated with high levels of medical student anxiety and discomfort, difficulties in finding willing patients associated with the possibility of patient right infringement and lack of patient feedback on performance. These difficulties have resulted in increasing volumes of training involving anaesthetised patients. Utilising anaesthetised patients presents difficulties in obtaining informed consent, lack of patient feedback with training entirely focused on technical skills with little duplication of the conditions where the majority of pelvic examinations are performed as a doctor. Gynaecological Teaching Associates (GTAs) have been employed for many years in the Netherlands and USA with the first programme described in 1978. In the United Kingdom many medical schools, notably Kings College London and The University of Birmingham, have developed comprehensive GTA programs to train medical students. GTAs are women trained to teach pelvic examination with themselves being examined. They work in pairs, with one acting as a patient and the other as an instructor. It is anticipated the introduction of GTAs as active teachers could assist medical students in the gaining new clinical skills, improved confidence in counselling, development of complex communication skills with a reduction in anxiety associated with training. In the future it is likely any improvement will have a direct impact on patient care and improved patient outcomes. GTAs are an established component of undergraduate training in many counties and becoming more widespread in the United Kingdom. Many low quality studies have reported positive outcomes for both GTAs and medical students. Further high quality research is required to objectively assess the positive and negative outcomes for both students and patients. The study objective is to provide robust evidence to evaluate the GTA program for the delivery of undergraduate pelvic examination training. Evaluation themes include: 1. Competence to perform pelvic examination Technical skills Communication skills Interpersonal skills Patient experience 2. Student anxiety 3. Student evaluation of program
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Trial website
N/A
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Trial related presentations / publications
N/A
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
34961
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Email
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Contact person for public queries
Name
18208
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Dr James M N Duffy
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Address
18208
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Women’s Health Research Unit
Blizard Institute
58 Turner Street
London
E1 2AB
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Country
18208
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United Kingdom
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Phone
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+44 79 5011 5547
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Fax
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+44 20 7882 6047
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Email
18208
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[email protected]
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Contact person for scientific queries
Name
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Dr James M N Duffy
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Address
9136
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Women’s Health Research Unit
Blizard Institute
58 Turner Street
London
E1 2AB
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Country
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United Kingdom
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Phone
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+44 79 5011 5547
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Fax
9136
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+44 20 7882 6047
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Email
9136
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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