Imperial College London
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Dr Chris Tomlinson

Faculty of Medicine, Department of Surgery & Cancer

Honorary Research Fellow
 
 
 
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Contact

 

chris.tomlinson

 
 
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Location

 

Burlington DanesHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{White:2019:10.1177/0269216319880767,
author = {White, N and Oostendorp, LJM and Tomlinson, C and Yardley, S and Ricciardi, F and Gokalp, H and Minton, O and Boland, JW and Clark, B and Harries, P and Stone, P},
doi = {10.1177/0269216319880767},
journal = {Palliative Medicine},
pages = {134--144},
title = {Online training improves medical students' ability to recognise when a person is dying: The ORaClES randomised controlled trial},
url = {http://dx.doi.org/10.1177/0269216319880767},
volume = {34},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background:Recognising dying is a key clinical skill for doctors, yet there is little training.Aim:To assess the effectiveness of an online training resource designed to enhance medical students’ ability to recognise dying.Design:Online multicentre double-blind randomised controlled trial (NCT03360812). The training resource for the intervention group was developed from a group of expert palliative care doctors’ weightings of various signs/symptoms to recognise dying. The control group received no training.Setting/participants:Participants were senior UK medical students. They reviewed 92 patient summaries and provided a probability of death within 72 hours (0% certain survival – 100% certain death) pre, post, and 2 weeks after the training. Primary outcome: (1) Mean Absolute Difference (MAD) score between participants’ and the experts’ scores, immediately post intervention. Secondary outcomes: (2) weight attributed to each factor, (3) learning effect and (4) level of expertise (Cochran–Weiss–Shanteau (CWS)).Results:Out of 168 participants, 135 completed the trial (80%); 66 received the intervention (49%). After using the training resource, the intervention group had better agreement with the experts in their survival estimates (δMAD = −3.43, 95% CI −0.11 to −0.34, p = <0.001) and weighting of clinical factors. There was no learning effect of the MAD scores at the 2-week time point (δMAD = 1.50, 95% CI −0.87 to 3.86, p = 0.21). At the 2-week time point, the intervention group was statistically more expert in their decision-making versus controls (intervention CWS = 146.04 (SD 140.21), control CWS = 110.75 (SD 104.05); p = 0.01).Conclusion:The online training resource proved effective in altering the decision-making of medical students to agree more with expert decision-making.
AU  - White,N
AU  - Oostendorp,LJM
AU  - Tomlinson,C
AU  - Yardley,S
AU  - Ricciardi,F
AU  - Gokalp,H
AU  - Minton,O
AU  - Boland,JW
AU  - Clark,B
AU  - Harries,P
AU  - Stone,P
DO  - 10.1177/0269216319880767
EP  - 144
PY  - 2019///
SN  - 0269-2163
SP  - 134
TI  - Online training improves medical students' ability to recognise when a person is dying: The ORaClES randomised controlled trial
T2  - Palliative Medicine
UR  - http://dx.doi.org/10.1177/0269216319880767
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000496689700001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://journals.sagepub.com/doi/10.1177/0269216319880767
UR  - http://hdl.handle.net/10044/1/75408
VL  - 34
ER  -
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