NCT02278679

Digital Rectal Exam Proficiency Tool

Validation of the DiRECT Proficiency Tool

• Status: Unknown
• Phase: —
• Study type: Observational
• Enrollment: 410 (estimated)
• Sponsor: University of Virginia · Academic / Other
• Sex: Male
• Age: 30 Years – 90 Years
• Healthy volunteers: Not accepted

Summary

A digital rectal exam proficiency tool, titled the 'DiRECT' was developed based on the consensus of 10 experts. The purpose of this study is to validate this tool for use in both undergraduate and graduate medical education .

Detailed description

First, it will be validated on 120 anesthetized patients undergoing prostate surgery, comparing responses on the digital rectal exam clinical tool (DiRECT) from both expert and novice clinicians, with surgical pathology reports. The second phase of validation will involve the participation of standardized patients, medical students and MUTA (medical urology teaching associate). During a standardized patient exercise focusing on digital rectal exam in the University of Virginia School of Medicine curriculum, 160 second-year medical students will be given the DiRECT to document their examination. An attending physician will also attend the standardized patient exercise and document their examination for comparison with the medical students. The third phase includes 8 residents and up to10 attendings in the Urology clinic, who will independently complete the DiRECT documenting their DRE in the course of usual care. Comparison of faculty and student/trainee responses in all phases will be used for validation of the clinical tool for further use in medical education.

Conditions

• Prostatic Hyperplasia
• Prostate Cancer

Interventions

Type	Name	Description
PROCEDURE	Digital Rectal Exam	The DRE digital rectal exam is an essential component of physical examination, but physicians enter their residency having neither been appropriately exposed nor trained in performing DREs. , the attending physician, resident physician(s), and medical student(s) will each perform a digital rectal exam on the subject, and independently document their examination on the DiRECT instrument.

Timeline

• Start date: 2014-10-01
• Primary completion: 2017-12-01
• Completion: 2018-06-01
• First posted: 2014-10-30
• Last updated: 2017-05-18

Locations

1 site across 1 country: United States