RecruitingNot ApplicableNCT06941753

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

Effectiveness of Off-script Diagnosis & Differential Diagnosis (D&D) Training in Improving Residents' Competence in Acute Ischemic Stroke Diagnosis and Treatment

Sponsor

Peking Union Medical College Hospital

Enrollment

22 participants

Start Date

Jun 20, 2025

Study Type

INTERVENTIONAL

Conditions

Educational Problems Stroke, Acute Clinical Course

Summary

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

Inclusion Criteria4

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

Exclusion Criteria2

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.

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Interventions

OTHEROff-script diagnosis & differential diagnosis (D&D) training

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.