One-Minute Preceptor to Improve Bedside Teaching
One-Minute Preceptor to Improve Bedside Teaching: a Cluster Randomized Trial in Residents
Can Tho University of Medicine and Pharmacy
450 participants
Aug 20, 2025
INTERVENTIONAL
Conditions
Summary
Intervention Model: Parallel Assignment Model Description: Cluster-randomized by preceptor (30 clusters; 15 OMP/15 control). Outcomes at student level; 15 students per cluster. Adequate OMP exposure is defined a priori as ≥2 structured OMP feedback encounters (≥5 minutes each) delivered across ≥2 separate weeks of the rotation. Masking: Outcomes Assessor
Eligibility
Inclusion Criteria10
- A. Student participants (outcome level):
- Aged ≥18 years at enrollment.
- Enrolled Year 4-medical students assigned to one of the participating preceptor-led bedside teaching groups during the study period.
- Expected to attend the rotation for 8-12 weeks (or the site's standard rotation length).
- Able to provide informed consent (and agree to be observed/assessed via mini-CEX).
- \- B. Preceptor clusters (randomized units):
- Resident physicians serving as bedside teaching preceptors in participating departments.
- Will supervise approximately 15 students during the study period.
- Agree not to cross over to teach students in the opposite trial arm during the trial period.
- Able to attend OMP training and permit fidelity observation (checklist) if allocated to the intervention.
Exclusion Criteria9
- A. Student participants:
- Prior exposure to formal OMP-based teaching within the past 6 months in the same department.
- Not expected to remain on the rotation long enough to be assessed (e.g., planned absence \>2 weeks or early withdrawal).
- Declines or withdraws informed consent.
- Severe communication barrier that precludes valid assessment (e.g., language barrier without support).
- \- B. Preceptor clusters:
- Formal OMP training within the past 12 months (to avoid contamination), or role as an OMP trainer for other faculty during the study period.
- Planned cross-coverage that would result in teaching students from both arms during the trial period.
- Anticipated extended leave making fidelity and outcome assessments infeasible.
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Interventions
Faculty development workshop (90 min), pocket card, coaching, audit with OMP 5-step fidelity checklist.
Locations(1)
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NCT07305077