Digital Rectal Exam Proficiency Tool



Status:Recruiting
Conditions:Prostate Cancer, Cancer, Hematology, Urology
Therapuetic Areas:Hematology, Nephrology / Urology, Oncology
Healthy:No
Age Range:30 - 90
Updated:5/19/2017
Start Date:October 2014
End Date:June 2018
Contact:Tracey L Krupski, M.D.
Email:tlk6t@virginia.edu
Phone:434-924-0042

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Validation of the DiRECT Proficiency Tool

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 .

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.

Inclusion Criteria:

Subjects who are patients:

- Patients who are male and adults ≥ 30 years of age

- Standardized patients between the ages of 30-80 years participating in the University
of Virginia School of Medicine activity for second-year students learning digital
rectal exams

Subjects who are clinicians:

• Attending physician, resident physician, or medical student scrubbed in for a
prostatectomy or cystectomy, seeing patients in urology clinic, or participating in the
School of Medicine activity for second year students learning digital rectal exams

Exclusion Criteria:

List the criteria for exclusion

- Patients who do not have a prostate

- Patients with previous pelvic/perineal surgery

- Previously enrolled in this study
We found this trial at
1
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Charlottesville, Virginia 22908
Phone: 434-924-0042
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Charlottesville, VA
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