Clinical trial · Interventional
Simulation Training in Emergency Department Imaging 2
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Background and study aims: Computerised Tomography (CT) head scans are frequently requested by Emergency Department (ED) clinicians as one of the investigations for their patients. This often causes a delay when waiting for specialist radiologists to report the findings of the scan. The purpose of this study is to see if online training can improve the ability of ED clinicians to interpret the scans themselves, to a level sufficient to make clinical decisions based on their findings and to explore what aspects of this process they find most challenging. Participants: Emergency Department clinicians who are working in the Emergency Departments of participating sites between April to September 2022 (inclusive), who request CT Head scans as part of their routine clinical practice. What does the study involve?: 180 ED clinicians will be recruited across 6 hospital sites in the United Kingdom. All will undertake a baseline online assessment to measure their accuracy in interpreting CT head scans. One group will then undertake an online training module, with a subsequent assessment immediately afterwards, then over the following 3 months will record interpretations for 30 CT head scans. Head images encountered in participants' routine clinical practice, and their findings, will be compared with the radiology reports for each scan. Participants will then undertake further online assessments 3 and 6 months after the start of the study. Their overall results will be compared with a control group, who will undergo the same process, but undertake the online training after they have tried to interpret 30 scans in their clinical practice. Participants will continue to base their clinical decisions on radiologist reports, not their own interpretations, so patient care will not be affected by this study.
Conditions
Conditions (5)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Brain Herniation | — | UNRESOLVED | — |
| Brain Tumor | Brain Neoplasm | ALIAS | 0.90 |
| Intracranial Bleed | — | UNRESOLVED | — |
| Skull Fractures | — | UNRESOLVED | — |
| Stroke | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Online training | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Intervention (training)
- description
- Users will access an online training module on the RAIQC simulation platform, featuring didactic tutorials and interactive case-based simulations on CT head pathologies such as haemorrhage, infarction, mass effect, and hydrocephalus. The training, designed to take 2-4 hours, is completed during protected non-clinical time. After training, users complete a post-training assessment with 50 different CT cases to evaluate immediate learning gain, followed by a second assessment. Over the next 3 months, users interpret at least 30 CT scans each during clinical shifts, recording their interpretations, the time scans were performed and reviewed, radiology report findings, and report issue times. At the end of 3 months, they repeat the assessment to measure performance, and again after a further 3 months to assess retention of any improvements.
- interventionNames
- Other: Online training
- type
- NO_INTERVENTION
- label
- Control (no Training)
- description
- To serve as a control for comparing the benefits of the online training and clinical interpretation phases on reporting performance, 30 participants (6 clinicians per site) will be randomized to complete the clinical interpretation phase before the training module. These subjects will not undergo online CT head interpretation training initially.
Eligibility
Eligibility (as posted)
- Sex
- All
Show eligibility criteria text
Inclusion Criteria: 1. Emergency department clinicians who review CT head scans as part of their clinical practice. 2. Working in the relevant ED during the clinical phase of the project. Exclusion Criteria: 1. Previous formal postgraduate CT reporting training. 2. Previous career to registrar level in radiology/neurosurgery. 3. Staff in Emergency Department post for less than 4 months.
References
Publications (0)
Data not yet available