NCT07475104

Redesigning Surgical Care for Patients in Wisconsin

Enrolling by Invitation
NAAges 18+InterventionalHealth services
University of Wisconsin, Madison
~660 participants
Updated 2026-05-04 on ClinicalTrials.gov
What's tested:Education Specialist Delivered TrainingAutomated Training

At a glance

Recruiting sites
0 of 2 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Percentage of surgeons trained to competence
Measured over At completion of the assessment phase (after 10 training recordings and 5 assessment recordings per surgeon), approximately 3-12 months
Communication
Surgery
Shared Decision Making
2 sites across 1 states
Wisconsin2
  • Margaret (Gretchen) L Schwarze, MD, MPP · PRINCIPAL_INVESTIGATOR · UW School of Medicine and Public Health

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Eligibility criteria

Inclusion

Surgeons who work in the University of Wisconsin-Madison and Medical College of Wisconsin who have an outpatient surgical clinic and treat adult patients at UW Health or Froedtert Hospital and MCW
Adult patients with decision making capacity
Presenting to an enrolled surgeon's clinic with a surgical problem to discuss treatment

Exclusion

Surgeons who solely treat minors (under age 18), i.e., pediatric surgeons, will be excluded from this study, but training will be made available to them outside of this study.
Surgeons at UWH who have previously been trained to use Better Conversations (25 surgeons) are excluded.
Adult patients who do not have decision making capacity will be excluded.
Individuals who do not speak English will be excluded.
  • Percentage of surgeons trained to competenceAt completion of the assessment phase (after 10 training recordings and 5 assessment recordings per surgeon), approximately 3-12 months

    Competence is assessed using the established 10-item adherence checklist, yielding a total possible score ranging from 0 to 10, applied to the five assessment audio recordings obtained after each surgeon completes the 10 training recordings. Higher scores indicate greater fidelity to the Better Conversations framework, competence is 6 or higher. The performance of surgeons in the automated-training group will be compared with those in the education-specialist training group, and non-inferiority will be evaluated using a 5% non-inferiority margin. Feasibility is defined as greater than or equal to 80 percent of surgeons trained to competence.