for people ages 18 years and up (full criteria)
Healthy Volunteers
healthy people welcome
at Stanford, California
study started
estimated completion



The main objective of this study is to demonstrate that Error Management Training improves adaptive expertise in head computed tomography interpretation. The investigators will conduct a randomized controlled trial comparing two learning strategies, Error Management Training vs Error Avoidance Training, in emergency medicine residents. The investigators hypothesize that Error Management Training, as compared to Error Avoidance Training, will improve adaptive expertise, as measured by skills transfer, when used to teach head computed tomography interpretation to emergency medicine residents.

Official Title

The FAIL CT Study: Facilitating Adaptive Expertise in Learning Computed Tomography, a Multi-center Randomized Controlled Trial


Adaptive expertise is the ability to apply existing skills to novel situations. Adaptive expertise enables physicians to reduce preventable medical errors when managing clinical scenarios not encountered during training. However, residency curricula rarely address this learning outcome. Error Management Training improves transfer of skills to new contexts and develops adaptive expertise. Although this methodology has been shown to improve adaptive expertise in procedural skills, its impact on cognitive skills in medical training remains underexplored. Error Management Training promises to improve patient care by developing emergency physicians' adaptive expertise. However, the investigators need further evidence for its efficacy with cognitive skills in residency training. The investigators aim to demonstrate that Error Management Training improves adaptive expertise in a cognitive skill, using head computed tomography interpretation as a model.


Adaptive Expertise, Error Management Training, Learning, Error Management Training (Difficult), Error Management Training (Easy), Error Avoidance Training


You can join if…

Open to people ages 18 years and up

- Study participation will be available to all current emergency medicine residents at Stanford and at thirteen external sites.

You CAN'T join if...

  • Adults unable to consent
  • Pregnant women
  • Individuals who are not yet adults (infants, children, teenagers)
  • Prisoners
  • Medical students
  • Residents from specialties other than emergency medicine


  • Stanford University
    Stanford California 94305 United States


accepting new patients by invitation only
Start Date
Completion Date
Stanford University
Study Type
Expecting 240 study participants
Last Updated