Medical Education
Conditions
Keywords
e-learning, psychopathology, mental status examination
Brief summary
The goal of this clinical triall is to investigate the training effect of access to authentic patient video on mental status examination performance among 5th year Danish medical students. Aim: To investigate if * Students with add-on access to an authentic patient video e-library have improved Mental Status Examination precision compared to students that only have an add-on e-library with simulated patient videos. * Number of videos watched correlate to mental status examination test scores.
Detailed description
The main study is a a two-armed, pragmatic cluster-randomised, superiority, partial-blinded, randomized controlled trial where the interventions are e-learning courses that serves as add-on learning material during the psychiatric clerkship. Two student groups are compared. The experimental intervention(V) is a larger e-learning module, where the students have access to 23 authentic patient video vignettes and an e-module on mental status exam including demonstration videos with simulated patients (actor videos). The comparator students (N-V) only have access to the e-module on mental status exam including demonstration videos with simulated patients. All students participate in the regular Psychiatry curriculum i.e. 16 lectures in one week and psychiatric clerkship in three weeks. As students have their clerkship in 10 different facilities across the Island of Zealand, we carry out cluster-randomization based on clerkship location. Communication, recruitment and data management is carried out within the university teaching platform (CANVAS), by manual extraction, and by questionnaires distributed by SurveyXact.
Interventions
OTHERVideo-based self-regulated training on the mental status exam
Authentic patient videos for self-regulated training as well as written e-course material, both on the mental status exam
OTHERE-course with written material on the mental status exam
Written material on the mental status exam
Sponsors
University of Copenhagen
Psychiatric Research Unit, Region Zealand, Denmark
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Investigator, Outcomes Assessor)
Masking description
As mentioned, it will not be possible to mask students or local lecturers to allocation group. PI receives the clerkship student enrolment list from the faculty, randomize at clerkship location level and merge it with the consent lists collected digitally in SurveyXact. The students that have consented to participation receives individual invitation to the designated e-module. The instructor carrying out the digital mental status examination test, has no information of arm allocation. Statistical analysis will be performed by researcher blind to arm allocation, and masking will only be broken when the primary outcomes have been analyzed and a conclusion has been formulated based on the masked allocations.
Intervention model description
A parallel group, superiority, partial-blinded, cluster-randomized controlled trial where both interventions are an addition to the regular psychiatric clerkship.
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Consent * 5th year medical student at the University of Copenhagen on the psychiatric clinical rotation
Exclusion criteria
* Previous acess to the video library.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mental status exam skills test | A week after the intervention | The test consists of three subtests each consisting of a video vignette, not accessible in the library (i.e. none of the students had seen it previously) with a forced choice test (FCT). This results in a scoring range of -15 to + 15 points per FCT. The MSE-skills test score consists of the student's average score of the three FCTs. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| MSE skill test score stratification | Baseline | We will explore if there is a difference between gender, each individual video and attitude towards psychiatry on the MSE skill test score |
| General evaluation of the clinical rotation | Immediately after the intervention | The evaluation is carried out by a validated questionnaire of 10 items, to be answered on a 5-point Likert scale. Purpose-made supplementary questions concerning the student's number of patient encounters alone and with a doctor/staff and area of interest in psychiatry |
| Questions concerning use of the video e-library | Immediately after the intervention | time spend on each task/video ; evaluation of/satisfaction with the different element of the e-library |
Countries
Denmark
Outcome results
None listed