Simulation in psychiatry for medical doctors: A systematic review and meta‐analysis

Piot, Marie-Aude; Dechartres, Agnès; Attoe, Chris; Jollant, Fabrice; Lemogne, Cédric; Burn, Carine Layat; Rethans, Jan‐Joost; Michelet, D.; Cross, Sean; Billon, Grégoire; Guerrier, Gilles; Tesnière, Antoine; Falissard, Bruno

doi:10.1111/medu.14166

Cited by 61 publications

(68 citation statements)

References 108 publications

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“…The effectiveness in improving knowledge of our one-day simulation training in psychiatry is coherent with previous results with medical students (15). The positive impact was maintained a few months after the training (27,28,52,53).…”

Section: Discussionsupporting

confidence: 85%

“…Model (21), which measures the impact on ve levels: 1) reaction effect: satisfaction/dissatisfaction of participants; 2) learning effect: participants improve their knowledge and change their attitudes, skills, or con dence; 3) behavioral effect: transfer of knowledge, skills and abilities in the everyday practice with patients; 4) patient results; and 5) return of investment (22)(23)(24). The meta-analysis showed the global effectiveness of simulation training in psychiatry on attitudes, skills, knowledge, and satisfaction (15).…”

Section: The Standard Reference For the Assessment Of A Learning Intementioning

confidence: 99%

“…A recent meta-analysis on simulation training in psychiatry for medical students, post-graduate trainees, and quali ed doctors reported a threefold increase in research over the past ten years (15). Several universities have introduced such training as compulsory (16) because medical students are demanding it for several reasons.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of a One-day Simulation-based Program in Psychiatry for Medical Students: A Controlled Study

Younès¹,

Delaunay²,

Roger³

et al. 2020

Preprint

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Background: Training in psychiatry requires specific knowledge, attitudes, and skills that are obtainable by simulation, which needs further development for medical students. After an analysis of previous research with medical students, we evaluated the effectiveness of a one-day teaching program in psychiatry by simulation and validated a scale measuring Confidence in Psychiatric Clinical Skills (CPCQ). Methods: The population was recruited during the 2019-2020 academic year among the 131 fifth-year undergraduate students at the French University of Versailles Saint-Quentin-en-Yvelines-Paris Saclay (the year of compulsory psychiatric training). A controlled study compared knowledge (university grades on the entire national program of psychiatry) and confidence (CPCQ scores) between a control group who received the usual psychiatric instruction and the simulation group who also participated in the simulation program. In the simulation group, satisfaction (including the quality of the debriefing) was investigated. The CPCQ scale was validated by assessing the factor structure, internal consistency, and test-retest reliability.Results: All fifth-year undergraduate medical students were included: 24 in the simulation group (voluntarily recruited) and 76 in the control group. Their knowledge did not differ before the simulation. After the simulation, knowledge and confidence increased significantly in the simulation group. Two months after the simulation, knowledge and confidence were significantly higher in the simulation group. Satisfaction with the training and debriefing was very high. The CPCQ scale showed good psychometric properties: a single-factor structure, acceptable internal consistency (α=0.73 [0.65 - 0.85]), and good test-retest reliability (ICC=0.71 [0.35 - 0.88]).Several limits were discussed.Conclusions: Adding a one-day simulation program in psychiatry to the usual teaching improved the knowledge and confidence of medical students even 2 months after. The CPCQ scale could be used for the evaluation of educational programs.

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Section: Discussionsupporting

confidence: 85%

Section: The Standard Reference For the Assessment Of A Learning Intementioning

confidence: 99%

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Effectiveness of a One-day Simulation-based Program in Psychiatry for Medical Students: A Controlled Study

Younès¹,

Delaunay²,

Roger³

et al. 2020

Preprint

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“…The expansion of simulation for psychiatry is another area of potential 46 . These courses should be re-offered to those who missed out on their clinical placements, as well as…”

Section: Opportunities To Mitigate the Potential Impact Of Covid-19 Omentioning

confidence: 99%

COVID-19, medical education and the impact on the future psychiatric workforce

Greig

2020

BJPsych Bull

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Since the start of the COVID-19 pandemic the NHS has been transformed to meet the acute healthcare needs of these patients. This has significantly affected medical education, both undergraduate and postgraduate, with potential long-term implications for psychiatric recruitment. This article discusses these ramifications and the opportunities available, to mitigate them, as well as enhance the profile of psychiatry. Introduction: When it became clear that the first two cases of SARS-CoV-2 reported in the UK in January 2020 1 , represented an emerging pandemic, the NHS completely reconfigured its services. To meet the needs of patients diagnosed with COVID-19 elective treatments were cancelled, face-to-face appointments moved online, and huge numbers of healthcare workers were redeployed. Whilst mass transfers of staff to frontline roles were facilitated, movements of other healthcare workers were delayed or cancelled. 20,000 junior doctors due to rotate on the 1 st April 2020 were informed by Health Education England 2 that, except in exceptional circumstances, their rotations were cancelled 2. At the same time, medical students throughout the country faced widespread disruption of their studies 3. Both these events have resulted in a significant number of undergraduate and postgraduate medical trainees missing out on

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“…SPT can improve work-related technical and theoretical knowledge, confidence and teamwork for diverse groups of professionals. 4 Much of the current SPT literature focuses on single professional groups, rather than the interactions among interprofessional teams. 5 Where the benefit of SPT for interprofessional teams has previously been evaluated, the findings have been promising showing increased confidence and knowledge scores.…”

Section: Introductionmentioning

confidence: 99%

Simulation training programme to improve the integrated response of teams in mental health crisis care

Vega

Williams

Saunders

et al. 2020

BMJ Simul Technol Enhanc Learn

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BackgroundThis report presents the findings of a simulation programme to improve the integrated response of teams working in mental health crisis (MHC) care. The programme consisted of the delivery of five interprofessional training courses that aimed to improve the core skills of teams working in MHC care.MethodsQuestionnaires were conducted pre-training and post-training, measuring participants’ human factors using the Human Factors SKills for Healthcare Instrument, as well as self-reported learning experience using free text questions.ResultsThe results found a significant change in human factors scores across all courses. Additionally, thematic analysis of the free text questions showed that participants identified improvements in communication, teamwork and clinical knowledge across all courses, with improvements in other skills in specific courses.ConclusionOverall, the findings suggest a positive impact of the simulation programme across a range of personal and clinical skills, developing further the case for including simulation training in routine mental healthcare education programmes. Future research should consider the long-term impact of interprofessional simulation training in MHC teams to gain further insight into the efficacy of this training modality.

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Simulation in psychiatry for medical doctors: A systematic review and meta‐analysis

Cited by 61 publications

References 108 publications

Effectiveness of a One-day Simulation-based Program in Psychiatry for Medical Students: A Controlled Study

Effectiveness of a One-day Simulation-based Program in Psychiatry for Medical Students: A Controlled Study

COVID-19, medical education and the impact on the future psychiatric workforce

Simulation training programme to improve the integrated response of teams in mental health crisis care

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