Hewson Thomas, Foster Hayley, Sanderson Ruth
Pennine Care NHS Foundation Trust, UK.
University of Manchester, UK.
BJPsych Bull. 2023 Aug;47(4):235-241. doi: 10.1192/bjb.2022.18.
The authors designed and delivered simulation training to improve the confidence and competence of junior doctors beginning work in psychiatry. Junior doctors completed various simulated psychiatry scenarios while receiving personalised feedback and teaching from their peers in online or socially distanced settings. Learners rated their confidence in psychiatry skills pre- and post-session, and Wilcoxon signed-rank tests were conducted to detect statistically significant differences. Qualitative feedback was analysed thematically.
Twenty-one junior doctors attended the training. There were statistically significant ( < 0.05) improvements in trainee confidence across all psychiatry skills tested. The most enjoyable aspects of the session included its 'interactivity', relevance to clinical practice, and 'realistic' and 'interesting' simulated scenarios.
Near-peer simulation teaching, delivered both in person and online, is effective at improving junior doctors' confidence in psychiatry. Delivering this training during placement induction could help to ensure adequate preparation of, and support for, new doctors.
作者设计并开展了模拟培训,以提高初入精神科工作的初级医生的信心和能力。初级医生在接受同伴的个性化反馈和指导的同时,在在线或保持社交距离的环境中完成各种模拟精神科场景。学习者在课程前后对其精神科技能的信心进行评分,并进行威尔科克森符号秩检验以检测统计学上的显著差异。对定性反馈进行了主题分析。
21名初级医生参加了培训。在所有测试的精神科技能方面,学员的信心有统计学上的显著提高(<0.05)。课程中最有趣的方面包括其“互动性”、与临床实践的相关性以及“逼真”和“有趣”的模拟场景。
现场和在线进行的近伴模拟教学在提高初级医生对精神科的信心方面是有效的。在入职培训期间提供这种培训有助于确保新医生得到充分的准备和支持。