Blamey Helen, Harrison Charlotte H, Roddick Alistair, Malhotra Tina, Saunders Kate E A
John Radcliffe Hospital, Oxford, UK.
Oxford University Clinical Academic Graduate School, John Radcliffe Hospital, Oxford, UK.
BJPsych Bull. 2023 Oct;47(5):287-295. doi: 10.1192/bjb.2022.40.
To investigate whether a psychiatry-specific virtual on-call training programme improved confidence of junior trainees in key areas of psychiatry practice. The programme comprised one 90 min lecture and a 2 h simulated on-call shift where participants were bleeped to complete a series of common on-call tasks, delivered via Microsoft Teams.
Thirty-eight trainees attended the lecture, with a significant improvement in confidence in performing seclusion reviews ( = 0.001), prescribing psychiatric medications for acute presentations ( < 0.001), working in section 136 suites (places of safety) ( = 0.001) and feeling prepared for psychiatric on-call shifts ( = 0.002). Respondents reported that a virtual on-call practical session would be useful for their training (median score of 7, interquartile range 5-7.75). Eighteen participants completed the virtual on-call session, with significant improvement in 9 out of the 10 tested domains ( < 0.001).
The programme can be conducted virtually, with low resource requirements. We believe it can improve trainee well-being, patient safety, the delivery of training and induction of rotating junior doctors during the COVID-19 pandemic and it supports the development and delivery of practical training in psychiatry.
调查一项针对精神科的虚拟随叫随到培训计划是否能提高初级学员在精神科实践关键领域的信心。该计划包括一场90分钟的讲座和一次2小时的模拟随叫随到轮班，参与者通过Microsoft Teams接收传呼以完成一系列常见的随叫随到任务。
38名学员参加了讲座，在进行隔离审查的信心方面有显著提高（P = 0.001），在为急性病症开具精神科药物方面（P < 0.001），在第136号病房（安全场所）工作方面（P = 0.001）以及对精神科随叫随到轮班做好准备方面（P = 0.002）。受访者表示虚拟随叫随到实践课程对他们的培训有用（中位数得分7，四分位间距5 - 7.75）。18名参与者完成了虚拟随叫随到课程，在10个测试领域中的9个领域有显著改善（P < 0.001）。
该计划可以通过虚拟方式进行，资源需求较低。我们认为它可以改善学员的幸福感、患者安全、培训的提供以及在COVID - 19大流行期间对轮转初级医生的入职培训，并且它支持精神科实践培训的开发和实施。
