Thiessen Gabriella M, Atkinson Dean J
McGovern Medical School at UTHealth Houston, Houston, TX, USA.
Acad Psychiatry. 2025 Feb;49(1):70-74. doi: 10.1007/s40596-024-02026-1. Epub 2024 Aug 19.
This article details a novel intervention for teaching psychiatric interviewing techniques implemented at McGovern Medical School at UTHealth Houston.
Forty medical students played the newly developed educational game Psychobabble to enhance their assessment of auditory hallucinations. Pre-session and post-session surveys assessed students' inquiry methods, competence, training relevance, and exercise efficacy. Paired t-tests compared pre-session and post-session data. Qualitative analysis identified emergent themes from participant comments.
There was an average increase of 12.11 questions between the estimated number of questions (mean = 9.57; SD = 6.00) and the actual number of questions formulated during the game (mean = 21.68; SD = 5.40; p < 0.01). There was a significant increase from the pre-session (mean = 1.82; SD = 0.97) to the post-session (mean = 3.72; SD = 0.76) self-reported competence levels, which more than doubled on average (p < 0.01).
The themes that emerged from the qualitative data demonstrate that Psychobabble encourages creativity, broadens assessment methods, has educational significance for learners, and may ultimately lead to improved patient care by enhancing the understanding and diagnosis of psychiatric symptomatology. Medical schools and residency training programs should consider incorporating educational games such as Psychobabble to enhance the interviewing techniques of trainees and their self-efficacy in these skills.
本文详细介绍了休斯顿德克萨斯大学麦戈文医学院实施的一种教授精神科访谈技巧的新型干预措施。
40名医学生玩了新开发的教育游戏“心理呓语”,以增强他们对幻听的评估能力。课前和课后调查评估了学生的询问方法、能力、培训相关性和练习效果。配对t检验比较了课前和课后的数据。定性分析确定了参与者评论中出现的主题。
估计问题数量(平均值=9.57;标准差=6.00)与游戏中实际提出的问题数量(平均值=21.68;标准差=5.40;p<0.01)之间平均增加了12.11个问题。自我报告的能力水平从课前(平均值=1.82;标准差=0.97)到课后(平均值=3.72;标准差=0.76)有显著提高,平均提高了一倍多(p<0.01)。
定性数据中出现的主题表明,“心理呓语”鼓励创造力,拓宽评估方法,对学习者具有教育意义,并最终可能通过增强对精神症状的理解和诊断来改善患者护理。医学院校和住院医师培训项目应考虑纳入“心理呓语”等教育游戏,以提高学员的访谈技巧及其在这些技能方面的自我效能感。