Intimidation of medical students by health care professionals is a well-documented phenomenon. Raising awareness of what constitutes intimidation is a preferred method for preventing it through increased reporting. Simulation is a novel method of raising awareness of intimidation. This is a randomised controlled trial comparing the effectiveness of simulation (involving actors), an educational video and no intervention, as adjuncts to group discussion, on students' ability to identify and report intimidation. Medical students from the University of Montreal in Montreal, Canada, will be recruited at the beginning of surgical clerkship. They will complete a standardized and validated pre-intervention questionnaire on their experience with intimidation consisting of multiple choice questions and short answers. They will be randomised to one of the three interventions lasting 70 minutes that will be followed by a 20-minute standardized discussion on intimidation with all students participating together. At the end of their surgical rotation, they will complete a similar post-intervention questionnaire with additional questions pertaining to the reporting of intimidation. Differences in intimidation reporting after the intervention as well as a before and after comparison of the "Negative Acts Questionnaire" score will be studied.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
129
Students witness the intimidation of one of their peers (who is an actor) by a professor (also an actor). (see arm description)
Student watch a 15-minute intimidation video (see arm description).
No intervention. The students suture for 70 minutes
Faculté de Médecine de l'Université de Montréal
Montreal, Quebec, Canada
Comfort in reporting intimidation
Based on post-intervention questionnaire question.
Time frame: 6 weeks after enrollment
Perception of intimidation after intervention
Based on post-intervention Negative Acts Questionnaire (NAQ-R)
Time frame: 6 weeks after enrollment
Baseline prevalence of intimidation
Based on pre-intervention Negative Acts Questionnaire (NAQ-R)
Time frame: at enrollment
Before and after comparison
Difference between pre and post-intervention Negative Acts Questionnaire (NAQ-R)
Time frame: at enrollment vs 6 weeks post-intervention
Reasons for not reporting intimidation
Open-ended question asking why students don't report intimidation
Time frame: at enrollment
Frequency of intimidation reporting
Did the students report intimidation during the 6 weeks of their surgical clerkship?
Time frame: 6 weeks post-intervention
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