The goal of this clinical triall is to investigate the training effect of access to authentic patient video on mental status examination performance among 5th year Danish medical students. Aim: To investigate if * Students with add-on access to an authentic patient video e-library have improved Mental Status Examination precision compared to students that only have an add-on e-library with simulated patient videos. * Number of videos watched correlate to mental status examination test scores.
The main study is a a two-armed, pragmatic cluster-randomised, superiority, partial-blinded, randomized controlled trial where the interventions are e-learning courses that serves as add-on learning material during the psychiatric clerkship. Two student groups are compared. The experimental intervention(V) is a larger e-learning module, where the students have access to 23 authentic patient video vignettes and an e-module on mental status exam including demonstration videos with simulated patients (actor videos). The comparator students (N-V) only have access to the e-module on mental status exam including demonstration videos with simulated patients. All students participate in the regular Psychiatry curriculum i.e. 16 lectures in one week and psychiatric clerkship in three weeks. As students have their clerkship in 10 different facilities across the Island of Zealand, we carry out cluster-randomization based on clerkship location. Communication, recruitment and data management is carried out within the university teaching platform (CANVAS), by manual extraction, and by questionnaires distributed by SurveyXact.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
290
Authentic patient videos for self-regulated training as well as written e-course material, both on the mental status exam
Written material on the mental status exam
Mental Health Service Capital Region
Copenhagen, Denmark
Mental Health Service Region Zealand
Slagelse, Denmark
Mental status exam skills test
The test consists of three subtests each consisting of a video vignette, not accessible in the library (i.e. none of the students had seen it previously) with a forced choice test (FCT). This results in a scoring range of -15 to + 15 points per FCT. The MSE-skills test score consists of the student's average score of the three FCTs.
Time frame: A week after the intervention
MSE skill test score stratification
We will explore if there is a difference between gender, each individual video and attitude towards psychiatry on the MSE skill test score
Time frame: Baseline
General evaluation of the clinical rotation
The evaluation is carried out by a validated questionnaire of 10 items, to be answered on a 5-point Likert scale. Purpose-made supplementary questions concerning the student's number of patient encounters alone and with a doctor/staff and area of interest in psychiatry
Time frame: Immediately after the intervention
Questions concerning use of the video e-library
time spend on each task/video ; evaluation of/satisfaction with the different element of the e-library
Time frame: Immediately after the intervention
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