- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT01416727
Simulation Training vs Workplace-Based Supervision in Psychiatry (EPIC-OSkER)
A Randomised Trial of Simulation Training vs Workplace-Based Supervision for Junior Doctors in Psychiatry
Studieöversikt
Status
Betingelser
Intervention / Behandling
Detaljerad beskrivning
Junior doctors starting work in psychiatry soon encounter a number of situations in the workplace for which they have had little or no preparation either at medical school or from work in other specialities. They will encounter clinically complex situations such as rapid tranquillisation, crisis presentations of self-harm, suicide risk assessment, overseeing supervised confinement and making decisions to admit or discharge mentally ill patients. Furthermore, many of these situations occur out of hours when there is little direct senior supervision available. The traditional induction programme is delivered in a didactic format, which does not encourage effective learning, nor does it allow any opportunity to practise or acquire hands-on skills or non-technical skills such as interprofessional communication, leadership and situational awareness. In the interests of patient safety and improving the quality of care and patient's experience, there is an urgent need to identify ways of improving induction and quickly equipping junior doctors with the clinical skills necessary to practise safely in psychiatry. We propose to evaluate and compare two approached to improved skills training in psychiatry: 1. workplace-based observation and feedback; 2. simulation training.
All new junior doctors starting work in the South London and Maudsley NHS Foundation Trust, London, UK, in August 2011 will be invited to take part in a randomised controlled trial of training in addition to the standard induction. Following a day of lectures on relevant clinical topics, participants will be randomly allocated to receive either observed workplace-based training by a more senior doctor during their on-call duties, or a two-day simulation-based training course. Before and after the training, assessments of participants' clinical skills and attitudes will be carried out by questionnaires and by observations of simulated clinical encounters. Changes in performance will be compared between the two groups. Longer term evaluation will be carried out by means of qualitative interviews and simulated clinical encounters once participants have been working for several months.
Studietyp
Inskrivning (Förväntat)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
-
-
-
London, Storbritannien, SE5 9RJ
- Institute of Psychiatry, King's College London
-
-
Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- Junior doctors starting work at the South London and Maudsley NHS Foundation Trust in August 2011 in any of the following grades: 1. Core Psychiatric Training; 2. Foundation Training; 3. General Practice Vocational Training; 4. Core Trainee 1-3 equivalent posts, e.g. long-term locums
Exclusion Criteria:
- Unwillingness to participate in the study
- Inability to attend the training programme or participate in the evaluation
Studieplan
Hur är studien utformad?
Designdetaljer
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Experimentell: OSkER
"Observed SKills in the Emergency Room" - workplace-based supervision.
|
For four weeks, participants will be accompanied by a senior psychiatric registrar or consultant psychiatrist, who has received training in giving feedback, during their on-call duties.
Each participant will receive between 8-12 hours of 1:1 training.
|
Experimentell: EPIC
"Emergency Psychiatry Immersion Course" - simulation-based training.
|
A two-day simulation-based training course covering assessment of self-harm, capacity, managing aggression, working with the emergency team and medical emergencies in the psychiatric hospital
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Change in global clinical skills
Tidsram: Baseline; 4 weeks; 16 weeks
|
Participants will participate in a single simulated clinical encounter.
Encounters will be video-recorded and then rated by observers, who are blind to the allocation status and time point of each video, using a global rating scale.
|
Baseline; 4 weeks; 16 weeks
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Change in technical clinical skills
Tidsram: Baseline; 4 weeks; 16 weeks
|
Participants will participate in a single simulated clinical encounter.
Encounters will be video-recorded and then rated by observers, who are blind to the allocation status and time point of each video, using a checklist-based rating scale.
|
Baseline; 4 weeks; 16 weeks
|
Change in attitudes towards teamworking
Tidsram: Baseline; 4 weeks; 16 weeks
|
The Operating Room Management Attitudes Questionnaire will be modified to be appropriate for working in psychiatry.
|
Baseline; 4 weeks; 16 weeks
|
Change in attitudes towards self-harm
Tidsram: Baseline; 4 weeks; 16 weeks
|
The Attitudes to Deliberate Self-Harm Questionnaire
|
Baseline; 4 weeks; 16 weeks
|
Self-reported views on usefulness and acceptability of the training programmes
Tidsram: 4 weeks
|
Post-course feedback questionnaire
|
4 weeks
|
Qualitative evaluation
Tidsram: 8 - 12 weeks
|
Focus groups will be conducted to evaluate how participants have learned to manage psychiatric emergencies, and the contribution of the courses to their learning.
|
8 - 12 weeks
|
Samarbetspartners och utredare
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Förväntat)
Avslutad studie (Förväntat)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Andra studie-ID-nummer
- 2011/051
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