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Learning Process of Medical Students During Simulation Training in Psychiatry (APSIMP)

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ClinicalTrials.gov Identifier: NCT03983798
Recruitment Status : Completed
First Posted : June 12, 2019
Last Update Posted : October 15, 2019
Sponsor:
Information provided by (Responsible Party):
Institut Mutualiste Montsouris

Brief Summary:

In french context, simulation training is not well implemented in medical school, mainly in psychiatry. We aim to build a formative and summative assessment tool of competences specific to this pedagogic context, so as to support its development.

This studies aims to explore learning process and factors supporting or preventing from learning of medical students during simulation in psychiatry.

A convenient sample of 72 voluntary participants, allocated among 6 groups of around 12 students, will be recruited at Paris Descartes, Paris Diderot and Brest Universities between september of 2018 and june of 2019. Each participant will complete 6 hours of psychiatric simulation training, dealing with mood disorders, anxious disorders, eating disorders, borderline disorders, substance abuse and schizophrenia.

Participant will be offered to complete a portfolio about learning process during the trimester they are involved, a concept gap before and after each training and the " Learning Effectiveness Inventory Scale "at the end of simulation. A purposive sample of students will have to complete a face-to-face semi-interview (until reaching data saturation).

Video record of simulation and audio-record of debriefing will be analysed to enhance triangulation process of analysis.


Condition or disease Intervention/treatment
Role Playing Psychology Learning Other: Simulation training in psychiatry

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Study Type : Observational
Actual Enrollment : 72 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Learning Process of 5th Year Medical Students During Simulation Training in Psychiatry: a Multicentric Mixed Method Study
Actual Study Start Date : October 16, 2018
Actual Primary Completion Date : January 2, 2019
Actual Study Completion Date : July 10, 2019

Group/Cohort Intervention/treatment
Simulation training in psychiatry
Convenient sample of 72 voluntary medical students, allocated among 6 groups of around 12 students, will be recruited at Paris Descartes, Paris Diderot and Brest Universities between september of 2018 and June of 2019.
Other: Simulation training in psychiatry

Each participant will complete 6 hours of psychiatric simulation training, dealing with mood disorders, anxious disorders, eating disorders, borderline disorders, substance abuse and schizophrenia. Simulation training will be supplemented by brief lecture on concept map and portfolio at the beginning of the first hour.

Curriculum integration of simulation training in psychiatric course assure that each pathology studied is supplemented by a one-hour lecture and 1 to 3 hours clinical cases and MCQ training. A part of the medical students are supplemented by clinical practice ; whereas the other won't benefit from clinical practice.





Primary Outcome Measures :
  1. Learning process assessed by qualitative approach ( constructivist Grounded Theory) through semi-structured interviews. [ Time Frame: 6 weeks ]
    Learning process assessed by semi-structured face-to-face interview from a purposive sample of participants, until reaching data saturation. There are no scale, no score, we have just to follow this qualitative method of analysis (Glaser BG, Strauss AL. The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine; 1967).

  2. Learning process assessed by qualitative approach ( constructivist Grounded Theory) through written port-folio. [ Time Frame: 6 weeks ]
    Learning process assessed on written port-folio with open questions on learning process on each simulation session, until reaching data saturation.There are no scale, no score, we have just to follow this qualitative method of analysis (Glaser BG, Strauss AL. The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine; 1967).


Secondary Outcome Measures :
  1. Factors supporting or preventing learning of 5th year medical students during simulation training in psychiatry assessed by qualitative approach ( constructivist Grounded Theory) through semi-structured interviews. [ Time Frame: 6 weeks ]
    Factors supporting or preventing learning process assessed by semi-structured face-to-face interview from a purposive sample of participants, until reaching data saturation.There are no scale, no score, we have just to follow this qualitative method of analysis (Glaser BG, Strauss AL. The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine; 1967).

  2. Factors supporting or preventing learning of 5th year medical students during simulation training in psychiatry assessed by qualitative approach ( constructivist Grounded Theory) through written port-folio. [ Time Frame: 6 weeks ]
    Factors supporting or preventing learning process assessed on written port-folio with open questions on factors supporting or preventing from learning process on each simulation , until reaching data saturation.There are no scale, no score, we have just to follow this qualitative method of analysis (Glaser BG, Strauss AL. The discovery of grounded theory: Strategies for qualitative research. Chicago: Aldine; 1967).

  3. Evolution of concept map on main psychiatric disorders studied during psychiatric simulation. [ Time Frame: Before and immediately after simulation ]
    Quantitative and qualitative analysis of concept map to understand cognitive reasoning.There are no consensual and validated method to assess cognitiv reasoning with concept map for the time being. There is 3 method tried to assess mind map. We plan to compute these method with qualitative approach.

  4. Satisfaction about learning: Self-questionnaire [ Time Frame: Immediately after the end of simulation ]

    Self-questionnaire: "Simulation Learning Effectiveness Inventory" (SLEI), divided in 7 different section with 32 questions. Each question is quoted on a 5-points Lickert scale (1 for not at all; 5 for "totaly agree"). Results are reported individually for each question, or by a mean on 5-points Lickert scale for each section: course; ressource; debrief; clinical ability; confidence; problem solving; collaboration.

    (Chen SL, Huang TW, Liao I-c, Liu C. Development and validation of the Simulation Learning Effectiveness Inventory. Journal of advanced nursing. 2015;71(10):2444-53.)


  5. Sociodemographic and other questions [ Time Frame: Immediately after the end of simulation ]
    Age, gender, previous experience in simulation, in psychiatry and in psychiatric simulation, first, second and third specialty choice



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Probability Sample
Study Population
Voluntary medical students recruited at Paris Descartes, Paris Diderot and Brest Universities
Criteria

Inclusion Criteria:

  • Age > to 18 years old
  • Undergraduate medical student of Paris Descartes, Paris Diderot or Brest University
  • During university year 2018-2019
  • French or English langage
  • Agreement

Exclusion Criteria:

•Refusal of agreement


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03983798


Locations
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France
Institut Mutualiste Montsouris
Paris, Ile De France, France, 75014
Institut mutualiste montsouris
Paris, France, 75014
Sponsors and Collaborators
Institut Mutualiste Montsouris
Investigators
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Principal Investigator: Marie-Aude PIOT, MD, PhD Institut Mutualiste Montsouris
Publications:
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Responsible Party: Institut Mutualiste Montsouris
ClinicalTrials.gov Identifier: NCT03983798    
Other Study ID Numbers: PSY-04-2018
First Posted: June 12, 2019    Key Record Dates
Last Update Posted: October 15, 2019
Last Verified: July 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Institut Mutualiste Montsouris:
Simulation training
Patient simulation
Psychiatric
Medical students
Educational
Medical