An interventional study of Video-based self-regulated training on the mental status exam and E-course with written material on the mental status exam in Medical Education, sponsored by Psychiatric Research Unit, Region Zealand, Denmark. Completed at 2 sites in Denmark. Per ClinicalTrials.gov, last updated 2023-04-03.
Sponsored by Psychiatric Research Unit, Region Zealand, Denmark · Not applicable, Interventional, and Other
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
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.
Psychiatric Research Unit, Region Zealand, Denmark is the lead sponsor of 15 studies on the registry; 3 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
The intervention consist of access to the video e-library on their e-learning platform. The video e-library consists of 23 videos of brief patient interviews, mostly with inpatients, with adjoining MSE written by three faculty psychiatrists. Selected videos are used for demonstration of phenomena, and five videos will have audio explanation of the resulting MSE. As well as the authentic patient videos on the e-library there are some pages with written theoretical instructions on the MSE, a brief animated movie and some simulated videos by an actor all regarding the MSE.
Other: Video-based self-regulated training on the mental status exam
For the present trial, also the NV students will receive the same non-authentic patient material I.E written theoretical instructions on the MSE, a brief animated movie and some simulated videos by an actor all regarding the MSE. Ensuring it is the authentic patient video e-library and not the theoretical information responsible for the expected difference in scores.
Other: E-course with written material on the mental status exam
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 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
Documents are hosted by the registry — open the source record to download them.
Plan to share: No
This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.
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Psychiatric Research Unit, Region Zealand, Denmark