scholarly journals How effective is clinical simulation in improving medical students' confidence when interviewing patients with mental health problems?: a comparison of pre-COVID and post-COVID medical student experiences

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S273-S274
Author(s):  
Philippa Mitchell ◽  
Ella Varnish ◽  
Arthita Das

AimsClinical Simulation sessions were started in April 2020 to supplement reduced patient contact for medical students at the University of Sheffield due to COVID-19 restrictions. These were run by Foundation Trainees in psychiatry with supervision and oversight from a senior psychiatrist. This study aims to review current literature on remote teaching as a learning resource and will evaluate the effectiveness of clinical simulation as an alternative to patient contact, with the focus being on improving students’ confidence as well as developing clinical interview skills.MethodFeedback surveys were developed, focussing on confidence undertaking difficult aspects of psychiatric interviews, and distributed amongst two cohorts of medical students at the University of Sheffield. One cohort completed their face-to-face psychiatry placement in full pre-COVID, the other undertook placements consisting of virtual simulation sessions alongside reduced patient contact. Responses were collected online over 6 weeks between February and March 2021. As two medical students who completed face-to-face psychiatry placement prior to the pandemic, we have additionally submitted personal reflections as a comparator to current student experiences.ResultA total of 8 students in the clinical simulation cohort, and a total of 13 students from the face-to-face teaching cohort completed the questionnaire. 62.5% of students that responded were female and the remaining percentage identified as male. Students in the face-to-face cohort reported being more confident in 6 out of 7 aspects of our feedback surveys determining confidence undertaking clinical interview skills in comparison to the virtual simulation cohort. Students attended varying numbers of simulation sessions and ultimately the main restrictions and barriers to the simulation teaching reported by students are the time constraints during the sessions, and unstable internet connection.ConclusionOverall confidence levels in medical students are undoubtedly higher in students that completed full face-to-face placements in comparison to those with combined teaching. Based on student responses and review of current literature, clinical simulation appears to serve as a useful adjunct to students with reduced face-to-face contact in psychiatry, particularly for increasing confidence when interviewing more challenging patients. Immediate facilitator feedback and exposure to more difficult patient scenarios seem to be the most beneficial aspects. We would not advocate it as an exclusive form of teaching for medical students, but it may be a useful resource post-pandemic for providing students with extra learning opportunities, specifically targeted at developing confidence and skills in more difficult situations which will hopefully benefit them in their later careers.

2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii26-ii26
Author(s):  
Emma Toman ◽  
Claire Goddard ◽  
Frederick Berki ◽  
William Garratt ◽  
Teresa Scott ◽  
...  

Abstract INTRODUCTION Controversy exists as to whether telephone clinics are appropriate in neurosurgical-oncology. The COVID-19 pandemic forced neuro-oncology services worldwide to re-design and at the University Hospitals Birmingham UK, telephone clinics were quickly implemented in select patients to limit numbers of patients attending hospital. It was important to determine how these changes were perceived by patients. METHODS A 20-question patient satisfaction questionnaire was distributed to patients who attended neuro-oncology clinic in person (“face-to-face”), or via the telephone. Fisher’s exact test was used to determine significance, which was set at p< 0.05. RESULTS Eighty questionnaires were distributed between June 2020 and August 2020. Overall, 50% (n=40) of patients returned the questionnaire, 50% (n=23) of face-to-face and 50% (n=17) telephone patients. Of those who received telephone consultations, 88% (n=15) felt the consultation was convenient, 88% (n=15) were satisfied with their consultation and 18% (n=3) felt they would have preferred to have a face-to-face appointment. Of those who attended clinic in person, 96% (n=22) felt their consultation was convenient, 100% (n=23) were satisfied with their consultation and 13% (n=3) would have preferred a telephone consultation. Within the face-to-face clinic attendees, only 13% (n=3) were concerned regarding the COVID risk associated with attending hospital. There was no significant difference in patient convenience or satisfaction (p=0.565 and p=0.174 respectively) between face-to-face and telephone clinics. There was no significant difference in whether patients would’ve preferred the alternative method of consultation (p > 0.999). CONCLUSION Our study suggests that careful patient selection for neuro-oncology telephone clinic is not inferior to face-to-face clinic. Telephone clinic during COVID-19 pandemic proved to be convenient, safe and effective. This global health crisis has transformed telephone neuro-oncology consultations from an experimental innovation into established practice and should be continued beyond the pandemic in select cases.


2021 ◽  
Vol 5 (1) ◽  
pp. 50-64
Author(s):  
Bahram Sattar Abdulrahman

The present study aims at investigating the use of prosodic features by Kurdish EFL undergraduates in their face-to-face interactions inside/outside the classroom from the university instructors’ perspectives. The study hypothesizes that the majority of Kurdish EFL undergraduates are not fully aware of the fact that any misuse of prosodic features would probably affect the emotions, feelings, and attitudes that the face-to-face interaction is intended to convey. Building on an analysis of a questionnaire given to 54 university instructors at 10 Iraqi Kurdistan Region different universities, the study concludes that the majority of problems the students face can be related to the misuse of stress, intonation, and other prosodic features. Therefore, EFL instructors should pay more attention to make students learn how to use prosodic features and enable them to send messages adequately while engaging in face-to-face interactions. This would require special classes about prosodic features so that EFL students can overcome the misuse they have in face-to-face communication. This is inevitable because accuracy and fluency in communication require EFL students to master both features: segmental and suprasegmental. The reason behind this necessity could be attributed to the fact that broken and/or incorrect pronunciation can be considered as one of the most prominent factors behind misunderstandings in communication.


2021 ◽  
Vol 7 (2) ◽  
pp. 461-472
Author(s):  
S. Ameyaw ◽  
A. Frempong-Kore

This study was conducted to ascertain records management practices at the Ghana Communications Technology University (formerly Ghana Technology University College) a mid-sized Ghanaian public university located in Accra. All the staff at the Admissions and Records departments participated in the study. This comprised two (2) heads of department and seven (7) senior staff from both departments. The face-to-face interviews were employed as a data collection instrument for this study. The findings indicated that the University has neither a policy to regulate the management of students' records nor a professional archivist to manage records. However, the head of the Records office was given a three-day training on the assumption of office. It was revealed that the head of admissions, as well as all the staff of the two departments, had never been given any training. There were some challenges impeding records management in the Admissions and Records offices– among them are; lack of adequate staff, inadequate storage equipment, lack of periodic training, lack of policy to guide records management and inability of students to furnish the Admission office with the needed information. It was recommended that the University should employ a professional archivist to manage student records, provide adequate storage facilities, organise periodic training for staff as well promulgate a policy to guide records management in the Admissions and Records offices. Keywords: Accra Campus, Records, Management, Practices, Ghana Communication Technology University


2014 ◽  
Vol 136 (04) ◽  
pp. 38-43
Author(s):  
Tom Gibson

This article presents views of Todd Torrence on introduction of online learning programs that can open paths from technical to technological. The University of North Dakota, which offers the only accredited online BSME program in the United States, is in a state where hydraulic fracturing has sharply increased oil production. The university has applied for accreditation of an online program offering a Bachelor of Science in Petroleum Engineering. The UND online BSME program covers the same material as its on-campus counterpart. North Carolina State has a 2+2 program where a student can go to a partnering university at the east and west ends of the state for the first two years of their undergraduate work. The University of North Dakota online BSME program covers the same material as its on-campus counterpart. Part of the accreditation process is assuring that the online degree is equivalent to the face-to-face degree. The challenge with undergrad online engineering programs is their sheer size and the time it takes to complete them, as compared with graduate programs.


2008 ◽  
pp. 4000-4013
Author(s):  
Shouhong Wang ◽  
Diana Kao

The online auction has become an important form of e-commerce. Although using a different mode for conducting auction activities, online auctions should abide by the same code of ethics outlined in the face-to-face auction environment. Yet, ethics-related issues for online auctions have not been fully discussed in the current literature. The unique features of online auctions present an opportunity to address how ethical conduct could be supported, monitored, and enforced in an online auction environment. With technology being the backbone of the online auction, information systems appear to be a useful tool in facilitating ethics enforcement. This article summarizes ethics-related issues that are particularly relevant in online auctions, and recommends a code of ethics that could be applied to online auctions. Based on this set of ethics, this article proposes a model for an information system that will support and enhance ethical conduct in an online auction environment.


Author(s):  
Taylor A. Luke ◽  
Rebecca R. Ruchlin

Ongoing advances in technology have provided a platform to extend the accessibility of services for children with developmental disabilities across locations, languages and the socioeconomic continuum. Teletherapy, the use of video-conferencing technology to deliver therapy services, is changing the face of healthcare by providing face-to-face interactions among specialists, parents and children. The current literature has demonstrated success in utilizing teletherapy as a modality for speech-language intervention and for social-behavioral management, while research on feeding therapy remains scarce. The current chapter discusses the prevalence of feeding disorders among infants, toddlers and children with developmental disorders. Using evidence from the current literature, a rationale for the utilization of teletherapy as a means of feeding therapy is presented.


2019 ◽  
Vol 3 (2) ◽  
pp. 22-30
Author(s):  
Dora Fiorella del Rosario Rubio Senmache ◽  
Juan Carlos Callejas Torres Cabrera

Las tendencias actuales muestran que los centros de estudios superiores que antes llenaban sus aulas sin esfuerzo, hoy en día deben hacer frente a la competencia y a la coyuntura del país. Por ello la Universidad Señor de Sipán debe plantear diversas alternativas para hacer frente a este panorama, como generar adecuadas estrategias de marketing con la finalidad de mejorar la comunicación y lograr una mayor interacción con los potenciales clientes. Se ha podido evidenciar que en los últimos 5 años la captación de alumnos en la Escuela Profesional de Administración en la modalidad presencial ha disminuido, los cambios en la política institucional y el mayor enfoque en medios de difusión tradicionales han sido factores determinantes. Con la finalidad de recoger información se aplicó el instrumento de medición  a una muestra de 134 estudiantes del I al III ciclo, de la Carrera de Administración, como resultado se identificó que el 26,9% de alumnos encuestados no encontraron publicidad de la carrera en medios digitales, sólo en medios masivos como diarios, revistas y volantes, mientras que el 10,4% de encuestados considera que la universidad no se ha centrado en captar a un segmento objetivo de la comunidad estudiantil por desconocer hábitos, costumbres, estilos de vida de los interesados en la oferta educativa. En consecuencia  se propone  una estrategia de marketing digital B2C que permita retener e incrementar la captación de estudiantes. Abstract Current trends show that higher education centers that used to fill their classrooms effortlessly, nowadays must face competition and the country's situation. Therefore, the Lord of Sipán University must propose different alternatives to face this panorama, such as generating adequate marketing strategies in order to improve communication and achieve greater interaction with potential clients. It has been shown that in the last 5 years the recruitment of students in the Professional School of Administration in the face-to-face modality has decreased, changes in institutional policy and the greater focus on traditional media have been determining factors. With the purpose of collecting information, the measuring instrument was applied to a sample of 134 students from the I to the III cycle of the Administration Degree, as a result it was identified that 26.9% of students surveyed did not find publicity of the career in digital media, only in mass media such as newspapers, magazines and leaflets, while 10.4% of respondents believe that the university has not focused on capturing an objective segment of the student community for ignoring habits, customs, lifestyles of those interested in the educational offer. Consequently, a B2C digital marketing strategy is proposed to retain and increase student recruitment. Keywords: Strategy, Digital marketing, social networks, recruitment


2021 ◽  
Author(s):  
Sarra Shorbagi ◽  
Nabil Sulaiman ◽  
Ahmad Hasswan ◽  
Mujtaba Kaouas ◽  
Mona M. Al-Dijani ◽  
...  

Abstract Background: The emergence of coronavirus disease 2019 (COVID-19) and its quick progress to a global pandemic has urged medical schools to shift from didactic to distance learning and assessment approaches. The quality of clinical training and assessment have been jeopardized due to the regulatory restrictions and potential hazards to human lives. The aim of this paper is to evaluate the feasibility and effectiveness of an electronic Objective Structured Clinical Examination (e-OSCE), which attempted to transform the format of a face-to-face OSCE to an e-OSCE.Methods: We conducted three end of clerkship e-OSCEs for final year medical students in Surgery, Medicine and Family Medicine using teleconferencing application of Microsoft Teams (MST). The e-OSCE blueprint included the assessment of all clinical skills except physical examination and procedural skills. Examiners supervised e-OSCE from the college campus while all students were remotely assessed through the MST channels. During the exam, the students stayed in their specified MST channels, examiners rotated across all students. The feasibility and effectiveness of e-OSCE was evaluated using a self-administered questionnaire to students, examiners and e-OSCE team. Results: The data analysis showed that 93.4% students and 92.2% examiners agreed with the quality and process of e-OSCE. Similarly, 83.6% students and 98% examiners agreed with the fairness, smoothness and organization of e-OSCE. As many as 45.9% students and 74.5% examiners agreed that e-OSCE was close to real life practice. Approximately one fifth of students and one third of examiners preferred e-OSCE over the face-to-face OSCE. The analysis of qualitative data generated themes of e-OSCE structure and technology. While majority of participants were satisfied with e-OSCE, students were concerned about examiners’ training and e-OSCE contents. Examiners and e-OSCE team recognized the paper-less, tech-savy, fast and reliable e-OSCE format. Conclusion: During and beyond COVID- 19 era, e-OSCE is a feasible and effective modality for assessing clinical competence except for physical examination and procedural skills. The planning and implementation of e-OSCE reflects an ingenuity in assessment of clinical competencies of medical students.


2020 ◽  
Vol 42 (1) ◽  
pp. 31-54
Author(s):  
Ella Sterk ◽  
Paul van den Hoven ◽  
Bente van Hintum ◽  
Iris Ekkelenkamp ◽  
Charlotte Eijkelboom

Abstract Responding to an e-consult: the development and validation of a protocol for the doctorFrom Media Synchronicity Theory and the so-called egocentrism hypothesis, it is predicted that answering a patient message in an e-consultation in comparison with the face-to-face consultation places a number of specific requirements to ensure that the patient values the communication positively. These requirements have been elaborated on the basis of a number of preliminary studies and converted into a protocol against which a doctor's answer can be tested. In a main study, (a) it was investigated to what extent answers that advanced medical students create without any prior instruction comply with the protocol and (b) whether answers that meet the protocol to a higher degree indeed receive a higher rating from patients than answers that don’t comply with the protocol. The latter appears to be the case. Because it appears that e-consultations of many medical students do not yet comply with the protocol, we can conclude that this protocol can form the basis for training doctors and medical students.


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