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临床试验/NCT03510195
NCT03510195已完成不适用

The Effectiveness of the Medicorp House Officer (HO) Preparatory Course for Medical Graduates on Confidence, Readiness, and Psychological Well-Being: A Quasi-Experimental Study

Universiti Putra Malaysia2 个研究点 分布在 1 个国家目标入组 267 人开始时间: 2018年4月27日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
267
试验地点
2
主要终点
Change in Confidence Level

研究概览

简要总结

After completion of 5 years of medical school training, the next step of becoming a House Officer is said to be associated with high levels of stress. It has been associated with mental health problems amongst HOs and sometimes quitting the medical line altogether. In Malaysia, the number of HOs not completing housemanship training within the allocated time is slowly declining from 86.4% (2009) to 58.8% (2012). The dropout rate is said to be increasing yearly.

This causes a lot of constraints on the HO, their family, sponsors, patients and also the country. Amongst the reason for stress is the feeling of incompetency or "fear of making mistakes". Other work-related issues include workload, time management, financial, colleague and superior related issues.

Medicorp is a company that specializes in training for junior doctors and has come up with a module to help medical graduates cope with these issues. The module is a 3-day-course named the HO Preparatory Course. It was initially the brainchild of the Islamic Medical Association of Malaysia (IMAM) but was later privatized to accommodate the demand and the running of the module and courses. The module has been re-evaluated through feedback of participants and trainers to cater to the needs and wants of the newly graduate; be it local or overseas.

Therefore, the investigators would like to assess whether this intervention module is effective in addressing HO stress, therefore consequently reduce the risk of drop out and extension in HO training.

详细描述

METHODOLOGY

Study Setting:

This study will be conducted in International Youth Centre, Cheras. It has been the main focal point of where most of the courses have been conducted. It is within easy reach and centrally located near National University of Malaysia Hospital. Many participants will come from all around Malaysia to attend. The centre is equipped with a lecture hall and boarding for the participants.

Study Design:

This is a pre-post quasi-experimental study that will be conducted over 12 months duration. Participants in this study will undergo a House Officer (HO) preparatory course. The level of confidence, readiness and psychological wellbeing will be evaluated. There will be three assessment time points: at baseline (before the course), immediately after the course (only for level of confidence and readiness) and 1 month after working as HO. This study is unable to have a control because of constraints in resources.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Other
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Participants that have registered to attend the Medicorp HO Preparatory Course

排除标准

  • Participants declared to have psychiatric illness
  • Participants who have not completed a medical degree (medical students)
  • Participants already working as a H

结局指标

主要结局

Change in Confidence Level

时间窗: pre intervention, immediately after intervention and 1 month after working as a House Officer ( an average of 6 months after intervention)

This will be adapted from the IMU Student Competency Survey (Appendix 2) as there are no published studies on the confidence level of medical graduates before beginning HO-ship. The questionnaire comprises of 5 sections. The first 4 sections asses on generic skills, practical tasks, soft skills and their confidence as a whole, using a Likert scale assessment. Scoring is a mean score of 1-5 and the higher the score, the higher the confidence. The last section asks on the one daunting aspect of being a HO out of a list of 7 things, this section is descriptive.

次要结局

  • Change in Readiness Level(pre intervention, immediately post intervention (after 3 days of intervention))
  • Change in Psychological Well Being - Depression(pre intervention and 1 month after working as a House Officer ( an average of 6 months after intervention))
  • Change in Psychological Well Being - Anxiety(pre intervention and 1 month after working as a House Officer ( an average of 6 months after intervention))
  • Change in Psychological Well Being - Stress(pre intervention and 1 month after working as a House Officer ( an average of 6 months after intervention))

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Aneesa Abdul Rashid

Principal Investigator

Universiti Putra Malaysia

研究点 (2)

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