Increasing Reporting of Intimidation of Medical Students With Simulation: a Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 129
- 试验地点
- 1
- 主要终点
- Perception of intimidation after intervention
研究概览
简要总结
Intimidation of medical students by health care professionals is a well-documented phenomenon. Raising awareness of what constitutes intimidation is a preferred method for preventing it through increased reporting. Simulation is a novel method of raising awareness of intimidation.
This is a randomised controlled trial comparing the effectiveness of simulation (involving actors), an educational video and no intervention, as adjuncts to group discussion, on students' ability to identify and report intimidation. Medical students from the University of Montreal in Montreal, Canada, will be recruited at the beginning of surgical clerkship. They will complete a standardized and validated pre-intervention questionnaire on their experience with intimidation consisting of multiple choice questions and short answers. They will be randomised to one of the three interventions lasting 70 minutes that will be followed by a 20-minute standardized discussion on intimidation with all students participating together. At the end of their surgical rotation, they will complete a similar post-intervention questionnaire with additional questions pertaining to the reporting of intimidation.
Differences in intimidation reporting after the intervention as well as a before and after comparison of the "Negative Acts Questionnaire" score will be studied.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Investigator, Outcomes Assessor)
盲法说明
Students cannot be masked as an arm undergoes a simulation intervention. The researcher evaluating the outcomes through the questionnaires will be blinded.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Medical students at the University of Montreal at the beginning of their surgical clerkship rotation.
排除标准
- 未提供
研究组 & 干预措施
Control
During a suturing class at the simulation center, the students suture for the entire 70-minute duration of the activity. They are not exposed to intimidation (control group).
干预措施: Control group (Behavioral)
Simulation
During a suturing class at the simulation center, the students enter a classroom. Although the students are not aware of this, among them is an actor playing the role of a student. One of the two professors is also an actor. As the activity progresses, the professor targets the student played by an actor. The intimidation intensifies until the end. At the end of the activity, there is a debriefing explaining to the students that the bullying professor and the victim were actors.
干预措施: Simulation (Behavioral)
Video
During a suturing class at the simulation center, after 55 minutes of suturing, the students will be exposed to a 15-minute video on workplace and hospital intimidation and how to manage it.
干预措施: Video (Behavioral)
结局指标
主要结局
Perception of intimidation after intervention
时间窗: 6 weeks after enrollment
Based on post-intervention Negative Acts Questionnaire (NAQ-R)
Comfort in reporting intimidation
时间窗: 6 weeks after enrollment
Based on post-intervention questionnaire question.
次要结局
- Frequency of intimidation reporting(6 weeks post-intervention)
- Before and after comparison(at enrollment vs 6 weeks post-intervention)
- Reasons for not reporting intimidation(at enrollment)
- Baseline prevalence of intimidation(at enrollment)
研究者
Érica Patocskai
Surgical Oncologist, Director of surgical Clerkship
Université de Montréal