Teaching Psychiatric Emergencies Using Simulation: an Experience During the Boot Camp
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ORIGINAL RESEARCH
Teaching Psychiatric Emergencies Using Simulation: an Experience During the Boot Camp Liza Dominguez-Colman 1 & Shivani U. Mehta 1 & Shiva Mansourkhani 1 & Neha Sehgal 2 & Luis A. Alvarado 3 & Jonathan Mariscal 1 & Silvina Tonarelli 1 Accepted: 1 October 2020 # International Association of Medical Science Educators 2020
Abstract Objective The purpose of this study is to prepare fourth-year medical students to recognize psychiatric emergencies using simulation technology. The learning experience is accomplished during the boot camp activity designed to train fourth-year medical students in different competencies before transitioning to residency. Methods Ninety-eight fourth-year medical students at Paul L. Foster School of Medicine participated in the boot camp during the 2018–2019 academic year. The participation of the Department of Psychiatry was for a total of four full days divided into 3-h morning and 3-h afternoon sessions with the average of four students per hour per session. The use of high-fidelity simulation and standardized patients to recreate two different clinical scenarios representing acute psychiatric emergencies, followed by structured debriefing, was implemented. Pre- and post-qualitative surveys, which were electronically available via Qualtrics, intended to assess the effectiveness of the curriculum and course teaching modalities during the boot camp. Results All participants reported improvement on levels of confidence in diagnosis and management of psychiatric emergencies compared with baseline. Overall a statistically significant increase in the Likert score was noted in the post-survey analysis. Conclusions Teaching psychiatric emergencies utilizing high-fidelity simulation and standardized patient encounters improved student confidence in several competencies. The increase in student confidence can potentially help the learner in transitioning better to residency. Keywords Psychiatry emergencies . Simulation . Structured debriefing . Boot camp . Psychiatric education . Medical students
Introduction Simulation-based medical education is an innovative tool for teaching; however, it is still underutilized mainly in the field of psychiatry. In the late 1980s, simulation was used in anesthesia and since then the use of simulation as a tool for training in education dramatically increased across universities and medical centers [1, 2]. The use of high-fidelity simulation has been rarely applied to psychiatry teaching and only
* Silvina Tonarelli [email protected] 1
Department of Psychiatry, Texas Tech University Health Science Center El Paso, 5001 El Paso Drive, El Paso, TX 79905, USA
2
Department of Emergency Medicine, Texas Tech University Health Science Center El Paso, El Paso, TX, USA
3
Biostatistics and Epidemiology Consulting Lab, Texas Tech University Health Science Center El Paso, El Paso, TX, USA
recently training courses were designed specifically to expose trainees to psychiatric emergencies [3]. In a recent research, Williams et al. found that
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