SubmissionId 60901

Accepted Type
Oral

Code
OE3-2-2

Was this work accepted for CCME 2020?
no

Category
General Call (Workshop, Oral Presentation, Poster Presentation)

Type
Oral

Sub Type
Education Innovation

Will the presenter be a:
Resident

Affiliation

Considered for Poster
yes

Title
Enhancing Suicide Risk Assessment Skills Through Simulations in a Virtual Environment

Length of Presentation

Background/Purpose
Suicide risk assessment is a core skill-set in psychiatry, but dealing with suicidal patients is emotionally and ethically challenging for medical students. Competence is dependent on clinical variables including patient volumes and supervision. Simulations can supplement this by providing repeated practice with feedback that is standardized, safe and cost-effective.

Summary of the Innovation
Five interactive, e-learning simulation cases were developed that included suicidal ideation comorbid with depression, schizophrenia, substance use disorders including alcoholism, personality disorders with non-lethal self-harm behaviors, and chronic medical illness. Students watched videos of simulated patient encounters that proceeded sequentially and were asked to choose response options. For each option at each stage, real-time feedback was provided. Students were encouraged to select the correct response before moving on to the next stage.

Conclusion
After establishing usability, reliability and validity, this medical education innovation was tested with a randomized control study design. 61 students were randomized to the e-learning intervention or in person psychiatry education as usual. We measured SIRI-2 scores to measure competence in responding to suicidal statements. The intervention group had a statistically significant improvement in SIRI-2 scores following the e-learning, compared to the control group (p=0.04). There was a significant improvement in confidence (p<0.01) and competence (p<0.01) following the intervention. There were no differences between this e-learning intervention and in person education as usual for confidence and competence. With limits to available clinical exposures for medical students, this tool offers a unique approach to enhancing medical education in suicide assessment.

Keyword 1
e-learning

Keyword 2
simulation

Keyword 3
suicide assessment

Level of Training
Undergraduate

Abstract Themes
Curriculum

Curriculum
  • Case-Based
  • General
  • Quality improvement

Additional Theme (First choice)
Undergraduate

Additional Theme (Second Choice)

Additional Theme (Third Choice)

Authors
Presenter
    Lauren Riggin

Term 1
Yes

Term 2
Yes

Term 3
Yes

Term 4
Yes

Term 5
Yes
x

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