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
