Increasing Reporting of Intimidation of Medical Students With Simulation

Intimidation Clinical Trial

Official title:

Increasing Reporting of Intimidation of Medical Students With Simulation: a Randomised Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03184142
• Other study ID #: 16.422
• Status: Completed
• Phase: N/A
• Start date: June 15, 2017
• Est. completion date: December 21, 2017

Study information

• Verified date: May 2018
• Source: Centre hospitalier de l'Université de Montréal (CHUM)
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 129
• Est. completion date: December 21, 2017
• Est. primary completion date: December 21, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Medical students at the University of Montreal at the beginning of their surgical clerkship rotation.

Exclusion Criteria:

Related Conditions & MeSH terms

• Intimidation

Intervention

Behavioral:
• Simulation
Students witness the intimidation of one of their peers (who is an actor) by a professor (also an actor). (see arm description)
• Video
Student watch a 15-minute intimidation video (see arm description).
• Control group
No intervention. The students suture for 70 minutes

Locations

Country	Name	City	State
Canada	Faculté de Médecine de l'Université de Montréal	Montréal	Quebec

Sponsors (1)

Lead Sponsor	Collaborator
Centre hospitalier de l'Université de Montréal (CHUM)

Country where clinical trial is conducted

Canada, 

References & Publications (4)

Curtis MT, DiazGranados D, Feldman M. Judicious use of simulation technology in continuing medical education. J Contin Educ Health Prof. 2012 Fall;32(4):255-60. doi: 10.1002/chp.21153. — View Citation

Einarsen S, Helge H, Notelaers G. Measuring exposure to bullying and harassment at work: validity, factor structure & psychometric properties of the negative acts questionnaire-revised. Work Stress 23(1):24-44, 2009.

Isaranuwatchai W, Brydges R, Carnahan H, Backstein D, Dubrowski A. Comparing the cost-effectiveness of simulation modalities: a case study of peripheral intravenous catheterization training. Adv Health Sci Educ Theory Pract. 2014 May;19(2):219-32. doi: 10.1007/s10459-013-9464-6. Epub 2013 Jun 1. — View Citation

Stone JP, Charette JH, McPhalen DF, Temple-Oberle C. Under the knife: medical student perceptions of intimidation and mistreatment. J Surg Educ. 2015 Jul-Aug;72(4):749-53. doi: 10.1016/j.jsurg.2015.02.003. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Comfort in reporting intimidation	Based on post-intervention questionnaire question.	6 weeks after enrollment
Primary	Perception of intimidation after intervention	Based on post-intervention Negative Acts Questionnaire (NAQ-R)	6 weeks after enrollment
Secondary	Baseline prevalence of intimidation	Based on pre-intervention Negative Acts Questionnaire (NAQ-R)	at enrollment
Secondary	Before and after comparison	Difference between pre and post-intervention Negative Acts Questionnaire (NAQ-R)	at enrollment vs 6 weeks post-intervention
Secondary	Reasons for not reporting intimidation	Open-ended question asking why students don't report intimidation	at enrollment
Secondary	Frequency of intimidation reporting	Did the students report intimidation during the 6 weeks of their surgical clerkship?	6 weeks post-intervention