Add-on Video-based Training on Mental Status Examination Skills

Medical Education Clinical Trial

— VV-RCT  

Official title:

Add-on Video-based Training: Effect on Mental Status Examination Skills in 5th Year Medical Students - an Educational RCT

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05795387
• Other study ID #: VV_RCT
• Status: Completed
• Phase: N/A
• Start date: January 31, 2021
• Est. completion date: March 7, 2023

Study information

• Verified date: March 2023
• Source: Psychiatric Research Unit, Region Zealand, Denmark
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this clinical triall is to investigate the training effect of access to authentic patient video on mental status examination performance among 5th year Danish medical students.

Aim:

To investigate if

• Students with add-on access to an authentic patient video e-library have improved Mental Status Examination precision compared to students that only have an add-on e-library with simulated patient videos.

• Number of videos watched correlate to mental status examination test scores.

Description:

The main study is a a two-armed, pragmatic cluster-randomised, superiority, partial-blinded, randomized controlled trial where the interventions are e-learning courses that serves as add-on learning material during the psychiatric clerkship.

Two student groups are compared. The experimental intervention(V) is a larger e-learning module, where the students have access to 23 authentic patient video vignettes and an e-module on mental status exam including demonstration videos with simulated patients (actor videos). The comparator students (N-V) only have access to the e-module on mental status exam including demonstration videos with simulated patients. All students participate in the regular Psychiatry curriculum i.e. 16 lectures in one week and psychiatric clerkship in three weeks.

As students have their clerkship in 10 different facilities across the Island of Zealand, we carry out cluster-randomization based on clerkship location.

Communication, recruitment and data management is carried out within the university teaching platform (CANVAS), by manual extraction, and by questionnaires distributed by SurveyXact.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 290
• Est. completion date: March 7, 2023
• Est. primary completion date: March 7, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Consent

• 5th year medical student at the University of Copenhagen on the psychiatric clinical rotation

Exclusion Criteria:

• Previous acess to the video library.

Related Conditions & MeSH terms

• Medical Education

Intervention

Other:
• Video-based self-regulated training on the mental status exam
Authentic patient videos for self-regulated training as well as written e-course material, both on the mental status exam
• E-course with written material on the mental status exam
Written material on the mental status exam

Locations

Country	Name	City	State
Denmark	Mental Health Service Capital Region	Copenhagen
Denmark	Mental Health Service Region Zealand	Slagelse

Sponsors (2)

Lead Sponsor	Collaborator
Psychiatric Research Unit, Region Zealand, Denmark	University of Copenhagen

Country where clinical trial is conducted

Denmark, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Mental status exam skills test	The test consists of three subtests each consisting of a video vignette, not accessible in the library (i.e. none of the students had seen it previously) with a forced choice test (FCT). This results in a scoring range of -15 to + 15 points per FCT. The MSE-skills test score consists of the student's average score of the three FCTs.	A week after the intervention
Secondary	MSE skill test score stratification	We will explore if there is a difference between gender, each individual video and attitude towards psychiatry on the MSE skill test score	Baseline
Secondary	General evaluation of the clinical rotation	The evaluation is carried out by a validated questionnaire of 10 items, to be answered on a 5-point Likert scale. Purpose-made supplementary questions concerning the student's number of patient encounters alone and with a doctor/staff and area of interest in psychiatry	Immediately after the intervention
Secondary	Questions concerning use of the video e-library	time spend on each task/video ; evaluation of/satisfaction with the different element of the e-library	Immediately after the intervention