The effectiveness of using non-traditional teaching methods to prepare student health care professionals for the delivery of mental state examination: a systematic review

Xie, Huiting; Лю, Лэй; Jia, Wang; Joon, Kum Eng; Parasuram, Rajni; Gunasekaran, Jamuna; Poh, Chee Lien

doi:10.11124/jbisrir-2015-2263

Cited by 14 publications

(16 citation statements)

References 22 publications

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“…Educational interventions including surveys, online modules and didactics were correlated with a marked increase in HCV screening rates within the housestaff practice. Similar educational strategies have been successful at introducing guidelines into practice and leading to behaviour change, but are likely to fail in isolation. HCV screening rates continued to rise as providers received aggregate monthly feedback, a strategy that has been effective at meeting clinical quality indicators in other realms.…”

Section: Discussionmentioning

confidence: 99%

A systematic model improves hepatitis C virus birth cohort screening in hospital‐based primary care

Goel

Sánchez

Paulino

et al. 2017

Journal of Viral Hepatitis

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Despite national and local governing board recommendations in the United States of America to perform an HCV screening test in baby boomers, screening rates remain low. Our goal was to study the impact of an HCV screening and link-to-care programme with patient navigation in two New York City primary care practices. This was a 2-year prospective study of patients born between 1945-1965 ("baby boomers") with encounters at two primary care practices at the Mount Sinai Hospital between November 1, 2013 and November 30, 2015. Baseline HCV screening rates were collected for four months. A multifaceted intervention was sequentially implemented involving electronic alerts, housestaff education, data feedback and patient navigation. HCV screening rates and link to care, defined as attending an appointment with a viral hepatitis specialist, were compared before and after these interventions. There were 14 642 primary care baby boomer patients of which 4419 (30.2%) were newly screened during the study. There was a significant increase in HCV screening rates from 55% to 75% (P<.01) with an HCV seropositive rate of 3.3%. Factors associated with being HCV seropositive included older age (P<.01), male sex (P<.01), African American race (P<.01) and receiving care in the housestaff practice (P<.01). With patient navigation, 78 of 84 (93%) newly diagnosed HCV-infected persons were referred to a specialist and 60 (77%) attended their first appointment. A structured, multifaceted HCV screening programme using well-studied principles identifies a large number of undiagnosed baby boomers within hospital-based primary care and improves access to specialty providers in a timely manner.

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Section: Discussionmentioning

confidence: 99%

A systematic model improves hepatitis C virus birth cohort screening in hospital‐based primary care

Goel

Sánchez

Paulino

et al. 2017

Journal of Viral Hepatitis

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“…Standardized patients (SPs) have been used in medical education for almost 50 years [ 1 ]. Previous literature has demonstrated that training with SPs in medical education is a valuable tool [ 2 ], correlating with a high learners’ satisfaction [ 3 ] and an improvement in learners’ understanding of certain topics and skills [ 4 ]. Training with SPs prepared students to handle a broad range of psychiatric patients, especially those who suffer from alcohol abuse [ 5 ], suicidal tendencies [ 6 ], and patients at the end of their lives [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Standardized patients in psychiatry – the best way to learn clinical skills?

Himmelbauer

Seitz²,

Seidman

et al. 2018

BMC Med Educ

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BackgroundStandardized patients (SP) have been successfully utilized in medical education to train students’ communication skills. At the Medical University of Vienna communication training with SPs in psychiatry is a mandatory part of the curriculum. In the training, the SP plays the role of four different patients suffering from depression/suicidal tendencies, somatoform disorder, anxiety disorder, or borderline disorder while the student attempts to gather the patient’s medical history. Both the instructor and SP then give the student constructive feedback afterwards.MethodThe aim of the study was to evaluate the quality of the SP’s roleplay and feedback, using a self-created questionnaire. Additionally, we wanted to gauge the differences between the students’ and teachers’ evaluations of the SP’s role playing performance and feedback.ResultsThe questionnaire was completed by 529 students and 29 teachers who attended the training. Overall, both students and teachers evaluated the SPs’ performance and feedback very well. In comparison to the responses given by the teachers, more students reported that the “SP overacted” while fewer students believed that the “SP could be a real patient”. The feedback given by the SP was evaluated similarly by students and teachers, suggesting that students are able to recognize the quality of constructive feedback. Furthermore, the SP’s quality of roleplaying was evaluated as the poorest while playing the psychiatric disorder “depression/suicidal tendencies.”ConclusionsOur study showed that students and teachers appreciate SPs’ competence of role play and of giving feedback. However, further studies should be performed to figure out why both students and teachers alike evaluated the played psychiatric disorder “depression/suicidal tendencies” to be the worst.

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“…For example, case-based e-learning programs and simulated patient (SP) contact might be implemented. Current literature demonstrates that case-based e-learning and especially training with SPs in medical education are valuable tools (Levine and Swartz 2008 ; McNaughton et al 2008 ), correlating with a high learners’ satisfaction (Himmelbauer et al 2018 ; Seitz and Löffler-Stastka 2015 ) and an improvement in learners’ understanding of certain topics and skills (Xie et al 2015 ). The SP might play different roles in various settings, so the student learns sexual health care in different medical fields like internal medicine, obstetrics, or psychiatry.…”

Section: Discussionmentioning

confidence: 99%

Let us integrate sexual health—do psychiatrists integrate sexual health in patient management?

Seitz¹,

Ucsnik

Kottmel³

et al. 2020

Arch Womens Ment Health

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The high prevalence of sexual dysfunction and the importance of sexual health issues in general stress the need for a physician to integrate sexual health issues in patient management. In this study, we evaluate the frequency of psychiatrists addressing sexual health issues as well as their attitude towards sexual health. Plus, we want to evaluate the multiprofessional network for patient treatment that is needed by physicians for collaboration with other medical specialists and health care professionals. At total 100 psychiatrists (age range 30-60 years), participating at the annual meeting of the Austrian Society for Psychiatry, Psychotherapy, Psychosomatics, were invited to self-assess their caring for patients' sexual health issues and answer a self-report questionnaire. The return rate was 74%. Only a third of the participating psychiatrists and psychotherapists stated to address sexual health in patients in daily routine. Twenty-five percent of the physicians suspected sexual health problems in 60-100% of their patients but did not ask the patients about this topic. Mentioned reasons why patients would not actively address sexual problems were rated by the survey participants "a different problem was more important", "lack of time", and "embarrassment". Only few of the participating psychiatrists stated to offer a consultation in sexual health to the patients, none to offer sexual therapy. A mentioned reason was "lack of competence regarding sexual health". Twelve percent referred the patients with sexual issues to a physician with another medical specialization, especially to experts in gynaecology and obstetrics, to experts in urology, or to andrologists. However, a need for a network in the field of sexual medicine was stated and an unawareness of a sexual health care network: where to refer the patients in need. Our data showed an increased need in the routine treatment and management of sexual health care in psychiatrists and psychotherapists. Plus, the data stresses the need for professional sexual medicine qualification and for extended cooperation between different medical fields and health care professionals in order to integrate sexual health topics professionally in daily routine.

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The effectiveness of using non-traditional teaching methods to prepare student health care professionals for the delivery of mental state examination: a systematic review

Cited by 14 publications

References 22 publications

A systematic model improves hepatitis C virus birth cohort screening in hospital‐based primary care

A systematic model improves hepatitis C virus birth cohort screening in hospital‐based primary care

Standardized patients in psychiatry – the best way to learn clinical skills?

Let us integrate sexual health—do psychiatrists integrate sexual health in patient management?

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