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Medical Students' Learning Process During Simulated Patient Consultations in Psychiatry: A Grounded Theory Study.

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Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
|June 8, 2022
PubMed
Summary

Psychiatric simulation offers a valuable method for medical students to enhance learning and overcome limitations in patient contact. This approach fosters cognitive reframing, reduces prejudice, and improves essential interpersonal skills for psychiatry.

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Area of Science:

  • Medical Education
  • Psychiatry Training
  • Simulation-Based Learning

Background:

  • Limited patient contact in psychiatric education necessitates innovative teaching methods.
  • Simulation-based education in psychiatry can bridge this gap.
  • Understanding student learning processes in simulated patient encounters is crucial for optimizing this teaching modality.

Purpose of the Study:

  • To explore the learning processes of medical students during simulated patient interactions.
  • To inform improvements in simulation-based psychiatric education.
  • To identify key themes in student learning during psychiatric simulations.

Main Methods:

  • Recruited 81 undergraduate medical students for 6 psychiatry simulation sessions.
  • Conducted semi-structured interviews with 21 purposefully sampled students.
  • Utilized constructivist grounded theory for analysis, integrating data from interviews, videotapes, and audiotapes for triangulation.

Main Results:

  • Identified three organizational themes: developing representations of psychiatry, integrating subjectivity, and refining psychiatric practice.
  • Content validity of simulated patient portrayals is important for appropriate learning.
  • Psychological fidelity offers adequate realism and feasibility; simulation encourages self-confidence and well-being.
  • Simulation, within a reflective framework, promotes cognitive reframing, reducing fears and prejudice towards individuals with mental disorders.

Conclusions:

  • Holistic, interactive learning through simulation effectively addresses the complex personal and interpersonal skills required in psychiatry.
  • Simulation-based training is a viable and effective method for psychiatric education.
  • This approach enhances student confidence and reduces stigma associated with mental illness.