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Small-group, online, actor-as-instructor clinical interview training: a single-blind, randomised controlled study.

A L Tsui¹, S W H Chau¹

¹Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong SAR, China.

East Asian Archives of Psychiatry : Official Journal of the Hong Kong College of Psychiatrists = Dong Ya Jing Shen Ke Xue Zhi : Xianggang Jing Shen Ke Yi Xue Yuan Qi Kan

|January 1, 2025

Summary

This summary is machine-generated.

Standardised patient-instructors (SPI) in psychiatric interview training are well-received by medical students. However, positive student feedback did not translate to improved objective clinical interview skills in this study.

Keywords:

Curriculum Interview, psychological Mental status schedule

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Area of Science:

Medical Education
Psychiatry Training
Clinical Skills Development

Background:

Standardised patient-instructors (SPI) are utilized in medical curricula for clinical interview training.
Medical students generally welcome SPI-based training in psychiatry.
This study evaluated the effectiveness of SPI training on psychiatric interview skills.

Purpose of the Study:

To assess the impact of SPI-led, small-group, online clinical interview training on medical students' psychiatric interview skills.
To compare objective outcomes (OSCE scores) with subjective feedback from participants.

Main Methods:

A single-blind, randomised controlled trial involving 112 final-year medical students.
Participants were assigned to an intervention group (SPI workshop via teleconference) or a control group (standard teaching).
Training focused on specific psychiatric scenarios and key communication skills, with feedback provided by SPIs and peers.

Main Results:

The SPI intervention group and control group showed comparable Objective Structured Clinical Examination (OSCE) scores for interview skills.
Participants reported highly positive feedback, with 98.3% noting a positive effect on clinical communication skills.
Post-workshop confidence levels and perceived feedback did not correlate with OSCE performance.

Conclusions:

Online, small-group clinical interview training using SPIs is positively received by medical students.
A discrepancy exists between positive subjective feedback and objective skill improvement.
Further research is required to validate the benefits of the SPI approach in enhancing clinical interview skills.