Innovative Training with Virtual Patients in Transcultural Psychiatry: The Impact on Resident Psychiatrists' Confidence
2015 (English)In: PLoS ONE, ISSN 1932-6203, Vol. 10, no 3, e0119754Article in journal (Refereed) Published
Background Virtual patients are now widely accepted as efficient and safe training tools in medical education, but very little is known about their implementation in psychiatry, especially in transcultural clinical care of traumatized refugee patients. Objective This study aimed at assessing the impact of training with a virtual patient on confidence in providing clinical care for traumatized refugee patients. Methods The authors developed an educational tool based on virtual patient methodology portraying the case of Mrs. K, a traumatized refugee woman with symptoms of PTSD and depression. A group (N=32) of resident psychiatrists tested the system and their confidence in different aspects of providing clinical care for this patient group was evaluated pre- and posttest by using a validated confidence questionnaire. Cronbach's a was calculated for all clusters. Changes between pre- and post-test were compared by using the matched-pair t-test, binomial distribution for exact significance test and a calculation of effect sizes (Cohen's d). Results A statistically significant improvement was exhibited in overall confidence (mean.: 0.34; p < 0.0001; d: 0.89) as well as in four more specific domains of clinical care, with the area of identifying and evaluating trauma-related diagnoses and disability showing the most prominent improvement (mean Delta: 0.47; p < 0.0001; d: 1.00). Conclusions This VP-system can lead to physicians' improvement of confidence in providing transcultural clinical care for traumatized refugee patients. Further research is required to investigate improvement in actual performance and cognitive outcomes with several VPs and in a long-term effect perspective.
Place, publisher, year, edition, pages
2015. Vol. 10, no 3, e0119754
Health Sciences Computer and Information Science
IdentifiersURN: urn:nbn:se:su:diva-116996DOI: 10.1371/journal.pone.0119754ISI: 000352084200112PubMedID: 25794169OAI: oai:DiVA.org:su-116996DiVA: diva2:811900