Relaxation Before Debriefing and Memorization in High Fidelity Simulation in Healthcare

Study Overview
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Brief Summary
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Resident in advanced medical training participated to high fidelity simulation education program in Lyon. Alternatively 1 or 2 resident act during a scenario while the others observe in a teletransmission closeby room. Debriefing follows the critical scenario in witch resident are involved. The investigators are testing the effects of five minute of conversational relaxation before the debriefing on the anxiety level and memorization of key points each scénario on participant and observer.

Detailed Description
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Resident in advanced medical training participated to high fidelity simulation education program in Lyon. This is part of a curriculum and each year they go throw a specific simulation session in groups of 3 to 8 residents with same specific thematic education goals. 3 to 4 differents scénario are run every simulation session during 4 to 5 hours, every day 2 similar session are run with 2 different groups of same level residents. Alternatively 1 or 2 resident act during a scenario while the others observe in a teletransmission room. Debriefing follows the critical scenario in witch resident are involved. The investigators are testing the effects of five minute of conversational relaxation before the debriefing on the anxiety level and memorization of key points each scénario on participant and observer. Relaxation is done reading a text outloud by an instructor before the debriefing. Each scenario is run in the morning and the afternoon and alternatively have relaxation or not. evaluation is done on participant of the scenario and resident observer of the situation. The Investigators ask participant for demographic data, anxiety scale test, multiple anxiety visual analogic scale. At the end of every scenario 5 clinical key point of teh scenario are exposed. At 3 month the investigators call back every participant to ask them to remember these 5 points for the scenario they were involved in and one of the other they observed.

Official Title
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Effect of a Debriefing Conversational Relaxation on Memorization of Critical Key Points in Resident High Fidelity Simulation Education Program

Conditions
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Anxiety

Intervention / Treatment
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* Behavioral: relaxation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: every resident going to a scheduled simulation session part of the normal education program of the residency. Exclusion Criteria: no consent, or consent deleted
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: relax actor<br>actor during simulation and relaxation before debriefing | Behavioral: relaxation<br>* 5 min of conversational relaxation red by one of the instructor between simulation and debriefing<br>|
| No Intervention: no relax actor<br>actor during simulation and no relaxation before debriefing | |
| Active Comparator: relax observer<br>observer during simulation and relaxation before debriefing | Behavioral: relaxation<br>* 5 min of conversational relaxation red by one of the instructor between simulation and debriefing<br>|
| No Intervention: no relax observer<br>observer during simulation and no relaxation before debriefing | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| memorization of the active scenario | 5 key points for the resolution of the scenario, 1 point per key points recalled by the participant, metrics from 0 to 5. | 3 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| anxiety | visual analog scale : metrics from 0 to 100 mm | min 1 | 
| debriefing | score of quality of the debriefing questionnaire of 6 items quoted, total score from 25 to 175 | min 1 | 
| observing | visual analog scale : metrics from 0 to 100 mm | min 1 | 
| memorization of the passive scenario | 5 key points for the resolution of the scenario, 1 point per key points recalled by the participant, metrics from 0 to 5. | 3 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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simulation, anxiety, debriefing, memorization