Clinical Learning Through Extended Immersion in Medical Simulation (CLEIMS)-A New Approach to Teaching Clinical Ethics

Study Overview
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Brief Summary
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Study objective: This study is planning to develop a new simulation-based ethics education model and evaluate the effectiveness of the model to develop medical students' knowledge, moral reasoning, communication skills, and problem-solving abilities. Several strategies will be conducted to achieve this goal, including faculty development, ethics courses development, and case scenario development. Methods: The transnational learning and workshops will be arranged for faculty to develop competence for simulation-based ethics education. The workshops will gather the interdisciplinary experts together to discuss and develop the core curriculum and case scenario. The students will be assigned randomly into the simulated clinical ethical situation with simulation patients for the intervention group, and into the workshop discussing clinical ethics case scenario for the control group. The instruments will be developed and the quantitative and qualitative analysis will be conducted.

Official Title
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Clinical Learning Through Extended Immersion in Medical Simulation (CLEIMS)-A New Approach to Teaching Clinical Ethics

Conditions
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Educational Activities, Patient Simulation

Intervention / Treatment
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* Other: simulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: medical students in Kaohsiung Medical University agree to participate the study Exclusion Criteria: disagree to participate

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

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: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: control group<br>workshop discussing the clinical ethical case scenario | |
| Experimental: Intervention group<br>a simulated clinical ethical situation with simulation patients | Other: simulation<br>* participating a simulated clinical ethical situation with simulation patients<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Defining Issues Test (DIT) and self-developed questionnaire | Defining Issues Test (DIT) and self-developed questionnaire for evaluation of moral reasoning | through study completion, an average of 2 years | 
| ethical decision-making clinical examination | clinical scenario exam designed for testing participants' ability of making ethical decision | through study completion, an average of 2 years | 
| Problem Identification Test (PIT) and self-developed questionnaire | Problem Identification Test (PIT) and self-developed questionnaire for evaluation of moral sensitivity | through study completion, an average of 2 years | 
| knowledge test questionnaire | questionnaire for ethics knowledge test | through study completion, an average of 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| results of Objective Structured Clinical Examination | test score of Objective Structured Clinical Examination | through study completion, an average of 2 years | 
| participant satisfaction questionnaire | satisfaction questionnaire for participating the educational activities | through study completion, an average of 2 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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medical ethics education, simulation