Clinical trial NCT03184142: Increasing Reporting of Intimidation of Medical Students With Simulation
Official title: Increasing Reporting of Intimidation of Medical Students With Simulation: a Randomised Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Intimidation
Keywords: Intimidation
Simulation
Medical education
Surgical education
Lead sponsor: Centre hospitalier de l'Université de Montréal (CHUM)
Sponsor class: OTHER
First posted: 2017-06-12
Enrollment: 129
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Single-blind randomised controlled trial with two experimental arms and a control arm
Primary purpose: PREVENTION

Brief summary: Intimidation of medical students by health care professionals is a well-documented phenomenon. Raising awareness of what constitutes intimidation is a preferred method for preventing it through increased reporting. Simulation is a novel method of raising awareness of intimidation.

This is a randomised controlled trial comparing the effectiveness of simulation (involving actors), an educational video and no intervention, as adjuncts to group discussion, on students' ability to identify and report intimidation. Medical students from the University of Montreal in Montreal, Canada, will be recruited at the beginning of surgical clerkship. They will complete a standardized and validated pre-intervention questionnaire on their experience with intimidation consisting of multiple choice questions and short answers. They will be randomised to one of the three interventions lasting 70 minutes that will be followed by a 20-minute standardized discussion on intimidation with all students participating together. At the end of their surgical rotation, they will complete a similar post-intervention questionnaire with additional questions pertaining to the reporting of intimidation.

Differences in intimidation reporting after the intervention as well as a before and after comparison of the "Negative Acts Questionnaire" score will be studied.


Eligibility criteria: Inclusion Criteria:

* Medical students at the University of Montreal at the beginning of their surgical clerkship rotation.

Exclusion Criteria:

-

Primary outcomes:
measure: Comfort in reporting intimidation
timeFrame: 6 weeks after enrollment
measure: Perception of intimidation after intervention
timeFrame: 6 weeks after enrollment
Secondary outcomes:
measure: Baseline prevalence of intimidation
timeFrame: at enrollment
measure: Before and after comparison
timeFrame: at enrollment vs 6 weeks post-intervention
measure: Reasons for not reporting intimidation
timeFrame: at enrollment
measure: Frequency of intimidation reporting
timeFrame: 6 weeks post-intervention
Other outcomes:
Locations:
city: Montréal
country: Canada
facility: Faculté de Médecine de l'Université de Montréal
state: Quebec
Study officials:
affiliation: Centre hospitalier de l'Université de Montréal (CHUM)
name: Erica Patocskai, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Stone JP, Charette JH, McPhalen DF, Temple-Oberle C. Under the knife: medical student perceptions of intimidation and mistreatment. J Surg Educ. 2015 Jul-Aug;72(4):749-53. doi: 10.1016/j.jsurg.2015.02.003.
citation: Isaranuwatchai W, Brydges R, Carnahan H, Backstein D, Dubrowski A. Comparing the cost-effectiveness of simulation modalities: a case study of peripheral intravenous catheterization training. Adv Health Sci Educ Theory Pract. 2014 May;19(2):219-32. doi: 10.1007/s10459-013-9464-6. Epub 2013 Jun 1.
citation: Curtis MT, DiazGranados D, Feldman M. Judicious use of simulation technology in continuing medical education. J Contin Educ Health Prof. 2012 Fall;32(4):255-60. doi: 10.1002/chp.21153.
citation: Einarsen S, Helge H, Notelaers G. Measuring exposure to bullying and harassment at work: validity, factor structure & psychometric properties of the negative acts questionnaire-revised. Work Stress 23(1):24-44, 2009.