Comparing the effectiveness of simulation as adjuncts to standardized lectures, on the identification and reporting of intimidation during surgical clerkship: A mixed method randomized controlled trial.
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
28
08
2019
revised:
19
11
2019
accepted:
17
01
2020
pubmed:
6
2
2020
medline:
24
11
2020
entrez:
5
2
2020
Statut:
ppublish
Résumé
Intimidation constitutes a learning barrier for undergraduates and its reporting rate to authorities remains suboptimal. A randomized controlled trial was conducted to evaluate the effectiveness of three interventions designed to increase reporting by undergraduates during their surgical rotation. As adjuncts to a standardized lecture, participants were assigned to a simulated intimidation scenario, a video of intimidation events, or a control group. Surveys were completed before the interventions, and at the end of the rotation. Of the 119 included participants, 17.6% reported that they had been intimidated during their previous rotation as compared to 37.0% after the surgical rotation. There were no statistically significant differences in the reporting of intimidation between the groups. However, 65.5% of all participants declared feeling more at ease to report intimidation, yet the reporting rate remained low. Intimidation during clerkship persists as a frequent problem although the best method to increase its reporting remains unclear.
Sections du résumé
BACKGROUND
Intimidation constitutes a learning barrier for undergraduates and its reporting rate to authorities remains suboptimal.
METHODS
A randomized controlled trial was conducted to evaluate the effectiveness of three interventions designed to increase reporting by undergraduates during their surgical rotation. As adjuncts to a standardized lecture, participants were assigned to a simulated intimidation scenario, a video of intimidation events, or a control group. Surveys were completed before the interventions, and at the end of the rotation.
RESULTS
Of the 119 included participants, 17.6% reported that they had been intimidated during their previous rotation as compared to 37.0% after the surgical rotation. There were no statistically significant differences in the reporting of intimidation between the groups. However, 65.5% of all participants declared feeling more at ease to report intimidation, yet the reporting rate remained low.
CONCLUSION
Intimidation during clerkship persists as a frequent problem although the best method to increase its reporting remains unclear.
Identifiants
pubmed: 32014293
pii: S0002-9610(20)30036-2
doi: 10.1016/j.amjsurg.2020.01.025
pii:
doi:
Types de publication
Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
597-603Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest Christian Vincelette received doctoral scholarships from the Faculty of Medicine and Health Sciences at Université de Sherbrooke, the Réseau de Recherche en Interventions en Sciences Infirmières (RRISIQ), and from the Canadian Institutes of Health Research (CIHR). Adam Dubrowski received Canada’s Research Chair in Healthcare Simulation. Maureen Thivierge-Southidara received a master scholarship from the Graduate and postdoctoral studies at Université de Montréal. These organizations were not involved in the decision to pursue this research or to submit this article.