文章基本信息

标题：‘Simulation-based learning in psychiatry for undergraduates at the University of Zimbabwe medical school’
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作者：Angharad Piette ; Florence Muchirahondo ; Walter Mangezi 等
期刊名称：BMC Medical Education
印刷版ISSN：1472-6920
出版年度：2015
卷号：15
期号：1
页码：23-30
DOI：10.1186/s12909-015-0291-8
出版社：BioMed Central
摘要：Background The use of simulated patients to teach in psychiatry has not been reported from low-income countries. This is the first study using simulation teaching in psychiatry in Africa. The aim of this study was to introduce a novel method of psychiatric teaching to medical students at the University of Zimbabwe and assess its feasibility and preliminary effectiveness. We selected depression to simulate because students in Zimbabwe are most likely to see cases of psychoses during their ward-based clinical exposure. Methods Zimbabwean psychiatrists adapted scenarios on depression and suicide based on ones used in London. Zimbabwean post-graduate trainee psychiatrists were invited to carry out the teaching and psychiatric nursing staff were recruited and trained in one hour to play the simulated patients (SPs). All students undertaking their psychiatry placement (n = 30) were allocated into groups for a short didactic lecture on assessing for clinical depression and then rotated around 3 scenarios in groups of 4–5 and asked to interview a simulated patient with signs of depression. Students received feedback from peers, SPs and facilitators. Students completed the Confidence in Assessing and Managing Depression (CAM-D) questionnaire before and after the simulation session and provided written free-text feedback. Results 0.0001) following the simulation teaching session. Free-text feedback was positive overall with students commenting that it was “helpful”, “enjoyable” and “boosted confidence”. Conclusions In Zimbabwe, simulation teaching was acceptable and could be adapted with minimal effort by local psychiatrists and implemented by post-graduate trainees and one consultant, Students found it helpful and enjoyable and their confidence increased after the teaching. It offers students a broader exposure to psychiatric conditions than they receive during clinical attachment to the inpatient wards. Involving psychiatry trainees and nursing staff may be a sustainable approach in a setting with small number of consultants and limited funds to pay for professional actors.
关键词：Simulation; Medical education; Depression; Psychiatry; Mental health; Low; income countries; Developing countries; Africa