Simulated virtual on-call training programme for improving non-specialised junior doctors' confidence in out-of-hours psychiatry: quantitative assessment.

Autor:	Blamey H; John Radcliffe Hospital, Oxford, UK.; Oxford University Clinical Academic Graduate School, John Radcliffe Hospital, Oxford, UK., Harrison CH; John Radcliffe Hospital, Oxford, UK.; Oxford University Clinical Academic Graduate School, John Radcliffe Hospital, Oxford, UK., Roddick A; John Radcliffe Hospital, Oxford, UK.; Oxford University Clinical Academic Graduate School, John Radcliffe Hospital, Oxford, UK., Malhotra T; Littlemore Health Centre, Oxford, UK., Saunders KEA; Oxford University Clinical Academic Graduate School, John Radcliffe Hospital, Oxford, UK.; Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK.
Jazyk:	angličtina
Zdroj:	BJPsych bulletin [BJPsych Bull] 2023 Oct; Vol. 47 (5), pp. 287-295.
DOI:	10.1192/bjb.2022.40
Abstrakt:	Aims and Method: To investigate whether a psychiatry-specific virtual on-call training programme improved confidence of junior trainees in key areas of psychiatry practice. The programme comprised one 90 min lecture and a 2 h simulated on-call shift where participants were bleeped to complete a series of common on-call tasks, delivered via Microsoft Teams. Results: Thirty-eight trainees attended the lecture, with a significant improvement in confidence in performing seclusion reviews ( P = 0.001), prescribing psychiatric medications for acute presentations ( P < 0.001), working in section 136 suites (places of safety) ( P = 0.001) and feeling prepared for psychiatric on-call shifts ( P = 0.002). Respondents reported that a virtual on-call practical session would be useful for their training (median score of 7, interquartile range 5-7.75). Eighteen participants completed the virtual on-call session, with significant improvement in 9 out of the 10 tested domains ( P < 0.001). Clinical Implications: The programme can be conducted virtually, with low resource requirements. We believe it can improve trainee well-being, patient safety, the delivery of training and induction of rotating junior doctors during the COVID-19 pandemic and it supports the development and delivery of practical training in psychiatry.
Databáze:	MEDLINE
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