Increasing Reporting of Intimidation of Medical Students With Simulation

NCT ID: NCT03184142

Last Updated: 2018-05-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

129 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-06-15

Study Completion Date

2017-12-21

Brief Summary

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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.

Detailed Description

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Conditions

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Intimidation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Single-blind randomised controlled trial with two experimental arms and a control arm
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Investigators Outcome Assessors
Students cannot be masked as an arm undergoes a simulation intervention. The researcher evaluating the outcomes through the questionnaires will be blinded.

Study Groups

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Simulation

During a suturing class at the simulation center, the students enter a classroom. Although the students are not aware of this, among them is an actor playing the role of a student. One of the two professors is also an actor. As the activity progresses, the professor targets the student played by an actor. The intimidation intensifies until the end. At the end of the activity, there is a debriefing explaining to the students that the bullying professor and the victim were actors.

Group Type EXPERIMENTAL

Simulation

Intervention Type BEHAVIORAL

Students witness the intimidation of one of their peers (who is an actor) by a professor (also an actor). (see arm description)

Video

During a suturing class at the simulation center, after 55 minutes of suturing, the students will be exposed to a 15-minute video on workplace and hospital intimidation and how to manage it.

Group Type EXPERIMENTAL

Video

Intervention Type BEHAVIORAL

Student watch a 15-minute intimidation video (see arm description).

Control

During a suturing class at the simulation center, the students suture for the entire 70-minute duration of the activity. They are not exposed to intimidation (control group).

Group Type PLACEBO_COMPARATOR

Control group

Intervention Type BEHAVIORAL

No intervention. The students suture for 70 minutes

Interventions

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Simulation

Students witness the intimidation of one of their peers (who is an actor) by a professor (also an actor). (see arm description)

Intervention Type BEHAVIORAL

Video

Student watch a 15-minute intimidation video (see arm description).

Intervention Type BEHAVIORAL

Control group

No intervention. The students suture for 70 minutes

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

\-
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre hospitalier de l'Université de Montréal (CHUM)

OTHER

Sponsor Role lead

Responsible Party

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Érica Patocskai

Surgical Oncologist, Director of surgical Clerkship

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Erica Patocskai, MD

Role: PRINCIPAL_INVESTIGATOR

Centre hospitalier de l'Université de Montréal (CHUM)

Locations

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Faculté de Médecine de l'Université de Montréal

Montreal, Quebec, Canada

Site Status

Countries

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Canada

References

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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.

Reference Type BACKGROUND
PMID: 26073477 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 23728476 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 23280528 (View on PubMed)

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.

Reference Type BACKGROUND

Other Identifiers

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16.422

Identifier Type: -

Identifier Source: org_study_id

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