BurntOut: Role-Play Simulation for Building Medical Student Resiliency

项目说明 职业倦怠：培养医学生适应能力的角色扮演模拟 医学生和医生的职业倦怠率很高。比率与酒精和其他物质的使用有关 问题，并对病人护理产生负面影响。该项目将创建一个3D模拟倦怠：角色- 为医学生模拟练习和应对压力情况，增强应对能力，以及 制定应对措施，减少酒精滥用等不健康行为的使用。 在第一阶段，我们创建并评估了原型模拟。我们进行了需求分析，以确定 压力、对临床医学的相关影响、基于研究的干预措施和评估工具 基于文献综述、教师咨询和形成性分析。 我们为模拟创建了一个设计文档，重点是让学生面对相关的挑战 与临床护理和强调福利资源。该文件概述了扩大应对措施的战略 技能，对抗酒精和其他物质的滥用，减少抑郁，建立适应能力，以及 减少他们在临床培训和未来职业生涯中的职业倦怠。在创建概念验证原型之后， 我们进行了反复的形成性分析和修改。坦纳博士还在 参加了国际医生健康会议，并收到了重要的积极反馈。当时的做法是 作为一项独特和有价值的贡献而受到好评；它们也提供了指导。 在第二阶段，我们会完成发展工作，吸纳来自不同界别的人士经常和定期提供意见。 利益相关者。在模拟中采用医学生角色，学生可以参与 挑战和冲突，做出避免压力或使用应对策略的决定，增强他们的弹性， 体验他们的选择所带来的影响。最终的互动体验将包括： 1.模拟医院、诊所、家庭和健康中的20个短小场景，持续5-15分钟 环境。 2.具有计算机生成的同伴/导师角色的模拟休息室，提供指导 支持吸取的经验教训，并协助设定目标，将其应用于现实世界的选择和行为。 3.基于休息室体验的定制资源指南，为在线提供指导， 机构和组织的资源和支持。例子包括正念训练。 机会、锻炼/饮食/睡眠小贴士、健康中心和受欢迎的学生交流论坛 由受人尊敬的组织运营。 可用性和试点测试将确保最终产品和评估设计具有最大的潜力 成功。最终的终结性研究将是对80名学生进行的随机前/后、等待名单对照评估 (40例/组)，随访3个月。我们将评估对职业倦怠症状、生活质量、恢复力、 使用标准化的量表测量酒精使用、抑郁和产品满意度。 上述工作将确定3D模拟的潜力，使医学生能够建立复原力 通过练习决策，运用有益的应对技能，拒绝酒精和以物质为基础 应对策略，减少抑郁，减少职业倦怠。

PROJECT DESCRIPTION BurntOut: Role-Play Simulation for Building Medical Student Resiliency Medical student and physician burnout rates are high. Rates correlate with alcohol and other substance use problems, and negatively impact patient care. This project will create a 3D simulation BurntOut: Role- Play Simulation for medical students to practice and respond to stressful situations, enhance coping, and develop ways to respond that decrease use of unhealthy behaviors such as alcohol misuse. During Phase I, we created and evaluated a prototype simulation. We conducted needs analysis to identify stresses, associated impact on clinical medicine, research-based interventions, and assessment tools based on literature review, faculty consultation, and formative analysis. We created a design document for the simulation focused on exposing students to challenges associated with clinical care and highlighting well-being resources. The document outlines a strategy to expand coping skills, counter the misuse of alcohol and other substances, decrease depression, build resiliency, and decrease burnout during their clinical training and future career. After creating a proof of concept prototype, we conducted iterative rounds of formative analysis and revision. Dr. Tanner also presented the work at the International Conference on Physician Health and received significant positive feedback. The approach was well received as a unique and valuable contribution; they provided guidance as well. In Phase II, we will complete development incorporating frequent and regular input from a variety of stakeholders. Adopting the role of a medical student character in the simulation, students can engage challenges and conflicts, make decisions to avoid stress or use coping strategies, enhance their resiliency, and experience the impact of their choices. The final interactive experience will include: 1. 20 short scenarios, lasting 5-15 minutes, in simulated hospital, clinic, home, and wellness environments. 2. A simulated break room with a computer-generated peer/mentor character providing guidance to support lessons learned and to assist in setting goals to apply to real world choices and behaviors. 3. A tailored resource guide based on the break room experience that provides direction to online, institutional, and organizational resources and support. Examples include mindfulness training opportunities, exercise/diet/sleep tips, wellness centers, and popular student communication boards run by respected organizations. Usability and pilot testing will ensure the final product and evaluation design has maximum potential for success. A final summative study will be a randomized pre/post, wait-list control evaluation with 80 students (40/group) and a 3 month follow up. We will assess impact on burnout symptoms, quality of life, resiliency, alcohol use, depression, and product satisfaction using standardized scales. The above work will determine the potential of a 3D simulation to enable medical students to build resiliency by practicing decision making, deploying beneficial coping skills, rejecting alcohol and substance-based coping strategies, reducing depression, and decreasing burnout.