BurntOut: Role-Play Simulation for Building Medical Student Resiliency

项目描述 BurntOut：角色扮演模拟培养医学生的复原力 医学生和医生的倦怠率很高。发病率与酒精和其他物质的使用有关 问题，并对患者护理产生负面影响。这个项目将创建一个3D模拟BurntOut：角色- 播放模拟医学生练习和应对压力的情况下，提高应对， 制定应对方法，减少使用不健康的行为，如酒精滥用。 在第一阶段，我们创建并评估了一个原型模拟。我们进行了需求分析， 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 本研究以文献回顾、教师谘询及形成性分析为基础。 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 临床护理和突出健康资源。该文件概述了一项战略， 技能，抵制滥用酒精和其他物质，减少抑郁，建立弹性， 减少他们在临床培训和未来职业生涯中的倦怠。在创建概念原型证明之后， 我们进行了一轮又一轮的形成性分析和修订。坦纳博士还介绍了工作， 国际医生健康会议，并收到了重要的积极反馈。该方法是 作为独特和宝贵的贡献而受到好评;他们也提供了指导。 在第二阶段，我们将完成开发，并经常定期从各种 持份者在模拟中采用医学生角色的角色，学生可以参与 挑战和冲突，作出决定，以避免压力或使用应对策略，提高他们的弹性， 体验他们的选择所带来的影响。最后的互动体验将包括： 1. 20个简短的场景，持续5-15分钟，模拟医院，诊所，家庭和健康 环境. 2.一个模拟的休息室，由计算机生成的同伴/导师角色提供指导， 支持经验教训，并协助设定目标，以适用于真实的世界的选择和行为。 3.根据休息室体验量身定制的资源指南，为在线， 机构和组织资源及支助。例子包括正念训练 机会，锻炼/饮食/睡眠提示，健康中心和受欢迎的学生交流板 由受人尊敬的组织管理。 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， 成功最后的总结性研究将是一个随机的前/后，等待名单控制评估与80名学生 (40/组）和3个月随访。我们将评估对倦怠症状、生活质量、弹性的影响， 酒精使用，抑郁症和产品满意度使用标准化量表。 上述工作将确定3D模拟的潜力，使医学生能够建立弹性 通过实践决策，部署有益的应对技能，拒绝酒精和物质基础 应对策略，减少抑郁，减少倦怠。

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.