BurntOut: Role-Play Simulation for Building Medical Student Resiliency

项目描述 BurntOut：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相关 问题，并对患者护理产生负面影响。该项目将创建一个 3D 模拟 BurntOut: Role- 医学生可以通过玩模拟来练习和应对压力情况，增强应对能力，并 制定应对方法，减少滥用酒精等不健康行为。 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份设计文件，重点是让学生面临相关的挑战 提供临床护理并强调福利资源。该文件概述了扩大应对范围的战略 技能，抵制酒精和其他物质的滥用，减少抑郁，增强弹性，以及 减少临床培训和未来职业生涯中的倦怠。创建概念验证原型后， 我们进行了多轮形成性分析和修订。 Tanner 博士也在会议上介绍了这项工作 国际医师健康会议并收到了显着的积极反馈。方法是 作为独特且有价值的贡献而受到好评；他们也提供了指导。 在第二阶段，我们将结合来自各种方面的频繁和定期的输入来完成开发 利益相关者。在模拟中采用医学生角色，学生可以参与其中 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， 并体验他们的选择的影响。最终的互动体验将包括： 1. 20个简短场景，持续5-15分钟，在模拟医院、诊所、家庭和健康场所 环境。 2. 模拟休息室，由计算机生成的同伴/导师角色提供指导 支持吸取的经验教训并协助设定目标以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、 机构、组织资源和支持。例子包括正念训练 机会、锻炼/饮食/睡眠技巧、健康中心和受欢迎的学生交流板 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潜力 成功。最终的总结性研究将是对 80 名学生进行随机的前/后、候补名单控制评估 （40人/组）和3个月的随访。我们将评估对倦怠症状、生活质量、弹性、 使用标准化量表测量酒精使用、抑郁和产品满意度。 上述工作将确定 3D 模拟帮助医学生建立弹性的潜力 通过练习决策、运用有益的应对技巧、拒绝酒精和药物 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.