BurntOut: Role-Play Simulation for Building Medical Student Resiliency

BurntOut：培养医学生适应能力的角色扮演模拟

• 批准号: 10000814
• 负责人: Bradley Tanner
• 金额: $ 48.97万
• 依托单位: CLINICAL TOOLS, INC.
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-15 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10000814
• 关键词: 3-Dimensional; Address; Adopted; Alcohol abuse; Alcohol consumption; Alcohol or Other Drugs use; Alcohols; Assessment tool; Behavior; Choice Behavior; Clinic; Clinical; Clinical Medicine; Clinical Trials; Communication Board; Computer software; Conflict (Psychology); Consultations; Coping Skills; Data; Decision Making; Depression and Suicide; Development; Emotional; Ensure; Environment; Evaluation; Face; Faculty; Feedback; Future; Goals; Health; Home environment; Hospitals; Institution; International; Intervention; Journals; Learning; Manuscripts; Medical; Medical Students; Mental Depression; Mindfulness Training; Modification; Outcome; Participant; Patient Care; Patients; Peer Review; Personal Satisfaction; Phase; Physicians; Pilot Projects; Play; Protocols documentation; Publications; Quality of life; Randomized; Reporting; Research; Resources; Review Literature; Role; Role playing therapy; Running; Sleep; Standardization; Stress; Students; Substance abuse problem; Symptoms; Testing; Training; Waiting Lists; Wellness Center; Withdrawal; Work; Writing; alcohol misuse; base; burnout; career; clinical care; commercialization; computer generated; coping; design; diet and exercise; document outlines; experience; follow-up; improved; instrument; medical schools; model development; peer coaching; prototype; public health relevance; recruit; resilience; resource guides; satisfaction; simulation; social; success; suicidal; symposium; training opportunity; usability

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.

项目描述 Burntout：用于建立医学学生弹性的角色扮演模拟 医学生和医师的倦怠率很高。比率与酒精和其他物质使用相关 问题，并对患者护理产生负面影响。该项目将创建一个3D模拟烧伤：角色 - 播放医学生的模拟，以练习和应对压力的情况，增强应对和 开发方法来减少对不健康行为（例如滥用酒精）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识别 压力，对临床医学，基于研究的干预措施和评估工具相关的影响 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，重点是使学生面临相关的挑战 通过临床护理并突出福祉资源。该文件概述了扩大应对的策略 技能，应对酒精和其他物质的滥用，降低抑郁症，建立弹性以及 减少临床培训和未来职业期间的倦怠。创建概念原型证明后， 我们进行了形成性分析和修订的迭代回合。坦纳博士还在 国际医师卫生会议，并获得了大量积极的反馈。方法是 被广泛接受为独特而有价值的贡献；他们也提供了指导。 在第二阶段，我们将完成开发，并结合各种频繁和定期输入 利益相关者。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，做出避免压力或使用应对策略的决定，提高其弹性， 并体验他们选择的影响。最终的互动体验将包括： 1。20个短场景，持续5-15分钟，在模拟医院，诊所，家庭和健康状况 环境。 2。一个模拟的休息室，带有计算机生成的同行/导师角色，为指导提供指导 支持经验教训，并协助设定目标，以应用于现实世界的选择和行为。 3。根据休息室体验的量身定制资源指南，为在线提供指导， 机构，组织资源和支持。例子包括正念培训 机会，运动/饮食/睡眠技巧，健康中心和流行的学生沟通板 由受人尊敬的组织经营。 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。最终的总结性研究将是对80名学生的随机预/职位，等待名单控制评估 （40/组）和3个月的随访。我们将评估对倦怠症状，生活质量，弹性的影响， 使用标准化量表的酒精使用，抑郁和产品满意度。 上述工作将决定3D模拟的潜力，使医学生能够建立弹性 通过练习决策，部署有益的应对技巧，拒绝酒精和基于物质 应对策略，减少抑郁症并减少倦怠。