The Effectiveness of Online Experiential Learning in a Psychiatry Clerkship

被引:1
作者
Meyer, Eric G. [1 ]
Cozza, Kelly L. [1 ]
West, James C. [1 ]
Hamaoka, Derrick [1 ]
机构
[1] Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA
关键词
Experiential learning; Simulation; Online; Clerkship; Clinical skills;
D O I
10.1007/s40596-023-01755-z
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Objective The Uniformed Services University of the Health Sciences 5-week psychiatry clerkship educates about 180 students a year at sites around the USA. In 2017, weekly in-person experiential learning sessions were implemented for local students and resulted in improved performance in several end-of-clerkship Objective Structured Clinical Examination (OSCE) skills as compared to distant learners who did not receive these sessions. The difference in performance (similar to 10%) highlighted a need to provide comparable training for distant learners. Providing in-person, repeated simulated experiential training at multiple distant sites was not practical, requiring development of a novel online approach. Methods Students at all four distant sites over 2 years (n = 180) participated in five weekly synchronous online experiential learning sessions, while local students (n = 180) received five weekly in-person experiential learning sessions. Tele-simulation used the same curriculum, centralized faculty, and standardized patients as the in-person iterations. Overall end-of-clerkship OSCE performance was compared for learners receiving online versus in-person experiential learning for non-inferiority. Specific skills were compared to receiving no experiential learning. Results Overall OSCE performance was non-inferior for students who received synchronous online as compared to in-person experiential learning. Performance on each skill other than communication improved significantly when comparing students who received online versus no experiential learning (p < 0.05). Conclusions The use of weekly online experiential learning to enhance clinical skills is comparable to in-person efforts. Virtual, simulated, synchronous experiential learning provides a feasible and scalable platform for training complex clinical skills to clerkship students, a critical capability given the impact the pandemic has had on clinical training.
引用
收藏
页码:181 / 186
页数:6
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