This trial is active, not recruiting.

Condition clinical skills training
Treatments emergency psychiatry immersion course, observed skills in the emergency room
Sponsor King's College London
Collaborator Guy's and St Thomas' NHS Foundation Trust
Start date August 2011
End date September 2011
Trial size 48 participants
Trial identifier NCT01416727, 2011/051


The purpose of this study is to evaluate and compare the effectiveness of two forms of clinical skills training for teaching emergency psychiatry skills to doctors who have just started to work in psychiatry

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking single blind (outcomes assessor)
"Observed SKills in the Emergency Room" - workplace-based supervision.
observed skills in the emergency room
For four weeks, participants will be accompanied by a senior psychiatric registrar or consultant psychiatrist, who has received training in giving feedback, during their on-call duties. Each participant will receive between 8-12 hours of 1:1 training.
"Emergency Psychiatry Immersion Course" - simulation-based training.
emergency psychiatry immersion course
A two-day simulation-based training course covering assessment of self-harm, capacity, managing aggression, working with the emergency team and medical emergencies in the psychiatric hospital

Primary Outcomes

Change in global clinical skills
time frame: Baseline; 4 weeks; 16 weeks

Secondary Outcomes

Change in technical clinical skills
time frame: Baseline; 4 weeks; 16 weeks
Change in attitudes towards teamworking
time frame: Baseline; 4 weeks; 16 weeks
Change in attitudes towards self-harm
time frame: Baseline; 4 weeks; 16 weeks
Self-reported views on usefulness and acceptability of the training programmes
time frame: 4 weeks
Qualitative evaluation
time frame: 8 - 12 weeks

Eligibility Criteria

Male or female participants at least 22 years old.

Inclusion Criteria: - Junior doctors starting work at the South London and Maudsley NHS Foundation Trust in August 2011 in any of the following grades: 1. Core Psychiatric Training; 2. Foundation Training; 3. General Practice Vocational Training; 4. Core Trainee 1-3 equivalent posts, e.g. long-term locums Exclusion Criteria: - Unwillingness to participate in the study - Inability to attend the training programme or participate in the evaluation

Additional Information

Official title A Randomised Trial of Simulation Training vs Workplace-Based Supervision for Junior Doctors in Psychiatry
Description Junior doctors starting work in psychiatry soon encounter a number of situations in the workplace for which they have had little or no preparation either at medical school or from work in other specialities. They will encounter clinically complex situations such as rapid tranquillisation, crisis presentations of self-harm, suicide risk assessment, overseeing supervised confinement and making decisions to admit or discharge mentally ill patients. Furthermore, many of these situations occur out of hours when there is little direct senior supervision available. The traditional induction programme is delivered in a didactic format, which does not encourage effective learning, nor does it allow any opportunity to practise or acquire hands-on skills or non-technical skills such as interprofessional communication, leadership and situational awareness. In the interests of patient safety and improving the quality of care and patient's experience, there is an urgent need to identify ways of improving induction and quickly equipping junior doctors with the clinical skills necessary to practise safely in psychiatry. We propose to evaluate and compare two approached to improved skills training in psychiatry: 1. workplace-based observation and feedback; 2. simulation training. All new junior doctors starting work in the South London and Maudsley NHS Foundation Trust, London, UK, in August 2011 will be invited to take part in a randomised controlled trial of training in addition to the standard induction. Following a day of lectures on relevant clinical topics, participants will be randomly allocated to receive either observed workplace-based training by a more senior doctor during their on-call duties, or a two-day simulation-based training course. Before and after the training, assessments of participants' clinical skills and attitudes will be carried out by questionnaires and by observations of simulated clinical encounters. Changes in performance will be compared between the two groups. Longer term evaluation will be carried out by means of qualitative interviews and simulated clinical encounters once participants have been working for several months.
Trial information was received from ClinicalTrials.gov and was last updated in September 2011.
Information provided to ClinicalTrials.gov by King's College London.