Evidence map›Paper›PMID 34488745›Full record

ArticleBMC medical education2021

Teaching emergency situations during a psychiatry residency programme using a blended learning approach: a pilot study.

Juliette Salles, Philippe Birmes, Laurent Schmitt, Bruno Bastiani, Maria Soto, Stéphanie Lafont-Rapnouil, Anjali Mathur, Emmanuelle Bougon, Christophe Arbus, Antoine Yrondi

Abstract read
In one paragraph

Article in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Preparing House Officers for Emergencies in a Psychiatric Setting with Simulation-Based Learning.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
    Article
  3. Multidisciplinary Simulation-Based Verbal De-escalation Training Improves Staff Knowledge and Clinical Environment in an Urban Emergency Department.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2024
    Article
  4. Educational Approaches Using Simulation for Psychiatric Risk Assessment: a Scoping Review.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Juliette SallesService de Psychiatrie et Psychologie, Department of Psychiatry and Psychology, CHU Toulouse (Toulouse University Hospital Centre), F-31000, Toulouse, France.
Philippe BirmesToulouse NeuroImaging Centre, Université de Toulouse (Toulouse University), Inserm, UPS, Toulouse, France.
Laurent SchmittService de Psychiatrie et de Psychologie Médicale, Department of Psychiatry and Medical Psychology, Centre Expert Dépression Résistante FondaMental (Expert Centre for Treatment-Resistant Fundamental Depression), CHU Toulouse, Hôpital Purpan, Toulouse, France.
Bruno BastianiInstitut Toulousain de Simulation en Santé (ITSIMS), Toulouse Institute for Health Stimulation, Toulouse, France.
Maria SotoAlzheimer's Disease Research and Clinical Centre, INSERM U 1027, Toulouse University Hospital, Gerontopôle, France.
Stéphanie Lafont-RapnouilPole de Psychiatrie (Psychiatric Emergency Department, Psychiatric Unit), Urgences Psychiatrique, CHU Toulouse, Hôpital Purpan, Toulouse, France.
Anjali MathurService de Psychiatrie et de Psychologie Médicale, Department of Psychiatry and Medical Psychology, Centre Thérapie Brève, Short Treatment Centre, CHU Toulouse, Hôpital Purpan, Toulouse, France.
Emmanuelle BougonPole de Psychiatrie (Psychiatric Emergency Department, Psychiatric Unit), Urgences Psychiatrique, CHU Toulouse, Hôpital Purpan, Toulouse, France.
Christophe ArbusService de Psychiatrie et de Psychologie Médicale, Centre Expert Dépression Résistante FondaMental, CHU Toulouse, Hôpital Purpan, ToNIC, Toulouse NeuroImaging Centre, Université de Toulouse, Inserm, UPS, Toulouse, France.
Antoine YrondiService de Psychiatrie et de Psychologie Médicale, Centre Expert Dépression Résistante FondaMental, CHU Toulouse, Hôpital Purpan, ToNIC, Toulouse NeuroImaging Centre, Université de Toulouse, Inserm, UPS, Toulouse, France. antoineyrondi@gmail.com.

Funding

Université Toulouse III - Paul Sabatier Université Toulouse III - Paul Sabatier
6 · The paper itself

Abstract

backgroundEmergency psychiatry is an essential component in the training of psychiatry residents who are required to make patient-centred orientation decisions. This training calls for specific knowledge as well as skills and attitudes requiring experience. Kolb introduced a theory on experiential learning which suggested that effective learners should have four types of abilities: concrete experience, reflective observation, abstract conceptualisation and active experimentation. We aimed to evaluate a resident training programme that we designed for use in an emergency psychiatry setting based on the experimental learning theory.

methodsWe designed a four-step training programme for all first-year psychiatry residents: (i) theoretical teaching of psychiatric emergency knowledge, (ii) concrete experience of ability teaching involving an initial simulation session based on three scenarios corresponding to clinical situations frequently encountered in emergency psychiatry (suicidal crisis, hypomania and depressive episodes), (iii) reflective observation and abstract conceptualisation teaching based on videos and clinical interview commentary by a senior psychiatrist for the same three scenarios, (iv) active experimentation teaching during a second simulation session based on the same three frequently encountered clinical situations but with different scenarios. Training-related knowledge acquisition was assessed after the second simulation session based on a multiple-choice quiz (MCQ), short-answer questions and a script concordance test (SCT). The satisfaction questionnaire was assessed after the resident had completed his/her initial session in order to evaluate the relevance of teaching in clinical practice. The descriptive analyses were described using the mean (+/- standard deviation). The comparative analyses were conducted with the Wilcoxon or Student's t tests depending on data distribution.

resultsThe residents' mean MCQ and short-answer question scores and SCT were 7.25/10 (SD = 1.2) 8.33/10 (SD = 1.4), 77.5/100 (SD = 15.8), respectively. The satisfaction questionnaire revealed that 67 % of residents found the teaching consistent.

conclusionWe designed a blended learning programme that associated, classical theoretical learning to acquire the basic concepts, a learning with simulation training to experiment the clinical situations and a video support to improve learning of interview skills and memory recall. The residents indicate that this training was adequate to prepare them to be on duty. However, despite this encouraging point, this program needs further studies to attest of its efficiency.

Indexed as

Internship and ResidencyPsychiatryClinical CompetenceFemaleHumansLearningMalePilot ProjectsProblem-Based LearningTeaching

Identifiers

PMID34488745
PMCPMC8419928

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.