Innovative Training with Virtual Patients in Transcultural Psychiatry: The Impact on Resident Psychiatrists’ Confidence

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Abstract

Virtual patients (VPs) are now widely accepted as efficient and safe training tools in medical education, but very little is known about their implementation in psychiatry, especially in transcultural clinical care of traumatized refugee patients. This study aimed at assessing the impact of training with a virtual patient on confidence in providing clinical care for traumatized refugee patients. The authors developed an educational tool based on virtual patient methodology portraying the case of “Mrs. K”, a traumatized refugee woman with symptoms of PTSD and depression. A group (N=32) of resident psychiatrists tested the system and their confidence in different aspects of providing clinical care for this patient group was evaluated pre- and post-test by using a validated confidence questionnaire. A statistically significant improvement was exhibited in overall confidence as well as in four more specific domains of clinical care, with the area of identifying and evaluating trauma-related diagnoses and disability showing the most prominent improvement. This VP-system can lead to physicians’ improvement of confidence in providing transcultural clinical care for traumatized refugee patients. Further research is required to investigate improvement in actual performance and cognitive outcomes with several VPs and in a long-term effect perspective.

Citation

Relevant Evidence Summaries

The evidence was reviewed and included in the following summaries: 

What is the impact of cultural competence training among health and mental health providers?

Evidence about the impact of cultural competence training on client health and mental health outcomes is generally inconclusive. Five systematic reviews, including one review of reviews, all published within the past ten years, concur that existing studies lack adequate methodological rigor to draw conclusions about the impact of cultural competence training and programming. Additionally, existing […]

About this study

AGE: Adults

DIRECTION OF EVIDENCE: Positive impact

FULL TEXT AVAILABILITY: Free

GENDER: Female

HOST COUNTRY: Sweden

HOST COUNTRY INCOME: High Income

INTERVENTION DURATION: 45 minutes

INTERVENTION: Cultural competence training

OUTCOME AREA: Cultural Competence

REGION OF ORIGIN OF PARTICIPANT(S): Europe – East

STRENGTH OF EVIDENCE: Suggestive

TYPE OF STUDY: Suggestive evidence

YEAR PUBLISHED: 2015

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