A Virtual Standardized Patient-Based Assessment Tool to Evaluate Psychiatric Residents' Psychopharmacology Proficiency.

Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
Jeffrey J RakofskyBoadie W Dunlop

Abstract

A virtual standardized patient-based assessment simulator was developed to address biases and practical limitations in existing methods for evaluating residents' proficiency in psychopharmacological knowledge and practice. The simulator was designed to replicate an outpatient psychiatric clinic experience. The virtual patient reported symptoms of a treatment-resistant form of major depressive disorder (MDD), requiring the learner to use various antidepressants in order for the patient to fully remit. Test scores were based on the proportion of correct responses to questions asked by the virtual patient about possible side effects, dosing, and titration decisions, which depended upon the patient's tolerability and response to the learner's selected medications. The validation paradigm included a novice-expert performance comparison across 4th year medical students, psychiatric residents from all four post-graduate year classes, and psychiatry department faculty, and a correlational analysis of simulator performance with the PRITE Somatic Treatments subscale score. Post-test surveys evaluated the test takers' subjective impressions of the simulator. Forty-three subjects completed the online exam and survey. Total mean scores on t...Continue Reading

References

Sep 16, 2004·The Journal of Clinical Psychiatry·Mark OlfsonErika C Geissler
Feb 2, 2008·Cleveland Clinic Journal of Medicine·Bradley N GaynesMaurizio Fava
Aug 6, 2008·Archives of General Psychiatry·Ramin Mojtabai, Mark Olfson
Mar 1, 2012·Journal of Clinical Psychopharmacology·Jeffrey J Rakofsky, Boadie W Dunlop
May 20, 2015·Medical Education·David A CookRose Hatala
Dec 7, 2016·Advances in Simulation·David A Cook, Rose Hatala
Feb 17, 2018·Advances in Simulation·Brett WilliamsLesley McKarney
Sep 5, 2019·The New England Journal of Medicine·Handan Gunduz-BruceStephen J Kanes

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Citations

Nov 1, 2020·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Adam M Brenner
Jul 17, 2021·Current Psychiatry Reports·Greg M RegerJennifer M Buchman

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Software Mentioned

Standard Patient Studio
Patient
SPSS Statistics
PRITE

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