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Title: Enhancing medical student transition to clinical practice by introducing a management of clinical aggression (MOCA) simulation in a pre-internship program (PIP).
Author: Panozzo, Lisa
Garner, Sue
Van Dreven, Amber
Issue Date: 2018
Conference Name: Ballarat Health Services 2018 Annual Research Symposium: research partnerships for population, people and patients; celebrating our research partnerships with the community in the Grampians region
Conference Date: November 29th
Conference Place: Ballarat
Abstract: Background Clinical aggression negatively effects clinicians’ health and well-being, potentially limiting the provision of patient care. Clinicians can fail to recognise clinical aggression as a manifestation of clinical illness, a communication of distress or unmet needs. Medical students gain experience in a variety of clinical settings, supported by a structured curriculum. However, theory and skills training to manage challenging behaviours is currently limited. Objectives/Aims To facilitate medical student transition to clinical practice by implementing a MOCA simulation in the PIP. The aim of the simulation is to address the knowledge and skills deficit, with the expectation of improving patient care and clinician safety. 1. To create a simulation based high fidelity (VSP, security staff) MOCA session for PIP students. 2. To ensure all students have a baseline understanding of MOCA prior to the simulation session (pre-reading exercise). 3. Evaluate the students response to the simulation through written feedback Method Phase 1 - Audit medical curriculum, Identify curriculum alignment and pedagogy to incorporate simulation-based MOCA training into PIP. Direct participation provides an opportunity for medical students to recognise and assess clinical aggression and to practice therapeutic communication, Perform literature review, Construct a MOCA simulation, Liaise with key stakeholders Phase 2 - Train VSPs for role of acutely agitated patient in MOCA simulation, Pilot test MOCA simulation Phase 3 - Develop evaluation tool, undertake data collection and refinement of simulation lesson plan post pilot. Results Written feedback from the pilot MOCA simulations has been overwhelmingly positive, with all students (n=21) supporting the need for MOCA training prior to independent clinical practice. Students suggested improvement by increasing number of scenarios to allow all students to actively participate. Implications/Outcomes for Planned Research Project Formal evaluations based on this pilot program are planned for 2019 PIP. The program has been adapted based on feedback to allow for greater numbers of students to participate in the simulation. This has had implications for timetabling to allow for longer sessions, as well as construction of new simulations. Final Thoughts This project may be transferrable to other healthcare disciplines and provides an alternative to didactic learning surrounding MOCA training in the classroom or in orientation programs.
Internal ID Number: 01276
Type: Conference
Appears in Collections:Research Output

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