Abstract
Objective
This study assessed the impact of an online, self-directed learning module on medical student knowledge and attitudes regarding decision-making capacity.
Methods
The authors created a 15-min didactic video on decision-making capacity and sorted medical students on the psychiatry clerkship to teaching as usual or teaching as usual plus watching the video. The authors assessed student knowledge about and attitudes toward decisional capacity assessment using a pre/posttest design.
Results
Thirty-eight students completed the study (24% of all psychiatry clerkship students in one academic year). Students who watched the video (n = 14) achieved higher scores on the posttest compared with students who did not watch the video (n = 24) (90% vs 84% on general knowledge and case examples), though this difference was small and not statistically significant. The degree of improvement from pretest to posttest was higher for students who watched the video but did not reach statistical significance.
Conclusions
Overall, students found the online teaching module to be a helpful augmentation strategy for learning decisional capacity assessment. The authors incorporated student feedback and additional review to create an enhanced video, which is available on ADMSEP’s Clinical Simulation Initiative website.
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Acknowledgments
The authors would like to acknowledge Rachel Rodriguez for her administrative help in conducting the study.
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The participating medical students voluntarily agreed to participate in the study. They had full informed consent of the study and were able to withdraw at any point. Their participation did not impact their performance on the clerkship, and their participation and responses were deidentified and not shared with clerkship directors. This study was submitted to Northwestern University’s Biomedical Institutional Review Board and received a designation of exempt (IRB# STU00205185).
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On behalf of all authors, the corresponding author states that there is no conflict of interest.
The views and discussion in this article do not necessarily reflect the opinion of the Department of Defense, United States Air Force, United States government, the Uniformed Services University, or the Department of Psychiatry.
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Ryznar, E., Hamaoka, D. & Lloyd, R.B. Pilot Study of an Online Self-Directed Learning Module for Medical Decision-Making Capacity. Acad Psychiatry 44, 408–412 (2020). https://doi.org/10.1007/s40596-020-01215-y
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DOI: https://doi.org/10.1007/s40596-020-01215-y