The Mental Status Exam: An Online Teaching Exercise Using Video-Based Depictions by Simulated Patients

Introduction The mental status exam (MSE) is a structured approach to gathering a patient's behavioral and cognitive information. Analogous to the physical exam, it provides a template to collect clinical data in a systematic fashion. The MSE is a core competency of undergraduate medical educat...

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Autores principales: Andrés Martin, Asaf Jacobs, Robert Krause, Doron Amsalem
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Lenguaje:EN
Publicado: Association of American Medical Colleges 2020
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Acceso en línea:https://doaj.org/article/6008babdcc7f432eb699353b94bcfa6c
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spelling oai:doaj.org-article:6008babdcc7f432eb699353b94bcfa6c2021-11-19T14:11:09ZThe Mental Status Exam: An Online Teaching Exercise Using Video-Based Depictions by Simulated Patients10.15766/mep_2374-8265.109472374-8265https://doaj.org/article/6008babdcc7f432eb699353b94bcfa6c2020-08-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10947https://doaj.org/toc/2374-8265Introduction The mental status exam (MSE) is a structured approach to gathering a patient's behavioral and cognitive information. Analogous to the physical exam, it provides a template to collect clinical data in a systematic fashion. The MSE is a core competency of undergraduate medical education (UME) and an entrustable professional activity in clinical psychiatry. Methods We developed video clips of simulated patients depicting three adults respectively diagnosed with schizophrenia, obsessive-compulsive disorder, and bipolar disorder. We used three short video clips per condition to demonstrate an incremental number of psychiatric signs and symptoms. We used the nine video clips as calibrated stimuli for learners to identify components of the MSE using an online tool. Results We piloted this online exercise among 37 volunteer students. Experienced learners performed better than novice ones on overall identification of MSE components (p <.001). Specifically, they were able to identify elements of the MSE following an ABC-STAMPS (appearance, behavior, cooperation; and speech, thought process and content, affect, mood, perceptions, suicidality) rubric. Discussion This video-based scoring tool was easy to implement in a UME setting and well received by students as a formative didactic exercise and educational complement.Andrés MartinAsaf JacobsRobert KrauseDoron AmsalemAssociation of American Medical CollegesarticleMental Status ExamPsychiatryCurriculum DevelopmentABC-STAMPSNurse/Nurse PractitionerPhysicianMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution DOAJ
collection DOAJ
language EN
topic Mental Status Exam
Psychiatry
Curriculum Development
ABC-STAMPS
Nurse/Nurse Practitioner
Physician
Medicine (General)
R5-920
Education
L
spellingShingle Mental Status Exam
Psychiatry
Curriculum Development
ABC-STAMPS
Nurse/Nurse Practitioner
Physician
Medicine (General)
R5-920
Education
L
Andrés Martin
Asaf Jacobs
Robert Krause
Doron Amsalem
The Mental Status Exam: An Online Teaching Exercise Using Video-Based Depictions by Simulated Patients
description Introduction The mental status exam (MSE) is a structured approach to gathering a patient's behavioral and cognitive information. Analogous to the physical exam, it provides a template to collect clinical data in a systematic fashion. The MSE is a core competency of undergraduate medical education (UME) and an entrustable professional activity in clinical psychiatry. Methods We developed video clips of simulated patients depicting three adults respectively diagnosed with schizophrenia, obsessive-compulsive disorder, and bipolar disorder. We used three short video clips per condition to demonstrate an incremental number of psychiatric signs and symptoms. We used the nine video clips as calibrated stimuli for learners to identify components of the MSE using an online tool. Results We piloted this online exercise among 37 volunteer students. Experienced learners performed better than novice ones on overall identification of MSE components (p <.001). Specifically, they were able to identify elements of the MSE following an ABC-STAMPS (appearance, behavior, cooperation; and speech, thought process and content, affect, mood, perceptions, suicidality) rubric. Discussion This video-based scoring tool was easy to implement in a UME setting and well received by students as a formative didactic exercise and educational complement.
format article
author Andrés Martin
Asaf Jacobs
Robert Krause
Doron Amsalem
author_facet Andrés Martin
Asaf Jacobs
Robert Krause
Doron Amsalem
author_sort Andrés Martin
title The Mental Status Exam: An Online Teaching Exercise Using Video-Based Depictions by Simulated Patients
title_short The Mental Status Exam: An Online Teaching Exercise Using Video-Based Depictions by Simulated Patients
title_full The Mental Status Exam: An Online Teaching Exercise Using Video-Based Depictions by Simulated Patients
title_fullStr The Mental Status Exam: An Online Teaching Exercise Using Video-Based Depictions by Simulated Patients
title_full_unstemmed The Mental Status Exam: An Online Teaching Exercise Using Video-Based Depictions by Simulated Patients
title_sort mental status exam: an online teaching exercise using video-based depictions by simulated patients
publisher Association of American Medical Colleges
publishDate 2020
url https://doaj.org/article/6008babdcc7f432eb699353b94bcfa6c
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