title: Web-based simulation in psychiatry residency training: a pilot study.
abstract: BACKGROUND
  Medical specialties, including surgery, obstetrics, anesthesia, critical care, and trauma, have adopted simulation technology for measuring clinical competency as a routine part of their residency training programs; yet, simulation technologies have rarely been adapted or used for psychiatry training.
  
  
  OBJECTIVE
  The authors describe the development of a web-based computer simulation tool intended to assess physician competence in obtaining informed consent before prescribing antipsychotic medication to a simulated patient with symptoms of psychosis.
  
  
  METHODS
  Eighteen residents participated in a pilot study of the Computer Simulation Assessment Tool (CSAT). Outcome measures included physician performance on required elements, pre- and post-test measures of physician confidence in obtaining informed consent, and levels of system usability.
  
  
  RESULTS
  Data suggested that the CSAT increased physician confidence in obtaining informed consent and that it was easy to use.
  
  
  CONCLUSIONS
  The CSAT was an effective educational tool in simulating patient-physician interactions, and it may serve as a model for use of other web-based simulations to augment traditional teaching methods in residency education.
authors.affiliation: Dept. of Psychiatry, Massachusetts General Hospital, Boston, MA. tristan.gorrindo@mgh.harvard.edu.|Dept. of Psychiatry, Harvard Medical School, Boston, MA. tristan.gorrindo@mgh.harvard.edu.|McLean Hospital, Belmont, MA. tristan.gorrindo@mgh.harvard.edu.
authors.forename: Tristan
authors.initials: T
authors.lastname: Gorrindo
authors.affiliation: Dept. of Psychiatry, Massachusetts General Hospital, Boston, MA.|Dept. of Psychiatry, Harvard Medical School, Boston, MA.|McLean Hospital, Belmont, MA.
authors.forename: Lee
authors.initials: L
authors.lastname: Baer
authors.affiliation: Dept. of Psychiatry, Massachusetts General Hospital, Boston, MA.|Dept. of Psychiatry, Harvard Medical School, Boston, MA.|McLean Hospital, Belmont, MA.
authors.forename: Kathy M
authors.initials: KM
authors.lastname: Sanders
authors.affiliation: Dept. of Psychiatry, Massachusetts General Hospital, Boston, MA.|Dept. of Psychiatry, Harvard Medical School, Boston, MA.|McLean Hospital, Belmont, MA.
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Birnbaum
authors.affiliation: Dept. of Psychiatry, Massachusetts General Hospital, Boston, MA.|Dept. of Psychiatry, Harvard Medical School, Boston, MA.|McLean Hospital, Belmont, MA.
authors.forename: John A
authors.initials: JA
authors.lastname: Fromson
authors.affiliation: Dept. of Psychiatry, Massachusetts General Hospital, Boston, MA.|Dept. of Psychiatry, Harvard Medical School, Boston, MA.|McLean Hospital, Belmont, MA.
authors.forename: Kelly M
authors.initials: KM
authors.lastname: Sutton-Skinner
authors.affiliation: Dept. of Psychiatry, Massachusetts General Hospital, Boston, MA.|Dept. of Psychiatry, Harvard Medical School, Boston, MA.|McLean Hospital, Belmont, MA.
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Romeo
authors.affiliation: Dept. of Psychiatry, Massachusetts General Hospital, Boston, MA.|Dept. of Psychiatry, Harvard Medical School, Boston, MA.|McLean Hospital, Belmont, MA.
authors.forename: Eugene V
authors.initials: EV
authors.lastname: Beresin
mesh_terms: D000328:Adult; D002983:Clinical Competence / Q000592:standards*; D004501:Education, Medical / Q000379:methods*; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data; D007396:Internship and Residency / Q000379:methods*; D008960:Models, Psychological; D010865:Pilot Projects; D011570:Psychiatry / Q000193:education*