The Journal of ECT

Skip Navigation LinksHome > December 2013 - Volume 29 - Issue 4 > Comparison of Traditional Didactic Seminar to High-Fidelity...
Journal of ECT:
doi: 10.1097/YCT.0b013e318290f9fb
Original Studies

Comparison of Traditional Didactic Seminar to High-Fidelity Simulation for Teaching Electroconvulsive Therapy Technique to Psychiatry Trainees

Rabheru, Kiran MD, CCFP, FRCPC, DABPN*†; Wiens, Andrew MD, BMedSc*‡§; Ramprasad, Bismil MBBS, MD*†; Bourgon, Luc MD*†; Antochi, Ruxandra MD*†; Hamstra, Stanley J. PhD§∥¶

Supplemental Author Material
Collapse Box


Objectives: Traditional training of electroconvulsive therapy (ECT) consists of a combination of didactic and hands-on demonstrations using ECT equipment. Our goal was to explore the potential of a high-fidelity patient simulator (HPS) to train these skills. To our knowledge, this is the first time an HPS has been used for skills training in psychiatry.

Methods: Nineteen psychiatry residents participated in this randomized controlled trial to compare traditional training (n = 9) versus training using an HPS (n = 10). Two blinded raters assessed performance using a newly developed checklist and global rating scale for this task (ECT-OSATS) (Objective Structured Assessment of Technical Skills). Residents also completed a pretest-posttest knowledge test and confidence survey.

Results: Residents in the HPS group performed significantly better in terms of ECT-OSATS when compared with the control group (P < 0.001). All 10 of the HPS group received a “pass” rating following training, whereas only 1 of the 9 control group received a “pass” rating. There were no significant group differences in posttest confidence (P = 0.21) or total knowledge gain scores from pretest to posttest (P = 0.36).

Conclusions: The level of clinical skill acquired by trainees in psychiatry for performing ECT is significantly superior using HPS- based training, in contrast to the domains of knowledge and confidence, which appear to be equally imparted using either training modality. The acquisition of skills in administering ECT seems to be an independent variable in relation to a clinician’s level of knowledge and confidence in performing ECT.

© 2013 by Lippincott Williams & Wilkins


Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.