A randomized controlled trial using insinuated standardized patients to assess residents' domestic violence skills following a two-hour workshop

Teach Learn Med. 2007 Fall;19(4):336-42. doi: 10.1080/10401330701542495.

Abstract

Background: Residents feel inadequately trained to treat domestic violence victims.

Purpose: The purpose was to assess clinical skills of residents participating in a domestic violence workshop.

Methods: Twenty-seven internal medicine residents were randomized to receive one of two workshops (domestic violence or control workshop). Standardized patients were trained to two domestic violence cases (depressed; injured). The two cases were randomized and insinuated into each resident's continuity clinic at either 1 to 3 months or more than 3 months after the workshops.

Results: The domestic violence workshop residents did not identify the standardized patients as domestic violence victims any more often than residents participating in the control workshop; 16/25 (64%) versus 13/23 (56%), p=.86. However, domestic violence workshop residents were more likely to score 75% or higher on the domestic violence checklist items compared to control workshop residents; 9/25 (36%) versus 2/23 (9%), p=.04.

Conclusions: Once a standardized patient was identified in clinic as a domestic violence victim, domestic violence workshop participating residents demonstrated better clinical skills than a control group.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Crime Victims*
  • Domestic Violence*
  • Education
  • Education, Medical, Graduate*
  • Female
  • Humans
  • Internal Medicine / education*
  • Internship and Residency*
  • Male
  • Pilot Projects
  • Time Factors