Coaching standardized patients: for use in the assessment of by Peggy Wallace PhD

By Peggy Wallace PhD

In contemporary clinical schooling curriculum, it's important for college students to benefit the right kind strategy for taking scientific histories, appearing actual tests, and discovering the ideal method to train and tell sufferers. the way for a scholar to profit those talents is thru hands-on education with a Standardized sufferer (SP)--an actor who has been employed to painting a particular set of illnesses and signs. tips on how to assist you improve training abilities and Be a Director on your SPs forged Standardized sufferers Get the simplest functionality out of your Actors excellent Your SPs' Timing of truth supply in the course of Examinations increase the SPs' Written suggestions to scholars Streamline education Regimens; Checklists integrated operating with SPs has develop into so very important in clinical schooling that it's now an element of the USMLE medical abilities review examination. to make sure most sensible perform, the coaches who arrange SPs now desire normal guidance. This guide is meant as that advisor and as a aid in case you are enthusiastic about education SPs, to motivate each one trainer to strengthen a approach that would bring the simplest effects and, after all, aid educate the main powerfuble medical professionals.

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Sample text

In response, the standardized patient, as trained, indicates where in the clinic exam room the student can find the results for that particular part of the examination. The two other most commonly used methods are more disruptive of the reality of the student–SP interaction during the clinical encounter. They both involve abnormal physical exam findings that cannot be simulated. In one scenario, the SP hands the medical student a written description of the abnormal physical findings as the student attempts to perform that exam maneuver.

It is even better if we have done some acting ourselves, or better yet, if we have been an SP. From such firsthand experience, we are better able to understand what the SPs are experiencing and better able to find ways to help them accomplish the common goals we are working toward. So, the more we know experientially about acting and directing (which can be acquired on the job while coaching)—as well as all the other performance challenges an SP has to deal with—the better coaches we will become.

Guidelines are written to define for faculty authors the essential requirements for each case that will fulfill the assessment objectives of the exam. Faculty physicians are then asked to select from their clinical Overview: Art and Practice of Coaching SPs r r r r r r r 5 practices real patients (who meet these requirements) to serve as anonymous models for the SP case development. A faculty physician (preferably the one whose patient is serving as the anonymous model) writes the case, in collaboration with the SP coach.

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