Use of "Standardized Examinees" to Screen for Standardized-Patient Scoring Bias in a Clinical Skills Examination

2005 ◽  
Vol 17 (1) ◽  
pp. 9-13 ◽  
Author(s):  
Heidi Worth-Dickstein ◽  
Louis N. Pangaro ◽  
Mary K. MacMillan ◽  
Daniel J. Klass ◽  
John H. Shatzer
2016 ◽  
Vol 7 (5) ◽  
pp. 102-107 ◽  
Author(s):  
PR Shankar ◽  
NR Dwivedi ◽  
A Nandy ◽  
AK Dubey

Objective: Standardized patients (SPs) are widely used in medical and other health professions education. At xxxx SPs have been used for teaching-learning and assessment of basic science medical students since January 2013. The opinion of SPs about their involvement in teaching-learning and assessment of students has been recently studied. The present study had the objective of studying student perception about various aspects of the program.Materials and Methods: The study was conducted towards end of March and beginning of April 2016. Student perception regarding the program was studied by noting their degree of agreement with a set of 25 statements. Free text comments were also obtained. Gender, nationality and semester of study of the respondents was noted. The total score was compared among different subgroups of respondents.Results: Ninety-eight of the 107 students (91.6%) participated. The mean ± SD total score was 92.33 ± 13.68 (maximum possible score being 125). The scores were significantly higher among first semester students compared to other semesters. Students agreed that interacting with SPs will prepare them for interacting with patients, for their licensing exams and improve their clinical skills. Students learn how to interact with persons from a different cultural background. Suggestions for further improvement were also obtained.    Conclusions: The response rate was high and students’ perception of the SP program was positive. Our experiences would be of special interest to educators in other medical schools with small and/or new SP programs. Similar feedback could be obtained from other xxx schools with SP programs.Asian Journal of Medical Sciences Vol.7(5) 2016 102-107


2010 ◽  
Vol 5 (2) ◽  
pp. 87-89 ◽  
Author(s):  
Stacy E. Walker ◽  
Thomas G. Weidner

Context: Standardized patients are widely used in health care programs to both teach and evaluate the communication and clinical skills of students. Although athletic training education programs (ATEPs) commonly use simulations, little information exists related to the use and implementation of standardized patients (SPs). Objective: To provide strategies to use SPs with athletic training students and limited resources. Background: Standardized patient encounters differ from simulations. Simulations require students to perform clinical skills on a mock patient or athlete who has no training to consistently portray a particular injury or illness. SP encounters are consistent, carefully crafted portrayals of injuries or illnesses by trained individuals. Synthesis: A feasible way to use SPs in an ATEP is the time-in-time-out method which allows students to not only examine a SP, but also interact with and obtain immediate feedback from their instructor. Research with athletic training students has revealed that SP encounters are both realistic and worthwhile. Many resources exist to initiate the use of standardized patients in ATEPs, including various research publications, and online resources such as MedEd Portal and the Association of Standardized Patient Educators. Results: The use of SPs enhances learning opportunities for students and provides a format for real-time evaluation for instructors. Recommendation(s): Educators should consider using athletic training students and/or theater students to serve as SPs. Also, a local hospital or other SP programs at a local university may offer the use of their facilities or resources to initiate the use of SPs in your ATEP. Conclusion(s): Many resources are needed to implement the use of standardized patients into an ATEP, but the experience can be well worth the expense to provide a realistic and worthwhile learning experience for students.


1997 ◽  
Vol 72 (11) ◽  
pp. 1008-11 ◽  
Author(s):  
L N Pangaro ◽  
H Worth-Dickstein ◽  
M K Macmillan ◽  
D J Klass ◽  
J H Shatzer

2000 ◽  
Vol 75 (5) ◽  
pp. 480-483 ◽  
Author(s):  
Michael D. Prislin ◽  
Mark Giglio ◽  
Ellen M. Lewis ◽  
Sue Ahearn ◽  
Stephen Radecki

2005 ◽  
Vol 10 (1) ◽  
pp. 4374
Author(s):  
Karen Szauter ◽  
Michael Ainsworth ◽  
Judy Thornton ◽  
Hazel Smith ◽  
Martha Phipps

2005 ◽  
Vol 27 (3) ◽  
pp. 200-206 ◽  
Author(s):  
Gerald P. Whelan ◽  
John R. Boulet ◽  
Danette W. McKinley ◽  
John J. Norcini ◽  
Marta van Zanten ◽  
...  

2011 ◽  
Vol 2011 ◽  
pp. 1-5
Author(s):  
Michael D. Prislin ◽  
Sue Ahearn ◽  
John Boker

Background. Standardized patient (SP) clinical assessments have limited utility in assessing higher-level clinical competencies. This study explores the value of including simulation exercises and postencounter notes in an SP clinical skills examination.Methods. Two exercises involving cardiac auscultation and ophthalmic funduscopy simulations along with written post encounter notes were added to an SP-based performance examination. Descriptive analyses of students' performance and correlations with SP-based performance measures were obtained.Results. Students' abilities to detect abnormalities on physical exam were highly variable. There were no correlations between SP-based and simulation-derived measures of physical examination competency. Limited correlations were found between students' abilities to perform and document physical examinations and their formulation of appropriate differential diagnoses.Conclusions. Clinical simulation exercises add depth to SP-based assessments of performance. Evaluating the content of post encounter notes offers some insight into students' integrative abilities, and this appears to be improved by the addition of simulation-based post encounter skill exercises. However, further refinement of this methodology is needed.


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