Standardized patients in the early acquisition of clinical skills

McGraw, Robert; O'Connor, H Michael

doi:10.1046/j.1365-2923.1999.00381.x

Cited by 69 publications

(65 citation statements)

References 7 publications

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“…A review of published single interview assessment tools revealed a number of instruments for consideration (Arthur 1999, McGraw and O'Connor 1999, Norcini et al 2003, Silverman et al 2011, Stillman, Sabers, and Redfield 1976, Stillman et al 1977, Zraick, Allen, and Johnson 2003. Table 1 provides details of each of these tools.…”

Section: Introductionmentioning

confidence: 99%

“…Secondly, the majority of the other tools were developed for use by SPs in assessing students rather than for use by CEs, and primarily for summative assessment (Arthur 1999, McGraw and O'Connor 1999, Stillman, Sabers, and Redfield 1976, Stillman et al 1977. Boulet et al (2008) reported that performance in SP interviews for development of history-taking and physical examination skills is typically assessed by the SP.…”

Section: Introductionmentioning

confidence: 99%

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An Investigation of the Standardised Patient Interview Rating Scale (SPIRS) for the Assessment of Speech Pathology Students in a Simulation Clinic

2015

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Standardised patients (SPs) are increasingly utilised in health sciences education to assist students in the development of clinical competencies, including interviewing skills. This study investigated the development and validation of a rating scale for formative assessment of speech pathology students in an interview with an SP. Participants in this study were 76 undergraduate speech pathology students and 10 clinical educators who participated in a simulated clinic module. As part of the module, pairs of students interviewed an SP portraying a parent of a child with speech delay. The Standardised Patient Interview Rating Scale (SPIRS) was developed to assess students' foundation clinical competencies of communication, interviewing and professional practice skills. Students' interviews were videotaped, rated individually on the SPIRS by the clinical educator, and later re-rated by an expert rater. Data were analysed to determine the content validity, internal consistency, and inter-rater reliability of the tool. In addition, descriptive statistics were used to report student performance levels. Results indicated that the SPIRS had good content validity and internal consistency but that there may be some redundancy in individual items. An acceptable level of inter-rater reliability was achieved. Students generally scored highly, with non-verbal communication being the easiest and professional practice the most difficult skill to demonstrate. The SPIRS was found to be an appropriate tool for formative assessment of students in this simulated clinic module. Recommendations for improving its reliability were made. Further research is required to investigate use of the SPIRS as an assessment tool in other contexts utilising standardised patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An Investigation of the Standardised Patient Interview Rating Scale (SPIRS) for the Assessment of Speech Pathology Students in a Simulation Clinic

2015

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“…Standardisierte Patienten werden als hochgradig realistisch wahrgenommen und sind idealerweise darü ber hinaus im Stande, den Trainingsteilnehmern ein professionelles und strukturiertes Feedback zu geben, in welchem sie Ihre Eindrü cke zur Arzt-Patienten-Interaktion und den hierbei aufgetretenen Gefü hlen und Ü bertragungsreaktionen vermitteln [11]. Wä hrend standardisierte Patienten bisher weitgehend fü r das Training kommunikativer Fertigkeiten und kö rperlicher Untersuchungstechniken genutzt wurden [11,12], finden sie zunehmend Einzug in komplexere Simulationsszenarien im Bereich der Vermittlung manuell-technischer Fertigkeiten [9] oder der Simulation von Stationsvisiten [13]. Rollenspiel bei der Simulation mit computergesteuerten Patientensimulatoren (Erwachsene, Kinder und Sä uglinge) [14], erlaubt es, authentische Lernumgebungen zu schaffen [4].…”

Section: Rollenspiel In Unterschiedlichen Simulationssettingsunclassified

Rollenspiel als wesentliches Element bei Simulationsverfahren in der Medizin

Dieckmann

Rall

Eich

et al. 2008

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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“…Standart hastalar, 1960'larda Howard Barrows'un tanıtmasından bu yana, sağlık personelinin iletişim becerileri de dahil olmak üzere klinik becerilerinin eğitiminde kullanılmaktadır (6). Standart hastaların klinik becerilerin kazanılıp kazanılmadığının güvenilir bir şekilde değerlendirilmesini sağlayabileceğine dair geniş bir kabul bulunmaktadır (3,(7)(8)(9).…”

Section: Introductionunclassified

The Impact Of Standardized Patients' Feedback On The Students' Motivational Levels

Turan¹,

Üner²,

Elçin³

2009

TUTFD

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Original Article ÖZET Amaç: Bu çalışmada iletişim eğitiminde standart hastanın verdiği geribildirimlerin öğrenenlerin iletişim becerilerini öğrenmeye güdülenme düzey-lerine etkisi incelenmiştir. Gereç ve Yöntemler:Araştırmada sontest kontrol gruplu desen kullanıl-mıştır. Dönem I öğrencileriyle yürütülen çalışmaya 284 öğrenci katılmıştır (%87). Öğrencilerin grupları rastgele olarak belirlenmiştir. Öğrenciler iletişim becerileri eğitimi ile birlikte iki kez standart hasta görüşmesi yapmıştır. Uygulama grubu öğrencileri ilk hasta görüşmesinin hemen ardından standart hastadan yüz yüze geribildirim almış, kontrol grubu öğrencileri ise almamıştır. Araştırmada Güdülenme ve Öğrenme Stratejileri Ölçeği'nin güdülenme boyutu kullanılmıştır. Araştırmada standart hasta geribildirimi alan-almayan gruplar arasında öğrencilerin güdülenme düzeyleri ölçeği puan ortalamalarında fark olup olmadığı, her bir alt boyut için ayrı ayrı olmak üzere, t testi ile değerlendirilmiştir.Bulgular: İlk görüşmede uygulama ve kontrol grupları arasında sınav kaygısı alt boyutunda anlamlı fark belirlenmiştir (p=0.028). İkinci görüşmede ilk görüşmede standart hasta geribildirimi alan uygulama grubu öğrencile-ri sınav kaygısı alt boyutundan düşük (p=0.016), öz-yeterlik alt boyutunda yüksek puan almıştır (p=0.027).Sonuç: Standart hasta geribildirimi alan öğrencilerin sınav kaygı düzeyleri daha düşük, öz-yeterlilik düzeyleri daha yüksektir. Bu sonuç, öğrencilerin iletişim becerileri eğitiminde standart hastadan geribildirim almaları onların güdülenme düzeylerini etkilediğini göstermektedir. ABSTRACT Objective: The impact of standardized patient feedback on the motivational levels of learners for learning communication skills was examined in the study. Material and Methods:Control group post-test design was used and 284 of Year-I students took part in the study (87%). Both groups were randomly organized. The students had two standardized patient encounters in addition to training and debriefing sessions. The study group students received face-to-face feedback after the first encounters; but not the control group. We used the motivation dimension of Motivated Strategies for Learning Questionnaire and t-test to evaluate the differences between the average scores of motivational levels of both groups for all sub-dimensions.Results: After the first encounters, there is a significant difference between study and control groups in the sub-dimension of test anxiety (p=0.028). After the second encounters, the students of the study group who received feedback after the first encounters, got lower scores in the sub-dimension of test anxiety (p=0.016), and got higher scores in the subdimension of self-efficacy (p=0.027). Conclusion:We found out that the students who received feedback had lower levels of test anxiety, and higher levels of self-efficacy. Those results showed that standardized patient feedback eafected student motivational levels in two sub-dimensions.

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Standardized patients in the early acquisition of clinical skills

Abstract: We conclude that this new model is feasible, was well received by the students and that the reduced tutor to student ratio and lack of inpatient encounters did not appear to adversely affect their learning.

Cited by 69 publications

References 7 publications

An Investigation of the Standardised Patient Interview Rating Scale (SPIRS) for the Assessment of Speech Pathology Students in a Simulation Clinic

An Investigation of the Standardised Patient Interview Rating Scale (SPIRS) for the Assessment of Speech Pathology Students in a Simulation Clinic

Rollenspiel als wesentliches Element bei Simulationsverfahren in der Medizin

The Impact Of Standardized Patients' Feedback On The Students' Motivational Levels

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