Systematic Review of Standardized Patient Use in Continuing Medical Education

Wilbur, Kerry; Elmubark, A. E.; Shabana, Sara

doi:10.1097/ceh.0000000000000190

Cited by 45 publications

(34 citation statements)

References 42 publications

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“…OSCEs have been regularly integrated into the curriculum of medical students and among practicing pharmacists and veterinarians, but there are minimal publications that evaluate this education [ 21 – 24 ]. OSCE workshops have recently been implemented at continuing medical education conferences and are increasingly being used to refresh and refine procedural clinical skills among practitioners [ 25 – 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, the value of this formative coaching should be studied longitudinally to determine the impact of the workshop on participants’ patient satisfaction scores or other metrics. In the future, we will incorporate these improvements to the OSCE communication workshops for continuing medical education and will continue to study this work in greater detail, as has been recommended by Wilbur et al [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

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A Simulation-Based Workshop to Improve Dermatologists’ Communication Skills: A Pilot for Continuing Medical Education

Saeed

Sanchez

Botto

et al. 2018

Dermatol Ther (Heidelb)

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Introduction Communication skills influence the quality of health care and patient experience; both may affect provider reimbursement. There are few opportunities available for practicing physicians to receive direct feedback on communication in patient encounters. The purpose of this simulation-based patient encounter workshop was for dermatologists to practice and obtain feedback on their communication skills. Methods In March 2016, dermatologists participated in a workshop with four simulated patient encounters. Cases were developed based on a prior needs assessment. Standardized patient educators evaluated participants’ communication using the Master Interview Rating Scale and provided verbal feedback. Physicians rated the usefulness of the simulation and the feedback received through a survey upon workshop completion. Results Of the 170 physicians who registered, 103 participated in the simulation. The workshop was highly rated in meeting its three learning objectives (score of 4.5–4.6 out of a maximum score of 5). The lowest-rated communication skills were as follows: allowing the patient to share their narrative thread (3.1), summarizing the patient’s history from the provider (3.8), and assessing patient understanding (3.8). Conclusions Participants reported that this communication workshop effectively satisfied its learning objectives. Opportunities to practice and improve communication skills as part of continuing medical education will benefit the clinical experience of patients and physicians alike, and the workshop may be formatted to serve physicians of other specialties. The lowest-scoring communication areas identified in this study present an opportunity to develop a tailored curriculum for physician–patient communication in the future.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Simulation-Based Workshop to Improve Dermatologists’ Communication Skills: A Pilot for Continuing Medical Education

Saeed

Sanchez

Botto

et al. 2018

Dermatol Ther (Heidelb)

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“…Standardised patient actors (SPs) are an evidence-based training method for improving provider competency and quality of care. [22][23][24][25][26] SPs have been used to train providers in a variety of clinical skills, 27 leading to improved patient outcomes. 28 29 Increasingly, SPs are used as 'mystery shoppers' posing as real patients to assess provider compliance with clinical guidelines.…”

Section: Trial Registration Number Nct03875950mentioning

confidence: 99%

Standardised patient encounters to improve quality of counselling for pre-exposure prophylaxis (PrEP) in adolescent girls and young women (AGYW) in Kenya: study protocol of a cluster randomised controlled trial

et al. 2020

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IntroductionAdolescent girls and young women (AGYW) in sub-Saharan Africa are at high risk of HIV acquisition. Pre-exposure prophylaxis (PrEP) demonstration projects observe that AGYW uptake and adherence to PrEP during risk periods is suboptimal. Judgemental interactions with healthcare workers (HCW) and inadequate counselling can be barriers to PrEP use among AGYW. Improving HCW competency and communication to support PrEP delivery to AGYW requires new strategies.Methods and analysisPrEP Implementation for Young Women and Adolescents Program-standardised patient (PrIYA-SP) is a cluster randomised trial of a standardised patient actor (SP) training intervention designed to improve HCW adherence to PrEP guidelines and communication skills. We purposively selected 24 clinics offering PrEP services under fully programmatic conditions in Kisumu County, Kenya. At baseline, unannounced SP ‘mystery shoppers’ present to clinics portraying AGYW in common PrEP scenarios for a cross-sectional assessment of PrEP delivery. Twelve facilities will be randomised to receive a 2-day training intervention, consisting of lectures, role-playing with SPs and group debriefing. Unannounced SPs will repeat the assessment in all 24 sites following the intervention. The primary outcome is quality of PrEP counselling, including adherence to national guidelines and communication skills, scored on a checklist by SPs blinded to intervention assignment. An intention-to-treat (ITT) analysis will evaluate whether the intervention resulted in higher scores within intervention compared with control facilities, adjusted for baseline SP scores and accounting for clustering by facility. We hypothesise that the intervention will improve quality of PrEP counselling compared with standard of care. Results from this study will inform guidelines for PrEP delivery to AGYW in low-resource settings and offer a potentially scalable strategy to improve service delivery for this high-risk group.Ethics and disseminationThe protocol was approved by institutional review boards at Kenyatta National Hospital and University of Washington. An external advisory committee monitors social harms. Results will be disseminated through peer-reviewed journals and presentations.Trial registration numberNCT03875950

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“…SBME often utilizes both standardized patients and standardized confederates. A standardized patient is an actor who has been specially trained to consistently portray a particular role, which helps ensure consistency in the training of medical learners [4]. A standardized confederate is a trained medical professional who guides the scenario and is able to provide instantaneous feedback [5].…”

Section: Introductionmentioning

confidence: 99%

The Use of Silicone Vaginal Repair Models as an Adjunct to Mannequins for Simulation Training in Sexual Assault Clinical Learning for Obstetrics and Gynecology Medical Residents

Comeau¹,

Goudie²,

Murphy³

et al. 2020

Cureus

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Within urgent care scenarios in obstetrics and gynecology, there is little educational development surrounding sexual assault simulation scenarios, which reveals a need for increased rehearsal opportunities within medical education. Simulation-based medical education using mannequins, standardized patients, and anatomical silicone models have been suggested as a means to improve such parameters by providing realistic training for residents in the rehearsal of sexual assault scenarios and the application of forensic evidence kits. However, sexual assault training is often only provided to emergency medicine physicians and clinical staff and is not currently a mandatory component of obstetrics and gynecology residency programs across most national academic institutions.

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Systematic Review of Standardized Patient Use in Continuing Medical Education

Cited by 45 publications

References 42 publications

A Simulation-Based Workshop to Improve Dermatologists’ Communication Skills: A Pilot for Continuing Medical Education

A Simulation-Based Workshop to Improve Dermatologists’ Communication Skills: A Pilot for Continuing Medical Education

Standardised patient encounters to improve quality of counselling for pre-exposure prophylaxis (PrEP) in adolescent girls and young women (AGYW) in Kenya: study protocol of a cluster randomised controlled trial

The Use of Silicone Vaginal Repair Models as an Adjunct to Mannequins for Simulation Training in Sexual Assault Clinical Learning for Obstetrics and Gynecology Medical Residents

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