Rose M, Wilkerson L
University of California, Los Angeles, UCLA School of Medicine 90095, USA.
Acad Med. 2001 Aug;76(8):856-9. doi: 10.1097/00001888-200108000-00023.
The standardized patient (SP) examination is used in a majority of medical schools to test clinical skills. This examination usually yields both numerical ratings of clinical skill and narrative comments by patients or observers, yet most empirical studies of SP assessment focus on the numerical ratings only. This quantitative focus can lead to a narrow conceptualization of the nature and development of clinical competence. The authors suggest that in addition to utilizing SP numerical ratings, medical educators also use the rich qualitative material produced in the SP examination (e.g., patient comments, videotapes of the examination) to explore students' development of clinical competence, which involves the purposive integration of basic science, technical skill, empathy, communication, professional role, and personal history.
标准化病人（SP）考试在大多数医学院校用于测试临床技能。这种考试通常会产生临床技能的数值评分以及患者或观察者的叙述性评价，但大多数关于SP评估的实证研究仅关注数值评分。这种对定量的关注可能导致对临床能力的本质和发展的狭隘概念化。作者建议，除了利用SP数值评分外，医学教育工作者还应利用SP考试中产生的丰富定性材料（如患者评价、考试录像）来探索学生临床能力的发展，这涉及基础科学、技术技能、同理心、沟通、专业角色和个人经历的有目的整合。
