Seoul National University College of Medicine, Republic of Korea.
Med Teach. 2010;32(11):e467-70. doi: 10.3109/0142159X.2010.507713.
Ambulatory medicine is being increasingly emphasized in undergraduate medical education. Because of the limited availability of real patients, we introduced a standardized patient (SP) encounter program in an ambulatory care setting.
This study was undertaken to assess the usefulness of SPs for teaching undergraduate students clinical skills in ambulatory settings.
Third-year medical students met two different SPs, who presented common authentic problems, during internal medicine clerkship. Each SP encounter of 30 min was followed by SP and a tutor's feedback, using a video recording of the SP encounter. We surveyed students for program evaluation purposes at the end of their three-year internal medicine clerkships (from 2006 to 2008).
Most students found that the consecutive SP sessions were instructive and helpful. Video recordings of clinical encounters allowed students to reflect on their behavior and receive feedback from tutors. However, students identified several weaknesses of these SP encounters. For example, pre-exposure to the SP scenario reduced tension of the experience and inconsistent feedback from tutors caused confusion.
SP encounters in an ambulatory care setting, followed by tutor's feedback based on a video recording, can be used for teaching basic clinical ambulatory care skills.
门诊医学在本科医学教育中越来越受到重视。由于实际患者的数量有限，我们在门诊环境中引入了标准化患者（SP）就诊项目。
本研究旨在评估 SP 在门诊环境中教授本科学生临床技能的有用性。
三年级医学生在内科实习期间与两名不同的 SP 会面，他们呈现出常见的真实问题。每次 30 分钟的 SP 就诊后，学生们会收到 SP 和导师的反馈，使用 SP 就诊的视频记录。在他们为期三年的内科实习结束时（2006 年至 2008 年），我们对学生进行了课程评估调查。
大多数学生认为连续的 SP 课程具有教育意义和帮助。临床就诊的视频记录使学生能够反思自己的行为并从导师那里获得反馈。然而，学生们也发现了这些 SP 就诊的一些不足之处。例如，预先接触 SP 场景会减轻体验的紧张感，而导师反馈的不一致会造成困惑。
在门诊环境中进行 SP 就诊，随后根据视频记录进行导师反馈，可以用于教授基本的临床门诊护理技能。
