Burgess Annette, Clark Tyler, Chapman Renata, Mellis Craig
Sydney Medical School -Central, The University of Sydney, New South Wales, Australia.
Clin Teach. 2013 Aug;10(4):246-50. doi: 10.1111/tct.12016.
Sydney Medical School has recently introduced a practise, formative five-station Observed Structured Clinical Examination (OSCE) for junior medical students, where senior medical students act as simulated patients (SPs). We sought to evaluate students' experiences and perceptions of acting as SPs in the practise OSCE.
The study took place over 3 years from 2010 to 2012, with three cohorts of year-3 students invited to participate as SPs (n = 172). Student SPs took part in the OSCE, where stage-2 students (n = 169) were examined, and year-4 students acted as examiners. The student SPs completed a questionnaire regarding their experiences.
Over the 3-year period, a total of 43/172 (25%) of all year-3 students took part in the programme. Student questionnaire results indicated a high level of engagement with their SP experience. Students perceived the activity to reinforce knowledge, provide insight into examination technique and develop professional attributes.
Acting as SPs was perceived by students to provide a useful and engaging learning experience. It also has the potential to reduce logistical demands and costs on clinical schools with limited resources to run practise examinations.
悉尼医学院最近为低年级医学生引入了一种实践型、形成性的五站式客观结构化临床考试（OSCE），其中高年级医学生充当模拟患者（SPs）。我们试图评估学生在实践OSCE中充当SPs的经历和看法。
该研究在2010年至2012年的3年时间里进行，邀请了三组三年级学生作为SPs参与（n = 172）。学生SPs参加了OSCE，其中二年级学生（n = 169）接受检查，四年级学生担任考官。学生SPs完成了一份关于他们经历的问卷。
在这3年期间，共有43/172（25%）的三年级学生参加了该项目。学生问卷结果表明他们对作为SPs的经历参与度很高。学生们认为该活动强化了知识，提供了对检查技巧的深入了解，并培养了专业素养。
学生们认为充当SPs提供了一种有益且吸引人的学习体验。它还有可能减少资源有限的临床学校进行实践考试的后勤需求和成本。
