Kao Sheng-Po, Chen Tsung-Ying, Hsieh Mei-Lin
Department of Medical Education, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.
School of Medicine, Tzu Chi University, Hualien, Taiwan.
Tzu Chi Med J. 2018 Jan-Mar;30(1):37-40. doi: 10.4103/tcmj.tcmj_13_18.
Standardized patient (SP) scenarios could provide medical situations of high fidelity for teaching or examinations, which would otherwise be difficult with real patients. Moreover, SPs can also be used to reliably evaluate or certify the competence of medical trainees. Since the interactions between examinee and SP are dynamic and complex, SPs need to portray the case reliably and consistently across different examinees. Thus, we developed a 1-day program for newly recruited SPs to teach basic competence in case portrayal. The purpose of this study is to assure the effectiveness of this training program in role recognition as a SP and case portrayal.
A total of 80 SPs were recruited from 2010 to 2013. They were asked to complete questionnaires before and after the training program using a five-point, Likert-type scale (1 - strongly disagree and 5 - strongly agree). The questionnaire comprised 16 items covering SP characteristics, role recognition, and case portrayal. The results were analyzed using PASW Statistics 18, paired -test, to determine the effectiveness of the training program.
A total of 78 questionnaires were collected for a response rate of 97.5%. The mean age of the SPs was 50.2 ± 7.9 (25-68) years. Most SPs showed improvement in role recognition. In the domain of case portrayal, three of nine items (consistency, obedience, and commitment) showed significant difference (P <0.05).
This study suggests that this program is useful for reinforcing role recognition in newly recruited SPs. With respect to case portrayal, only consistency, obedience, and commitment were improved.
标准化病人（SP）情景可为教学或考试提供高保真的医疗情境，而这在面对真实病人时很难做到。此外，标准化病人还可用于可靠地评估或认证医学实习生的能力。由于考生与标准化病人之间的互动是动态且复杂的，标准化病人需要在不同考生面前可靠且一致地呈现病例。因此，我们为新招募的标准化病人制定了一个为期一天的项目，以教授病例呈现的基本能力。本研究的目的是确保该培训项目在标准化病人角色认知和病例呈现方面的有效性。
2010年至2013年共招募了80名标准化病人。要求他们在培训项目前后使用五点李克特量表（1 - 强烈不同意，5 - 强烈同意）完成问卷。问卷包括16个项目，涵盖标准化病人的特征、角色认知和病例呈现。使用PASW Statistics 18软件进行配对检验分析结果，以确定培训项目的有效性。
共收集到78份问卷，回复率为97.5%。标准化病人的平均年龄为50.2±7.9（25 - 68）岁。大多数标准化病人在角色认知方面有改善。在病例呈现领域，九个项目中的三个（一致性、顺从性和投入度）显示出显著差异（P<0.05）。
本研究表明该项目有助于增强新招募标准化病人的角色认知。在病例呈现方面，只有一致性、顺从性和投入度得到了改善。
