Department of Medicine, Yale School of Medicine, New Haven, CT, USA.
Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA.
Med Teach. 2020 Jun;42(6):622-627. doi: 10.1080/0142159X.2019.1607969. Epub 2019 Apr 29.
The incorporation of actors as standardized patients (SPs) to help students achieve learning goals across a range of topics has become widespread in medical education. SPs are integrated into formative and summative objective structured clinical examinations by medical educators and by licensing boards for assessment of competence. While SPs are useful for assessment of dynamic skills, they also have significant utility as an engaging instructional method. Few tools in teaching allow for the breadth of instruction, practice, and assessment offered by workshops involving SPs. A simulated encounter with an SP may be a trainee's only opportunity to experience working through a particular clinical scenario in an environment that carries no risk of significant harm. Thus, there is immense potential for educational innovation with SPs. The following Twelve Tips piece provides suggestions for harnessing this potential based on available literature and educational experiences of the authors.
将演员纳入标准化病人(SP)以帮助学生实现各种主题的学习目标,这种做法在医学教育中已经非常普遍。医学教育者和执照颁发机构将 SP 纳入形成性和总结性客观结构化临床考试,以评估能力。虽然 SP 对于评估动态技能很有用,但它们作为一种引人入胜的教学方法也具有重要的作用。很少有教学工具能够提供涉及 SP 的研讨会所提供的广泛的教学、实践和评估。与 SP 进行模拟接触可能是学员唯一一次有机会在没有重大伤害风险的环境中体验特定临床情况的机会。因此,SP 在教育创新方面具有巨大的潜力。这篇十二点建议文章提供了一些建议,基于作者的可用文献和教育经验,以利用这一潜力。