Department of Medicine, People's College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh. Correspondence to: Dr. Anil Kapoor, Professor of Medicine, HIG, C/10, PCMS Campus, Bhanpur, Bhopal 462037, Madhya Pradesh.
Department of Pediatrics, People's College of Medical Sciences and Research Centre, Bhopal, Madhya Pradesh.
Indian Pediatr. 2021 Sep 15;58(9):881-887. doi: 10.1007/s13312-021-2312-5. Epub 2021 May 20.
The conventional medical curriculum in India needed more focus on explicit teaching and assessment of interpersonal and communication skills, professionalism, team-work and reflection for prevention and better management of increasing incidences of violence against doctors by building good doctor-patient relationships. Increasing number of seats in Indian medical colleges, decreasing hospital stay of patients, and decrease in faculty requirements will hamper adequate supervised authentic clinical experiences of undergraduates for developing clinical skills. The recent COVID-19 pandemic has led to a significant decrease in student-patient encounters. Simulated patients are being used in many countries to address many of these issues. To make the Indian medical graduates competent to function as primary physician of first contact, competency-based medical education along with guidelines for use of skill-lab and simulation has been introduced from 2019. The current review is focused on the need and use of simulated patients; their advantages, limitations and role in students' teaching and assessment. It also gives a brief outline of their training process. Simulated patients should be used to supplement day-to-day learning, help in transition to attending real patients and also save enormous faculty time in the post-COVID-19 new normal. However, simulated patients are unlikely to completely replace real patients' experiences.
印度的传统医学课程需要更加注重人际沟通技巧、专业精神、团队合作和反思的明确教学和评估，以建立良好的医患关系，从而预防和更好地管理日益增多的针对医生的暴力事件。印度医学院增加招生人数、减少患者住院时间和减少师资需求，将阻碍医学生获得足够的监督式真实临床经验，以发展临床技能。最近的 COVID-19 大流行导致学生与患者的接触显著减少。许多国家都在使用模拟患者来解决这些问题。为了使印度医学毕业生有能力胜任初级保健医生的角色，自 2019 年以来，引入了以能力为基础的医学教育以及技能实验室和模拟使用指南。本综述重点关注模拟患者的需求和使用；它们的优势、局限性以及在学生教学和评估中的作用。它还简要介绍了他们的培训过程。模拟患者应被用于补充日常学习，帮助过渡到实际患者，并在 COVID-19 新常态下节省大量教师时间。然而，模拟患者不太可能完全取代真实患者的体验。
