Yao Fei, Chen Jian-Song, Chen Li-Hong, Ye Bi-Yu, Yang Chan-Juan, Li Xuan-Zi
Department of Education, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, 510370, People's Republic of China.
School of Mental Health, Guangzhou Medical University, Guangzhou, Guangdong, 510370, People's Republic of China.
Adv Med Educ Pract. 2025 Mar 18;16:411-418. doi: 10.2147/AMEP.S503006. eCollection 2025.
The aim of this study was to explore the application of standardized patient (SP) in the certification assessment of clinical practice ability standardized training for psychiatric resident physicians.
Candidates and examiners who participated in the graduation examination of clinical practice ability standardized training for psychiatric resident physicians in Guangdong Province from 2020 to 2023 were selected as the research participants. The assessment scores of candidates were collected. Questionnaires about satisfaction degree and SP application evaluation were designed and filled out by the examiners and candidates to evaluate their satisfaction with the clinical practice ability certification assessment.
The average annual score of the practical skills certification assessment is 83.88 ± 5.78 (P<0.001). There is no evident change in the second station (81.50 ± 6.81, P=0.0825), while the scores of the other stations fluctuate significantly (83.77 ± 6.80, 84.46 ± 6.70, and 88.31 ± 7.82; P<0.05). A total of 185 valid questionnaires were collected, of which 97.87% of the examiners and 92.03% of the candidates are satisfied with SP, respectively, both higher than their overall satisfaction levels (97.87% vs 89.36%; 92.03% vs 85.51). Examiners are highly consistent with their evaluation of SP satisfaction (Kendall=0.829, P<0.001), while candidates have low consistency in their evaluation of SP (Kendall=0.012, P=0.04). The differences in SP evaluation between different identities mainly include appearance, intonation, physical movements, language accuracy, and use of medical terminologies (P<0.05).
The satisfaction with the application of SP in the certification assessment of clinical practice ability standardized training for psychiatric resident physicians is high. However, it has inconsistent evaluations from examiners and candidates in terms of appearance, pronunciation and intonation, physical movements, language accuracy, and use of medical terminologies. Enhancing the SP level can promote the stability of the assessment.
本研究旨在探讨标准化病人（SP）在精神科住院医师临床实践能力标准化培训认证考核中的应用。
选取2020年至2023年参加广东省精神科住院医师临床实践能力标准化培训毕业考核的考生和考官作为研究对象。收集考生的考核成绩。设计并由考官和考生填写关于满意度及SP应用评价的问卷，以评估他们对临床实践能力认证考核的满意度。
实践技能认证考核的年均成绩为83.88±5.78（P<0.001）。第二站成绩无明显变化（81.50±6.81，P=0.0825），而其他站成绩波动显著（83.77±6.80、84.46±6.70和88.31±7.82；P<0.05）。共收集到185份有效问卷，其中97.87%的考官和92.03%的考生对SP满意，均高于他们的总体满意度水平（97.87%对89.36%；92.03%对85.51%）。考官对SP满意度的评价一致性较高（肯德尔系数=0.829，P<0.001），而考生对SP的评价一致性较低（肯德尔系数=0.012，P=0.04）。不同身份者对SP评价的差异主要体现在外貌、语调、肢体动作、语言准确性和医学术语使用方面（P<0.05）。
精神科住院医师临床实践能力标准化培训认证考核中对SP应用的满意度较高。然而，考官和考生在SP的外貌、发音和语调、肢体动作、语言准确性和医学术语使用方面评价不一致。提高SP水平可促进考核的稳定性。
