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模糊标准化患者与真实患者之间的界限:提高标准化患者问诊真实性的十二条建议。

Blurring the Line Between Standardized and Real Patients: Twelve Tips for Improving the Authenticity of Standardized Patient Encounters.

作者信息

Chachad Nisha, Al-Eyd Ghaith, Laloo Anita, Padilla Maria, Rajput Vijay

机构信息

Dr. Kiran C. Patel College of Allopathic Medicine (NSU MD), Nova Southeastern University, Fort Lauderdale, FL USA.

出版信息

Med Sci Educ. 2024 Nov 12;35(2):1017-1024. doi: 10.1007/s40670-024-02220-8. eCollection 2025 Apr.

Abstract

The standardized patient (SP) encounter is an integral curricular activity of undergraduate medical education (UME), guiding medical students towards competent and compassionate clinical practice. However, their evaluative nature within medical curricula has masked these encounters' original intentions and transformed them into performances rather than genuine interactions. To minimize this derailing, we developed 12 tips, each correlated with Accreditation Council for Graduate Medical Education (ACGME) competencies, for improving SP encounter authenticity among students, SPs, and faculty alike. By re-emphasizing empathetic clinical reasoning, SP encounters will be able to better prepare students for the real patient interactions of clerkships and beyond.

摘要

标准化病人(SP)问诊是本科医学教育(UME)课程中不可或缺的一项活动,引导医学生走向有能力且富有同情心的临床实践。然而,它们在医学课程中的评估性质掩盖了这些问诊的初衷,并将其转变为表演而非真实的互动。为尽量减少这种偏离,我们制定了12条建议,每条建议都与研究生医学教育认证委员会(ACGME)的能力相关,以提高学生、标准化病人和教师之间SP问诊的真实性。通过重新强调共情临床推理,SP问诊将能够更好地让学生为实习及以后与真实患者的互动做好准备。

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