The decline in students’ skills had lead medical educators to think of alternative options to maintain betterment of clinical skills among medical students.
What about the option of paying patients/persons to be subject of BST?
Any ethical barriers?
"In health care, a simulated patient (SP), also known as a standardized patient, sample patient, or patient instructor, is an individual trained to act as a real patient in order to simulate a set of symptoms or problems. Simulated patients have been successfully utilized for education, evaluation of health care professionals, as well as basic, applied, and translational medical research.
The SP can also contribute to the development and improvement of healthcare protocols; especially in cases where input from the SP are based on extensive, first-hand experience and observations as a clinical patient undergoing care"
( https://en.wikipedia.org/wiki/Simulated_patient )
" Standardized Patient (SP) is a layperson trained to realistically portray different types of scenarios and illnesses health care professionals will encounter in the medical field. Specific genders and ages are represented as well as people with diverse ethnic and socioeconomic backgrounds. Difficult personality types and sensitive subject matter are also introduced to the students through interviews with SPs. During some encounters, the student performs an interview and either a portion of or a complete physical examination on the patient"
( https://meded.med.uky.edu/what-standardized-patient )
"By definition, a standardized patient faithfully reproduces a scripted clinical scenario, often with predetermined learning objectives in mind. The objective is to have the actor play the role with as little variability as possible. Standardized patients are particularly useful in teaching medical students, who lack clinical experience to formulate realistic scenarios on their own. With standardized patients, an instructor scripts the “case” in advance with learning objectives in mind. A weakness of this modality is that the standardized patient may have a hidden agenda that can thwart the physician/learner's primary focus.
Standardized patients have been incorporated successfully in many medical schools, including the University of Colorado and the University of Hawaii.6–8 Studies have shown a high level of acceptance and have concluded that they are helpful for instruction.9–10 Medical students and residents, as well as practicing physicians, reportedly have difficulty differentiating between standardized and “real” patients.11 Our own experience mirrors those of other institutes in that the use of the standardized patient is popular and effective"
Hardee, J. T., & Kasper, I. K. (2005). From standardized patient to care actor: evolution of a teaching methodology. The Permanente Journal, 9(3), 79.
Thank a lot Dr Asad
But can SP help in the other side of BST, the physical examination?
This could be a volunteer work with informed signed consents to participate in such educational activities. Payment to the participants could be used as an incentive to encourage them to be part of the clinical training.
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