Document Type: short communication

Authors

1 Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

2 Department of Pediatrics, Medical School, Kerman University of Medical Sciences, Kerman, Iran

3 Neurosciences Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran

4 Department of Medical Education, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

In order to equip medical students with all the necessary skills in dealing with patients to provide optimal treatment, the need for the use of real patients in educational settings has become prominent. But all the required skills cannot be practiced on real patients due to patients’ safety and well-being. Thus, the use of standardized patients (SPs) or simulated patients (SiPs) as a substitute for real patients signifies their importance in simulation-based medical education. One question raised in regard to using SPs or SiPs in order to enhance medical students’ tangible and intangible skills in a safe controlled environment is whether these two terminologies are the same or different? Various studies use these terms interchangeably and do not consider a difference between them. Based on our literature review, there seems to be differences between these two modalities. We also try to highlight the advantages of these modalities in clinical encounters.

Keywords

Main Subjects

1. Harden RM, Gleeson FA. Assessment of clinical competence using an objective structured clinical examination (OSCE). Med Educ 1979; 13(1): 41-54. doi: 10.1111/j.1365-2923.1979.tb00918.x.

2. Robb KV, Rothman A. The assessment of history-taking and physical examination skills in general internal medicine residents using a checklist. Ann Royal Coll Phys Surg Canada 1985; 20: 45-8.

3. Collet JH, Ress JA, Mylrea S, Crowther I. Performance based assessment in pharmacy education. Int J Pharm Pract 1994; 3: 38-41.

4. Bradley P. The history of simulation in medical education and possible future directions. Med Educ 2006; 40(3): 254-62. doi: 10.1111/j.1365-2929.2006.02394.x

5. Cleland JA, Abe K, Rethans JJ. The use of simulated patients in medical education: AMEE Guide No 42. Med Teach 2009; 31(6): 477-86. doi: 10.1080/01421590903002821.

6. Barrows HS, Abrahamson S. The programmed patient: a technique for appraising student performance in clinical neurology. J Med Educ1964; 39(8): 802-5.

7. Bosek MS, Li S, Hicks FD. Working with standardized patients: a primer. Int J Nurs Educ Scholarsh 2007; 4(1): 1-13.

8. Boulet JR, Smee SM, Dillon GF, Gimpel JR. The use of standardized patient assessments for certification and licensure decisions. Simul Healthc 2009; 4(1): 35-42. doi: 10.1097/sih.0b013e318182fc6c.

9. Lane JL, Slavin S, Ziv A. Simulation in medical education: a review. Simul Gaming 2001; 32(3): 297-314. doi: 10.1177/104687810103200302.

10. Collins J, Harden R. The use of real patients, simulated patients and simulators in clinical examinations 2004. Association for Medical Education in Europe (AMEE) Guide No 13. Available from: http://78.158.56.101/archive/MEDEV/static/uploads/resources/amee_summaries/Guide13summaryMay04.pdf

11. Barrows HS. An overview of the uses of standardized patients for teaching and evaluating clinical skills. AAMC. Acad Med 1993; 68(6): 443-51. doi: 10.1097/00001888-199306000-00002

12. Barrows HS, Cohen R, Guerin RO, Hart IR, Klass DJ, Kopelow M, et al. Consensus statement of the researchers in clinical skills assessment (RCSA) on the use of standardized patients to evaluate clinical skills. Acad Med 1993; 68(6): 475-7.

13. Churchouse C, McCafferty C. Standardized patients versus simulated patients: is there a difference? Clinical Simulation in Nursing 2012; 8(8): e363-5. doi: 10.1016/j.ecns.2011.04.008

14. Bergin RA, Fors UG. Interactive simulated patient—an advanced tool for student-activated learning in medicine and healthcare. Comput Educ 2003; 40(4): 361-76. doi: 10.1016/s0360-1315(02)00167-7.

15. Lane C, Rollnick S. The use of simulated patients and role-play in communication skills training: a review of the literature to August 2005. Patient Educ Couns 2007; 67(1-2): 13-20. doi: 10.1016/j.pec.2007.02.011.

16. Mesquita AR, Lyra DP, Brito GC, Balisa-Rocha BJ, Aguiar PM, de Almeida Neto AC. Developing communication skills in pharmacy: a systematic review of the use of simulated patient methods. Patient Educ Couns 2010; 78(2): 143-8. doi: 10.1016/j.

pec.2009.07.012

17. Barrows H. Simulated patients in medical teaching. Can Med Assoc J 1968; 98(14): 674-6.