STANDARTIZED PATIENTS IN A PROGRAM OF TRAINING FOR INTERNATIONAL STUDENTS DURING THER MASTER DEGREE PROGRAM
DOI:
https://doi.org/10.11603/me.2414-5998.2017.2.7934Keywords:
educational process, standardized patients, clinical competency, clinical practice, nurse.Abstract
The aim of the study – to improve the organization of the educational process for foreign undergraduates of the specialty “Nursing” by developing new methods of objective education and testing that would provide significant progress towards a professionally-oriented clinical evaluation at all levels and stages of clinical training and practice.
The main body. In this article we assessed the existing teaching methods that are used for foreign students in medical educational institutions of accreditation levels III–IV, in specialty “Nursing”, of the master’s level of higher education. The basic pedagogical methods of practical skills mastering by nurses that are on their master program were singled out. We also determined the expediency of using the assessment of clinical competency with the help of standardized patients.
There are many variations in the organization of clinical examinations through standardized patients, such as combining simulated and real patients (which can increase the validity of the entire exam) and even simulators, the exam can consist of a different number (from 7 to 40) stations (a station is a place of where test taker interacts with a specific standardized patient), the duration of the station can vary from 4 to 25 minutes, different forms of control are used (checklists, rating scales, as well as video recording.
Conclusion. The standardized patient method is an effective and qualitative method for assessing clinical competence. It has better psychometric properties than traditional means of evaluating students at the patient’s bedside.References
Vu, N.V., & Barrows, H.S. (1994). Use of standardized patients in clinical assessments: recent developments and measurement findings. Educational Researcher, 23(3), 23-30.
Miller, G.E. (1990). The assessment of clinical skills/ competence/ performance. Academic medicine, 65(9), S63-7.
Swartz, M.H., Friedman, M., Gambert, S., Anderson-Kline, S., Regan, M.B., & Stimmel, B. (1992). Assessment of Clinical Competence Utilizing Standardized Patients: What are we Really Measuring?. Approaches to the assessment of clinical competence (p. 261).
Suinick, A.I. (1993). The global value of standards in medical knowledge and competence. Changing medical education, 27.
Sutnick, A.I., Stillman, P.L., Norcini, J.J., Friedman, M., Regan, M.B., Williams, R.G., ... & Wilson, M.P. (1993). ECFMG assessment of clinical competence of graduates of foreign medical schools. Jama, 270(9), 1041-1045.
Collins, J.P., & Harden, R.M. (1999). The use of real patients, simulated patients and simulators in clinical examinations. Medical Teacher, 20, 508-521.
Barrows, H.S., Cohen, R., Guerin, R.O., Hart, I.R., Klass, D.J., Kopelow, M., ... & Ramsey, P. (1993). Consensus statement of the researchers in clinical skills assessment (RCSA) on the use of standardized patients to evaluate clinical skills. Academic Medicine, 68(6), 475-477.
Norman, G.R., Tugwell, P., & Feightner, J.W. (1982). A comparison of resident performance on real and simulated patients. Academic Medicine, 57(9), 708-715.
Barrows, H.S., & Abrahamson, S. (1964). The programmed patient: A technique for appraising student performance in clinical neurology. Academic Medicine, 39(8), 802-805.
Barrows, H.S. (1968). Simulated patients in medical teaching. Canadian Medical Association Journal, 98(14), 674.
Terry, R., Hiester, E., & James, G.D. (2007). The use of standardized patients to evaluate family medicine resident decision making. FAMILY MEDICINE-KANSAS CITY, 39(4), 261.
Harden, R.T.M., Stevenson, M., Downie, W.W., & Wilson, G.M. (1975). Assessment of clinical competence using objective structured examination. British Medical Journal, 1(5955), 447-451.
Stillman, P.L., Sabers, D.L., & Redfield, D.L. (1976). The use of paraprofessionals to teach interviewing skills. Pediatrics, 57(5), 769-774.
Anderson, M.B., Stillman, P.L., & Wang, Y. (1994). Growing use of standardized patients in teaching and evaluation in medical education. Teaching and Learning in Medicine: An International Journal, 6(1), 15-22.
Ziv, A., Ben-David, M.F., Sutnick, A.I., & Gary, N.E. (1998). Lessons learned from six years of international administrations of the ECFMG's SP-based clinical skills assessment. Academic Medicine, 73(1), 84-91.
Stillman, P.L., Swanson, D.B., Smee, S., Stillman, A.E., Ebert, T.H., Emmel, V.S., ... & Levenson, D.J. (1986). Assessing clinical skills of residents with standardized patients. Annals of Internal Medicine, 105(5), 762-771.
Vu, N.V., Marcy, M.M., Colliver, J.A., Verhulst, S.J., Travis, T.A., & Barrows, H.S. (1992). Standardized (simulated) patients' accuracy in recording clinical performance check‐list items. Medical Education, 26(2), 99-104.
Boulet J.R., Friedman, B.D.M., Ziv A., Burdick W.P., Curtis M., Peitzman S., & Gary N.E. (1998). Using standardized patients to assess the interpersonal skills of physicians, Academic Medicine, 73(10), 194-196.
