ATTRACTION PRACTICE SIMULATED/STANDARDIZED PATIENTS IN MEDICAL EDUCATION: INTERNATIONAL AND DOMESTIC EXPERIENCE
AbstractThe article describes international and domestic experience in involving simulated/standardized patients (SP) in medical education. Considered: chronology of development of SP methodology; evolution of terminology, possibilities and limitations of its application, based on the latest scientific research; difficulties in applying the SP methodology in global practice. The features of the process of training SP teachers and SPs themselves for teaching and assessing professional communication skills, presented in international practice and domestic experience, are described. In the last decade, a large number of studies have been carried out using SP, aimed at assessing: the effectiveness of teaching communication skills; long-term skill retention for clinical practice; economic efficiency of attracting a joint venture; features of the use of SP methodology in training doctors, nursing staff, students of various courses and specialties, etc. Despite the accumulated international experience, it is necessary to continue research, since some issues still remain controversial.
Keywords:simulated patient; competence; communication skills; teaching methodology
Funding. The study had no sponsor support.
Conflict of interest. The authors declare no conflict of interest.
For citation: Samoylenko N.V., Enert A.V., Dyachenko E.V., Davydova N.S. Attraction practice simulated/standardized patients in medical education: international and domestic experience. Meditsinskoe obrazovanie i professional’noe razvitie [Medical education and professional development]. 2024; 15 (1): 25–36. DOI: https://doi.org/10.33029/2220-8453-2024-15-1-25-36 (in Russian)
References
1.Lewis K.L., Bohnert C.A., Gammon W.L., et al. The Association of Standardized Patient Educators (ASPE) Standards of Best Practice (SOBP). Advances in simulation (London, England). 20172, N 10. P. 1–8. DOI: https://doi.org/10.1186/s41077-017-0043-4
2.Kantrell M. Simulated/Standardized Patients chapter 29 from the book «A practical Guide for medical teachers» 2nd ed. (translated from English ed. by Z.Z. Balkizov). Meditsinskoe obrazovanie i professional’noe razvitie [Medical education and professional development]. 2011; 5 (3): 92–9. (in Russian)
3.Papanagnou D., Klein M.R., Zhang X.C., et al. Developing standardized patient-based cases for communication training: lessons learned from training residents to communicate diagnostic uncertainty. Advances in simulation (London, England). 2021; 6 (26): 1–11. DOI: https://doi.org/10.1186/s41077-021-00176-y/
4.Barrows H.S. An overview of the uses of standardized patients for teaching and evaluating clinical skills. Academic Medicine. 1993; 6 (68): 443–51. DOI: https://doi.org/10.1097/00001888-199306000-00002
5.INACSL Standards Committee. INACSL Standards of Best Practice: SimulationSM. Clinical Simulation in Nursing. 2016; 12 (1): S 1–S 50. DOI: https://doi.org/10.1016/j.ecns.2016.09.005
6.Cleland J.A., Abe K., Rethans J.J. The use of simulated patients in medical education: AMEE Guide No 42. Medical Teacher. 2009; 31 (6): 477–86. DOI: https://doi.org/10.1080/01421590903002821
7.Shumway J.M., Harden R.M. AMEE Guide no 25. The assessment of learning outcomes for the competent and reflective physician. Meditsinskoe obrazovanie i professional’noe razvitie [Medical education and professional development]. 2016; 1: 23–53. (in Russian)
8.Bank I., Rasenberg E.M.C., Makkenze-Mangold S.H., et al. Fifteen simulated patient working formats to use in communication skills training: Report of a survey. Medical Teacher. 2021. 43 (12): 1391–7. DOI: https://doi.org/10.1080/0142159X.2021.1948522
9.Rethans J.J., Grosfeld F.J., Aper L., et al. Six formats in simulated and standardized patients use, based on experiences of 13 undergraduate medical curricula in Belgium and the Netherlands. Medical Teacher. 2012; 34 (9): 710–6. DOI: https://doi.org/10.3109/0142159X.2012.708466
10. Resolution of the VII All-Russian Congress of Patients. November 9th, 2016. Moscow. All-Russian Union of Patients. URL: http://vspru22.ud4.ru/kongress/
11. Svistunov A.A., Gorshkov M.D. Simulation training in medicine. Moscow: Publishing House of the First Moscow State Medical University MGMU Sechenov. 2013, 288 p. ISBN 978-5-4235-0109-9. (in Russian)
12. Bulatov S.A., Palmova L. Yu. Methodology «standardized patient» as a stage in the formation of clinical thinking in future doctors. Vestnik sovremennoy klinicheskoy meditsiny [Bulletin of modern clinical medicine]. 2009; 2 (4): 33–6. (in Russian)
13. Amirov N. Kh., Sozinov A.S., Bulatov S.A. Actors instead of patients. Meditsinskaya gazeta [Medical newspaper]. 2008; (35): 10. (in Russian)
14. Dyachenko E.V., Sizova Zh.M. Assessment of communication skills with a patient in simulated conditions with the accreditation of medical specialists: organizational and scientific and methodological support, problems, directions of solutions. Meditsinskoe obrazovanie i professional’noe razvitie [Medical education and professional development]. 2020; 11 (2): 66–79. DOI: https://doi.org/10.24411/2220-8453-2020-12005 (in Russian)
15. Davydova N.S., Chernyad’yev S.A., Dyachenko E.V. Assessment of practical skills in primary accreditation of the specialist on the methody of “simulated patient”: the results of the piloting station “history in the primary outpatient medical visit”. Vestnik Ural’skogo gosudarstvennogo medicinskogo universiteta [Bulletin of the Ural State Medical University]. 2017; (3): 8–10. (in Russian)
16. Davydova N.S., Chernjad’ev S.A., Tepljakova O.V. A pilot for evaluating medical professionals’ communication skills with patients. Virtual’nye tehnologii v medicine [Virtual technologies in medicine]. 2017; (2 (18)): 65–6. (in Russian)
17. Davydova N.S., Shkinder N.L., Chernjad’ev S.A. Communicative skills of a doctor as an interdisciplinary end-to-end educational module. Virtual’nye tehnologii v medicine [Virtual technologies in medicine]. 2017; (1 (17)): 56–7. (in Russian)
18. D’yachenko E.V., Samoilenko N.V. Patient-oriented medical consultation. Doctor’s perception of a patient: what can be said about it and how does it affects the interaction efficiency in providing medical care. Meditsinskoe obrazovanie i professional’noe razvitie [Medical Education and Professional Development]. 2020; 11 (1): 42–50. DOI: https://doi.org/10.24411/2220-8453-2020-11002 (in Russian)
19. Communication skills with the patient: simulation training and assessment in a medical university. In N.S. Davydova, E.V. Dyachenko. Moscow: ROSOMED, 2020. 187 p. 16. (in Russian)
20. Akopyan J.A., Andrienko A.A., Vasilyeva E. Yu., et al. Specialist of medical simulation training. In M.D. Gorshkov ed. Moscow: ROSOMED, 2021. 500 p., il. (in Russian)
21. Sizova G.M., Davydova N.S., Chernyad’yev S.A. Testing of communication skills assessment station at primary accreditation of specialist – 2017. Meditsinskoe obrazovanie i professional’noe razvitie [Medical Education and Professional Development]. 2018; (1): 115–21. (in Russian)
22. Davydova N.S., Dyachenko, E.V., Samoylenko N.V. Federal pilot: assessment of communication skills during primary accreditation of a specialist – 2018: results, results Virtual’nye tehnologii v medicine [Virtual technologies in medicine]. 2018; 2 (20): 61–2. (in Russian)
23. Pless A., Hari R., Brem B., et al. Using self and peer video annotations of simulated patient encounters in communication training to facilitate the reflection of communication skills: an implementation study. GMS J Med Educ. 2021; 38 (3). DOI: https://doi.org/10.3205/zma001451
24. Kaplonyi J., Bowles K.A., Nestel D., et al. Understanding the impact of simulated patients on health care learners’ communication skills: a systematic review. Med Educ. 2017; 51 (12): 1209–19. DOI: https://doi.org/10.1111/medu.13387
25. Coleman D., McLaughlin D. Using simulated patients as a learning strategy to support undergraduate nurses to develop patient-teaching skills. Br J Nurs. 2019; 28 (20): 1300–6. DOI: https://doi.org/10.12968/bjon.2019.28.20.1300
26. Lovink A., Groenier M., van der Niet A., et al. The contribution of simulated patients to meaningful student learning. Perspect Med Educ. 2021; 10 (6): 341–6. DOI: https://doi.org/10.1007/s40037-021-00684-7
27. Siemerkus J., Petrescu A.S., Köchli L., et al. Using standardized patients for undergraduate clinical skills training in an introductory course to psychiatry. BMC Med Educ. 2023; 23 (1). DOI: https://doi.org/10.1186/s12909-023-04107-5
28. MacLean S., Kelly M., Geddes F., Della P. Use of simulated patients to develop communication skills in nursing education: An integrative review. Nurse Educ Today. 2017; 48: 90–8. DOI: https://doi.org/10.1016/j.nedt.2016.09.018
29. Chua C.M.S., Nantsupawat A., Wichaikhum O.A., Shorey S. Content and characteristics of evidence in the use of standardized patients for advanced practice nurses: A mixed-studies systematic review. Nurse Educ Today. 2023. DOI: https://doi.org/10.1016/j.nedt.2022.105621
30. Cabañero-Martínez M.J., Escribano S., Sánchez-Marco M., Juliá-Sanchis R. Effectiveness of a standardised patient simulation programme in undergraduate nursing students 6 months after implementation: A quasi-experimental study. Nurs Open. 2023; 10 (3). DOI: https://doi.org/10.1002/nop2.1726
31. MacLean S., Geddes F., Kelly M., Della P. Simulated patient training: Using inter-rater reliability to evaluate simulated patient consistency in nursing education. Nurse Educ Today. 2018; 62: 85–90. DOI: https://doi.org/10.1016/j.nedt.2017.12.024
32. Dalwood N., Bowles K.A., Williams C., et al. Students as patients: A systematic review of peer simulation in health care professional education. Med Educ. 2020; 54 (5): 387–99. DOI: https://doi.org/10.1111/medu
33. Azbell Baylee A. The Use of Standardized Patients to Improve Communication Skills: A Benchmark Study. MSN Capstone Projects. 2022. Paper 198. URL: http://hdl.handle.net/10950/3973
34. Bulatov S.A., Khamitov R.F. Practical skills and abilities. The program of mastering practical skills according to the «Standardized patient» method: an educational and methodical manual. Kazan : Brig, 2006. 44 p. (in Russian)