Patient simulation: Difference between revisions
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In [[medical education]], '''patient simulation''' is "the use of persons coached to feign symptoms or conditions of real diseases in a life-like manner in order to teach or evaluate medical personnel."<ref>{{MeSH}}</ref> | In [[medical education]], '''patient simulation''' is "the use of persons coached to feign symptoms or conditions of real diseases in a life-like manner in order to teach or evaluate medical personnel."<ref>{{MeSH}}</ref> | ||
==Unannounced standardized patients== | ==Unannounced standardized patients== | ||
Unannounced standardized patients have been | Unannounced standardized patients have been validated by various methods.<ref name="pmid22990681">{{cite journal| author=Weiner SJ, Schwartz A, Cyrus K, Binns-Calvey A, Weaver FM, Sharma G et al.| title=Unannounced Standardized Patient Assessment of the Roter Interaction Analysis System: The Challenge of Measuring Patient-Centered Communication. | journal=J Gen Intern Med | year= 2012 | volume= | issue= | pages= | pmid=22990681 | doi=10.1007/s11606-012-2221-3 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22990681 }} </ref><ref name="pmid10755498">{{cite journal| author=Peabody JW, Luck J, Glassman P, Dresselhaus TR, Lee M| title=Comparison of vignettes, standardized patients, and chart abstraction: a prospective validation study of 3 methods for measuring quality. | journal=JAMA | year= 2000 | volume= 283 | issue= 13 | pages= 1715-22 | pmid=10755498 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10755498 }} </ref><ref name="pmid22193736">{{cite journal| author=Shirazi M, Sadeghi M, Emami A, Kashani AS, Parikh S, Alaeddini F et al.| title=Training and validation of standardized patients for unannounced assessment of physicians' management of depression. | journal=Acad Psychiatry | year= 2011 | volume= 35 | issue= 6 | pages= 382-7 | pmid=22193736 | doi=10.1176/appi.ap.35.6.382 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22193736 }} </ref><ref name="pmid21094590">{{cite journal| author=Erby LA, Roter DL, Biesecker BB| title=Examination of standardized patient performance: accuracy and consistency of six standardized patients over time. | journal=Patient Educ Couns | year= 2011 | volume= 85 | issue= 2 | pages= 194-200 | pmid=21094590 | doi=10.1016/j.pec.2010.10.005 | pmc=PMC3158971 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21094590 }} </ref> | ||
Unannounced standardized patients to evaluate the performance of physicians in practice.<ref name="pmid15855433">{{cite journal| author=Kravitz RL, Epstein RM, Feldman MD, Franz CE, Azari R, Wilkes MS et al.| title=Influence of patients' requests for direct-to-consumer advertised antidepressants: a randomized controlled trial. | journal=JAMA | year= 2005 | volume= 293 | issue= 16 | pages= 1995-2002 | pmid=15855433 | doi=10.1001/jama.293.16.1995 | pmc=PMC3155410 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15855433 }} </ref> | Physicians may detect unannounced standardized patients.<ref name="pmid17116121">{{cite journal| author=Franz CE, Epstein R, Miller KN, Brown A, Song J, Feldman M et al.| title=Caught in the act? Prevalence, predictors, and consequences of physician detection of unannounced standardized patients. | journal=Health Serv Res | year= 2006 | volume= 41 | issue= 6 | pages= 2290-302 | pmid=17116121 | doi=10.1111/j.1475-6773.2006.00560.x | pmc=PMC1955318 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17116121 }} </ref> | ||
The role of unannounced standardized patients has been [[systematic review|systematically reviewed]].<ref name="pmid17518833">{{cite journal| author=Rethans JJ, Gorter S, Bokken L, Morrison L| title=Unannounced standardised patients in real practice: a systematic literature review. | journal=Med Educ | year= 2007 | volume= 41 | issue= 6 | pages= 537-49 | pmid=17518833 | doi=10.1111/j.1365-2929.2006.02689.x | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17518833 }} </ref> | |||
Unannounced standardized patients have been used to evaluate the performance of physicians in practice.<ref name="pmid15855433">{{cite journal| author=Kravitz RL, Epstein RM, Feldman MD, Franz CE, Azari R, Wilkes MS et al.| title=Influence of patients' requests for direct-to-consumer advertised antidepressants: a randomized controlled trial. | journal=JAMA | year= 2005 | volume= 293 | issue= 16 | pages= 1995-2002 | pmid=15855433 | doi=10.1001/jama.293.16.1995 | pmc=PMC3155410 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15855433 }} </ref> However, the evidence base for the standards of care the physicians are compared to is not always clear.<ref name="pmid18975037">{{cite journal| author=Krane NK, Anderson D, Lazarus CJ, Termini M, Bowdish B, Chauvin S et al.| title=Physician practice behavior and practice guidelines: using unannounced standardized patients to gather data. | journal=J Gen Intern Med | year= 2009 | volume= 24 | issue= 1 | pages= 53-6 | pmid=18975037 | doi=10.1007/s11606-008-0826-3 | pmc=PMC2607496 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18975037 }} </ref> | |||
==References== | ==References== | ||
<references/> | <references/> | ||
Latest revision as of 11:42, 16 September 2020
In medical education, patient simulation is "the use of persons coached to feign symptoms or conditions of real diseases in a life-like manner in order to teach or evaluate medical personnel."[1]
Unannounced standardized patients
Unannounced standardized patients have been validated by various methods.[2][3][4][5]
Physicians may detect unannounced standardized patients.[6]
The role of unannounced standardized patients has been systematically reviewed.[7]
Unannounced standardized patients have been used to evaluate the performance of physicians in practice.[8] However, the evidence base for the standards of care the physicians are compared to is not always clear.[9]
References
- ↑ Anonymous (2024), Patient simulation (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Weiner SJ, Schwartz A, Cyrus K, Binns-Calvey A, Weaver FM, Sharma G et al. (2012). "Unannounced Standardized Patient Assessment of the Roter Interaction Analysis System: The Challenge of Measuring Patient-Centered Communication.". J Gen Intern Med. DOI:10.1007/s11606-012-2221-3. PMID 22990681. Research Blogging.
- ↑ Peabody JW, Luck J, Glassman P, Dresselhaus TR, Lee M (2000). "Comparison of vignettes, standardized patients, and chart abstraction: a prospective validation study of 3 methods for measuring quality.". JAMA 283 (13): 1715-22. PMID 10755498. [e]
- ↑ Shirazi M, Sadeghi M, Emami A, Kashani AS, Parikh S, Alaeddini F et al. (2011). "Training and validation of standardized patients for unannounced assessment of physicians' management of depression.". Acad Psychiatry 35 (6): 382-7. DOI:10.1176/appi.ap.35.6.382. PMID 22193736. Research Blogging.
- ↑ Erby LA, Roter DL, Biesecker BB (2011). "Examination of standardized patient performance: accuracy and consistency of six standardized patients over time.". Patient Educ Couns 85 (2): 194-200. DOI:10.1016/j.pec.2010.10.005. PMID 21094590. PMC PMC3158971. Research Blogging.
- ↑ Franz CE, Epstein R, Miller KN, Brown A, Song J, Feldman M et al. (2006). "Caught in the act? Prevalence, predictors, and consequences of physician detection of unannounced standardized patients.". Health Serv Res 41 (6): 2290-302. DOI:10.1111/j.1475-6773.2006.00560.x. PMID 17116121. PMC PMC1955318. Research Blogging.
- ↑ Rethans JJ, Gorter S, Bokken L, Morrison L (2007). "Unannounced standardised patients in real practice: a systematic literature review.". Med Educ 41 (6): 537-49. DOI:10.1111/j.1365-2929.2006.02689.x. PMID 17518833. Research Blogging.
- ↑ Kravitz RL, Epstein RM, Feldman MD, Franz CE, Azari R, Wilkes MS et al. (2005). "Influence of patients' requests for direct-to-consumer advertised antidepressants: a randomized controlled trial.". JAMA 293 (16): 1995-2002. DOI:10.1001/jama.293.16.1995. PMID 15855433. PMC PMC3155410. Research Blogging.
- ↑ Krane NK, Anderson D, Lazarus CJ, Termini M, Bowdish B, Chauvin S et al. (2009). "Physician practice behavior and practice guidelines: using unannounced standardized patients to gather data.". J Gen Intern Med 24 (1): 53-6. DOI:10.1007/s11606-008-0826-3. PMID 18975037. PMC PMC2607496. Research Blogging.