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A QUALITATIVE REPORT OF THE PERSPECTIVE OF THE STANDARDIZED PATIENT PROGRAM THROUGH THE LENS OF STANDARDIZED PATIENTS AND MEDICAL STUDENTS
Noboa, Isabel
Noboa, Isabel
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2024-05
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Urban Bioethics
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http://dx.doi.org/10.34944/dspace/10258
Abstract
In 1999, the Lewis Katz School of Medicine (LKSOM) established the standardized patient (SP) program, focusing on training healthcare professional students in patient interviewing and examination skills. Originating in 1963, SP programs have proliferated in American medical schools and abroad as a means to instruct and evaluate students without potential harm to real vulnerable patients. However, research indicates potential biases in SP evaluations, particularly with respect to subjective assessments such as the doctor-patient interaction (DPI). This study aims to explore attitudes towards the SP program from the perspective of both medical students and SPs to identify areas of bias and general concerns. In total, 14 medical students, nine SPs and 1 administrative faculty member were interviewed. Interviews were transcribed, coded and analyzed for major themes. Overall, students and SPs generally agreed to the importance of the SP program in medical education. However, attitudes diverged with regards to bias and standardization, with students noting multiple instances of interSP variability. A handful of solutions to concerns raised by study participants are outlined in this paper and concludes by highlighting the school’s duty to mitigate bias and ultimately foster equity, equality, and justice within the program.
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