The use of standardised patients to assess clinical competence: does practice make perfect?

Medical Education
Barry StimmelLawrence Smith

Abstract

The use of standardised patients (SPs) is now an integral component of the United States Medical Licensing Examination (USMLE). This new requirement has caused more schools to include SP examinations (SPEs) in their curricula. This study reviews the effect of prior experience with SPs in a medical school curriculum on SPE pass rates. This study reviewed the mean scores and pass rates on a 4-station SPE, comparing the performance of 121 US medical school graduates (USMGs) with that of 228 international medical graduates (IMGs). The analysis of USMGs' performance was based upon whether the resident had had previous exposure to an SPE during medical school, while the analysis of IMGs' performance was based upon whether the IMG had taken the Clinical Skills Assessment (CSA) for certification by the Education Commission for Foreign Medical Graduates. A distinction was made between those who had received prior exposure at Mount Sinai School of Medicine's Morchand Center, where the cases utilised were identical to those of the SPE, and those who had gained exposure elsewhere. Neither the mean scores of the IMGs and the USMGs nor the percentage who failed was significantly different relative to prior exposure to SPs. Prior exposure to ...Continue Reading

References

Jan 1, 1992·Academic Medicine : Journal of the Association of American Medical Colleges·N V VuT Travis
May 1, 1990·Academic Medicine : Journal of the Association of American Medical Colleges·P L StillmanD V Nelson
Oct 1, 1987·Journal of Medical Education·H S BarrowsR H Moy
Sep 1, 1986·Journal of Medical Education·H S Barrows
Jul 1, 1997·Academic Medicine : Journal of the Association of American Medical Colleges·M H SwartzS Moroff
Sep 3, 1997·JAMA : the Journal of the American Medical Association·S Mangione, L Z Nieman
Sep 3, 1997·JAMA : the Journal of the American Medical Association·J A Colliver, M H Swartz
Jun 5, 1998·Journal of General Internal Medicine·J TurnbullJ MacFadyen
Oct 31, 1998·Academic Medicine : Journal of the Association of American Medical Colleges·J R BouletN E Gary
Oct 31, 1998·Academic Medicine : Journal of the Association of American Medical Colleges·M D CusimanoJ Keystone
Dec 20, 2002·JAMA : the Journal of the American Medical Association·Robyn TamblynCarlos Brailovsky
Oct 15, 2003·Academic Medicine : Journal of the Association of American Medical Colleges·LuAnn Wilkerson, Ming Lee
Oct 15, 2003·Academic Medicine : Journal of the Association of American Medical Colleges·Marta Van ZantenDanette W McKinley
Apr 23, 2004·The New England Journal of Medicine·Maxine A Papadakis

❮ Previous
Next ❯

Citations

Jun 3, 2016·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Alise FrallicciardiValerie Dobiesz
Sep 11, 2010·The Journal of Pastoral Care & Counseling : JPCC·Alexander Tartaglia, Diane Dodd-McCue

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Academic Medicine : Journal of the Association of American Medical Colleges
Amy SawhillDavid B Swanson
Academic Medicine : Journal of the Association of American Medical Colleges
K L VostiC D Jacobs
Academic Medicine : Journal of the Association of American Medical Colleges
Brian E ClauserThomas Rebbecchi
Journal of the American Medical Informatics Association : JAMIA
D C LynchJ E Brinn
© 2022 Meta ULC. All rights reserved