Coaching standardized patients: for use in the assessment of clinical competence
Saved in:
| Main Author: | |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
New York, NY
Springer
2007
|
| Series: | Springer series on medical education
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis Klappentext |
| Physical Description: | XXX, 342 S. Ill., graph. Darst. |
| ISBN: | 9780826102249 0826102247 |
Staff View
MARC
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| 245 | 1 | 0 | |a Coaching standardized patients |b for use in the assessment of clinical competence |c Peggy Wallace |
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| 650 | 2 | |a Clinical Competence | |
| 650 | 4 | |a Compétence clinique - Évaluation | |
| 650 | 4 | |a Soins infirmiers - Étude et enseignement | |
| 650 | 4 | |a Clinical Competence | |
| 650 | 4 | |a Clinical competence |x Evaluation | |
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Record in the Search Index
| _version_ | 1804137002842456064 |
|---|---|
| adam_text | Contents
List of Figures and Tables
xiii
Preface
xv
Acknowledgments
xix
Introduction
xxiii
PART ONE. Required Skill Sets: Developing the
Expertise Needed to Coach Standardized Patients
Chapter
1.
Overview: The Art and Practice of Coaching
Standardized Patients
3
The Collaboration in Standardized Patient Work
4
The Uniqueness of Standardized Patient Work
5
The SPs Performance Environment
6
The SPs Improvisational Framework
6
Some Qualities of Effective Coaches
7
Know Something About Acting and Directing
7
Develop Trusting Relationships With Their SPs
7
Bring Enthusiasm and Sensitivity to Their Work
8
Trust Their Intuition and What They Know
8
The Importance of Selecting the Right SPs
9
Hiring Actors or
Non-
Actors as SPs
9
Eliciting Better Performances From
Well-Chosen SPs
10
The Skills Needed to Be an SP
11
The Ability to Portray a Patient
11
viii Contents
The Ability to Observe the Medical Student s
Behavior
12
The Ability to Recall the Encounter and
Complete the Checklist
12
The Ability to Give Feedback to the Student
13
The Skills Needed to Be an SP Coach
13
Chapter Summary
14
Looking Ahead
15
Chapter
2.
Clinical Skills: Acquiring the Basic Doctoring Skills
17
Learning the Four Clinical Skill Sets
17
History Taking
17
Physical Examination
19
Patient-Physician Interaction
(PPI)/
Communication Skills
26
Information Sharing (IS)/Patient Education Skills
32
Portraying the Medical Student With the SPs
35
Chapter Summary
38
Looking Ahead
38
Chapter
3.
Acting: Understanding How the SPs Portray the
Patient
39
Getting Into the Patient s Psyche
39
What It Is Like to Be a Patient
40
The Patient Case: The Foundation of
SP Performance
40
Portraying Real Patients
41
Familiarizing Ourselves With the Actor s Tools
41
The Interconnectedness of Acting, Directing, and
SP Coaching
43
SPs as Actors, Coaches as Directors
44
Blending Standardization With the Creative
Process
45
Actor/Non-Actor Considerations
47
The Art of Acting: A Model for Enhancing
Patient Portrayals
50
Working From the Outside-In: Using Observed
Behaviors to Develop Character
51
Working From the Inside-Out: Using the
Imagination to Evoke Feelings
60
Chapter Summary
81
Looking Ahead
82
Contents ix
Chapter
4.
Directing: Coaching to Deepen the SPs
Performances
83
The Relationship of the Coach/Director With the SPs
84
General Guidelines for Directing SP Performances
85
Other Coaching Principles
87
Specific Ways to Assist the SPs
93
In Conclusion
105
Chapter Summary
106
Looking Ahead
106
PART TWO. Training Procedures: Casting and Training
the Standardized Patients
Chapter
5.
Casting: Finding the Right Standardized Patients
109
Recruitment
109
Recruitment Principles
110
Recruitment Resources
116
Recruitment Procedures
123
Auditioning
127
Auditioning Principles
127
Auditioning Logistics
131
Auditioning Materials
134
Auditioning Orientation for the Candidates
137
The Audition
140
Selection
145
Selection Principles
145
Strategy for Notifying the Candidates
146
Postselection Procedures
148
Chapter Summary
150
Looking Ahead
150
Chapter
6.
Training the Standardized Patients: An Overview
151
General Guidelines for Training
151
Training Principles
152
Training Manuals
158
Chapter Summary
161
Looking Ahead
161
Chapter
7.
Training Session One: Familiarization With the Case
163
The Goal of Training Session One
163
The Training Setting
163
Summary of the Training Activities
163
Contents
Reminders
164
Session One Training
Activities (Estimated
Time:
3
hours)
166
Preparation of the SPs for Training Session Two
174
The Coach s Preparation for Training Sessions
Two and Four and the Practice Exam
175
Notes to the SP Coach About Training Session One
177
Ways to Deal With Behavioral or Performance
Problems
177
Techniques for Assisting the SPs in Improving
Their Performances
179
Chapter
8.
Training Session Two: Learning to Use the Checklist
183
Principles for Checklist Coaching
184
The Goal of Training Session Two
186
The Training Setting
186
Summary of the Training Activities
186
Reminders
188
Session Two Training Activities (Estimated
Time:
3
Hours)
189
Preparation of the SPs for Training Session
Three
193
The Coach s Preparation for Training Session
Three
194
The Coach s Preparation for Training Session
Four, the Practice Exam, and the CPX
195
Chapter
9.
Training Session Three: Putting It All Together
(Performance, Checklist, Feedback)
197
The Three Areas of Training Emphasis:
Performance, Checklist, Feedback
198
The Goal of Training Session Three
202
The Training Setting
203
Summary of the Training Activities
203
Reminders
203
Session Three Training Activities (Estimated
Time:
3.5
Hours)
209
Preparation of the SPs for Training Session Four
213
The Coach s Preparation for Session Four
and the Practice Exam
214
Training the SPs to Give Effective Written Feedback
215
Contents
Xl
The Rationale
for Giving the Medical Students
Feedback
The Role of the SPs in Giving the Medical
Students Feedback
Practical Suggestions for Training SPs to Give
Written Feedback
Chapter
10.
Training Session Four: First Dress Rehearsal
(Clinician Verification of SPs Authenticity)
The Goal of Training Session Four
The Training Setting
Summary of the Training Activities
Reminders
Session Four Training Activities (Estimated
Time:
3
hours)
Preparation of the SPs for the Practice Exam
The Coach s Preparation for the Practice Exam
Chapter
11.
Training Options: Variations on the Training
Sessions
Determining the SP Training Necessary
Reorganizing the Middle Training Session
Activities
Chapter
12.
The Practice Exam: Final Dress Rehearsal
The Goal of the Practice Exam
The Practice Exam Setting
Summary of the Practice Exam Activities
Reminders
The Practice Exam Activities (Time Varies by
Number of Cases)
Preparation of the SPs for the Actual Exam
The Coach s Preparation for the CPX and
Examination Follow-up Activities
Afterword
References
Additional Readings on Acting and Directing
Appendix A: Maria Gomez Case Materials
215
216
219
227
229
229
229
230
231
238
241
243
243
245
249
249
250
250
250
252
256
257
259
263
267
269
xii Contents
Appendix
Al
- Demographic Form 271
Appendix A2 -
Presenting
Situation and
Instructions to the
Student 275
Appendix A3 - Training Materials 277
Appendix A4 - Checklist 291
Appendix A5 - Guide
to the Checklist
299
Appendix A6 -
Guidelines for Giving Written
Feedback
313
Appendix A7
-
Pelvic/Rectal Results
315
Appendix A8
-
Interstation
Exercise
316
Appendix A9
-
Interstation
Exercise Key
317
Appendix
AIO
-
Audition Case Summary
319
Appendix
Al
1 -
Audition Abridged Checklist
323
Appendix B: Standardized Patient Administrative Forms
327
Appendix Bl
-
Sample Letter of Agreement
329
Appendix B2
-
Standardized Patient Profile Form
332
Appendix B3
-
Sample Recorded Image
Consent-and-Release Form
333
Index
335
Coaching Standardized Patients
for Use in the Assessment of Clinical
Competente
Peggy Wallace, PhD
In today s medical education curriculum, it is necessary for students
to learn the proper technique for taking medical histories, performing
physical exams, and finding the appropriate way to educate and
inform patients. The best way for a student to learn these skills is
through hands-on training with a Standardized Patient (SP)
—
an actor who has been hired to portray a specific set of health
problems and symptoms.
Tips to Help You...
-
Develop Coaching Skills and Be a Director to Your SPs
-
Cast Standardized Patients
-
Get the Best Performance From Your Actors
-
Perfect Your SPs Tuning of Fact Delmery
During Examinations
-
Improve the SPs Written Feedback to Students
-
Streamline Training Regimens;
Chedfcüsts
Included
Working with SPs has become so important in medical education
that it is now a component of the USMLE clinical skills assessment
exam. To ensure best practice, the coaches who prepare SPs now
need general guidelines for best practice.
This handbook is intended as that guide and as a support for those
who are involved in training SPs, to encourage each coach to develop
a system that will deliver the best results and, in the end, help train
the most competent doctors.
|
| adam_txt |
Contents
List of Figures and Tables
xiii
Preface
xv
Acknowledgments
xix
Introduction
xxiii
PART ONE. Required Skill Sets: Developing the
Expertise Needed to Coach Standardized Patients
Chapter
1.
Overview: The Art and Practice of Coaching
Standardized Patients
3
The Collaboration in Standardized Patient Work
4
The Uniqueness of Standardized Patient Work
5
The SPs' Performance Environment
6
The SPs' Improvisational Framework
6
Some Qualities of Effective Coaches
7
Know Something About Acting and Directing
7
Develop Trusting Relationships With Their SPs
7
Bring Enthusiasm and Sensitivity to Their Work
8
Trust Their Intuition and What They Know
8
The Importance of Selecting the Right SPs
9
Hiring Actors or
Non-
Actors as SPs
9
Eliciting Better Performances From
Well-Chosen SPs
10
The Skills Needed to Be an SP
11
The Ability to Portray a Patient
11
viii Contents
The Ability to Observe the Medical Student's
Behavior
12
The Ability to Recall the Encounter and
Complete the Checklist
12
The Ability to Give Feedback to the Student
13
The Skills Needed to Be an SP Coach
13
Chapter Summary
14
Looking Ahead
15
Chapter
2.
Clinical Skills: Acquiring the Basic Doctoring Skills
17
Learning the Four Clinical Skill Sets
17
History Taking
17
Physical Examination
19
Patient-Physician Interaction
(PPI)/
Communication Skills
26
Information Sharing (IS)/Patient Education Skills
32
Portraying the Medical Student With the SPs
35
Chapter Summary
38
Looking Ahead
38
Chapter
3.
Acting: Understanding How the SPs Portray the
Patient
39
Getting Into the Patient's Psyche
39
What It Is Like to Be a Patient
40
The Patient Case: The Foundation of
SP Performance
40
Portraying Real Patients
41
Familiarizing Ourselves With the Actor's Tools
41
The Interconnectedness of Acting, Directing, and
SP Coaching
43
SPs as Actors, Coaches as Directors
44
Blending Standardization With the Creative
Process
45
Actor/Non-Actor Considerations
47
The Art of Acting: A Model for Enhancing
Patient Portrayals
50
Working From the Outside-In: Using Observed
Behaviors to Develop Character
51
Working From the Inside-Out: Using the
Imagination to Evoke Feelings
60
Chapter Summary
81
Looking Ahead
82
Contents ix
Chapter
4.
Directing: Coaching to Deepen the SPs'
Performances
83
The Relationship of the Coach/Director With the SPs
84
General Guidelines for Directing SP Performances
85
Other Coaching Principles
87
Specific Ways to Assist the SPs
93
In Conclusion
105
Chapter Summary
106
Looking Ahead
106
PART TWO. Training Procedures: Casting and Training
the Standardized Patients
Chapter
5.
Casting: Finding the Right Standardized Patients
109
Recruitment
109
Recruitment Principles
110
Recruitment Resources
116
Recruitment Procedures
123
Auditioning
127
Auditioning Principles
127
Auditioning Logistics
131
Auditioning Materials
134
Auditioning Orientation for the Candidates
137
The Audition
140
Selection
145
Selection Principles
145
Strategy for Notifying the Candidates
146
Postselection Procedures
148
Chapter Summary
150
Looking Ahead
150
Chapter
6.
Training the Standardized Patients: An Overview
151
General Guidelines for Training
151
Training Principles
152
Training Manuals
158
Chapter Summary
161
Looking Ahead
161
Chapter
7.
Training Session One: Familiarization With the Case
163
The Goal of Training Session One
163
The Training Setting
163
Summary of the Training Activities
163
Contents
Reminders
164
Session One Training
Activities (Estimated
Time:
3
hours)
166
Preparation of the SPs for Training Session Two
174
The Coach's Preparation for Training Sessions
Two and Four and the Practice Exam
175
Notes to the SP Coach About Training Session One
177
Ways to Deal With Behavioral or Performance
Problems
177
Techniques for Assisting the SPs in Improving
Their Performances
179
Chapter
8.
Training Session Two: Learning to Use the Checklist
183
Principles for Checklist Coaching
184
The Goal of Training Session Two
186
The Training Setting
186
Summary of the Training Activities
186
Reminders
188
Session Two Training Activities (Estimated
Time:
3
Hours)
189
Preparation of the SPs for Training Session
Three
193
The Coach's Preparation for Training Session
Three
194
The Coach's Preparation for Training Session
Four, the Practice Exam, and the CPX
195
Chapter
9.
Training Session Three: Putting It All Together
(Performance, Checklist, Feedback)
197
The Three Areas of Training Emphasis:
Performance, Checklist, Feedback
198
The Goal of Training Session Three
202
The Training Setting
203
Summary of the Training Activities
203
Reminders
203
Session Three Training Activities (Estimated
Time:
3.5
Hours)
209
Preparation of the SPs for Training Session Four
213
The Coach's Preparation for Session Four
and the Practice Exam
214
Training the SPs to Give Effective Written Feedback
215
Contents
Xl
The Rationale
for Giving the Medical Students
Feedback
The Role of the SPs in Giving the Medical
Students Feedback
Practical Suggestions for Training SPs to Give
Written Feedback
Chapter
10.
Training Session Four: First Dress Rehearsal
(Clinician Verification of SPs' Authenticity)
The Goal of Training Session Four
The Training Setting
Summary of the Training Activities
Reminders
Session Four Training Activities (Estimated
Time:
3
hours)
Preparation of the SPs for the Practice Exam
The Coach's Preparation for the Practice Exam
Chapter
11.
Training Options: Variations on the Training
Sessions
Determining the SP Training Necessary
Reorganizing the Middle Training Session
Activities
Chapter
12.
The Practice Exam: Final Dress Rehearsal
The Goal of the Practice Exam
The Practice Exam Setting
Summary of the Practice Exam Activities
Reminders
The Practice Exam Activities (Time Varies by
Number of Cases)
Preparation of the SPs for the Actual Exam
The Coach's Preparation for the CPX and
Examination Follow-up Activities
Afterword
References
Additional Readings on Acting and Directing
Appendix A: Maria Gomez Case Materials
215
216
219
227
229
229
229
230
231
238
241
243
243
245
249
249
250
250
250
252
256
257
259
263
267
269
xii Contents
Appendix
Al
- Demographic Form 271
Appendix A2 -
Presenting
Situation and
Instructions to the
Student 275
Appendix A3 - Training Materials 277
Appendix A4 - Checklist 291
Appendix A5 - Guide
to the Checklist
299
Appendix A6 -
Guidelines for Giving Written
Feedback
313
Appendix A7
-
Pelvic/Rectal Results
315
Appendix A8
-
Interstation
Exercise
316
Appendix A9
-
Interstation
Exercise Key
317
Appendix
AIO
-
Audition Case Summary
319
Appendix
Al
1 -
Audition Abridged Checklist
323
Appendix B: Standardized Patient Administrative Forms
327
Appendix Bl
-
Sample Letter of Agreement
329
Appendix B2
-
Standardized Patient Profile Form
332
Appendix B3
-
Sample Recorded Image
Consent-and-Release Form
333
Index
335
Coaching Standardized Patients
for Use in the Assessment of Clinical
Competente
Peggy Wallace, PhD
In today's medical education curriculum, it is necessary for students
to learn the proper technique for taking medical histories, performing
physical exams, and finding the appropriate way to educate and
inform patients. The best way for a student to learn these skills is
through hands-on training with a Standardized Patient (SP)
—
an actor who has been hired to portray a specific set of health
problems and symptoms.
Tips to Help You.
-
Develop Coaching Skills and Be a Director to Your SPs
-
Cast Standardized Patients
-
Get the Best Performance From Your Actors
-
Perfect Your SPs' Tuning of Fact Delmery
During Examinations
-
Improve the SPs' Written Feedback to Students
-
Streamline Training Regimens;
Chedfcüsts
Included
Working with SPs has become so important in medical education
that it is now a component of the USMLE clinical skills assessment
exam. To ensure best practice, the coaches who prepare SPs now
need general guidelines for best practice.
This handbook is intended as that guide and as a support for those
who are involved in training SPs, to encourage each coach to develop
a system that will deliver the best results and, in the end, help train
the most competent doctors. |
| any_adam_object | 1 |
| any_adam_object_boolean | 1 |
| author | Wallace, Peggy |
| author_facet | Wallace, Peggy |
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| author_sort | Wallace, Peggy |
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| building | Verbundindex |
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| callnumber-search | R837.S55 RT71 |
| callnumber-sort | R 3837 S55 |
| callnumber-subject | R - General Medicine |
| classification_rvk | XF 1200 |
| ctrlnum | (OCoLC)846080183 (DE-599)HBZHT015193547 |
| dewey-full | 610.73076 |
| dewey-hundreds | 600 - Technology (Applied sciences) |
| dewey-ones | 610 - Medicine and health |
| dewey-raw | 610.73076 |
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| id | DE-604.BV022755822 |
| illustrated | Illustrated |
| index_date | 2024-07-02T18:32:37Z |
| indexdate | 2024-07-09T21:05:22Z |
| institution | BVB |
| isbn | 9780826102249 0826102247 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-015961477 |
| oclc_num | 846080183 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR |
| owner_facet | DE-355 DE-BY-UBR |
| physical | XXX, 342 S. Ill., graph. Darst. |
| publishDate | 2007 |
| publishDateSearch | 2007 |
| publishDateSort | 2007 |
| publisher | Springer |
| record_format | marc |
| series2 | Springer series on medical education |
| spelling | Wallace, Peggy Verfasser aut Coaching standardized patients for use in the assessment of clinical competence Peggy Wallace New York, NY Springer 2007 XXX, 342 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Springer series on medical education Patient Simulation Education, Medical methods Teaching methods Clinical Competence Compétence clinique - Évaluation Soins infirmiers - Étude et enseignement Clinical competence Evaluation Nursing Study and teaching Kompetenz (DE-588)4129507-9 gnd rswk-swf Medizinische Ausbildung (DE-588)4169212-3 gnd rswk-swf Medizinische Ausbildung (DE-588)4169212-3 s Kompetenz (DE-588)4129507-9 s DE-604 Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015961477&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015961477&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Wallace, Peggy Coaching standardized patients for use in the assessment of clinical competence Patient Simulation Education, Medical methods Teaching methods Clinical Competence Compétence clinique - Évaluation Soins infirmiers - Étude et enseignement Clinical competence Evaluation Nursing Study and teaching Kompetenz (DE-588)4129507-9 gnd Medizinische Ausbildung (DE-588)4169212-3 gnd |
| subject_GND | (DE-588)4129507-9 (DE-588)4169212-3 |
| title | Coaching standardized patients for use in the assessment of clinical competence |
| title_auth | Coaching standardized patients for use in the assessment of clinical competence |
| title_exact_search | Coaching standardized patients for use in the assessment of clinical competence |
| title_exact_search_txtP | Coaching standardized patients for use in the assessment of clinical competence |
| title_full | Coaching standardized patients for use in the assessment of clinical competence Peggy Wallace |
| title_fullStr | Coaching standardized patients for use in the assessment of clinical competence Peggy Wallace |
| title_full_unstemmed | Coaching standardized patients for use in the assessment of clinical competence Peggy Wallace |
| title_short | Coaching standardized patients |
| title_sort | coaching standardized patients for use in the assessment of clinical competence |
| title_sub | for use in the assessment of clinical competence |
| topic | Patient Simulation Education, Medical methods Teaching methods Clinical Competence Compétence clinique - Évaluation Soins infirmiers - Étude et enseignement Clinical competence Evaluation Nursing Study and teaching Kompetenz (DE-588)4129507-9 gnd Medizinische Ausbildung (DE-588)4169212-3 gnd |
| topic_facet | Patient Simulation Education, Medical methods Teaching methods Clinical Competence Compétence clinique - Évaluation Soins infirmiers - Étude et enseignement Clinical competence Evaluation Nursing Study and teaching Kompetenz Medizinische Ausbildung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015961477&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015961477&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
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