What is a Standardized Patient?
When do SPs typically work?
Activities that involve the scheduling of SPs typically take place during weekdays, Monday-Friday, between 7a-6p.
How is this different from acting?
This work has nothing to do with finding dramatic moments or playing to an audience. It has everything to do with disciplining yourself within the needs of the case and exam. It may be appropriate for you to appear anxious, irritable, or confused during an interview if that is part of the training scenario. When working as an SPI it is important that you portray the case the exactly the same way for every student who interviews you.
Do the medical students know we are not real patients?
Yes, the students are aware that you are SPs and are told to proceed just as they would with real patients while doing their interviews and physical examinations.
Why do you need Standardized Patient? I thought medical students learned on real patients?
U of M students do work with real patients in supervised clinical experiences. However, SPs provide a safe and controlled learning environment in preparation for a real patient encounter. A large number of students can consecutively interview an SP and each time the SP can behave as though it were the first time in the clinic for the same complaint. Thus, every student gets the chance to demonstrate his/her clinical skills in the same situation. It makes it a fair exam and learning experience for everyone.
How do I know what to say when the medical student interviews me?
You will be carefully trained to portray a specific patient. You will learn the complete medical history, using your own history whenever possible. As the patient, you will be able to tell the student details about your life such as your work, family, and hobbies. You will be trained to portray the patient's appropriate emotional state. For cases requiring a physical exam you will know how to move as that patient would and also simulate findings while being examined. You will also be trained to give feedback after being interviewed or examined, allowing the student to hear constructive feedback from the patient he/she just interviewed or examined.
Will I undergo a physical exam or have to remove my clothing?
For patient cases that require no physical examination, SPs wear street clothes. If the students are expected to perform a physical examination, you may be required to wear a hospital gown. The cases that require these physical examinations are clearly outlined for SPs prior to their agreement to participate in them.
Is it safe?
Yes. There is no reason for anyone to do anything that might be harmful. The examinations are very basic and do not cause any harm to the patient. All encounters are videotaped and most interactions are observed as they happen, in part for the safety and comfort of the SP.
Do I have to decide whether or not the student passes?
No. Part of your job as an SP is to record the events of the encounters on a checklist for the purpose of scoring the students. You may also be asked to lead a verbal debriefing session with the student about their experience and/or provide written feedback to the students on their interpersonal skills from your perspective as the patient. Faculty ultimately decides whether or not the student passed the exercise.
Being an SP sounds like easy money. Can anyone do it?
No, being an SP is hard work. Below is a list of expectations for our SPs.
Are there other opportunities/positions besides being a Standardized Patient?
Yes, while SPs are a large piece of our Program, we do also place individuals into the following roles: Proctors, Physical Exam Patient (PEP), MUTA/GTA. These roles are described in more detail on individual tabs under the left menu section: "Becoming a Standardized Patient."
I'm interested in working for the Standardized Patient Program. What do I do next?