The Use of Standardized Patient Assessments for Certification and Licensure Decisions

Abstract

Although standardized patients have been employed for formative assessment for over 40 years, their use in high-stakes medical licensure examinations has been a relatively recent phenomenon. As part of the medical licensure process in the United States and Canada, the clinical skills of medical students, medical school graduates, and residents are evaluated in a simulated clinical environment. All of the evaluations attempt to provide the public with some assurance that the person who achieves a passing score has the knowledge and/or requisite skills to provide safe and effective medical services. Although the various standardized patient-based licensure examinations differ somewhat in terms of purpose, content, and scope, they share many commonalities. More important, given the extensive research that was conducted to support these testing initiatives, combined with their success in promoting educational activities and in identifying individuals with clinical skills deficiencies, they provide a framework for validating new simulation modalities and extending simulation-based assessment into other areas.

Modeling relationships between traditional preadmission measures and clinical skills performance on a medical licensure examination

“…National licensure clinical examinations include expanding criterion to meet the requirements of measuring competencies beyond basic science knowledge (cf., Boulet et al 2009). Evidence supporting the valid use of MCAT and uGPA to select students who will pass such licensure examinations has been equivocal.…”

Pacientes simulados en la formación de los profesionales de salud: el lado humano de la simulación

“…Los PE están entrenados en completar pautas de cotejo del desempeño del examinado en habilidades comunicacionales y en examen físico. El docente evalúa al estudiante utilizando la información recogida por el PE y la información escrita por el examinado en la ficha clínica 59,60 . Con un control de calidad estricta, los PE ofrecen una forma costo-efectiva para organizar estos evaluaciones que son de alto riesgo ("high-stakes") para los evaluados 61 .…”

Simulation Education Of Anaesthesiology And Reanimation Residents: Simmerk® Experience Of The Four Years

“…ABD'nde tıbbi akreditasyon ve lisans temini için SE kullanıl-maktadır (16) . Kentucky Üniversitesi'nde maksillofasyal cerrahi ile uğraşacak tüm uzmanlık öğrencileri, genel anestezinin temel ilkelerini ve hava yolu yöneti-mini dört aylık SE ile öğrenirler (17) .…”