Using a Standardized Patient to Counsel on a New Prescription for Atorvastatin

Castleberry, Ashley N.; Renna, Catie; Tedder, Andrea; Rowe, Jordan M.; Warren, Joseph E.; Pennick, Rose E.

doi:10.15766/mep_2374-8265.10257

Cited by 2 publications

(4 citation statements)

References 2 publications

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“…Others have published SP cases involving patients following an MI; however, these cases were not focused on the diagnosis of MI. 25 , 26 Other SP cases have been published involving cardiac chief complaints including shortness of breath 27 and dizziness, 28 but these cases represented other disease types than those in our case set. In contrast to these existing publications, the learning activity described below provided a series of SP cases representing four CV diseases, each of which includes audio files representing cardiac sounds and ECG images, providing learners with opportunities to practice hypothesis-driven data gathering and clinical data interpretation skills.…”

Section: Introductionmentioning

confidence: 80%

The Simulated Cardiology Clinic: A Standardized Patient Exercise Supporting Medical Students' Biomedical Knowledge and Clinical Skills Integration

et al. 2020

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Introduction Development of cardiac disease-related diagnostic skills—including hypothesis-driven data gathering, heart sound interpretation, and ECG interpretation—is an important component of medical student training. Prior studies indicate trainees' performance of these skills is limited. Simulation provides students with opportunities to practice integrating their developing knowledge in a relevant clinical context. We developed a simulated clinic activity for second-year medical students consisting of standardized patient (SP) cases representing cardiovascular (CV) diseases. Methods Student small groups rotated through four SP encounters. For each case, one student performed the history, after which the whole small group listened to audio files of heart sounds, interpreted an ECG, and collaboratively developed a prioritized differential diagnosis. The CV course director met with students for a large-group debrief, highlighting key learning points. We collected learners' evaluations of the event through an online survey. Results Of students, 276 participated in this activity over the course of 2 years. Nearly all students assessed the activity as extremely or quite effective for applying learning content from the CV course (97%, 2018; 93%, 2019), and for practicing how to approach chest pain, shortness of breath, palpitations, and fatigue (100%, 2018; 95%, 2019). The most helpful aspects were reinforcement of CV disease illness scripts, hypothesis-driven data gathering practice, ECG interpretation, and applying knowledge and skills in a realistic context. Discussion SP encounters representing CV conditions can effectively provide opportunities for students to integrate basic science knowledge and clinical skills. Students assessed the activity as helpful and engaging.

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Section: Introductionmentioning

confidence: 80%

The Simulated Cardiology Clinic: A Standardized Patient Exercise Supporting Medical Students' Biomedical Knowledge and Clinical Skills Integration

et al. 2020

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“…The learners’ evaluation of our SP encounter mirror those of previous activities in which learners often desired additional clinically relevant pharmacology exercises. 5 , 7 In their evaluation of four pharmacology-focused SP encounters for third-year MD students, Karpa and colleagues noted that students were often unable to apply basic pharmacology principles in clinical settings and therefore called for the continued threading of similar encounters throughout the medical school curriculum. 8 – 11 These SP encounters were implemented later than ours in the medical school curriculum.…”

Section: Discussionmentioning

confidence: 99%

“…Depending on the learner population, further evaluation of medication knowledge, adverse effect management, and patient communication skills could be included. 7 …”

Section: Discussionmentioning

confidence: 99%

“…The simulation was rated highly by students, and the authors concluded that SP activities allow for the application of foundational knowledge during the preclinical years. 7 Within medical school curricula, SP encounters have been less widely adopted for pharmacology instruction. Karpa and colleagues published the results of four SP encounters that required third-year medical students to apply basic pharmacology principles to clinical encounters.…”

Section: Introductionmentioning

confidence: 99%

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Antiviral Pharmacology: A Standardized Patient Case for Preclinical Medical Students

et al. 2022

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Introduction Pharmacology is an important learning topic in preclinical medical education. Simulated patient encounters allow students to apply basic science knowledge in a clinical setting and have been useful in previous studies of pharmacology education. We developed a standardized patient (SP) encounter to reinforce antiviral pharmacology content for first-year medical students. Methods Students were instructed to recommend a medication for shingles during an SP encounter and to answer questions from the SP on mechanism of action and adverse effects. Students then attended a large-group debrief session. Following the activity, students evaluated the exercise through a voluntary survey. For knowledge assessment, students were randomized into two groups to complete three multiple-choice questions either before or after the learning activity. Results In 2020 and 2021, 144 and 145 students, respectively, participated. In 2020, there was no significant difference in the proportion of correct answers between the pre- and postsimulation groups ( p > .05). In 2021, the postsimulation group significantly outperformed the presimulation group in knowledge of mechanism of action ( p < .01) and adverse effects ( p < .01), but no difference was seen between the groups regarding medication selection ( p = .27). Most learners assessed the instructional design as effective for the tasks assigned. Discussion This SP activity provided an opportunity for early medical students to practice integrating antiviral pharmacology knowledge into a patient encounter and was well received by learners. The instructional method offers a clinically relevant approach for reinforcing pharmacology knowledge for preclinical medical students.

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Using a Standardized Patient to Counsel on a New Prescription for Atorvastatin

Cited by 2 publications

References 2 publications

The Simulated Cardiology Clinic: A Standardized Patient Exercise Supporting Medical Students' Biomedical Knowledge and Clinical Skills Integration

The Simulated Cardiology Clinic: A Standardized Patient Exercise Supporting Medical Students' Biomedical Knowledge and Clinical Skills Integration

Antiviral Pharmacology: A Standardized Patient Case for Preclinical Medical Students

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