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Related Experiment Video

Updated: Jan 2, 2026

Author Spotlight: Investigating the Impact of Emotional Prosodies on Voice Recognition and Perception

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Using standardised patients to measure physicians' practice: validation study using audio recordings.

Jeff Luck¹, John W Peabody

¹Veterans Administration, Greater Los Angeles Healthcare System, 11 301 Wilshire Blvd, Los Angeles, CA 90073, USA.

BMJ (Clinical Research Ed.)

|September 28, 2002

Summary

This summary is machine-generated.

Standardised patients provide a valid method for assessing physician practice quality. Their assessments closely align with expert evaluations, supporting their use in quality measurement.

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Area of Science:

Medical education and quality improvement.
Healthcare assessment methodologies.

Background:

Evaluating physician practice quality is crucial for patient safety and effective healthcare delivery.
Traditional methods may have limitations in capturing real-world clinical performance.

Purpose of the Study:

To determine the validity of using standardised patients (SPs) to measure the quality of physicians' outpatient practice.
To compare SP assessments with independent evaluations of recorded physician-patient interactions.

Main Methods:

A validation study involving 144 physicians across four primary care clinics.
SPs presented with common outpatient conditions, covertly recorded visits, and completed quality checklists.
SP assessments were compared against independent assessments of audio recordings by medical records abstractors.

Main Results:

High overall agreement (91%, kappa=0.81) between SP assessments and independent evaluations.
Consistent agreement rates across different medical conditions, clinic sites, and physician training levels.
High sensitivity (95%) and specificity (85%) for SP assessments, with an AUC of 90%.

Conclusions:

Standardised patient assessments are a valid tool for measuring physician care quality in outpatient settings.
Trained SPs demonstrate strong concordance with expert review, potentially serving as a 'gold standard' for quality assessment.
SPs offer a reliable method for comparing care quality across different settings or data sources.