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Published on: August 27, 2019
A pilot study of integrating standardized patients in problem-based learning tutorial in Taiwan.
Ching-Chih Chang1,2, Jiing-Feng Lirng2,3, Pei-Ning Wang2,4
1Division of General Medicine, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Integrating standardized patients (SPs) into problem-based learning (PBL) enhanced medical student motivation and confidence in patient interviews. This approach, despite varied viewpoints, is supported for PBL tutorials.
Area of Science:
- Medical Education
- Clinical Skills Training
- Pedagogy
Background:
- Problem-based learning (PBL) in medical education often lacks real patient interaction.
- Standardized patients (SPs) offer a potential solution to bridge this gap.
- This study investigates the impact of integrating SPs into PBL tutorials.
Purpose of the Study:
- To evaluate the effectiveness of incorporating standardized patients into problem-based learning sessions.
- To assess student, facilitator, and SP perceptions of this educational model.
Main Methods:
- A study involving 313 students, 66 facilitators, and 36 SPs at National Yang-Ming University in 2017.
- Students interviewed SPs portraying specific symptoms/signs to gather detailed patient histories.
- Questionnaires were administered to all participants before and after the program.
Main Results:
- Students and facilitators perceived fourth-year medical students as more prepared than others.
- The majority of students reported positive interactions with SPs, with only a minority feeling undue pressure.
- Significant improvements were observed in student learning motivation (p < 0.001), patient interviewing confidence (p < 0.001), and critical thinking skills (p < 0.001).
Conclusions:
- While SPs, facilitators, and students held differing views, a consensus emerged on the benefits of SP integration.
- The integration of SPs in PBL tutorials was largely supported for enhancing student motivation and learning outcomes.
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