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Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
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Related Experiment Video

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Community-Engaged Qualitative Study on Supporting Transgender and Gender-Diverse Standardized Patients in Medical

Steven Allon1, Andrew Kittleson2, Pepper Heifner3

  • 1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. steven.allon@vumc.org.

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Summary

This study developed guidelines for supporting transgender and gender-diverse (TGD) standardized patients (SPs) in medical simulations. The research focused on recruitment, casting, and ensuring psychological safety for TGD SPs, improving healthcare training.

Keywords:
Health equityMedical simulationStandardized patientsTransgender healthcare

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Area of Science:

  • Medical Education
  • Health Equity
  • Simulation-Based Learning

Background:

  • Transgender and gender-diverse (TGD) individuals face health disparities partly due to negative healthcare experiences.
  • Affirming practices in healthcare settings can reduce distress, but training for medical professionals is limited.
  • Medical simulation offers a platform to improve communication skills, yet best practices for supporting TGD standardized patients (SPs) are underdeveloped.

Purpose of the Study:

  • To establish preliminary guidelines for the recruitment, portrayal, and support of TGD SPs in medical simulation.
  • To address the lack of established best practices in training programs utilizing TGD individuals as SPs.
  • To enhance the effectiveness of medical simulations in fostering affirming healthcare interactions.

Main Methods:

  • A modified Delphi technique was employed to achieve consensus on guidelines.
  • Fifty TGD community members and parents of TGD children provided input through surveys and feedback rounds.
  • Thematic analysis was used to derive and refine guideline statements based on participant perspectives.

Main Results:

  • Forty-four guideline statements were developed concerning the recruitment, casting, and support of TGD SPs.
  • Recommendations include recruiting TGD SPs through trusted community channels and transparently communicating role expectations.
  • Strategies were identified to enhance TGD SPs' agency, psychological safety, and emotional processing during simulations.

Conclusions:

  • A consensus guideline for supporting TGD SPs was successfully derived using a modified Delphi technique with TGD community members.
  • The study addressed critical gaps in the literature regarding the recruitment and casting of TGD SPs in medical simulations.
  • High agreement among participants underscores the validity and importance of the developed guidelines for inclusive medical training.