Standardized Patient

From Clinicaltools.com

Proposed new title: CTI Standardized Patient

Clinical Tools' Remote Live Standardized Patient (SP) Framework

Need: Physicians and physicians-in-training need a standardized patient experience for learning and evaluation that is convenient and easy-to-use, and retains many the unique ability of a face-to-face standardized patient encounter to practice and assess skills.

Vision: Remote Live Standardized Patients will enhance current skills training education and provide the target audience with an effective and engaging experiential learning opportunity.

Mission: To create online skills training for the target audience that is innovative, interactive, cost-effective, and models real-world experiences via remote live standardized patients.

Goals: Incorporate remote (off-site) Standardized Patients within on-line educational modules as training elements to enhance skills training.

Learning Objectives: Learning objectives will be different based on learner target audience. In general, we will be able to document change in learner performance in the following:

Identifying the patient problem
Screening the patient
Diagnosing the patient
Developing a treatment plan
Explaining the treatment plan to the patient

Assessments: Each health professional or student will be rated post-interview based upon pre-selected scoring criteria. Two independent raters will be used for each encounter.

Further Reading: See CTI SP Background Research for more background research including references.

Standardized Patient Parameters

Implementation

SP Key Issues - Defining key issues in a Remote Live SP Experience

CTI SP Roles

To create and carry out a remote Standardized Patient encounter, we typically have the following roles:

Writer: The writer is responsible for creating a script for the standardized patient. Ideally, the script will follow a checklist which will be used to evaluate the learner. See CTI SP Script page for guidelines for writing a good script.

Standardized Patient (Actor): Currently, the SP is a CTI employee. Eventually, we hope to have users become SPs. For tips on being the actor, see CTI SP Instructions for Patient (Actor) page.

Moderator: The moderator is someone who monitors the chat. The moderator will invite physicians to chat and monitor time elapsed. The moderator will also rate the physician.

Evaluator: The evaluator is currently the actor. The evaluator also rates the patient.

Pages referenced: CTI SP Script; CTI SP Instructions for Patient (Actor);

CTI Learner Target Audiences

Need: We have conducted several needs analyses (see SP Needs Analysis) to determine how to best educate our target audiences.

Target Audience: These are the target audiences we are currently working with.

Medical Students: We are creating a page (CTI SP Instructions for the Medical Student Learner) that will help the learner understand what is expected of them.

Resident/Fellow Learner: We will advise residents/fellows about how they can benefit from the SP encounter. See CTI SP Instructions for the Health Professional

Practicing Doc Learner: We will advise physicians about how they can benefit from the SP encounter. See CTI SP Instructions for the Health Professional

Pages Referenced: SP Needs Analysis; CTI SP Instructions for the Medical Student Learner; CTI SP Instructions for the Health Professional

CTI Evaluator Target Audiences

These will be the people who will need to understand how the remote SP works:

Reviewer (Content/Primary Care): - We will contact project/SP expert consultants to review our cases. See CTI SP Consultants for a list of consultants who are experts in Standardized Patients.

Course Director (MS): We need a way to explain the remote SP concept and benefits (such as evaluations, patient notes) to MS course directors.

Clinic Director (Practicing): We need a way to explain the remote SP concept and benefits to clinical directors.

3rd Party (VA, ASAM): Potential commercialization here

Grant Reader: Whether a contract or a grant, we need to work on the CTI SP Background Research page to include in future grants/contract applications.

Grant Report Reader: When writing contract monthly reports or grant end of year reports, we need to find a way to explain our current methodology, backed up by needs analyses and usability.

Templates

CTI SP Case Outline Template - template
CTI SP Note template
SP Evaluation Instruments - Instruments to evaluate learner performance and determine appropriate feedback; checklist
CTI SP Feedback Instruments - description

Interface/Features

SP Interface Design - Preliminary discussion of actual interface
SP Interface User Flow - User experience description, eventually graphic
Standardized Pt Matrix - brainstorming of how eval versus training uses of SPs
Sp_Slide_Show - Standardized Patient Experience

Mockups

Mockup this is from the Pain Phase II proposal
SP Interface Drafts - Mockup version 1 - SP Learning for Practicing Docs (all hx provided)
SP Interface Drafts 2 - Mockup version 2 - SP Learning for Practicing Docs(minimal hx provided)
SP Interface Drafts 3 - Mockup version 3 - SP Learning for Practicing Docs (vertical)
[SP Drupal Interface-Student] and [SP Drupal Interface-Admin] - Active Drupal Layouts