표준화 환자에 대한 학생 평가와 환자의사관계 점수와의 관계

Abstract

When standardized patients (SPs) are used for educational purposes, the authenticity of role play and the quality of feedback are essential requirements of SPs. This study was conducted to investigate medical students’ assessment of SPs and to identify the components of SPs’ performance that were most strongly correlated with patient–physician interaction score. One hundred and forty-two fourth-year medical students were asked to complete the Maastricht Assessment of Simulated Patients (MaSP) at the end of a clinical performance examination. SPs evaluated the patient–physician interactions using a 4-point Likert scale (1=poor to 4=excellent). Medical students’ assessment of SPs using the MaSP was positively correlated with patient–physician interactions (r=0.325, p<0.01). Items addressing the authenticity of role play (e.g., “SPs appear authentic,” “SPs might be real patients,” and “SPs answer questions in a natural manner”) were closely correlated with patient–physician interactions (p<0.001, p=0.027, and p=0.017, respectively). These results showed that the MaSP appears to be a useful instrument for evaluating SPs’ performance and that the authenticity of SPs’ performance was positively correlated with medical students’ interactions. In order to improve patient–physician interactions, medical students should be given opportunities to practice their skills with SPs who have been trained to portray patients with a specific condition in a realistic way.