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Characterizing standardized patients and genetic counseling graduate education
Journal of Genetic Counseling ( IF 1.9 ) Pub Date : 2020-10-06 , DOI: 10.1002/jgc4.1335
Lisa Jay Kessler 1 , Denise LaMarra 2 , Ian M. MacFarlane 3 , Melissa Heller 4 , Kathleen D. Valverde 1
Affiliation  

Standardized patients (SPs) are laypersons trained to portray patients, family members, and others in a consistent, measurable manner to teach and assess healthcare students, and to provide practice for emotionally and medically challenging cases. SP methodology has been studied with practicing genetic counselors; however, there is minimal empirical evidence characterizing its use in genetic counseling (GC) education. The Accreditation Council for Genetic Counseling (ACGC) Standards of Accreditation for Graduate Programs in Genetic Counseling include SP sessions as one way to achieve up to 20% of the 50 participatory cases required for graduation. The purpose of the current project was to determine the scope, frequency, and timing of SP methodology in ACGC‐accredited programs to establish baseline usage, which happened prior to the SARS‐CoV‐2 pandemic. A 40‐item investigator‐created survey was developed to document the scope and frequency of SP use among programs. The survey was distributed through the Association of Genetic Counseling Program Directors’ (AGCPD) listserv to 43 accredited and 6 programs under development. Surveys were analyzed from 25 accredited programs (response rate = 58%). Seventeen of these programs report inclusion of SP methodology in the curricula (68%), of which 13 report working with an established SP program. SPs are used predominantly for role‐plays (70.6%), individualized instruction and remediation (29.4%), and for other reasons such as lecture demonstration, final examinations, practicing skills, and assessing students’ goals. Sixteen of the participating programs use SPs to give GC students experience disclosing positive test results. Other details vary among the GC programs including the use of trained SPs, volunteer or paid SPs, actors with and without SP training, or GC students acting as patients. This study demonstrates that GC program SP experiences differ, but are largely viewed as valuable by the programs. Many GC programs report using SP encounters to create multiple opportunities for students to practice and refine clinical skills similar to SPs in medical school.

中文翻译:

表征标准化患者并进行遗传咨询研究生教育

标准化患者(SP)是经过培训的外行,以一致,可衡量的方式描述患者,家庭成员和其他人员,以教授和评估医疗保健学生,并为情绪和医学上具有挑战性的案例提供实践。已与执业遗传咨询师一起研究了SP方法。但是,几乎没有经验证据证明其在遗传咨询(GC)教育中的使用。遗传咨询认可委员会(ACGC)的遗传咨询研究生课程认证标准包括SP课程,这是达到毕业所需的50个参与案例中20%的一种方法。当前项目的目的是确定经过ACGC认可的计划中SP方法的范围,频率和时机,以建立基准使用率,这是在SARS-CoV-2大流行之前发生的。开展了一项由40名研究人员创建的调查,以记录计划中SP使用的范围和频率。这项调查是通过遗传咨询计划主任协会(AGCPD)的名单服务分发给43个经过认可的计划和6个正在制定的计划的。对来自25个认可计划的调查进行了分析(答复率为58%)。这些计划中有17个报告将SP方法学纳入课程中(68%),其中13个报告使用已建立的SP程序。SP主要用于角色扮演(70.6%),个性化指导和辅导(29.4%),以及其他原因,例如演讲演示,期末考试,练习技巧和评估学生的目标。16个参与计划使用SP来为GC学生提供公开正面测试结果的体验。其他详细信息因GC计划的不同而不同,包括使用受过训练的SP,志愿者或付费SP,受过或未经SP培训的演员或GC学生作为患者。这项研究表明,GC程序SP的经历有所不同,但在很大程度上被程序认为是有价值的。许多GC计划报告说,使用SP遇到的情况为学生创造了许多机会,使学生可以练习和完善类似于医学院中SP的临床技能。但在很大程度上被程序认为是有价值的。许多GC计划报告说,使用SP遇到的情况为学生创造了许多机会,使学生可以练习和完善类似于医学院中SP的临床技能。但在很大程度上被程序认为是有价值的。许多GC计划报告说,使用SP遇到的情况为学生创造了许多机会,使学生可以练习和完善类似于医学院中SP的临床技能。
更新日期:2020-10-06
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