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Volume 18 (3)
Volume 18, Issue 3, Summer 1998
J Contin Educ Health Prof 1998; 18(3):172-178
ORIGINAL ARTICLES
Needs Assessment in Continuing Medical Education through Standardized Patients
Jan-Joost Rethans, PhD
A b s t r a c t
Needs assessment in continuing medical education (CME) has been enhanced by
the use of standardized patients (SPs). A SP is a healthy subject who is trained to accurately
and consistently present a particular medical case, or an actual patient who is trained to present
his or her own illness in a standardized way. SPs offer a valid and reliable method of
assessing the performance of physicians and, as such, can be helpful in CME. This technique
can be used to assess the real needs of physicians, either in a competence or a performance
setting. The method can be particularly useful if the objective is to focus on the interaction
between patients and doctors. This paper introduces readers to SPs including issues of validity,
reliability, feasibility, and acceptability and provides a comparison of how SPs are different
from other assessment methods. The paper includes a selected review on the use of SPs for
CME as well as a critique of their use. The paper ends with a practical description of how
SPs can be used in developing and assessing a CME program and concludes with the directions
that should be taken to further their use in CME environments.
Keywords: Continuing Medical Education; Needs Assessment; Simulated Patients; Standardized Patients
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