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J Dent Educ. 68(10): 1104-1111 2004
© 2004 American Dental Education Association
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International Perspectives on Dental Education

Strategies for Training Standardized Patient Instructors for a Competency Exam

Hitoshi Amano, D.D.S., Ph.D.; Tsukasa Sano, D.D.S., Ph.D.; Kinuko Gotoh, D.D.S., Ph.D.; Saburo Kakuta, D.D.S., Ph.D.; Takeshi Suganuma, D.D.S., Ph.D.; Yuichi Kimura, D.D.S., Ph.D.; Hiroaki Tsukasaki, D.D.S., Ph.D.; Hajime Miyashita, D.D.S., Ph.D.; Tomohiro Okano, D.D.S., Ph.D.; Nobuichi Goto, Ph.D.; Haruko Saeki

Dr. Amano is Assistant Professor; Dr. Sano is Professor; Dr. Gotoh is Assistant Professor; Dr. Kakuta is Associate Professor; Dr. Suganuma is Assistant Professor; Dr. Kimura is Associate Professor; Dr. Tsukasaki is Associate Professor; Dr. Miyashita is Professor; Dr. Okano is Professor; Dr. Goto is Professor—all at the School of Dentistry, Showa University, where all are also members of the OSCE Committee. Mr. Saeki is Visiting Lecturer, School of Medicine, Showa University and head of the Tokyo Working Group for Simulated Patient Communication. Direct correspondence and requests for reprints to Dr. Hitoshi Amano, Department of Pharmacological Dentistry, School of Dentistry, Showa University, Hatanodai 1-5-8, Shinagawa-ku Tokyo, Japan 142-8555; 81-3-3784-8175 phone; 81-3-3784-8176 fax; amano{at}dent.showa-u.ac.jp.

Key words: OSCE, SP instructor, training program, medical interview

Submitted for publication 03/03/04; accepted 08/18/04

The Common Achievement Test (CAT) in Japan, which will be implemented in 2005, involves a medical interview that is the core task to be completed by students during an Objective Structured Clinical Examination (OSCE). Standardized/Simulated Patient instructors (SPs), posing as patients in medical interviews, are trained in standard fashion in terms of expression of symptoms as well as the emotional affect of actual patients. Institution of appropriate training programs for SP instructors in the CAT is also necessary. We trained seven individuals to function as standardized patients (in-school SPs) during a three-day SP training program described in this article. Following completion of the OSCE, we conducted a comparison study among evaluations completed by the evaluators and two types of SP instructors. We observed high correlation, according to Spearman significance testing, between scores of evaluators and those of both newly trained in-school SPs and veteran SPs who had more than five years of experience. Correlation coefficients between the veteran SPs (r=0.77) and the in-school SPs (r=0.73) were nearly identical. These results suggest that our training program for SP instructors is an effective protocol, particularly with respect to reliability and efficiency.




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