title: The use of standardized patients in the performance of a needs assessment and development of a CME intervention in rheumatology for primary care physicians.
abstract: OBJECTIVE
  To determine the feasibility of using standardized patients in the performance of a needs assessment and subsequent development of a continuing medical education (CME) intervention in rheumatology for family physicians.
  
  
  METHODS
  Eight family physicians and 7 rheumatologists undertook 36 encounters with standardized patients simulating 3 common rheumatologic complaints. Encounters were assessed according to a predetermined score addressing issues of communication skills, clinical diagnosis, investigations, and management. Data obtained were used to develop a small group problem based learning event.
  
  
  RESULTS
  Mean scores differed considerably between rheumatologists and family physicians (7.2 vs 3.6; possible range -3 to +9), between individuals within the 2 groups (rheumatologists 2.5 to +9; family physicians -1 to 6.5), and between cases. Specific areas of individual and group need for the development of a subsequent CME intervention were identified and included communication skills, clinical skills in the development of a differential diagnosis, appropriate use and interpretation of investigations, and appropriate management.
  
  
  CONCLUSIONS
  Standardized patients can be effectively used to undertake a needs assessment in rheumatology. Specific data can be used to develop a small group problem based learning program with objectives meeting the identified needs and using the same standardized patients.
authors.affiliation: Department of Medicine, University of Alberta, Edmonton, Canada.
authors.forename: P
authors.initials: P
authors.lastname: Davis
authors.forename: A S
authors.initials: AS
authors.lastname: Russell
authors.forename: K J
authors.initials: KJ
authors.lastname: Skeith
mesh_terms: D004502:Education, Medical, Continuing / Q000379:methods*; D004521:Educational Measurement / Q000379:methods; D005240:Feasibility Studies; D016544:Patient Simulation; D010821:Physicians, Family / Q000193:education*; D012219:Rheumatology / Q000193:education*