title: Acting as standardized patients enhances family medicine residents' self-reported skills in palliative care.
abstract: Recent publications have confirmed the use of standardized patients (SPs) in improving clinical skills and enhancing competency. Little research has studied the benefits residents may themselves gain in palliative care playing the role of SPs. Nineteen Family Medicine residents were recruited as standardized patients (FMR-SPs) for a mandatory palliative care workshop in communication for incoming, first-year trainees. Four months later, FMR-SPs reflected upon their own experiences. Two independent researchers performed thematic analysis of these interviews. Most of the residents were satisfied with their roles. Twelve reported improved understanding of self, their patients, the doctor-patient relationship, and the underlying philosophy of palliative care. They also described improved verbal and non-verbal communication skills. Eleven of 14 residents reflected upon behavioral changes in problem coping styles. All residents indicated an intention to apply the learning in their future work. Encouraging Thai Family Medicine residents, in years one through three, to portray SPs in palliative care appears to be a valuable learning experience for the resident. Future studies to validate whether this learning has been applied in subsequent practice are planned.
authors.affiliation: Department of Family Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand, pianistmania@hotmail.com.
authors.forename: Pat
authors.initials: P
authors.lastname: Sittikariyakul
authors.forename: Darin
authors.initials: D
authors.lastname: Jaturapatporn
authors.forename: A J
authors.initials: AJ
authors.lastname: Kirshen
mesh_terms: D000328:Adult; D002983:Clinical Competence; D005194:Family Practice / Q000193:education*; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D010166:Palliative Care; D016544:Patient Simulation; D018794:Problem-Based Learning; D057566:Self Report; D055815:Young Adult