Are you thinking of applying to become a standardized patient but want to know more before you take next steps? Here's some questions we frequently receive about what being a standardized patient entails.
- What is a standardized patient?
- What characteristics are you looking for in standardized patients?
- Are the hours regular?
- How much does it pay?
- Are standardized patients "guinea pigs?"
- Why would a person want to be a standardized patient?
- Do the students do those "personal" physical exams on standardized patients?
- How do I know what to say when medical students interview me?
- Do medical students know we are not real patients? Will I use my own name?
- How is this different from acting?
- Is it safe?
- What type of physical examinations will the student perform?
- Will I need to take my clothes off?
- Why do you need standardized patients?
- I am interested in becoming a standardized patient. What do I do next?
A standardized patient is a person who portrays an actual patient for teaching and testing of clinical skills for health sciences learners. During interactions with a learner, the standardized patient role-plays a script to achieve the desired learning outcome(s) by the student and, in some cases, undergoes specific physical examinations as well. Each standardized patient encounter is designed to teach or assess skills appropriate to the student’s level of training. The word "standardized" means that the standardized patient repeats his or her story in a consistent manner to numerous students to ensure an equitable learning and testing environment for each student.
People who are interested in students and in learning, who are excellent listeners and who can focus on the educational goals of the session are typically successful standardized patients. It isn’t necessary to have a medical background or vocabulary. In fact, the Standardized Patient Program strives to involve as many diverse people as possible. While it’s helpful if you have had some contact with doctors, pharmacists, physical therapists and other health care providers, it is not essential. It’s also important for a standardized patient to stay focused on the role play or material that has been provided. Finally, a flexible schedule is necessary in order to work as a standardized patient.
This is an intermittent, very part-time job. One month you might work 16 hours, the next month no hours. The schedule depends on many variables, one of which is matching you to the cases requested by the faculty.
We pay $17.50 per hour for work and on-site training time. It may take up to one month to be paid for your work due to the University of Wisconsin-Madison payroll process.
No one will be trying out any treatments or medical procedures on you. You’ll be helping faculty with teaching and testing. If the session involves a physical exam, you’ll know about all the aspects in advance.
It’s a chance to make a difference in educating future health care professionals and standardized patients also typically like to learn about health. Generally, standardized patients are very people-oriented, outgoing and enjoy getting to meet learners and faculty members. The sessions are always different because the learners are always different and are growing and evolving. There may be other benefits to being a standardized patient. Recent literature suggests that people who work as standardized patients are more capable of benefiting from the health care system and are more satisfied with their own physicians.
There are no breast, pelvic, rectal, or testicular exams done.
You will be carefully coached on each case. You will learn the complete medical history you are to portray, either yours, if you agree in advance, or a role play. As the standardized patient, you may be able to tell the student details about your life such as your job, your family and hobbies. You will be trained to portray the appropriate demeanor and emotional state of the patient as well. For cases requiring a physician examination, you will be taught how to move as a patient would and to accurately simulate responses while being examined.
Yes. We aren’t trying to deceive anyone. Students are told to behave just as they would with real patients while doing histories and physical examinations. You can use your own first name if you choose.
No, this is very different. Medical research subjects are thought of as people who take experimental drugs or are undergoing medically designed behavior changes such as diet or exercise programs and then have their reactions studied.
We use standardized patients to simulate situations for the learners such as:
- Learning how to obtain a comprehensive medical history
- Explaining medications
- Doing an interview about stopping smoking
- Giving bad news
- Performing physical examinations
This work has nothing to do with finding dramatic moments or playing to an audience. When working as a standardized patient, it is important that you focus on the learning or assessment goals for the students while accurately portraying an actual patient.
Yes. Standardized patients review the cases before they are assigned and are never asked to participate in situations which may make them uncomfortable. There is no reason for anyone to do anything that might be harmful. The physical examinations are very basic and designed to not cause harm to the standardized patient. Many encounters are videotaped and most interactions are observed by a faculty person as they happen.
The physical examinations are much like those performed in a doctor’s office. The student may:
- Listen to your heart and lungs with a stethoscope
- Press on your abdomen to identify any tenderness or swelling
- Look into your eyes, ears, nose and throat
- Take your blood pressure
- Take your pulse
- Check your reflexes
- Assess your muscle strength
**The student will not perform exams such as a genital, rectal or breast and will not take blood or other samples.
For patient cases that require no physical examinations, standardized patients wear street clothes. If the students are expected to perform a physical examination, you may be required to wear a hospital gown. You will never be asked to participate in a situation that makes you uncomfortable.
I thought medical students learned on real patients … Students do work with real patients in supervised clinical experiences. However, standardized patients provide a safe and controlled learning and testing environment to prepare students to see real patients. Standardized patients provide students with the same, consistent case each time, and as a result the faculty can be sure that the same skills are practiced by all students. Thus, every student gets the chance to demonstrate their clinical skills in the same situation. It makes it a fair exam or learning experience for everyone.
Please complete the application.