Simulated Patients’ Experience towards Simulated Patient-Based Simulation Session: A Qualitative Study

Goh Lay-Khim, Yee Bit-Lian


Background: Simulated Patient (SP) is defined as a layperson that simulates to portray the role of a patient with health-related conditions. International Medical University (IMU) has been utilizing SP for more than 10 years, however, the SP's experience toward the SP-based simulation session yet to be explored, the aim of the study was to explore the SP's experience toward the SP-based simulation session. Methods: Total of 6 participants recruited for a focused group interview, with the inclusive criteria of participated at least an SP-based simulation session. The interviewer used a list of guide question to explore both the positive and negative experience of the SP-based simulation session. A combination of manual and computer software Program was used for data management and analysis. Manual transcribing and coding technique was used for data analysis, while Qualitative Data Analysis (QDA) was used for data management and additional analysis. Results: Three main themes and eleven sub-themes have emerged. The first theme was Effective learning session, with the sub-themes of Student learning attitude, Treated as real patient, Standardization among lecturer, Appropriate respond to student and Focused learning outcome; second theme was Motivation, with the sub-themes of Respect, Feedback, and Caring; the third theme was Preparation prior to class, with the sub-themes of Clear instruction, Role-play, and Script. Conclusions: SPs perceived that lecturers should pay attention to the students’ learning outcome and fully utilize SPs for teaching. Besides that, SPs wished to be treated as a real patient due to the lecturer who treated the SPs as they are real patient gave students a mind-set that the learners were actually dealing with a patient with real conditions. SPs supposed that another role of the lecturer was well-prepared the SPs prior to the actual sessions. SPs expressed that students who took the session seriously, well-preparation before the classes, active participation during the sessions and proactive attitude encouraged realistic portrayal of the character. While SP role was memorizing a series of information needed for the scenario, prepare mentally for portrayal certain emotional as well as physical symptoms. Lecturer, SP as well as student influence a successful SP-based simulation session.


Simulated Patient; Experience; Simulated Patient-based Simulation; Qualitative.


Nestal, D. & Bearman, M. (2015). Introduction to simulated patient methodology. In Nestel, D. & Bearman, M. (Ed.), Simulated Patient Methodology: Theory, Evidence and Practice (pp. 1-4). British, UK: John Wiley & Sons Ltd. doi:10.1002/9781118760673.ch1.

Onari, M. J., Pampaloni, F. & Multak, N. (2012). What is a standardized patient? In Wilson, L. & Rockstraw, L. (2012). Human Simulation for Nursing and Health Professions. United State, US: Springer Publishing Company.

Beigzadeh, A., Bahmanbijari, B., Sharifpoor, E., & Rahimi, M. (2015). Standardized patients versus simulated patients in medical education: are they the same or different. Journal of Emergency Practice and Trauma, 2(1), 25–28. doi:10.15171/jept.2015.05.

Burgess, A., Clark, T., Chapman, R., & Mellis, C. (2013). Medical student experience as simulated patients in the OSCE. The Clinical Teacher, 10(4), 246–250. doi:10.1111/tct.12016.

Gamble, A., Bearman, M., & Nestel, D. (2016). A systematic review: Children & Adolescents as simulated patients in health professional education. Advances in Simulation, 1(1). doi:10.1186/s41077-015-0003-9.

Russell, D., Etherington, C., & Hawthorne, K. (2012). How can simulated patients’ experiences suggest ways to improve candidate performance in the MRCGP clinical assessments? Education for Primary Care, 23(6), 391–398. doi:10.1080/14739879.2012.11494150.

Thomson, F. C., MacKenzie, R. K., Anderson, M., Denison, A. R., & Currie, G. P. (2017). Incorporating patient partner scores into high stakes assessment: an observational study into opinions and attitudes. BMC Medical Education, 17(1). doi:10.1186/s12909-017-1063-4.

Gude, T., Grimstad, H., Holen, A., Anvik, T., Baerheim, A., Fasmer, O.B., Hjortdahl, P. & Vaglum, P. (2015). Can we rely on simulated patients’ satisfaction with their consultation for assessing medical students’ communication skills? a cross-sectional study. BMC Medical Education, 15 (226), pp. 1-6. doi:10.1186/1757-7241-17-59.

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DOI: 10.28991/SciMedJ-2019-0102-3


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