The educational process requires constant improvement. Therefore, the current situation in the training of specialists requires a persistent search for teaching tactics at the university. The main characteristic of a graduate of a medical school is his competence in the ability to think clinically. The quality of professional training of medical university’s students depends not only on the amount of knowledge gained during all the years of study at the university, but also on whether they can apply this knowledge to solve the numerous diagnostic, therapeutic and preventive tasks facing the doctor. The ability to independently find a way out of the most difficult clinical situation is primarily determined by the degree of development of thinking, especially such a variety of it as clinical thinking.
In order to form clinical thinking among 4th year students, Standardized Patients (SP) are used as a form of training in the practical classes in the discipline of “nephrology” in the module “urоgenital system”.
Benefits of using SP:
Comfortable – available anytime, anywhere;
Reliable – patients (volunteers in the role of SP) are standardized and reproducible;
Authentical – comparable to real life patients;
Controlling – teachers lead with learning objectives;
Realistic – teachers integrate psychosocial problems into the clinical case;
Corrective – the student receives immediate feedback;
Practical – students practice communication skills, work on methods of physical examination, interpretation of laboratory and instrumental research methods;
Repeatable – students can repeatedly repeat clinical situations in which they are not ready to work independently;
Measurable – the results of students can be compared, reflected on the check – sheets;
Safe – does not cause inconvenience, discomfort and does not carry potential harm to real patients;
Effective – provides continuous accumulation of experience in a short time frame, reduces the burden on teachers of medical universities.
Practical classes were held with students of group 4305 by associate professor Alibekova R.I. A role-playing game with the participation of students as: SP, doctor and expert, using a clinical case and checklists, allows you to increase the interest and active participation of the whole group, students improve and practice the competencies and skills of clinical thinking, the ability to work in a team. The debriefing with the discussion of feedback from experts, the SP and the teacher determined the features of working with the SP, where the students noted the following points:
- the opportunity to apply the acquired knowledge to real life patients
- receive feedback from the “Standardized Patient”
- get feedback from a student – an expert, which makes it possible to develop critical thinking
- receive constructive feedback from the teacher
- cross-feedback allows you to objectively assess the practical skills of the trainee
It is in the active performance directed by the teacher that the students acquire knowledge, skills and abilities necessary for their professional working, develop creative power, and the competence to solve the problem on their own.
«SP» is a useful tool for clinical demonstrations, interactive workshops, physical examination, interpretation of patient laboratory data, and it provides a dynamic educational resource.
Department of Internal Medicine and Rheumatology