STANDARDIZED PATIENT MANUAL

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TABLE OF CONTENTS

PERSONNEL AND CONTACT INFORMATIONPAGE 1

OVERVIEW OF PROGRAMSPAGE 2

TRAININGPAGE 2

CHECKLISTS AND COMPUTERSPAGE 3

THE SESSION OR PERFORMANCE DAYPAGE 3-4

BEING AN ALTERNATEPAGE 4

IN THE EXAM ROOM –STUDENT ENCOUNTERPAGE 4-5

IN THE EXAMROOM-ETIQUETTEPAGE 5

CONFIDENTIALITYPAGE 6

SCHEDULINGPAGE 6

PAYROLLPAGE 7

WE WILL NOT CALL IF…PAGE 7-8

EXPECTATIONSPAGE 8-9

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PROGRAMS THAT USE STANDARDIZED PATIENTS or

What am I going to be asked to do now that I am an SP?Standardized Patients are used in many waysin theeducationof health professionals. We work with students of the Jefferson Medical College (JMC), the Jefferson School of Health Professions, the Jefferson School of Nursing, and the Jefferson School of Pharmacy. The students we teach and evaluate are medical students at all levels, occupational and physical therapy students, pharmacy students and nursing students.

  • All standardized patient encounters are noninvasive, in other words, no needles, tubes or scalpels are involved. Breast, Pelvic and Rectal exams cannot be done without your specific written consent.
  • Most of your encounters will fall into two categories, either teaching or assessment. In a teaching session students may be learning communication skills or physical maneuvers. You will be trained so that you may assist them in learning, and provide feedback on their skills. Assessment sessions will involve you staying in character as a patient (sometimes a caregiver or family member, student or health care worker) and evaluating the learner by filling in a checklist.

TRAINING

  • Most sessions or programsrequire you to attend training. You must attend the training to perform in the program.
  • The training session will provide you with the following information:
  1. Whether this is teaching or assessment
  2. The type of student you will be seeing
  3. The “case” materials which include the medical and personal facts about the patient you are to portray.
  4. A clear understanding of the CHECKLIST, if this is an assessment session.
  5. A presentation on feedback, if the session requires you to give feedback to the student.
  • If at the end of the training you do not feel prepared to perform in that session, talk with the trainer. Do NOT wait until the day of the session to ask questions.You can contact the trainer by voice or email 24/7!

CHECKLISTS and COMPUTERS

  • To perform in an assessment session you must have basic computer skills. You need to be comfortable using a mouse.
  • If you need training on our computer assessment system, you must let the trainer know at the time of training. Do not ask for detailed instruction the day of the session!
  • If you have computer problems during a session, contact the trainer by using the in room intercom system. Ask for instructions on how to use it during your training, NOT on the day of the session. You should begin to fill out a paper checklist while you are waiting for help.
  • It is as important to understand and know the checklist as it is to act out your case accurately. The questions on the checklist tell you what patient information you may not tell the student UNLESS THEY ASK! The checklist tells you what physical exam maneuvers you should expect the student to perform and what you need to know in order to react to them. Make sure that you understand the checklist items during training time, or contact the trainer before the day of the session.

COMPUTERS ARE TO BE USED FOR ASSESSMENT ONLY, NOT FOR PERSONAL USE. THIS IS UNIVERSITY POLICY!

THE SESSION

  • You will be told to arrive 15 to 30 minutes before the sessionformally starts. This is paid time that is to be used to prepare yourself, and familiarize yourself with the room. We have built this time into your schedule and expect you to be ON TIME. If you consistently arrive late, even if it is before the 1st student encounter, this will be grounds for dismissal from our program. Your trainer can be reached by voicemail ANY TIME, if you are running late and need to give us a “heads up”.
  • Make sure that you have a folder in the room with paper checklists (in case of a computer meltdown) and a schedule with student names. Put this folder out of sight before the student comes in the room. Cover or turn off the computer monitor while the student is in the room.

  • Breaks and time for lunch may be built into a session. You may not leave your room as long as there are students in the hallway. You may use the SP lounge during this time as long as you are back in your room before the next student encounter. We request that you bring your lunch, or snack, and that you do not leave the building during this time.
  • A student assigned to your room doesn’t show up. You see the NO SHOW tab on the computer beside the student’s name. NEVER “NO SHOW” A STUDENT. The trainer is the only person who should make that decision.
  • The wrong student comes into your room. If the encounter is an exam, stay in character and perform as trained. Afterward, fill out a paper checklist and put the encounter # and student name on it. Use the intercom in the room to inform the trainer.
  • You don’t have a student scheduled for the last encounter of the day. DO NOT assume that you may leave early. You are scheduled for and you committed to a certain amount of time. You may not leave before the end of the entire session without the consent of the trainer running the program.

ALTERNATES

  • Some sessions will require you to be an alternate. If every SP is present you will be assigned
  • to do QA. You will evaluate the student on paper while watching live video.
  • to be a hall monitor. Help students find their rooms and report computer problems outside the room.
  • some other task that the trainer will instruct you in.
  • Do NOT ask to be an alternate because you are too sick or have a physical injury that makes you unable to perform the encounter. The principal job of the alternate is to step in the room and PERFORM if necessary.

IN THE EXAM ROOM – STUDENT ENCOUNTER

  • The focus of the encounter is the student, and how that student relates to the patient as described in the case. Jewelry and make-up should be at a minimum, unless they are called for as props in a case. Any personal mannerisms and accoutrements can be a distraction to the students. You need to be a neutral slate upon which the patient of the case is transposed.

  • During the student encounter you may wear ONE GOWN only. You may use ONE SHEET only, which will be folded on the stool to be used as a drape. We will no longer be providing unlimited linen; you will be given two gownsthat you will keep, wash and bring back as needed. Bring a bathrobe or sweater to wear between students.
  • We are trying to make the encounter as real as possible for the student. The exam room shouldn’t look like you have been living in it all day. Keep your personal belongings stashed below the sink during the encounter.
  • Don’t act like the “professional” patient. Do not prompt the student to pull out the footrest, offer your arm before he asks to take your blood pressure. REMEMBER that you are supposed to be UNFAMILIAR with your surroundings.
  • Leave the supply cabinet door open. The students need to see

the door sign and find the equipment they need.

IN THE EXAM ROOM –ETIQUETTE

  • Video cameras and microphones are on 24/7
  • No cell phone use in the exam room! Make your calls during the break.
  • No comments or telltale facial expressions after the student leaves the room. The video of the encounter may be given to the student or faculty and could be grounds for your dismissal if this behavior is apparent.
  • Exam tables are to be covered with exam table paper! Do not put a sheet on the exam table. Hospital beds are to have a fitted sheet only. One sheet for the drape is all you need.
  • ALL TRASH, including bottles of water, newspapers,etc should be placed in the whitetrash can before leaving!
  • The exam room is not your home, but a temporary “stage” upon which you perform. Respect it and leave it as you found it. Pull down clean paper on the exam table and discard the soiled paper.
  • Put your sheet in the linen hamper and take your gown home.

CONFIDENTIALITY

  • Respect the student’s privacy and do not discuss theirperformance with anyone other than the trainer, faculty or Director of Operations.(students should not be the topic of break room discussion)
  • Our cases are developed for the use of the UCSSC only! We allow you to take them home so that you can review and work on your performance. They are not to be shared with anyone outside of the UCSSC. We ask you not to discuss your case or performance with anyone outside of the UCSSC.

SCHEDULING or when do I get to work?

  • SP’s are chosen the way actors are cast in a play. Many things are considered.
  • High stakes exams or a higher level of student may require a more experienced SP.
  • Age, race, gender and certain physical characteristics may be specified in the case.
  • Faculty may request a certain SP, or request that aSP not be used.
  • Past experience/training in a particular case.
  • Development of skills. We may assign you to a particular program so that you can learn a new set of skills.
  • Ability to give feedback to the student.
  • When we contact you about your availability for a program:
  • This is not a confirmation. You must get back to us promptly to let us know that you want to perform in this program. IF the slot has not already been filled, you will be assigned and will receive a confirmation by email.
  • Your confirmation will include the training date and time; dates, time and name of program, and name of the trainer. YOU MUST put this information on your calendar!

ANY COMUNICATION ABOUT THE PROGRAM OR DATES MUST BE WITH THE DESIGNATED TRAINER!!!

GETTING PAID

  • Jefferson issues paychecks biweekly. You may arrange for direct deposit through Payroll.
  • When you arrive for a training or session you need to sign in.
  • PRINT your name on the sign in sheet and the hours to which you committed. If you arrive late, put the actual time you arrived.
  • The UCSSC uses an electronic system to track your hours, by reading the magnetic stripe on your Jefferson ID badge. There are time clocks near the 3rd and 4th floor SP lounges where you will swipe your badge at the time which your program is to begin. Your name will appear and a green light will flash. If the clock does not appear to recognize your badge, DO NOT swipe again, but contact Marilyn Bradley or your trainer for the program. You will swipe out again at the end of the program.
  • You must bring your ID badge to each session you perform and you must remember to swipe in and out. Otherwise you WILL NOT get paid. Forgetting your ID badge or forgetting to swipe on a consistent basis may be grounds for your dismissal.
  • Questions regarding paychecks should be directed by email to

.

  • Remember- You are not guaranteed a certain # of hours.

We will call you if we have work available for which you are suited.

THE TOP REASONS WE WILL NOT CALL YOU

  1. You miss a training or session without notifying the Center in some way.
  1. You are repeatedly late for training and/or sessions.
  1. You act inappropriately in any way with a student.
  1. You contact or in anyway socialize with students.
  1. You breach our expectations of confidentiality.
  1. You cancel a session at Jefferson in order to take an assignment elsewhere.
  1. Your bookings overlap and so you ask to be excused early OR excuse your lateness because you were working somewhere else.
  1. You fail to accept the authority of the faculty, Director of Operations, trainer or staff member during a training or session.
  1. You inject material into a case that influences the student’s performance negatively.
  1. You evaluate students or teach students according to another institution’s criteria.
  1. You consistently challenge the trainer or facultyand the material they present to you.

OUR EXPECTATIONS OF YOU

Professionalism

  • You will attend all trainings and program sessions that you have committed to.
  • If unable to attend a training or session, you will contact the trainer AS SOON AS POSSIBLE.
  • You will always arrive on time.
  • You will portray your role as trained, and according to Jefferson standards.
  • When necessary, you will provide honest and objective feedback, as trained.
  • You will avoid contact with students “out of role”

Confidentiality

  • You will not discuss student performance or appearance with anyone but faculty, the trainer or the Director of Operations.
  • You will not discuss your roles here, or share case material with anyone outside of the UCSSC
  • You will keep secure any case material and use it only to review before performances.

YOU CAN EXPECT FROM US

  • To be treated with respect and consideration by the UCSSC staff and students.
  • The right to refuse a role that is uncomfortable for you.
  • The understanding that true emergencies do occur and not be penalized when they happen.
  • To get feedback from the trainer and to be instructed as to how you can improve.

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