Rare events meta-analyses of randomized controlled trials (RCTs) are often underpowered because the outcomes are infrequent. Real-world evidence (RWE) from non-randomized studies may provide valuable complementary evidence about the effects of rare events, and there is growing interest in including such evidence in the decision-making process.…

Objective: The authors review the literature about educational programs for teaching sexual history-taking skills and describe novel techniques for teaching these skills. Methods: Psychiatric residents enrolled in a brief sexual history-taking course that included instruction on the Sexual Events Classification System, feedback on residents'…

Paul Hager and I worked on a large number of research projects and publications throughout the 1990s. The focus of this work was on developing a competency-based approach to professional education and assessment. I review this work and its impact over the years. Notwithstanding the fact that most professional associations today have a competency…

The use of healthy individuals acting as simulated patients for the purpose of clinical teaching is discussed. The term "standardized patients" is used to refer to training the individual to present a standard, repeatable stimulus. Some evidence suggests that simulated patients possess high fidelity (i.e., closely approximate real…

The literature on the use of standardized patients, lay persons trained to portray a particular patient, is reviewed, focusing on their use in medical education and potential applications in dental education. A test of 80 dental students using standardized patients is also described and evaluated. (MSE)

The adaptation of patient simulators for teaching pharmacy students medication history interviewing is described. This experiential approach to interviewing provides the opportunity for a supervised experience of patient interviewing in a realistic setting with immediate feedback on interviewing technique available to the student. (Author/MLW)

Large scale studies of the psychometric characteristics of standardized-patient clinical examinations are reviewed, and recommendations for test improvement are offered, including (1) assessment of history taking, physical examination, and communication skills separately from diagnostic and management skills; (2) a mastery-testing framework for…

A review (HE 528 450) of large-scale studies of the psychometric characteristics of standardized-patient clinical examinations is commended for its clarity, thoroughness, and relevance. Issues of reliability, validity, scoring, reporting, and use of the tests are discussed further. (MSE)