بیمار استاندارد شده

Fetal abnormality screening counseling is one of the duties of midwives according to fetal abnormality screening guidelines. Since promotion of midwives' clinical competence through efficient training system with modern educational methods is very important and necessary, therefore, this study was performed with aim to compare the effect of standardized patient-based training and feedback lecture on midwives' clinical competence in counseling of fetal abnormality screening.

This interventional randomized clinical trial was conducted on 67 licensed midwives in Mashhad in 2018. The subjects were divided into two groups of standardized patient-based training groups and feedback lecture. After doing the pre-test, a 4-hour training program was conducted for each group, and midwives' clinical competence was assessed two weeks after training, using a questionnaire and a researcher-made questionnaire of clinical competency assessment. Data were analyzed by SPSS software (version 16) and using independent t-test, paired t-test, Mann-Whitney and Chi-square tests. P<0.05 was considered statistically significant.

Changes in mean score of clinical competency 2 weeks after the intervention were significant in both groups (p <0.001).There was no significant difference between the two groups in the mean score of clinical competence before the intervention (p = 0.711) and 2 weeks after the intervention (p = 0.412).  

Both methods of standardized patient-based teaching and feedback lecture is effective on promotion of midwives' clinical competence in fetal abnormality screening counseling.

The standardized patient is a trained person that acts as a real–patient so that it is not recognizable by a professional expert. In this assimilation، standardized patient must act like a real patient not only in presenting biography، but also body movement، physical finding، feelings and personal characteristic Using of SP has some advantages than real-patient، accessibility in this way، medical students and residents can access to the standardized patient every where and every time and determined the problems on standardized criteria equally، also provide proper opportunity especially for beginner students in learning different clinical skills، at different time، beyond of any stress، as well as it eliminates major testing problem in residents and medical student’s clinical skill. In some cases SP has more educational value than real patient for learners in educational process. However SP prepare students very well to visit patients more effectively and evaluate student’s clinical skill but it doesn’t mean that we can eliminate real patient. SP is very important in medical education as well as lecture، book، video tape and real –patient.